2016
DOI: 10.1016/j.devcel.2016.03.015
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The Complexity of Translating Anti-angiogenesis Therapy from Basic Science to the Clinic

Abstract: Formation of new blood vessels in tumors, a process termed tumor angiogenesis, is a crucial step during oncogenic progression. Blocking tumor angiogenesis is therefore expected to have a profound impact on tumor growth. It took several decades of collective efforts to translate this intriguing idea into tangible clinical benefit. Today, anti-angiogenesis agents represent standard-of-care therapies for multiple types of cancers, and the clinical experience has taught us many lessons about the concept and applic… Show more

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Cited by 109 publications
(77 citation statements)
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“…Immunotherapies including those aimed at clonal neoantigens, as well as neutralizing antibodies and antagonists, will likely offer additional options to inhibit the inflammatory TME and enhance anti-tumor immunity [185187]. In addition, neutralizing antibodies and antagonists targeting tumor angiogenesis have been tried and are under further evaluation [188191]. Furthermore, cell type specific targeting may also provide alternative options [192, 193], including TAMs [194, 195], MDSCs [7, 46], and B cells [196].…”
Section: Targeting Opportunitiesmentioning
confidence: 99%
“…Immunotherapies including those aimed at clonal neoantigens, as well as neutralizing antibodies and antagonists, will likely offer additional options to inhibit the inflammatory TME and enhance anti-tumor immunity [185187]. In addition, neutralizing antibodies and antagonists targeting tumor angiogenesis have been tried and are under further evaluation [188191]. Furthermore, cell type specific targeting may also provide alternative options [192, 193], including TAMs [194, 195], MDSCs [7, 46], and B cells [196].…”
Section: Targeting Opportunitiesmentioning
confidence: 99%
“…The advent of therapies that block VEGFA/VEGFR2 signaling, such as TKIs and monoclonal antibodies, and inhibit tumor angiogenesis represents a significant improvement in treatment of certain cancers [203]. Yet, this approach has not met the highest expectation, the complete arrest of tumor growth [206, 225, 226]. A multitude of clinical trials has shown that the benefits of antiangiogenic therapy are limited to an increase in progression-free survival and sometimes overall survival on the order of months [206, 225, 226].…”
Section: Therapeutic Opportunitiesmentioning
confidence: 99%
“…Yet, this approach has not met the highest expectation, the complete arrest of tumor growth [206, 225, 226]. A multitude of clinical trials has shown that the benefits of antiangiogenic therapy are limited to an increase in progression-free survival and sometimes overall survival on the order of months [206, 225, 226]. Moreover, certain cancer types completely fail to respond to antiangiogenic therapy [203, 226].…”
Section: Therapeutic Opportunitiesmentioning
confidence: 99%
“…In spite of undoubted beneficial effects in several human neoplasms, however, it is fair to say that in most cases antiangiogenic therapy did not meet the expectations. Drugs interfering with VEGF function, for example, when used in combination with chemotherapy do increase progression-free and, to a lesser extent overall survival [17,18,19]. However, in the vast majority of clinical trials the survival benefit was quite modest and transient.…”
Section: Antiangiogenic Therapymentioning
confidence: 99%