Jour George, Ivan Doina, Aung Phyu P
Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
J Clin Pathol. 2016 Jun;69(6):472-83. doi: 10.1136/jclinpath-2015-203482. Epub 2016 Feb 10.
Angiogenesis plays a crucial role in melanoma metastasis and progression. In recent years, numerous studies have investigated the prognostic and clinical significance of this phenomenon, and the development of molecular techniques has enabled us to achieve a better understanding of angiogenesis in melanoma. Herein, we review the current state of knowledge regarding angiogenesis in melanoma, including the pathophysiological, histological and immunohistochemical aspects of this phenomenon. We also review the molecular pathways involved in angiogenesis and the interplay between different components that might be manipulated in the future development of efficient targeted therapies. Recently developed targeted antiangiogenic therapies in clinical trials and included in the treatment of advanced-stage melanoma are also reviewed.
血管生成在黑色素瘤转移和进展中起着关键作用。近年来,众多研究探讨了这一现象的预后及临床意义,分子技术的发展使我们能够更好地理解黑色素瘤中的血管生成。在此,我们综述黑色素瘤血管生成的当前知识状态,包括该现象的病理生理、组织学和免疫组化方面。我们还综述了血管生成所涉及的分子途径以及不同组分之间的相互作用,这些在未来高效靶向治疗的发展中可能会被调控。同时也对近期在临床试验中开发并用于晚期黑色素瘤治疗的靶向抗血管生成疗法进行了综述。