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PMID: 9195286 Published · ppublish English Journal Article Review

Markers of tumor angiogenesis: clinical applications in prognosis and anti-angiogenic therapy.

Investigational new drugs ·Vol. 15 ·No. 1 ·1997-00-00 ·Pages 15-28

Fox SB, Harris AL

Abstract

Numerous studies in many tumor types have demonstrated that quantitation by microvessel as a measure of angiogenesis is a powerful prognostic tool. However, the ability to exploit tumor angiogenesis as a prognostic marker is limited by the methods currently used for capillary identification and quantitation. This report critically evaluates all aspects of the techniques and their associated problems used for assessing tumor angiogenesis in tissue sections including the area of tumor assessed, the vascular parameter measured, the method of quantitation, the stratification of patients and the practical utility of computer image analysis systems. The potential of angiogenic factors assays, proteolytic enzymes, and cell adhesion molecules as surrogate endpoints for quantifying tumor angiogenesis are discussed and other methods for quantifying tumor angiogenesis are described. The potential clinical applications of these angiogenic markers in prognosis, stratification for adjuvant treatments (both cytotoxic and anti-angiogenic/vascular targeting) and other aspects of patient management is also discussed, particularly design of phase I and II trials.

MeSH Terms
Antibodies Antigen-Antibody Reactions Antineoplastic Agents/standards,therapeutic use Biomarkers, Tumor/metabolism Cell Adhesion Molecules/metabolism Clinical Trials, Phase I as Topic Clinical Trials, Phase II as Topic Drugs, Investigational/standards,therapeutic use Humans Image Processing, Computer-Assisted Neoplasms/blood supply,drug therapy,pathology Neovascularization, Pathologic/diagnosis,drug therapy Peptide Hydrolases/metabolism Prognosis Randomized Controlled Trials as Topic
Chemicals
Antibodies Antineoplastic Agents Biomarkers, Tumor Cell Adhesion Molecules Drugs, Investigational Peptide Hydrolases
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Fox S B
Department of Cellular Science, University of Oxford, John Radcliffe Hospital, UK.
Harris A L
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Article Info
Journal
Investigational new drugs
Abbr.
Invest New Drugs
ISSN
0167-6997
Published
1997-00-00
Pages
15-28
Language
English
Region
United States
NLM ID
8309330
Subset
IM
Analysis Services
Analysis Services

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