PMID- 21629292 OWN - NLM STAT- MEDLINE DCOM- 20110802 LR - 20220419 IS - 1474-1784 (Electronic) IS - 1474-1776 (Linking) VI - 10 IP - 6 DP - 2011 Jun TI - Principles and mechanisms of vessel normalization for cancer and other angiogenic diseases. PG - 417-27 LID - 10.1038/nrd3455 [doi] AB - Despite having an abundant number of vessels, tumours are usually hypoxic and nutrient-deprived because their vessels malfunction. Such abnormal milieu can fuel disease progression and resistance to treatment. Traditional anti-angiogenesis strategies attempt to reduce the tumour vascular supply, but their success is restricted by insufficient efficacy or development of resistance. Preclinical and initial clinical evidence reveal that normalization of the vascular abnormalities is emerging as a complementary therapeutic paradigm for cancer and other vascular disorders, which affect more than half a billion people worldwide. Here, we discuss the mechanisms, benefits, limitations and possible clinical translation of vessel normalization for cancer and other angiogenic disorders. FAU - Carmeliet, Peter AU - Carmeliet P AD - Vesalius Research Center, VIB, K. U. Leuven, Campus Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium. peter.carmeliet@vib-kuleuven.be FAU - Jain, Rakesh K AU - Jain RK LA - eng GR - P01-CA80124/CA/NCI NIH HHS/United States GR - R01-CA115767/CA/NCI NIH HHS/United States GR - R01-CA126642/CA/NCI NIH HHS/United States GR - R01-CA85140/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review PL - England TA - Nat Rev Drug Discov JT - Nature reviews. Drug discovery JID - 101124171 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents) RN - 0 (Vascular Endothelial Growth Factor A) SB - IM MH - Angiogenesis Inhibitors/metabolism/*therapeutic use MH - Animals MH - Antineoplastic Agents/metabolism/therapeutic use MH - Humans MH - Neoplasms/drug therapy/metabolism/*physiopathology MH - Neovascularization, Pathologic/drug therapy/metabolism/*physiopathology MH - Vascular Endothelial Growth Factor A/metabolism EDAT- 2011/06/02 06:00 MHDA- 2011/08/04 06:00 CRDT- 2011/06/02 06:00 PHST- 2011/06/02 06:00 [entrez] PHST- 2011/06/02 06:00 [pubmed] PHST- 2011/08/04 06:00 [medline] AID - nrd3455 [pii] AID - 10.1038/nrd3455 [doi] PST - ppublish SO - Nat Rev Drug Discov. 2011 Jun;10(6):417-27. doi: 10.1038/nrd3455.