:
Angiogenesis is a key process allowing the formation of blood vessels. It is crucial for all the tissue and organs,
ensuring their function and growth. Angiogenesis is finely controlled by several mechanisms involving complex interactions
between pro- or antiangiogenic factors and an imbalance in this control chain may result in pathological conditions. Metals
as copper, zinc and iron cover an essential role in regulating angiogenesis, thus therapies having physiological metals as
target have been proposed. Also, some complexes of heavier metal ions (e.g Pt, Au, Ru) are currently used as established
or experimental anticancer agents targeting genomic or non-genomic targets. These molecules may affect the angiogenic
mechanisms determining different effects that have been only poorly and non-systematically investigated so far. Accordingly, in this review article we aim to recapitulate the impact on the angiogenic process of some reference anticancer drugs,
and how it is connected to the overall pharmacological effects. Also, we highlight how the activity of these drugs can be
related to the role of biological essential metal ions. Overall, this may allow a deeper description and understanding of the
antineoplastic activity of both approved or experimental metal complexes, providing important insights for the synthesis of
new inorganic drugs able to overcome resistance and recurrence phenomena.