Madu Chikezie O, Wang Stephanie, Madu Chinua O, Lu Yi
Departments of Biological Sciences, University of Memphis, Memphis, TN 38152. USA.
Departments of Biology and Advanced Placement Biology, White Station High School, Memphis, TN 38117. USA.
J Cancer. 2020 May 18;11(15):4474-4494. doi: 10.7150/jca.44313. eCollection 2020.
Angiogenesis is a significant event in a wide range of healthy and diseased conditions. This process frequently involves vasodilation and an increase in vascular permeability. Numerous players referred to as angiogenic factors, work in tandem to facilitate the outgrowth of endothelial cells (EC) and the consequent vascularity. Conversely, angiogenic factors could also feature in pathological conditions. Angiogenesis is a critical factor in the development of tumors and metastases in numerous cancers. An increased level of angiogenesis is associated with decreased survival in breast cancer patients. Therefore, a good understanding of the angiogenic mechanism holds a promise of providing effective treatments for breast cancer progression, thereby enhancing patients' survival. Disrupting the initiation and progression of this process by targeting angiogenic factors such as vascular endothelial growth factor (Vegf)-one of the most potent member of the VEGF family- or by targeting transcription factors, such as Hypoxia-Inducible Factors (HIFs) that act as angiogenic regulators, have been considered potential treatment options for several types of cancers. The objective of this review is to highlight the mechanism of angiogenesis in diseases, specifically its role in the progression of malignancy in breast cancer, as well as to highlight the undergoing research in the development of angiogenesis-targeting therapies.
血管生成是广泛的健康和疾病状态下的一个重要事件。这个过程通常涉及血管舒张和血管通透性增加。许多被称为血管生成因子的因素协同作用,以促进内皮细胞(EC)的生长以及随之而来的血管形成。相反,血管生成因子也可能在病理状态中起作用。血管生成是多种癌症中肿瘤发生和转移的关键因素。血管生成水平的升高与乳腺癌患者生存率降低相关。因此,深入了解血管生成机制有望为乳腺癌进展提供有效的治疗方法,从而提高患者的生存率。通过靶向血管生成因子,如血管内皮生长因子(Vegf)——VEGF家族中最有效的成员之一,或通过靶向作为血管生成调节因子的转录因子,如缺氧诱导因子(HIFs),来破坏这一过程的起始和进展,已被认为是几种癌症的潜在治疗选择。本综述的目的是强调疾病中血管生成的机制,特别是其在乳腺癌恶性进展中的作用,并强调正在进行的血管生成靶向治疗的研究。