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Angiogenic endothelial cells and tumor vasculature represent the pathological blood vessel network that develops within tumors to provide the oxygen and nutrients required for rapid growth and metastatic spread [1][3]. These vessels are distinct from normal physiological vasculature, often being disorganized, leaky, and tortuous due to a persistent imbalance of pro-angiogenic factors like Vascular Endothelial Growth Factor (VEGF) [1][2]. In the context of drug development, this target is addressed by anti-angiogenic agents that block signaling pathways essential for endothelial cell survival and proliferation [3][4]. By inhibiting these processes, therapies aim to starve the tumor of its blood supply or normalize the vessel structure to improve the efficacy of co-administered cytotoxic drugs [2][4]. This target is a cornerstone of treatment for numerous solid malignancies and is also a primary focus in treating ocular diseases characterized by abnormal vessel growth [1]. [1] Ferrara N, Adamis AP. Ten years of anti-vascular endothelial growth factor therapy. Nat Rev Drug Discov. 2016;15(6):385-403. [2] Jain RK. Normalization of tumor vasculature: an emerging concept in antiangiogenic therapy. Science. 2005;307(5706):58-62. [3] Folkman J. Tumor angiogenesis: therapeutic implications. N Engl J Med. 1971;285(21):1182-1186. [4] Kerbel RS. Tumor angiogenesis. N Engl J Med. 2008;358(19):2039-2049.
Inhibition of pro-angiogenic signaling (primarily the VEGF/VEGFR axis), disruption of endothelial cell proliferation and survival, and induction of vascular normalization.
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