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Chapter category: Angiogenesis

Anti-Angiogenesis Strategies: Potential Therapeutic Implications

Chapter authors:
Shaker A. Mousa

Angiogenesis is a process that is dependent upon coordinate production of angiogenesis stimulatory and inhibitory (angiostatic) molecules and any imbalance in this regulatory circuit might lead to the development of a number of angiogenesis-mediated diseases. Angiogenesis is a multistep process including: activation, adhesion, migration, proliferation and transmigration of endothelial cells across cell matrices to form new capillaries from existing vessels. In contrast, vessel rudiments may organize in place, a process termed vasculogenesis. Endothelial heterogeneity and organ specificity might contribute to differences in the response to different anti-angiogenic mechanisms (cultured EC vs. microvascular EC isolated from different tissues). Under normal physiological conditions, in mature organisms endothelial cell turnover or angiogenesis is extremely slow (months to years). However, angiogenesis can be activated for a limited time in certain situations such as wound healing and ovulation. In certain pathological states, such as metastasis (oncology) and ocular neovascularization disorders including diabetic retinopathy and age-related macular degeneration (opthamology) there is excessive and sustained angiogenesis. Hence understanding the mechanisms involved in the regulation of angiogenesis could have a major impact in the prevention and treatment of pathological angiogenesis processes. Additionally, endothelial cells play a major role in the modeling of blood vessels. The interplay of growth factors, cell adhesion molecules, matrix proteases and specific signal transduction pathways either in the maintenance of the quiescent state or in the reactivation of endothelial is critical in physiological and pathological angiogenesis processes.

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Anti-Angiogenesis Strategies: Potential Therapeutic Implications

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