Current status and future of anti-angiogenic drugs in lung cancer

Clin Exp Med. 2023 Oct;23(6):2009-2023. doi: 10.1007/s10238-023-01039-8. Epub 2023 Mar 15.

Abstract

Lung cancer, as a malignant tumor with both high incidence and mortality in China, is one of the major causes of death in our population and one of the major public health problems in China. Effective treatment of lung cancer is a major public health task for all human beings. Angiogenesis plays an important role in the development of tumor, not only as a basic condition for tumor growth, but also as a significant factor to promote tumor metastasis. Therefore, anti-angiogenesis has become a vital means to inhibit tumor development, and anti-angiogenic drugs can rebalance pro- and anti-angiogenic factors to inhibit tumor cells. This article reviews the mechanism of blood vessel formation in tumor tissues and the mechanism of action of different anti-angiogenic drugs, the combination therapy of anti-angiogenic drugs and other anti-tumor drugs, and the mechanism of anti-angiogenic drug resistance.

Keywords: Angiogenesis; Anti-angiogenic drugs; Combination therapy; Drug resistance; Lung cancer.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / pharmacology
  • Angiogenesis Inhibitors / therapeutic use
  • Antineoplastic Agents* / pharmacology
  • Antineoplastic Agents* / therapeutic use
  • Combined Modality Therapy
  • Humans
  • Lung Neoplasms* / drug therapy
  • Neoplasms* / drug therapy
  • Neovascularization, Pathologic / drug therapy

Substances

  • Angiogenesis Inhibitors
  • Antineoplastic Agents