Limitations of Anti-Angiogenic Treatment of Tumors.

Abstract:

:Clinical trials using anti-vascular endothelial growth factor /(VEGF) molecules induce a modest improvement in overall survival, measurable in weeks to just a few months, and tumors respond differently to these agents. In this review article, we have exposed some tumor characteristics and processes that may impair the effectiveness of anti-angiogenic approaches, including genotypic changes on endothelial cells, the vascular normalization phenomenon, and the vasculogenic mimicry. The usage of anti-angiogenic molecules leads to hypoxic tumor microenvironment which enhances tumor invasiveness. The role of tumor-infiltrating cells, including tumor associated macrophages and fibroblasts (TAMs and TAFs) in the therapeutic response to anti-angiogenic settings was also highlighted. Finally, among the new therapeutic approaches to target tumor vasculature, anti-PD-1 or anti-PD-L1 therapy sensitizing and prolonging the efficacy of anti-angiogenic therapy, have been discussed.

journal_name

Transl Oncol

journal_title

Translational oncology

authors

Ribatti D,Annese T,Ruggieri S,Tamma R,Crivellato E

doi

10.1016/j.tranon.2019.04.022

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

981-986

issue

7

issn

1936-5233

pii

S1936-5233(19)30152-4

journal_volume

12

pub_type

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