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Published on: June 16, 2013
Tumor vasculature targeted therapies: getting the players organized
G Molema1, D K Meijer, L F de Leij
1Department of Clinical Immunology, Groningen Utrecht Institute for Drug Exploration, The Netherlands. g.molema@med.rug.nl
Abstract:
Based on their location and central role in solid tumor growth, tumor vascular endothelial cells may present an attractive target for the delivery of therapeutic drugs or cells. The potency of blocking the tumor blood supply in eradicating solid tumors was demonstrated recently in a mouse model of tumor vasculature targeting (Huang et al., Science 275: 547-550, 1997). For clinical application of such strategies, tumor endothelium specific target epitopes need to be identified. Recent studies on angiogenesis have identified angiogenesis-related molecules as potential target epitopes. Among these are vascular endothelial growth factor (VEGF)/VEGF-receptor complex, alpha(v) integrins, and Tie receptor tyrosine kinases. Besides blockade of their signalling cascades leading to inhibition of angiogenesis, these epitopes may also be instrumental in tumor vessel specific delivery of therapeutics. Data on the efficacy of therapeutic modalities aimed at these, mostly heterogeneously distributed tumor endothelial epitopes are scarce, and sophisticated experimentation is required to rationalize the development of new therapeutic strategies. Importantly, only detailed evaluations in cancer patients will provide the blueprint for the development of clinically effective tumor vascular targeted therapies.
Insights
Targeting tumor vasculature offers a promising strategy for cancer therapy. Identifying specific tumor endothelial cell targets is crucial for developing effective drug delivery and anti-angiogenesis treatments in clinical settings.
Area of Science:
- Oncology
- Vascular Biology
- Drug Delivery
Background:
- Tumor vascular endothelial cells are key targets for cancer therapy due to their role in solid tumor growth.
- Blocking tumor blood supply has shown efficacy in preclinical models, highlighting the potential of vascular targeting.
- Identifying tumor endothelium-specific targets is essential for clinical translation.
Purpose of the Study:
- To review potential target epitopes on tumor endothelium for therapeutic strategies.
- To discuss the role of angiogenesis-related molecules as targets.
- To emphasize the need for further research and clinical evaluation.
Main Methods:
- Review of recent studies on angiogenesis and tumor vasculature.
- Identification of potential target epitopes including VEGF/VEGF-receptor, alpha(v) integrins, and Tie receptor tyrosine kinases.
- Discussion of therapeutic strategies involving blockade of signaling cascades and targeted drug delivery.
Main Results:
- Angiogenesis-related molecules are identified as potential targets on tumor endothelium.
- These targets can be used for both inhibiting angiogenesis and delivering therapeutics.
- Data on the efficacy of targeting these epitopes are currently limited.
Conclusions:
- Tumor vascular targeting holds significant therapeutic potential for solid tumors.
- Further sophisticated experimentation and detailed clinical evaluations in cancer patients are required.
- Development of clinically effective tumor vascular targeted therapies necessitates a comprehensive understanding of these targets.
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