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Tumor and host-mediated pathways of resistance and disease progression in response to antiangiogenic therapy.

ABSTRACT: Despite early benefits seen in cancer patients treated with antivascular endothelial growth factor (VEGF) pathway-targeted drugs, the clinical benefits obtained in terms of progression-free or overall survival have been more modest than expected. This outcome is, at least in part, due to antiangiogenic drug resistance mechanisms that involve pathways mediated largely by the tumor, whether intrinsic or acquired in response to therapy, or by the host, which is either responding directly to therapy or indirectly to tumoral cues. The focus of this review is to distinguish, where possible, between such host and tumor-mediated pathways of resistance and discuss key challenges facing the preclinical and clinical development of antiangiogenic agents, including potential differences in drug efficacies when treating primary tumors or various stages of metastatic disease.

SUBMITTER: Ebos JM

PROVIDER: S-EPMC2743513 | biostudies-literature | 2009 Aug

REPOSITORIES: biostudies-literature

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Tumor and host-mediated pathways of resistance and disease progression in response to antiangiogenic therapy.

Ebos John M L JM Lee Christina R CR Kerbel Robert S RS

Clinical cancer research : an official journal of the American Association for Cancer Research 20090811 16

Despite early benefits seen in cancer patients treated with antivascular endothelial growth factor (VEGF) pathway-targeted drugs, the clinical benefits obtained in terms of progression-free or overall survival have been more modest than expected. This outcome is, at least in part, due to antiangiogenic drug resistance mechanisms that involve pathways mediated largely by the tumor, whether intrinsic or acquired in response to therapy, or by the host, which is either responding directly to therapy ...[more]

PMID: 19671869

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