Tumor angiogenesis and anti-angiogenic therapy in malignant gliomas revisited

作者: Karl H. Plate , Alexander Scholz , Daniel J. Dumont

DOI: 10.1007/S00401-012-1066-5

关键词: Vascular endothelial growth factorPathologyAngiogenesisCancer researchVasculogenesisHIF1ACancerBiologySprouting angiogenesisTargeted therapyBevacizumab

摘要: The cellular and molecular mechanisms of tumor angiogenesis its prospects for anti-angiogenic cancer therapy are major issues in almost all current concepts both biology targeted therapy. Currently, (1) sprouting angiogenesis, (2) vascular co-option, (3) intussusception, (4) vasculogenic mimicry, (5) bone marrow-derived vasculogenesis, (6) stem-like cell-derived vasculogenesis (7) myeloid cell-driven considered to contribute angiogenesis. Many these processes have been described developmental angiogenesis; however, the relative contribution relevance human brain remain unclear. Preclinical models support a role co-option glioma vascularization, whereas other four remains controversial rather enigmatic. anti-angiogenesis drug Avastin (Bevacizumab), which targets VEGF, has become one most popular drugs world. Anti-angiogenic may lead normalization as such facilitate conventional cytotoxic chemotherapy. However, preclinical clinical studies suggest that anti-VEGF using bevacizumab also pro-migratory phenotype resistant glioblastomas thus actively promote invasion recurrent growth. This review focusses on malignant particular bone-marrow-derived vasculogenesis.

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