Angiogenesis in Glioblastoma—Treatment Approaches

Glioblastoma, the most common primary malignant brain tumor in adults, carries a poor prognosis, with a median survival of just 15 months, significantly impacting patients’ quality of life. The aggressive growth of these highly vascularized tumors relies heavily on angiogenesis, driven primarily by...

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Main Authors: Agnieszka Nowacka, Maciej Śniegocki, Wojciech Smuczyński, Dominika Bożiłow, Ewa Ziółkowska
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/14/6/407
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author Agnieszka Nowacka
Maciej Śniegocki
Wojciech Smuczyński
Dominika Bożiłow
Ewa Ziółkowska
author_facet Agnieszka Nowacka
Maciej Śniegocki
Wojciech Smuczyński
Dominika Bożiłow
Ewa Ziółkowska
author_sort Agnieszka Nowacka
collection DOAJ
description Glioblastoma, the most common primary malignant brain tumor in adults, carries a poor prognosis, with a median survival of just 15 months, significantly impacting patients’ quality of life. The aggressive growth of these highly vascularized tumors relies heavily on angiogenesis, driven primarily by vascular endothelial growth factor-A. Therefore, VEGF signaling pathway has become a prime therapeutic target in GBM treatment over the past decade. While anti-angiogenic treatment showed promise, agents like bevacizumab have ultimately failed to improve overall survival. This highlights the presence of compensatory angiogenic mechanisms that bypass VEGF inhibition, necessitating further investigation into resistance mechanisms and the development of more effective therapeutic strategies. This review examined the current landscape of anti-angiogenic agents for GBM, analyzed the mechanisms driving resistance to these therapies, and explored potential strategies for enhancing their effectiveness.
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id doaj-art-8a2d80e6b73b48b084470acc87ad22b9
institution OA Journals
issn 2073-4409
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publishDate 2025-03-01
publisher MDPI AG
record_format Article
series Cells
spelling doaj-art-8a2d80e6b73b48b084470acc87ad22b92025-08-20T02:11:22ZengMDPI AGCells2073-44092025-03-0114640710.3390/cells14060407Angiogenesis in Glioblastoma—Treatment ApproachesAgnieszka Nowacka0Maciej Śniegocki1Wojciech Smuczyński2Dominika Bożiłow3Ewa Ziółkowska4Department of Neurosurgery, Nicolas Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, ul. Curie Skłodowskiej 9, 85-094 Bydgoszcz, PolandDepartment of Neurosurgery, Nicolas Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, ul. Curie Skłodowskiej 9, 85-094 Bydgoszcz, PolandDepartment of Physiotherapy, Nicolas Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, ul. Techników 3, 85-801 Bydgoszcz, PolandAnaesthesiology and Intensive Care Clinical Ward, The 10th Military Research Hospital and Polyclinic, ul. Powstańców Warszawy 5, 85-681 Bydgoszcz, PolandDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO 63110, USAGlioblastoma, the most common primary malignant brain tumor in adults, carries a poor prognosis, with a median survival of just 15 months, significantly impacting patients’ quality of life. The aggressive growth of these highly vascularized tumors relies heavily on angiogenesis, driven primarily by vascular endothelial growth factor-A. Therefore, VEGF signaling pathway has become a prime therapeutic target in GBM treatment over the past decade. While anti-angiogenic treatment showed promise, agents like bevacizumab have ultimately failed to improve overall survival. This highlights the presence of compensatory angiogenic mechanisms that bypass VEGF inhibition, necessitating further investigation into resistance mechanisms and the development of more effective therapeutic strategies. This review examined the current landscape of anti-angiogenic agents for GBM, analyzed the mechanisms driving resistance to these therapies, and explored potential strategies for enhancing their effectiveness.https://www.mdpi.com/2073-4409/14/6/407glioblastomaGBMangiogenesisVEGFbevacizumabanti-angiogenic therapy
spellingShingle Agnieszka Nowacka
Maciej Śniegocki
Wojciech Smuczyński
Dominika Bożiłow
Ewa Ziółkowska
Angiogenesis in Glioblastoma—Treatment Approaches
Cells
glioblastoma
GBM
angiogenesis
VEGF
bevacizumab
anti-angiogenic therapy
title Angiogenesis in Glioblastoma—Treatment Approaches
title_full Angiogenesis in Glioblastoma—Treatment Approaches
title_fullStr Angiogenesis in Glioblastoma—Treatment Approaches
title_full_unstemmed Angiogenesis in Glioblastoma—Treatment Approaches
title_short Angiogenesis in Glioblastoma—Treatment Approaches
title_sort angiogenesis in glioblastoma treatment approaches
topic glioblastoma
GBM
angiogenesis
VEGF
bevacizumab
anti-angiogenic therapy
url https://www.mdpi.com/2073-4409/14/6/407
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AT maciejsniegocki angiogenesisinglioblastomatreatmentapproaches
AT wojciechsmuczynski angiogenesisinglioblastomatreatmentapproaches
AT dominikaboziłow angiogenesisinglioblastomatreatmentapproaches
AT ewaziołkowska angiogenesisinglioblastomatreatmentapproaches