The idea of antiangiogenesis as a therapeutic strategy has been around for several decades (1 ). Vigorously pursued as a novel anticancer strategy (reviewed in (2 –6 ), it is now widely considered to be a promising approach to the treatment of a range of pathologies of which uncontrolled vascular proliferation is a component (seeTable 1 ). To date, therapeutic benefit has been achieved with antiangiogenic therapy in the treatment of life-threatening infantile hemangioma, pulmonary hemangiomatosis, and in the treatment of some vascular tumors (7 ,8 ). Table 1Table 1
Excess angiogenesis |
Insufficient angiogenesis |
Arthritis |
Angiology |
Inflammatory, |
Vascular malformation |
Rheumatoid, |
Hemifacial micromia |
Kaposi's sarcoma |
Bone fracture nonunion |
Leukemia, lymphoma, and myeloma |
Chronic wounds |
Macular degeneration |
Ischemia/infarction |
Paget's disease |
Cerebral |
Psoriasis |
Intestinal |
Retinopathy (and its vascular complications) |
Myocardial |
Proliferative |
Peripheral |
Of prematurity |
Pyrogenic granuloma |
Solid carcinomas |
Ulcer |
Primary |
Duodenal |
Secondary (metastasis) |
Gastric |
Vascular tumors |
|
Hemangioma |
|
Capillary |
|
Juvenile (infantile) |
|
Hemangiomatosis |
|
Hemagioblastoma |
|
Other benign vascular proliferations |