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Home :: Cancer :: Angiogenesis

Angiogenesis Inhibition - Anti Angiogenesis Drug

Process of Angiogenesis

For many tumours, there is a progressive slowing of the rate of growth as the tumours become larger. This occurs for many reasons, but outgrowing the blood supply is paramount. New vessel formation (angiogenesis) is stimulated by a variety of peptides produced both by tumour cells and by host inflammatory cells, such as the vascular endothelial growth factors (VEGFs), basic fibroblast growth factor (bFGF) and angiopoietin 2. Inhibition of angiogenesis is a potentially novel method of cancer therapy, as new vessel formation within and around tumours not only provides the cancer with nutrients and oxygen, but permits haematogenous spread, or metastasis.

Invasion and metastasis

Cancers spread by both local invasion and by metastasis in vessels of the blood or lymphatic systems. Infiltration into surrounding tissues is associated with loss of cell-cell cohesion. Cohesion is mediated by active homotypic cell adhesion molecules (CAMs). The cadherin molecules are transmembrane glycoproteins able to mediate cellular attachment. Epithelial cadherin (E-cadherin) is expressed by many carcinomas and loss of E-cadherin expression is associated with an increase in invasion of the tumour.

Invasion is partly determined by the balance of activators to inhibitors of proteolysis. Secretion of proteolytic enzymes, including the matrix metalloproteinases (particularly the collagenases), occurs from adjacent fibroblasts owing to failure of production of tissue inhibitors.

Angiogenesis Balance

The balance between the expression and activity of the matrix metalloproteinases (MMPs) and their tissue inhibitors (TIMPs) is important for tumour growth, invasion, metastasis and angiogenesis. Some TIMPs may regulate cell proliferation and survival of cancer cells independently of MMP activity.


Cancer Tip

Prostate Specific Antigen (PSA) has been called the most important tumor marker in oncology. Certainly in prostate cancer, it has revolutionized our ability to detect the disease early, as well as follow the course of the disease in patients after being treated with different therapies.

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Physiotherapy aims to improve mobility, relieve pain and maintain normal body function through the use of physical techniques such as exercise and massage. Here, a person with Parkinson’s disease is having his hand manipulated to extend the range of movement.

 

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