Tumour angiogenesis: Its mechanism and therapeutic implications in malignant gliomas

Abstract Angiogenesis is a key event in the progression of malignant gliomas. The presence of microvascular proliferation leads to the histological diagnosis of glioblastoma multiforme. Tumour angiogenesis involves multiple cellular processes including endothelial cell proliferation, migration, reor...

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Veröffentlicht in:Journal of clinical neuroscience 2009-09, Vol.16 (9), p.1119-1130
Hauptverfasser: Wong, Michael L.H, Prawira, Amy, Kaye, Andrew H, Hovens, Christopher M
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container_title Journal of clinical neuroscience
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creator Wong, Michael L.H
Prawira, Amy
Kaye, Andrew H
Hovens, Christopher M
description Abstract Angiogenesis is a key event in the progression of malignant gliomas. The presence of microvascular proliferation leads to the histological diagnosis of glioblastoma multiforme. Tumour angiogenesis involves multiple cellular processes including endothelial cell proliferation, migration, reorganisation of extracellular matrix and tube formation. These processes are regulated by numerous pro-angiogenic and anti-angiogenic growth factors. Angiogenesis inhibitors have been developed to interrupt the angiogenic process at the growth factor, receptor tyrosine kinase and intracellular kinase levels. Other anti-angiogenic therapies alter the immune response and endogeneous angiogenesis inhibitor levels. Most anti-angiogenic therapies for malignant gliomas are in Phase I/II trials and only modest efficacies are reported for monotherapies. The greatest potential for angiogenesis inhibitors may lie in their ability to combine safely with chemotherapy and radiotherapy.
doi_str_mv 10.1016/j.jocn.2009.02.009
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subjects Angiogenesis
Angiogenesis Inhibitors - pharmacology
Angiogenesis Inhibitors - therapeutic use
Animals
Brain Neoplasms - drug therapy
Brain Neoplasms - pathology
Clinical trials
Glioma
Glioma - blood supply
Glioma - drug therapy
Glioma - pathology
Humans
Neoplasms - blood supply
Neoplasms - drug therapy
Neoplasms - pathology
Neovascularization, Pathologic - drug therapy
Neovascularization, Pathologic - pathology
Neovascularization, Pathologic - physiopathology
Neurology
Regional Blood Flow - drug effects
title Tumour angiogenesis: Its mechanism and therapeutic implications in malignant gliomas
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