Antiangiogenic therapy for high-grade gliomas: current concepts and limitations

作者:De Bonis Pasquale; Marziali Giammaria; Vigo Vera; Peraio Simone; Pompucci Angelo; Anile Carmelo; Mangiola Annunziato*
来源:Expert Review of Neurotherapeutics, 2013, 13(11): 1263-1270.
DOI:10.1586/14737175.2013.856264

摘要

Glioblastoma (GBM) is associated with a high degree of angiogenesis. Therefore, antiangiogenic therapy could have a role in the treatment of this tumor. The currently available treatment approaches acting against angiogenesis are mainly directed toward three pathways: VEGF pathway, VEGF-independent pathways and inhibition of vascular endothelial cell migration. It has been demonstrated that antiangiogenic therapy can produce a rapid radiological response and a decrease of brain edema, without significantly influencing survival. Future studies should consider that: animal models are inadequate and cells used for animal models (mainly U87) are deeply different from patient GBM cells; GBM cells may become resistant to antiangiogenic therapy and some cells may be resistant to antiangiogenic therapy ab initio; and angiogenesis in the peritumor tissue has been poorly investigated. Therefore, the ideal target of angiogenesis is probably yet to be identified.

  • 出版日期2013-11