Department of Microscopic Morphology/Histology, Angiogenesis Research Center, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Int J Mol Sci. 2024 Aug 14;25(16):8855. doi: 10.3390/ijms25168855.
Angiogenesis, primarily mediated by vascular endothelial growth factor (VEGF), is a fundamental step in the progression and metastasis of head and neck squamous cell carcinoma (HNSCC). Traditional anti-angiogenic therapies that target the pathway have shown promise but are often associated with significant side effects and variable efficacy due to the complexity of the angiogenic signaling pathway. This review highlights the potential of a specific splice form, , as an innovative therapeutic target for HNSCC. , unlike standard VEGF, is a natural inhibitor that binds to receptors without triggering pro-angiogenic signaling. Its distinct molecular structure and behavior suggest ways to modulate angiogenesis. This concept is particularly relevant when studying HNSCC, as introducing anti-angiogenic properties offers a novel approach to understanding and potentially influencing the disease's dynamics. The review synthesizes experimental evidence suggesting the efficacy of VEGF165b in inhibiting tumor-induced angiogenesis and provides insight into a novel therapeutic strategy that could better manage HNSCC by selectively targeting aberrant vascular growth. This approach not only provides a potential pathway for more targeted and effective treatment options but also opens the door to a new paradigm in anti-angiogenic therapy with the possibility of reduced systemic toxicity. Our investigation is reshaping the future of HNSCC treatment by setting the stage for future research on VEGF splice variants as a tool for personalized medicine.
血管生成主要由血管内皮生长因子 (VEGF) 介导,是头颈部鳞状细胞癌 (HNSCC) 进展和转移的基本步骤。传统的抗血管生成治疗方法靶向该途径显示出一定的前景,但由于血管生成信号通路的复杂性,往往伴随着明显的副作用和疗效的可变性。本文综述强调了一种特定的剪接形式 ,作为 HNSCC 的创新治疗靶点的潜力。 与标准 VEGF 不同, 是一种天然抑制剂,可与 受体结合而不触发促血管生成信号。其独特的分子结构和行为为调节血管生成提供了途径。当研究 HNSCC 时,这一概念尤其相关,因为引入 抗血管生成特性为理解和潜在影响疾病动态提供了一种新的方法。本文综述综合了实验证据,表明 VEGF165b 在抑制肿瘤诱导的血管生成方面的有效性,并深入探讨了一种新的治疗策略,即通过选择性靶向异常血管生长,更好地管理 HNSCC。这种方法不仅为更具针对性和有效的治疗方案提供了潜在途径,还为抗血管生成治疗开辟了一个新的范例,有可能降低系统毒性。我们的研究通过将 VEGF 剪接变体作为个体化医学工具的未来研究奠定基础,为 HNSCC 治疗的未来指明了方向。