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Kinase Inhibitors: Cancer

Drugs Derived from

Mechanistic Considerations

by Karl-Heinz Thierauch and Andreas Chlistalla

1. Kinase Inhibition and Tumor Angiogenesis

Angiogenesis describes the process of an expansion of the blood vessel system. It is primarily regulated according to the oxygen needs of growing tissues but is also under hormonal control.1,2 Tumor angiogenesis is a prerequisite for tumor growth.3,4 It involves many different cell types of the affected tissue including foremost endothelial cells but also inflammatory cells, fibroblast and other stromal cells which invade the evolving tumors and the tissues around it.5 Indeed, tumor angiogenesis resembles embryonal angiogenesis in many aspects. The interactive ensemble of these cells is the prerequisite of the angiogenic process. This process is regulated via signaling through mediators which mainly bind to transmembrane receptors, such as cytokines, growth factors and surface ligands, or which permeate directly to the cytoplasm and nucleus, like nuclear hormones.

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