Anti-angiogenic treatment in breast cancer: Facts, successes, failures and future perspectives

Cancer Treat Rev. 2017 Feb:53:98-110. doi: 10.1016/j.ctrv.2016.12.009. Epub 2017 Jan 3.

Abstract

Angiogenesis is one of the hallmarks of cancer and a crucial requisite in the development of tumors. Interrupting this process by blocking the vascular endothelial growth factor (VEGF) with the monoclonal antibody bevacizumab has been considered a possible breakthrough in the treatment of various types of cancer, especially for advanced disease. However in breast cancer, studies have shown ambivalent results causing debate about the value of this drug. In this article, we review the evidence for anti-angiogenic treatment options for breast cancer, as well as discuss the possible factors limiting the effectiveness of anti-angiogenic agents and offer a recommendation regarding the future research on these therapies for the treatment of breast cancer.

Keywords: Angiogenesis; Bevacizumab; Breast cancer; Ramucirumab; Sorafenib; Sunitinib; VEGF.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / adverse effects
  • Angiogenesis Inhibitors / economics
  • Angiogenesis Inhibitors / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bevacizumab / administration & dosage
  • Bevacizumab / therapeutic use
  • Breast Neoplasms / blood supply
  • Breast Neoplasms / drug therapy*
  • Clinical Trials as Topic
  • Female
  • Humans
  • Neoadjuvant Therapy
  • Neovascularization, Pathologic / drug therapy
  • Treatment Failure

Substances

  • Angiogenesis Inhibitors
  • Bevacizumab