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Vol. 52, Issue 2, 237-268, June 2000

Angiogenesis: Potentials for Pharmacologic Intervention in the Treatment of Cancer, Cardiovascular Diseases, and Chronic Inflammation

Arjan W. Griffioen1 and Grietje Molema

Tumor Angiogenesis Laboratory (A.W.G.), Department of Internal Medicine, University Hospital Maastricht, Maastricht; Groningen University Institute for Drug Exploration (G.M.), Department of Pathology and Laboratory Medicine, Tumor Immunology Laboratory, and Department of Pharmacokinetics and Drug Delivery, Groningen, The Netherlands

I. General Aspects of Angiogenesis
    A. Introduction
    B. Function of Endothelial Cells in Normal Physiology
    C. Molecular Control of Angiogenesis
        1. Initiation of the Angiogenic Response.
        2. Endothelial Cell Migration and Proliferation.
        3. Maturation of the Neovasculature.
        4. Other Mechanisms Implicated in Angiogenesis Control.
II. Angiogenesis Stimulation
    A. Target Diseases for Angiogenesis Stimulation
    B. Proangiogenic Compounds
        1. Vascular Endothelial Growth Factor.
        2. Fibroblast Growth Factors.
        3. Angiopoietin-1.
    C. Effects of Angiogenesis Stimulation in Preclinical Studies
    D. First Clinical Studies on Angiogenesis Stimulation
III. Angiogenesis Inhibition
    A. Angiogenesis and Cancer
    B. In Vitro and in Vivo Models to Study Angiogenesis
    C. Ways to Interfere with Angiogenesis
        1. Intervention with Endothelial Cell Growth.
        2. Intervention with Endothelial Cell Adhesion and Migration.
        3. Intervention with Metalloproteinases.
    D. Preclinical Use of Angiogenesis Inhibitors in Cancer
    E. Clinical Trials with Inhibitors of Angiogenesis for Cancer Treatment
    F. Novel Approaches to Interfere with Tumor Blood Flow
        1. Targeted Strategies to Induce Tumor Blood Coagulation.
        2. Targeted Strategies to Kill Tumor Endothelial Cells.
        3. The Quest for New Targets on Tumor Endothelium.
IV. The Interplay between Angiogenesis and Cells of the Immune System
    A. Angiogenesis Regulates Leukocyte Recruitment
    B. The Role of Angiogenesis in Chronic Inflammation
    C. Inhibition of Angiogenesis in Chronic Inflammation
    D. Clinical Trials with Inhibitors of Angiogenesis for Noncancerous Diseases
V. Back to the Drawing Board
    A. Angiogenesis Stimulation
    B. Antiangiogenic Strategies in Cancer Therapy
    C. Antiangiogenic Strategies in Chronic Inflammation
VI. Concluding Remarks
Acknowledgments
References

Angiogenesis, or the formation of new blood vessels out of pre-existing capillaries, is a sequence of events that is fundamental to many physiologic and pathologic processes such as cancer, ischemic diseases, and chronic inflammation. With the identification of several proangiogenic molecules such as the vascular endothelial cell growth factor, the fibroblast growth factors (like in FGFs), and the angiopoietins, and the recent description of specific inhibitors of angiogenesis such as platelet factor-4, angiostatin, endostatin, and vasostatin, it is recognized that therapeutic interference with vasculature formation offers a tool for clinical applications in various pathologies. Whereas inhibition of angiogenesis can prevent diseases with excessive vessel growth such as cancer, diabetes retinopathy, and arthritis, stimulation of angiogenesis would be beneficial in the treatment of diseases such as coronary artery disease and critical limb ischemia in diabetes. In this review we highlight the current knowledge on angiogenesis regulation and report on the recent findings in angiogenesis research and clinical studies. We also discuss the potentials, limitations, and challenges within this field of research, in light of the development of new therapeutic strategies for diseases in which angiogenesis plays an important role.


1 Address for correspondence: Dr. A.W. Griffioen, Tumor Angiogenesis Laboratory, Dept. of Internal Medicine, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands. E-mail: a.griffioen{at}intmed.unimaas.nl


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Copyright © 2000 by The American Society for Pharmacology and Experimental Therapeutics



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CEP-7055: A Novel, Orally Active Pan Inhibitor of Vascular Endothelial Growth Factor Receptor Tyrosine Kinases with Potent Antiangiogenic Activity and Antitumor Efficacy in Preclinical Models
Cancer Res., September 15, 2003; 63(18): 5978 - 5991.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
T. Ishida, R. K. Kundu, E. Yang, K.-i. Hirata, Y.-D. Ho, and T. Quertermous
Targeted Disruption of Endothelial Cell-selective Adhesion Molecule Inhibits Angiogenic Processes in Vitro and in Vivo
J. Biol. Chem., September 5, 2003; 278(36): 34598 - 34604.
[Abstract] [Full Text] [PDF]


