Tumour vessel remodelling: new opportunities in cancer treatment

Tumour growth critically depends on a supportive microenvironment, including the tumour vasculature. Tumour blood vessels are structurally abnormal and functionally anergic which limits drug access and immune responses in solid cancers. Thus, tumour vasculature has been considered an attractive ther...

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Main Author: Ruth Ganss
Format: Article
Language:English
Published: Bioscientifica 2020-02-01
Series:Vascular Biology
Subjects:
Online Access:https://vb.bioscientifica.com/view/journals/vb/aop/vb-19-0032/vb-19-0032.xml
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author Ruth Ganss
author_facet Ruth Ganss
author_sort Ruth Ganss
collection DOAJ
description Tumour growth critically depends on a supportive microenvironment, including the tumour vasculature. Tumour blood vessels are structurally abnormal and functionally anergic which limits drug access and immune responses in solid cancers. Thus, tumour vasculature has been considered an attractive therapeutic target for decades. However, with time, anti-angiogenic therapy has evolved from destruction to structural and functional rehabilitation as understanding of tumour vascular biology became more refined. Vessel remodelling or normalisation strategies which alleviate hypoxia are now coming of age having been shown to have profound effects on the tumour microenvironment. This includes improved tumour perfusion, release from immune suppression and lower metastasis rates. Nevertheless, clinical translation has been slow due to challenges such as the transient nature of current normalisation strategies, limited in vivo monitoring and the heterogeneity of primary and/or metastatic tumour environments, calling for more tailored approaches to vascular remodelling. Despite these setbacks, harnessing vascular plasticity provides unique opportunities for anti-cancer combination therapies in particular anti-angiogenic immunotherapy which are yet to reach their full potential.
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spelling doaj.art-4816f23729d44e1198ae2b533321cab92022-12-22T01:13:45ZengBioscientificaVascular Biology2516-56582516-56582020-02-0121R35R43https://doi.org/10.1530/VB-19-0032Tumour vessel remodelling: new opportunities in cancer treatmentRuth Ganss0Vascular Biology and Stromal Targeting, Harry Perkins Institute of Medical Research, The University of Western Australia, Centre for Medical Research, Nedlands, Western Australia, AustraliaTumour growth critically depends on a supportive microenvironment, including the tumour vasculature. Tumour blood vessels are structurally abnormal and functionally anergic which limits drug access and immune responses in solid cancers. Thus, tumour vasculature has been considered an attractive therapeutic target for decades. However, with time, anti-angiogenic therapy has evolved from destruction to structural and functional rehabilitation as understanding of tumour vascular biology became more refined. Vessel remodelling or normalisation strategies which alleviate hypoxia are now coming of age having been shown to have profound effects on the tumour microenvironment. This includes improved tumour perfusion, release from immune suppression and lower metastasis rates. Nevertheless, clinical translation has been slow due to challenges such as the transient nature of current normalisation strategies, limited in vivo monitoring and the heterogeneity of primary and/or metastatic tumour environments, calling for more tailored approaches to vascular remodelling. Despite these setbacks, harnessing vascular plasticity provides unique opportunities for anti-cancer combination therapies in particular anti-angiogenic immunotherapy which are yet to reach their full potential.https://vb.bioscientifica.com/view/journals/vb/aop/vb-19-0032/vb-19-0032.xmlcancer and tumoursangiogenesisvessel normalisationextracellular matrixcancer immunotherapy
spellingShingle Ruth Ganss
Tumour vessel remodelling: new opportunities in cancer treatment
Vascular Biology
cancer and tumours
angiogenesis
vessel normalisation
extracellular matrix
cancer immunotherapy
title Tumour vessel remodelling: new opportunities in cancer treatment
title_full Tumour vessel remodelling: new opportunities in cancer treatment
title_fullStr Tumour vessel remodelling: new opportunities in cancer treatment
title_full_unstemmed Tumour vessel remodelling: new opportunities in cancer treatment
title_short Tumour vessel remodelling: new opportunities in cancer treatment
title_sort tumour vessel remodelling new opportunities in cancer treatment
topic cancer and tumours
angiogenesis
vessel normalisation
extracellular matrix
cancer immunotherapy
url https://vb.bioscientifica.com/view/journals/vb/aop/vb-19-0032/vb-19-0032.xml
work_keys_str_mv AT ruthganss tumourvesselremodellingnewopportunitiesincancertreatment