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Updated: Aug 24, 2026

Intravital Microscopy of Tumor-associated Vasculature Using Advanced Dorsal Skinfold Window Chambers on Transgenic Fluorescent Mice
Published on: January 19, 2018
Tumor vascular endothelium: barrier or target in tumor directed drug delivery and immunotherapy
G Molema1, L F de Leij, D K Meijer
1Dept. Pharmacokinetics and Drug Delivery, University Center for Pharmacy, Groningen, the Netherlands.
Abstract:
The therapy of solid tumors with conventional chemotherapeutics, drug delivery preparations and immunomodulatory agents directed against the tumor cells is corrupted by a major barrier presented by the tumor vasculature. Permeability of the tumor blood vessels for transport of small molecules and macromolecular drug-carrier conjugates is only sufficient in the blood vessels at the tumor-host interface. Downregulation of the expression of adhesion molecules, required for the facilitation of immune cell recruitment, by the tumor vascular endothelium results in an escape of the tumor from host defence. New therapeutic approaches for the treatment of solid tumors are aimed at the tumor vasculature, either at the endothelial cells themselves or at basement membrane or tumor stroma components. Angiogenesis can be directly blocked with angiogenesis inhibitors, while angiogenesis related factors can serve as tumor vasculature specific epitopes for drug delivery strategies. Some glycoproteins expressed by tumor endothelial cells or present in the basement membrane and tumor stroma are also potential tumor selective targets. Therapeutic modalities that are suitable for site specific delivery are agents that increase tumor accumulation of (targeted) chemo/radiotherapeutics through increasing tumor vascular permeability. The observation that for tumor growth the blood supply is a limiting factor, led to the development of strategies to inhibit angiogenesis or block the tumor blood flow. Manipulation of the expression of endothelial cell adhesion molecules by selectively delivering modulatory agents at or in the tumor vascular endothelial cells may induce (bispecific antibody mediated) host defense activity directed against the tumor cells.
Insights
Targeting tumor vasculature offers new strategies for solid tumor treatment. Modulating tumor blood vessels can improve drug delivery and enhance immune responses against cancer.
Area of Science:
- Oncology
- Vascular Biology
- Drug Delivery
Background:
- Tumor vasculature presents a significant barrier to conventional cancer therapies, limiting drug penetration and immune cell infiltration.
- Tumor endothelial cells downregulate adhesion molecules, hindering host immune defense against cancer.
- Tumor blood supply is a critical factor for tumor growth, making vasculature a key therapeutic target.
Purpose of the Study:
- To explore novel therapeutic strategies targeting solid tumor vasculature.
- To enhance drug delivery and immune responses by manipulating tumor blood vessels.
- To identify specific targets within the tumor vasculature for improved cancer treatment.
Main Methods:
- Inhibiting angiogenesis using angiogenesis inhibitors.
- Utilizing angiogenesis-related factors as targets for drug delivery.
- Identifying glycoproteins on tumor endothelial cells or in the tumor stroma as therapeutic targets.
- Developing agents to increase tumor vascular permeability for enhanced drug accumulation.
- Manipulating endothelial cell adhesion molecules to promote anti-tumor immunity.
Main Results:
- Tumor vasculature limits the efficacy of conventional chemotherapeutics and immunotherapies.
- Targeting tumor endothelial cells, basement membrane, or stroma offers new therapeutic avenues.
- Angiogenesis inhibition and blocking tumor blood flow are viable strategies.
- Specific molecular targets on tumor vasculature can be exploited for site-specific drug delivery.
- Modulating endothelial cell adhesion molecules can potentially restore host anti-tumor immune activity.
Conclusions:
- The tumor vasculature is a critical and druggable target for solid tumor therapy.
- Novel approaches focusing on tumor vascular modulation can overcome treatment barriers.
- Targeting tumor vasculature holds promise for improving drug delivery, enhancing immune surveillance, and ultimately, treating cancer more effectively.
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