Therapeutic Inhibition of Angiogenesis

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

Pathologies Likely to Benefit from Therapeutic Intervention in Angiogenesis

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

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