4.6 Article

Angiogenesis: A Pivotal Therapeutic Target in the Drug Development of Gynecologic Cancers

Journal

CANCERS
Volume 14, Issue 5, Pages -

Publisher

MDPI
DOI: 10.3390/cancers14051122

Keywords

angiogenesis; tumor microenvironment; vascular endothelial growth factor; targeted therapy

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This review discusses the mechanisms, current practices, and areas for development of angiogenesis in gynecologic cancers. It highlights the limited clinical activity of anti-angiogenic monotherapies and the ongoing focus on combination therapies. Future directions in clinical trials are also explored.
Simple Summary Angiogenesis, defined as the abnormal development of new blood vessels in cancer, is a key component of cancer development. Clinical trials have proven that angiogenesis blockers can be effective in halting cancer growth across numerous types of gynecologic cancers. This review discusses the mechanisms of angiogenesis in gynecologic cancers, current practices and areas for development. Since the discovery of angiogenesis and its relevance to the tumorigenesis of gynecologic malignancies, a number of therapeutic agents have been developed over the last decade, some of which have become standard treatments in combination with other therapies. Limited clinical activity has been demonstrated with anti-angiogenic monotherapies, and ongoing trials are focused on combination strategies with cytotoxic agents, immunotherapies and other targeted treatments. This article reviews the science behind angiogenesis within the context of gynecologic cancers, the evidence supporting the targeting of these pathways and future directions in clinical trials.

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