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BloodHome page
I. Pollet, C. J. Opina, C. Zimmerman, K. G. Leong, F. Wong, and A. Karsan
Bacterial lipopolysaccharide directly induces angiogenesis through TRAF6-mediated activation of NF-{kappa}B and c-Jun N-terminal kinase
Blood, September 1, 2003; 102(5): 1740 - 1742.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
L. Favot, S. Martin, T. Keravis, R. Andriantsitohaina, and C. Lugnier
Involvement of cyclin-dependent pathway in the inhibitory effect of delphinidin on angiogenesis
Cardiovasc Res, August 1, 2003; 59(2): 479 - 487.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
P. Stenvinkel, R. Pecoits-Filho, and B. Lindholm
Coronary Artery Disease in End-Stage Renal Disease: No Longer a Simple Plumbing Problem
J. Am. Soc. Nephrol., July 1, 2003; 14(7): 1927 - 1939.
[Full Text] [PDF]


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Cancer Res.Home page
A. E. M. Dirkx, M. G. A. oude Egbrink, M. J. E. Kuijpers, S. T. van der Niet, V. V. T. Heijnen, J. C. A. B.-t. Steege, J. Wagstaff, and A. W. Griffioen
Tumor Angiogenesis Modulates Leukocyte-Vessel Wall Interactions in Vivo by Reducing Endothelial Adhesion Molecule Expression
Cancer Res., May 1, 2003; 63(9): 2322 - 2329.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Y. Qian, J. Luo, S. S. Leonard, G. K. Harris, L. Millecchia, D. C. Flynn, and X. Shi
Hydrogen Peroxide Formation and Actin Filament Reorganization by Cdc42 Are Essential for Ethanol-induced in Vitro Angiogenesis
J. Biol. Chem., April 25, 2003; 278(18): 16189 - 16197.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
K. Howell, R. J Preston, and P. McLoughlin
Chronic hypoxia causes angiogenesis in addition to remodelling in the adult rat pulmonary circulation
J. Physiol., February 15, 2003; 547(1): 133 - 145.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
S. Sengupta, E. Gherardi, L. A. Sellers, J. M. Wood, R. Sasisekharan, and T.-P. D. Fan
Hepatocyte Growth Factor/Scatter Factor Can Induce Angiogenesis Independently of Vascular Endothelial Growth Factor
Arterioscler Thromb Vasc Biol, January 1, 2003; 23(1): 69 - 75.
[Abstract] [Full Text] [PDF]


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StrokeHome page
T.-N. Lin, S.-W. Sun, W.-M. Cheung, F. Li, and C. Chang
Dynamic Changes in Cerebral Blood Flow and Angiogenesis After Transient Focal Cerebral Ischemia in Rats: Evaluation With Serial Magnetic Resonance Imaging
Stroke, December 1, 2002; 33(12): 2985 - 2991.
[Abstract] [Full Text] [PDF]


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J. Histochem. Cytochem.Home page
Y.-J. Lee, N. Nagai, C.-H. Siar, K. Nakano, H. Nagatsuka, H. Tsujigiwa, C.-H. Roan, and M. Gunduz
Angioarchitecture of Primary Oral Malignant Melanomas
J. Histochem. Cytochem., November 1, 2002; 50(11): 1555 - 1562.
[Abstract] [Full Text] [PDF]


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Mol Cancer ResHome page
N. Cheng, D. M. Brantley, H. Liu, Q. Lin, M. Enriquez, N. Gale, G. Yancopoulos, D. P. Cerretti, T. O. Daniel, and J. Chen
Blockade of EphA Receptor Tyrosine Kinase Activation Inhibits Vascular Endothelial Cell Growth Factor-Induced Angiogenesis
Mol. Cancer Res., November 1, 2002; 1(1): 2 - 11.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
T. Tarui, M. Majumdar, L. A. Miles, W. Ruf, and Y. Takada
Plasmin-induced Migration of Endothelial Cells. A POTENTIAL TARGET FOR THE ANTI-ANGIOGENIC ACTION OF ANGIOSTATIN
J. Biol. Chem., September 6, 2002; 277(37): 33564 - 33570.
[Abstract] [Full Text] [PDF]


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J. Exp. Biol.Home page
I. M. B. Francischetti, J. G. Valenzuela, V. M. Pham, M. K. Garfield, and J. M. C. Ribeiro
Toward a catalog for the transcripts and proteins (sialome) from the salivary gland of the malaria vector Anopheles gambiae
J. Exp. Biol., August 15, 2002; 205(16): 2429 - 2451.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
M. Trikha, Z. Zhou, J. Timar, E. Raso, M. Kennel, E. Emmell, and M. T. Nakada
Multiple Roles for Platelet GPIIb/IIIa and {alpha}v{beta}3 Integrins in Tumor Growth, Angiogenesis, and Metastasis
Cancer Res., May 1, 2002; 62(10): 2824 - 2833.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
O. Devuyst
New insights in the molecular mechanisms regulating peritoneal permeability
Nephrol. Dial. Transplant., April 1, 2002; 17(4): 548 - 551.
[Full Text] [PDF]


