Cellular abnormalities of blood vessels as targets in cancer.

Abstract:

:Tumor blood vessels have multiple structural and functional abnormalities. They are unusually dynamic, and naturally undergo sprouting, proliferation, remodeling or regression. The vessels are irregularly shaped, tortuous, and lack the normal hierarchical arrangement of arterioles, capillaries and venules. Endothelial cells in tumors have abnormalities in gene expression, require growth factors for survival and have defective barrier function to plasma proteins. Pericytes on tumor vessels are also abnormal. Aberrant endothelial cells and pericytes generate defective basement membrane. Angiogenesis inhibitors can stop the growth of tumor vessels, prune existing vessels and normalize surviving vessels. Loss of endothelial cells is not necessarily accompanied by simultaneous loss of pericytes and surrounding basement membrane, which together can then provide a scaffold for regrowth of tumor vessels. Rapid vascular regrowth reflects the ongoing drive for angiogenesis and bizarre microenvironment in tumors that promote vascular abnormalities and thereby create therapeutic targets.

journal_name

Curr Opin Genet Dev

authors

Baluk P,Hashizume H,McDonald DM

doi

10.1016/j.gde.2004.12.005

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

102-11

issue

1

eissn

0959-437X

issn

1879-0380

pii

S0959-437X(04)00191-1

journal_volume

15

pub_type

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