Clinical biomarkers of angiogenesis inhibition.

Clinical biomarkers of angiogenesis inhibition.
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DOI:
10.1007/s10555-008-9143-x
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发表时间:
2008-09
影响因子:
9.2
通讯作者:
Camphausen, Kevin A.
Camphausen, Kevin A.
中科院分区:
医学2区
文献类型:
--
作者:
Brown, Aaron P.;Citrin, Deborah E.;Camphausen, Kevin A.

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随着对肿瘤血管生成重要性认识的不断深入和血管生成抑制剂的不断开发,血管生成生物标志物的研究也在不断深入。我们回顾了目前可用的候选生物标志物和替代标记物的抗血管生成剂的作用。描述了许多侵入性、微创和非侵入性工具及其潜在的益处和局限性。不同的标记物可以评估肿瘤组织或生物液体,或专门的成像模式。将这些标记物纳入临床试验可以提供对所需生物学效应的适当剂量的了解,额外治疗的适当时机,对药剂的个体反应的预测,对暴露于这些药剂后化疗和放射的相互作用的了解,以及也许最重要的是,更好地理解人类肿瘤中血管生成的复杂性质。虽然许多标记物具有临床应用的潜力,但尚不清楚哪种标记物或标记物的组合将被证明是最有用的。
An expanding understanding of the importance of angiogenesis in oncology and the development of numerous angiogenesis inhibitors are driving the search for biomarkers of angiogenesis. We review currently available candidate biomarkers and surrogate markers of anti-angiogenic agent effect. A number of invasive, minimally invasive, and non-invasive tools are described with their potential benefits and limitations. Diverse markers can evaluate tumor tissue or biological fluids, or specialized imaging modalities. The inclusion of these markers into clinical trials may provide insight into appropriate dosing for desired biological effects, appropriate timing of additional therapy, prediction of individual response to an agent, insight into the interaction of chemotherapy and radiation following exposure to these agents, and perhaps most importantly, a better understanding of the complex nature of angiogenesis in human tumors. While many markers have potential for clinical use, it is not yet clear which marker or combination of markers will prove most useful.
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