ANGIOGENESIS AND TUMOR METASTASIS

Angiogenesis, the recruitment of new blood vessels, is an essential component of the metastatic pathway. These vessels provide the principal route by which tumor cells exit the primary tumor site and enter the circulation. For many tumors, the vascular density can provide a prognostic indicator of m...

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Veröffentlicht in:Annual review of medicine 1998-01, Vol.49 (1), p.407-424
1. Verfasser: Zetter, PhD, Bruce R
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description Angiogenesis, the recruitment of new blood vessels, is an essential component of the metastatic pathway. These vessels provide the principal route by which tumor cells exit the primary tumor site and enter the circulation. For many tumors, the vascular density can provide a prognostic indicator of metastatic potential, with the highly vascular primary tumors having a higher incidence of metastasis than poorly vascular tumors. Tumor angiogenesis is regulated by the production of angiogenic stimulators including members of the fibroblast growth factor and vascular endothelial growth factor families. In addition, tumors may activate angiogenic inhibitors such as angiostatin and endostatin that can modulate angiogenesis both at the primary site and at downstream sites of metastasis. The potential use of these and other natural and synthetic angiogenic inhibitors as anticancer drugs is currently under intense investigation. Such agents may have reduced toxicity and be less likely to generate drug resistance than conventional cytotoxic drugs. Clinical trials are now underway to develop optimum treatment strategies for antiangiogenic agents.
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These vessels provide the principal route by which tumor cells exit the primary tumor site and enter the circulation. For many tumors, the vascular density can provide a prognostic indicator of metastatic potential, with the highly vascular primary tumors having a higher incidence of metastasis than poorly vascular tumors. Tumor angiogenesis is regulated by the production of angiogenic stimulators including members of the fibroblast growth factor and vascular endothelial growth factor families. In addition, tumors may activate angiogenic inhibitors such as angiostatin and endostatin that can modulate angiogenesis both at the primary site and at downstream sites of metastasis. The potential use of these and other natural and synthetic angiogenic inhibitors as anticancer drugs is currently under intense investigation. Such agents may have reduced toxicity and be less likely to generate drug resistance than conventional cytotoxic drugs. 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These vessels provide the principal route by which tumor cells exit the primary tumor site and enter the circulation. For many tumors, the vascular density can provide a prognostic indicator of metastatic potential, with the highly vascular primary tumors having a higher incidence of metastasis than poorly vascular tumors. Tumor angiogenesis is regulated by the production of angiogenic stimulators including members of the fibroblast growth factor and vascular endothelial growth factor families. In addition, tumors may activate angiogenic inhibitors such as angiostatin and endostatin that can modulate angiogenesis both at the primary site and at downstream sites of metastasis. The potential use of these and other natural and synthetic angiogenic inhibitors as anticancer drugs is currently under intense investigation. Such agents may have reduced toxicity and be less likely to generate drug resistance than conventional cytotoxic drugs. Clinical trials are now underway to develop optimum treatment strategies for antiangiogenic agents.</abstract><cop>Palo Alto, CA 94303-0139</cop><cop>4139 El Camino Way, P.O. Box 10139</cop><cop>USA</cop><pub>Annual Reviews</pub><pmid>9509272</pmid><doi>10.1146/annurev.med.49.1.407</doi><tpages>18</tpages></addata></record>
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subjects Angiogenesis
angiogenesis inhibitors
Angiostatins
Antineoplastic agents
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Biological and medical sciences
Blood vessels
Blood Vessels - pathology
Breast cancer
Cancer therapies
cancer therapy
Chemotherapy
Clinical Trials as Topic
Collagen - adverse effects
Collagen - physiology
Collagen - therapeutic use
Drug Resistance, Neoplasm
Endostatins
Endothelial Growth Factors - physiology
Fibroblast Growth Factors - physiology
Fibroblasts
Humans
Incidence
invasion
Medical prognosis
Medical sciences
Metastasis
Neoplasm Metastasis - pathology
Neoplasm Metastasis - physiopathology
Neoplasms - blood supply
Neoplastic Cells, Circulating - pathology
Neovascularization, Pathologic - drug therapy
Neovascularization, Pathologic - pathology
Peptide Fragments - adverse effects
Peptide Fragments - physiology
Peptide Fragments - therapeutic use
Pharmacology. Drug treatments
Plasminogen - adverse effects
Plasminogen - physiology
Plasminogen - therapeutic use
Prognosis
Toxicity
tumor dormancy
Tumors
Vascular endothelial growth factor
title ANGIOGENESIS AND TUMOR METASTASIS
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