Elsevier

Seminars in Oncology

Volume 34, Issue 6, December 2007, Pages 555-565
Seminars in Oncology

Angiogenesis in Melanoma

https://doi.org/10.1053/j.seminoncol.2007.09.009Get rights and content

The process of angiogenesis is crucial for progression and metastasis of the majority of solid tumors including melanomas. The current review summarizes existing knowledge of the mechanisms of angiogenesis in melanoma, as well as current anti-angiogenic therapeutic strategies and their targets. We focus primarily on the role of key growth factors that are secreted by melanoma cells and known to trigger angiogenic responses, and their receptors as expressed on both endothelial and melanoma cells. Many of these growth factors function in synergy with receptors for extracellular matrix, integrins, and matrix metalloproteinases (MMPs). All of these systems of molecules are activated during major stages of angiogenesis such as endothelial migration, proliferation, and reorganization of surrounding extracellular matrix. The blockade of these molecules and their downstream pathways leads to inhibition of melanoma vascularization. Thus, these classes of molecules are essential for melanoma angiogenesis and, therefore, might serve as promising targets for therapeutic intervention. Many recently developed compounds targeting key pathways in angiogenesis are in their final stages of clinical trials.

Section snippets

Growth Factor–Dependent Melanoma Tumor Growth and Angiogenesis

Angiogenesis in melanoma is stimulated by a variety of growth factors. Among these are VEGF, bFGF, acidic FGF, platelet-derived growth factor (PDGF), and transforming growth factors α and β (TGF-α and β) (Fig 2). Angiogenesis serves as a turning point in melanoma tumor growth and metastasis.

Conclusion

In sum, the process of angiogenesis in melanoma is crucial for tumor development and metastasis and undoubtedly requires further detailed investigation of its underlying mechanisms. Since this process involves a synergistic action of several classes of molecules and signaling pathways, there are numerous possibilities for the development of non-overlapping therapeutic strategies. Several angiogenic compounds are already in clinical trials for melanoma and available preliminary results are

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    Supported by the US National Institutes of Health (HL071625 and HL073311 to T.V.B.) and American Heart Association (0625271B to G.H.M.).

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