reviewAnnual Review of PhysiologyFeb 10, 2019BRONZE OA

Normalizing Function of Tumor Vessels: Progress, Opportunities, and Challenges

JDJohn D. MartinGSGiorgio SeanoRKRakesh K. Jain

The University of Tokyo · Centre National de la Recherche Scientifique · +4 more institutions

PubMed
Indexed incrossrefpubmed

Abstract

Abnormal blood and lymphatic vessels create a hostile tumor microenvironment characterized by hypoxia, low pH, and elevated interstitial fluid pressure. These abnormalities fuel tumor progression, immunosuppression, and treatment resistance. In 2001, we proposed a novel hypothesis that the judicious use of antiangiogenesis agents-originally developed to starve tumors-could transiently normalize tumor vessels and improve the outcome of anticancer drugs administered during the window of normalization. In addition to providing preclinical and clinical evidence in support of this hypothesis, we also revealed the underlying molecular mechanisms. In parallel, we demonstrated that desmoplasia could also impair…

Citation impact

505
total citations
FWCI
19.39
Percentile
100%
References
156
Citations per year

Authors

3

Topics & keywords

Keywords
  • Desmoplasia
  • Tumor microenvironment
  • Hypoxia (environmental)
  • Extracellular matrix
  • Medicine
  • Immunosuppression
  • Lymphatic system
  • Cancer therapy
UN Sustainable Development Goals
  • Good health and well-being
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