Review Article

Tumor Angiogenesis: Insights and Innovations

Table 1

Factors regulating angiogenesis.

Angiogenesis factorsBiological activities

Vascular endothelial growth
factor (VEGF)
(i) Promoter of angiogeneses and vasculogenesis [21]
(ii) Stimulates microvascular EC proliferation [22, 23]
(iii) Enhances EC migration and sprouting [24, 25]
(iv) Inhibits EC apoptosis [26]
(v) Increases EC permeability [2729]

Fibroblast growth factor (FGF)(i) Stimulates EC proliferation [30]
(ii) Promotes microvessel tube formation [30]
(iii) Promotes EC migration [30]
(iv) Important promoter of blood vessel remodeling after tissue injury [31]

Angiopoieten-1 (Ang-1)(i) Recruits pericytes to recently created blood vessels [32]
(ii) Helps promote EC survival and sprout formation [32, 33]
(iii) Increases the diameter of blood vessels endothelium [34]

Angiopoieten-2 (Ang-2)(i) Antagonist of Tie-2 receptor, reduces levels of pericytes [35]
(ii) Increases plasticity of newly formed blood vessels [36]

Platelet-derived growth
factor (PDGF)
(i) Increases capillary wall stability [3]
(ii) Stimulates the proliferation of cultured pericytes and SMCs [37]
(iii) Increases DNA synthesis on capillary ECs [38]
(iv) Stimulate formation of angiogenic sprouts in vitro [38]

Transforming growth
factor- 𝛽 (TGF- 𝛽 )
(i) At low doses upregulates angiogenic factors and proteinases [39]
(ii) At high doses, inhibits EC growth, promotes reformation of BM and stimulates SMC reformation [39]
(iii) Stimulates or inhibits EC tube growth [39]
(iv) Signals inflammatory mediators such as fibroblasts and monocytes [3, 40, 41]
(v) Enhances integrity of vessel walls [42]

Integrin 𝛼 V 𝛽 3(i) Binds and activates MMP2 to help break down ECM [43]
(ii) Helps regulate cell attachment, spreading, and migration [44]
(iii) Shows Increased activity near wound sites [45]
(iv) Localized to ECs at ends of growing vessels during EC sprouting [46]

Integrin 𝛼 V 𝛽 5(i) Interacts with VEGF to promote angiogeneses [47]

VE cadherin(i) Thought to mediate passage of molecules across endothelium [28, 29]
(ii) Regulates CD growth through contact inhibition [48]
(iii) Helps prevent EC apoptosis by promoting VEGFs signal [49]
(iv) Helps stabilize the branches and sprouts produced during angiogeneses [48]

Tumor necrosis
factor- 𝛼 (TNF- 𝛼 )
(i) Stimulates angiogeneses in vivo [50]
(ii) Stimulates EC tube formation in vitro [51]

Transforming growth
factor- 𝛼 (TGF- 𝛼 )
(i) Promotes EC proliferation [50]
(ii) Stimulates angiogeneses in vivo [50, 52]

Angiogenin(i) Promotes angiogeneses in vivo [53]
(ii) Assists EC adhesion and spreading in vitro [54]

Angiotropin(i) Helps activate microvascular ECs during wound healing [38]
(ii) Stimulates angiogeneses in vivo [38]
(iii) Randomly induces capillary EC migration [55]

Matrix metalloproteinase-9 (MMP-9)(i) Thought to help mobilize EPCs by cleaving ECM [17]

Stromal-cell-derived
factor-1 (SDF-1)
(i) Helps guide EPCs to ischemic areas during angiogeneses [56]