Hypoxia,
EGFR signaling
VEGF
P
ericyte
recr
uitment
Necrotic
core
T
umor
rim
T
umor
cells
PDGF
a
c
V
ascular disr
uption
d
Hypoxia,
EGFR signaling
VEGF
P
ericyte
recr
uitment
Necrotic
core
T
umor
rim
T
umor
cells
PDGF
a
c
V
ascular disr
uption
d
Hypoxia,
EGFR signaling
VEGF
P
ericyte
recr
uitment
T
umor
cells
PDGF
a
c
Abnormal Tumor Vascular
Network with Poor Perfusion,
High Interstitial Fluid Pressure
and Areas of Hypoxia
Necrotic Central Core
Decreased Nascent Vessel Number
Improved blood flow leading to
improved delivery of chemotherapeutic
agents
Abnormal Bulges
Blind Ends
Remaining rim of viable cells
that can be targeted with
chemotherapeutic agents
and radiation
Small Molecules:
e.g., DMXAA, NPI-2358
Ligand-based:
e.g., antibody-toxin, antibody-IL12,
‘naked’ antibodies, VEGF-gelonin
Direct Endothelial Cell Effects
Vascular Disruption
Anti-VEGF Effects
Initial Vascular Normalization
Anti-Angiogenic Agents
P
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