Abstract

Angiogenesis is one of the hallmarks of cancer. Several studies have shown that vascular endothelium growth factor (VEGF) plays a leading role in angiogenesis progression. Antiangiogenic medication has gained substantial recognition and is commonly administered in many forms of human cancer, leading to a rising interest in cancer therapy. However, this treatment method can lead to a deteriorating outcome of resistance, invasion, distant metastasis, and overall survival relative to its cytotoxicity. Furthermore, there are significant obstacles in tracking the efficacy of antiangiogenic treatments by incorporating positive biomarkers into clinical settings. These shortcomings underline the essential need to identify additional angiogenic inhibitors that target numerous angiogenic factors or to develop a new method for drug delivery of current inhibitors. The great benefits of nanoparticles are their potential, based on their specific properties, to be effective mechanisms that concentrate on the biological system and control various important functions. Among various therapeutic approaches, nanotechnology has emerged as a new strategy for treating different cancer types. This article attempts to demonstrate the huge potential for targeted nanoparticles and their molecular imaging applications. Notably, several nanoparticles have been developed and engineered to demonstrate antiangiogenic features. This nanomedicine could effectively treat a number of cancers using antiangiogenic therapies as an alternative approach. We also discuss the latest antiangiogenic and nanotherapeutic strategies and highlight tumor vessels and their microenvironments.

Highlights

  • Licensee MDPI, Basel, Switzerland.Cancer, which is characterized by irregular cell metabolism and metastasis risk development, remains a major and lethal risk to human life [1]

  • One developed novel mechanism of resistance towards sunitinib is lysosomal sequestration, which prevents drug penetration to the kinase domain of RTK present in the cytoplasm and diminishes drug potency [63]. Another means of tumor cell escape from antiangiogenic drugs lies in revascularization in a hypoxic microenvironment, which works via upregulation of proangiogenic signals or vasculogenic mimicry, leading to the protection of vasculature in the tumor; this latter effect has been reported in bevacizumab treatment [64,65]

  • 2- Recombinant human endostatin (rhES)-AuNPs interrupted AGR2-induced vascular formation in HUVECs. These findings suggest that rhES-AuNPs might normalize vessels by interfering with AGR2-mediated angiogenesis in metastatic colorectal cancer (mCRC)

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Summary

A Promising Tool for Personalized Medicine

Al-Hibs 3 , Rami Alzhrani 1 , Khawlah K. Alrabighi 4 , Aljawharah Alqathama 5 , Akram Alwithenani 6 , Atiah H.

Introduction
Angiogenesis Pathways
Integrins
Importance of Angiogenesis Biomarker Imaging
Selected Examples of FDA Approved Antiangiogenic Agents
A Study of Bevacizumab with Taxane Therapy in Participants with
D Deficiency
Angiogenesis Inhibitor Challenges
Utilizing Nanomedicine for Antiangiogenic Medication
Nano-Antiangiogenic-Based Cancer Monotherapy
Synergistic Antiangiogenetic Activity with Chemotherapy
Synergistic Antiangiogenic Activity with Gene Therapy
Synergistic Antiangiogenetic Activity with Immunotherapy
Noninvasive
Imaging
Conclusions and Future Prospects
Nanomedicine
Full Text
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