“…The occurrence of side effects in the case of anti-angiogenic drugs can be explained primarily by increased hypoxia ( Pennacchietti et al, 2003 ) caused by the lack of blood supply in the tumor ( Büchler et al, 2004 ; Ebos et al, 2009 ; Loges et al, 2009 ; Pàez-Ribes et al, 2009 ). It was shown in many works that hypoxia activates EMT ( Imai et al, 2003 ; Yang et al, 2008 ) and thus can stimulate metastasis through the mesenchymal motility mode ( Brahimi-Horn et al, 2007 ; Sullivan and Graham, 2007 ; Yang et al, 2008 ), but it can also stimulate the transition to amoeboid movement, which is characterized by faster cell dissemination and lack of dependence on the activity of MMPs, which in turn further enhances the metastatic potential of tumors ( Te Boekhorst et al, 2022 ). In particular, hypoxia has been shown to strengthen the migration of mouse breast CCs by enhancing the EMT and/or MAT of some cells.…”