Dusan Djokovic1, Carlos Calhaz-Jorge2. 1. Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. & Instituto de Medicina Molecular. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal. 2. Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. & Clínica Universitária de Obstetrícia e Ginecologia. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.
Abstract
INTRODUCTION: Angiogenesis is a key factor for the successful establishment and growth of endometriotic lesions. MATERIAL AND METHODS: We performed a literature search in PubMed and reviewed the most pertinent studies published until January 2014 and focused on the endometriosis-associated angiogenesis and/or anti-angiogenic strategies for the treatment of this gynecological disorder. RESULTS: The present review provides a concise summary of the known molecular mechanisms that promote vascularization of endometriotic lesions and may serve as potential therapeutic targets. We also present a systematic overview of the inclusive and exclusive anti-angiogenic agents that have been already studied in cell cultures, animal models and/or endometriosis patients. DISCUSSION AND CONCLUSION: The integration of anti-angiogenic approaches in the multimodal management strategies for endometriosis patients will be conditioned by the outcomes of future assessments regarding the effectiveness of such treatments, the risk of drug resistance development and the incidence of unacceptable side effects.
INTRODUCTION: Angiogenesis is a key factor for the successful establishment and growth of endometriotic lesions. MATERIAL AND METHODS: We performed a literature search in PubMed and reviewed the most pertinent studies published until January 2014 and focused on the endometriosis-associated angiogenesis and/or anti-angiogenic strategies for the treatment of this gynecological disorder. RESULTS: The present review provides a concise summary of the known molecular mechanisms that promote vascularization of endometriotic lesions and may serve as potential therapeutic targets. We also present a systematic overview of the inclusive and exclusive anti-angiogenic agents that have been already studied in cell cultures, animal models and/or endometriosispatients. DISCUSSION AND CONCLUSION: The integration of anti-angiogenic approaches in the multimodal management strategies for endometriosispatients will be conditioned by the outcomes of future assessments regarding the effectiveness of such treatments, the risk of drug resistance development and the incidence of unacceptable side effects.
Authors: Jeannette Rudzitis-Auth; Sophia A Fuß; Vivien Becker; Michael D Menger; Matthias W Laschke Journal: Br J Pharmacol Date: 2020-04-12 Impact factor: 8.739