Blood vessel maturation, vascular phenotype and angiogenic potential in malignant melanoma: One step forward for overcoming anti-angiogenic drug resistance?
Angiogenesis is a pivotal process for growth, invasion and spread of the majority of solid tumors including melanoma. Anti-angiogenic agents have not been systematically tested in patients with advanced melanoma. Clinical efficacy of angiogenesis inhibitors targeting endothelial cells has not been a...
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Veröffentlicht in: | Molecular oncology 2011-04, Vol.5 (2), p.137-149 |
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description | Angiogenesis is a pivotal process for growth, invasion and spread of the majority of solid tumors including melanoma. Anti-angiogenic agents have not been systematically tested in patients with advanced melanoma. Clinical efficacy of angiogenesis inhibitors targeting endothelial cells has not been as affirmative as initially hoped and improved clinical outcomes have been observed in combination with chemotherapy or additional drugs for many types of human cancer. However, angiogenesis is not only dependent on endothelial cell invasion and proliferation, it also requires pericyte coverage of vascular sprouts for stabilization and maturation of vascular walls. Recent data suggest that pericytes might be able to confer resistance to anti-vascular endothelial growth factor (VEGF) therapy. This review will focus on the significance of the vascular phenotype but also on the impact of pericyte-mediated vessel maturation for the susceptibility to anti-angiogenic therapy, including malignant melanoma, which we identified as crucial factor regarding therapeutic efficacy. |
doi_str_mv | 10.1016/j.molonc.2011.01.003 |
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Anti-angiogenic agents have not been systematically tested in patients with advanced melanoma. Clinical efficacy of angiogenesis inhibitors targeting endothelial cells has not been as affirmative as initially hoped and improved clinical outcomes have been observed in combination with chemotherapy or additional drugs for many types of human cancer. However, angiogenesis is not only dependent on endothelial cell invasion and proliferation, it also requires pericyte coverage of vascular sprouts for stabilization and maturation of vascular walls. Recent data suggest that pericytes might be able to confer resistance to anti-vascular endothelial growth factor (VEGF) therapy. This review will focus on the significance of the vascular phenotype but also on the impact of pericyte-mediated vessel maturation for the susceptibility to anti-angiogenic therapy, including malignant melanoma, which we identified as crucial factor regarding therapeutic efficacy.</description><identifier>ISSN: 1574-7891</identifier><identifier>EISSN: 1878-0261</identifier><identifier>DOI: 10.1016/j.molonc.2011.01.003</identifier><identifier>PMID: 21345752</identifier><language>eng</language><publisher>United States: Elsevier B.V</publisher><subject>Angiogenesis ; Angiogenesis inhibitors ; Angiogenesis Inhibitors - pharmacology ; Angiogenesis Inhibitors - therapeutic use ; Animals ; anti-Angiogenic therapy ; Blood Vessels - drug effects ; Blood Vessels - pathology ; Cell growth ; Chemotherapy ; Clinical trials ; Drug resistance ; Drug Resistance, Neoplasm ; Endothelial cells ; Genotype & phenotype ; Humans ; Hypoxia ; Kinases ; Maturation ; Medical prognosis ; Medical research ; Melanoma ; Melanoma - blood supply ; Melanoma - drug therapy ; Melanoma - pathology ; Metabolism ; Metastasis ; Neovascularization, Pathologic - drug therapy ; Neovascularization, Pathologic - pathology ; Nitric oxide ; Pericytes ; Pericytes - drug effects ; Pericytes - pathology ; Phenotypes ; Review ; Reviews ; Skin cancer ; Smooth muscle ; Solid tumors ; Tumors ; Vascular endothelial growth factor ; Vascular Endothelial Growth Factors - antagonists & inhibitors ; Vessel maturation</subject><ispartof>Molecular oncology, 2011-04, Vol.5 (2), p.137-149</ispartof><rights>2011 Federation of European Biochemical Societies</rights><rights>Copyright © 2011 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.</rights><rights>2011. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). 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Anti-angiogenic agents have not been systematically tested in patients with advanced melanoma. Clinical efficacy of angiogenesis inhibitors targeting endothelial cells has not been as affirmative as initially hoped and improved clinical outcomes have been observed in combination with chemotherapy or additional drugs for many types of human cancer. However, angiogenesis is not only dependent on endothelial cell invasion and proliferation, it also requires pericyte coverage of vascular sprouts for stabilization and maturation of vascular walls. Recent data suggest that pericytes might be able to confer resistance to anti-vascular endothelial growth factor (VEGF) therapy. 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subjects | Angiogenesis Angiogenesis inhibitors Angiogenesis Inhibitors - pharmacology Angiogenesis Inhibitors - therapeutic use Animals anti-Angiogenic therapy Blood Vessels - drug effects Blood Vessels - pathology Cell growth Chemotherapy Clinical trials Drug resistance Drug Resistance, Neoplasm Endothelial cells Genotype & phenotype Humans Hypoxia Kinases Maturation Medical prognosis Medical research Melanoma Melanoma - blood supply Melanoma - drug therapy Melanoma - pathology Metabolism Metastasis Neovascularization, Pathologic - drug therapy Neovascularization, Pathologic - pathology Nitric oxide Pericytes Pericytes - drug effects Pericytes - pathology Phenotypes Review Reviews Skin cancer Smooth muscle Solid tumors Tumors Vascular endothelial growth factor Vascular Endothelial Growth Factors - antagonists & inhibitors Vessel maturation |
title | Blood vessel maturation, vascular phenotype and angiogenic potential in malignant melanoma: One step forward for overcoming anti-angiogenic drug resistance? |
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