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CirculationHome page
M. Weis, C. Heeschen, A. J. Glassford, and J. P. Cooke
Statins Have Biphasic Effects on Angiogenesis
Circulation, February 12, 2002; 105(6): 739 - 745.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
B. A. Ruggeri, C. Robinson, T. Angeles, J. Wilkinson IV, and M. L. Clapper
The Chemopreventive Agent Oltipraz Possesses Potent Antiangiogenic Activity in Vitro, ex Vivo, and in Vivo and Inhibits Tumor Xenograft Growth
Clin. Cancer Res., January 1, 2002; 8(1): 267 - 274.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
A. Otani, B. M. Slike, M. I. Dorrell, J. Hood, K. Kinder, K. L. Ewalt, D. Cheresh, P. Schimmel, and M. Friedlander
A fragment of human TrpRS as a potent antagonist of ocular angiogenesis
PNAS, January 1, 2002; (2002) 12601899.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
D. GOUKASSIAN, A. DIEZ-JUAN, T. ASAHARA, P. SCHRATZBERGER, M. SILVER, T. MURAYAMA, J. M. ISNER, and V. ANDRES
Overexpression of p27Kip1 by doxycycline-regulated adenoviral vectors inhibits endothelial cell proliferation and migration and impairs angiogenesis
FASEB J, September 1, 2001; 15(11): 1877 - 1885.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
N. Hopkins, E. Cadogan, S. Giles, and P. McLoughlin
Chronic airway infection leads to angiogenesis in the pulmonary circulation
J Appl Physiol, August 1, 2001; 91(2): 919 - 928.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
E. Pillebout, M. Burtin, H. T. Yuan, P. Briand, A. S. Woolf, G. Friedlander, and F. Terzi
Proliferation and Remodeling of the Peritubular Microcirculation after Nephron Reduction : Association with the Progression of Renal Lesions
Am. J. Pathol., August 1, 2001; 159(2): 547 - 560.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. S. Pepper
Role of the Matrix Metalloproteinase and Plasminogen Activator-Plasmin Systems in Angiogenesis
Arterioscler Thromb Vasc Biol, July 1, 2001; 21(7): 1104 - 1117.
[Abstract] [Full Text] [PDF]


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Hum ReprodHome page
C. E. Gargett, F. Lederman, B. Heryanto, L. S. Gambino, and P. A.W. Rogers
Focal vascular endothelial growth factor correlates with angiogenesis in human endometrium. Role of intravascular neutrophils
Hum. Reprod., June 1, 2001; 16(6): 1065 - 1075.
[Abstract] [Full Text] [PDF]


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Pharmacol. Rev.Home page
S. M. Moghimi, A. C. Hunter, and J. C. Murray
Long-Circulating and Target-Specific Nanoparticles: Theory to Practice
Pharmacol. Rev., June 1, 2001; 53(2): 283 - 318.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
C.-H. Yeh, H.-C. Peng, R.-S. Yang, and T.-F. Huang
Rhodostomin, A Snake Venom Disintegrin, Inhibits Angiogenesis Elicited by Basic Fibroblast Growth Factor and Suppresses Tumor Growth by A Selective alpha vbeta 3 Blockade of Endothelial Cells
Mol. Pharmacol., April 16, 2001; 59(5): 1333 - 1342.
[Abstract] [Full Text]


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J. Pharmacol. Exp. Ther.Home page
C. D. Kim, H. H. Kim, Y. K. Kim, Y. K. Kwak, S.-O. Kim, S.-E. Yoo, and K. W. Hong
Antiangiogenic Effect of KR31372 in Rat Sponge Implant Model
J. Pharmacol. Exp. Ther., March 1, 2001; 296(3): 1085 - 1090.
[Abstract] [Full Text]


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Pharmacol. Rev.Home page
E. Middleton Jr., C. Kandaswami, and T. C. Theoharides
The Effects of Plant Flavonoids on Mammalian Cells:Implications for Inflammation, Heart Disease, and Cancer
Pharmacol. Rev., December 1, 2000; 52(4): 673 - 751.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
R. C. Savani, G. Cao, P. M. Pooler, A. Zaman, Z. Zhou, and H. M. DeLisser
Differential Involvement of the Hyaluronan (HA) Receptors CD44 and Receptor for HA-mediated Motility in Endothelial Cell Function and Angiogenesis
J. Biol. Chem., September 21, 2001; 276(39): 36770 - 36778.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
L. C. Boujaoude, C. Bradshaw-Wilder, C. Mao, J. Cohn, B. Ogretmen, Y. A. Hannun, and L. M. Obeid
Cystic Fibrosis Transmembrane Regulator Regulates Uptake of Sphingoid Base Phosphates and Lysophosphatidic Acid. MODULATION OF CELLULAR ACTIVITY OF SPHINGOSINE 1-PHOSPHATE
J. Biol. Chem., September 14, 2001; 276(38): 35258 - 35264.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
A. Otani, B. M. Slike, M. I. Dorrell, J. Hood, K. Kinder, K. L. Ewalt, D. Cheresh, P. Schimmel, and M. Friedlander
A fragment of human TrpRS as a potent antagonist of ocular angiogenesis
PNAS, January 8, 2002; 99(1): 178 - 183.
[Abstract] [Full Text] [PDF]




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