Bennis Youssef, Guillet Benjamin, Curti Christophe, Pisano Pascale
Laboratoire de pharmacodynamie, UMR INSERM 608, Faculté de Pharmacie, Marseille, France.
Therapie. 2010 Mar-Apr;65(2):95-105. doi: 10.2515/therapie/2010005. Epub 2010 May 19.
New blood vessel formation (angiogenesis) is fundamental to the process of tumor. Vascular Endothelial Growth Factors (VEGF) and their receptors are considered to be ones of the most important regulators of angiogenesis and new key targets for anti-cancer treatment. Three angiogenesis inhibitors are approved in France for patients with various malignancies. The main purpose of this review is to summarize the basic mechanisms of tumor angiogenesis and the reasons why angiogenesis inhibitors arouse therapeutic interest. However, for these drugs, fundamental pharmacodynamic effects observed in laboratory studies were not always translated to efficacy in clinical development. Moreover, many side effects were reported and may discourage from using it. Their optimal use should be necessary to minimize side effects and guarantee therapeutic progress.
新血管形成(血管生成)是肿瘤发生过程的基础。血管内皮生长因子(VEGF)及其受体被认为是血管生成最重要的调节因子之一,也是抗癌治疗的新关键靶点。法国已批准三种血管生成抑制剂用于治疗各种恶性肿瘤患者。本综述的主要目的是总结肿瘤血管生成的基本机制以及血管生成抑制剂引起治疗关注的原因。然而,对于这些药物,实验室研究中观察到的基本药效学作用在临床开发中并不总是能转化为疗效。此外,有许多副作用的报道,这可能会阻碍其使用。有必要优化使用这些药物,以尽量减少副作用并确保治疗进展。