1990
DOI: 10.1007/bf00046365
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Vascular attack as a therapeutic strategy for cancer

Abstract: The blood supply to all solid tumours consists of parasitized normal vessels and new vessels which have been induced to grow by the presence of the tumour. These vessels are inadequate in many respects, being tortuous, thin-walled, chaotically arranged, lacking innervation and with no predetermined direction of flow. The walls consist of a basement membrane lined with rapidly proliferating immature endothelial cells, and are more permeable than normal vessels. The spacing of the vessels and their average diame… Show more

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Cited by 239 publications
(140 citation statements)
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“…These factors could be involved in decreasing and/or shutting off the blood flow in tumours British Journal of Cancer (1998) compared with normal tissues. Subsequently, if the tumour cannot get enough oxygen and nutrients, then their growth is impaired (Denekamp, 1990).…”
Section: Discussionmentioning
confidence: 99%
“…These factors could be involved in decreasing and/or shutting off the blood flow in tumours British Journal of Cancer (1998) compared with normal tissues. Subsequently, if the tumour cannot get enough oxygen and nutrients, then their growth is impaired (Denekamp, 1990).…”
Section: Discussionmentioning
confidence: 99%
“…It has been reported that damage to a single vessel can cause the death of thousands of dependent tumour cells and only a small number of endothelial cells need to be affected to disrupt a vessel. 6 It would therefore be advantageous to alter the tumour blood supply locally without causing damage to normal vasculature.…”
Section: Introductionmentioning
confidence: 99%
“…However, by the time the cancer is diagnosed, most tumours already have an intact, functional vascular network (Folkman, 1992). Significantly, tumour vasculature seems to be fundamentally different from normal vasculature (Denekamp, 1990). For example, tumour endothelium is characterised by tortuous, leaky vessels with chaotic blood flow (Fukumura et al, 1997) and a significant proportion of immature, proliferating endothelial cells, which is in contrast to the ordered vessels and quiescent endothelial cells found in normal tissues (Skinner et al, 1995;Brown and Giaccia, 1998).…”
mentioning
confidence: 99%
“…A wide range of potentially effective vascular-targeting approaches has been described, each exploiting distinctive features of the tumour vasculature (Denekamp, 1990;Bloemendal et al, 1999;Thorpe et al, 2003). Vascular-targeting activity is a common feature of tubulin-binding microtubule destabilising agents such as colchicines and vinca alkaloids.…”
mentioning
confidence: 99%