학술논문

Anti-VEGF-Induced Hypertension: a Review of Pathophysiology and Treatment Options
Document Type
Review Paper
Source
Current Treatment Options in Cardiovascular Medicine. May 2016 18(5):1-13
Subject
VEGF inhibitors
Hypertension
Angiogenesis
Tyrosine kinase inhibitors
Cardiotoxicity
Cardio-oncology
Language
English
ISSN
1092-8464
1534-3189
Abstract
Opinion statement:Abnormal intracellular signaling has been implicated in the development of many different types of cancer. Therapies targeting these abnormal pathways have revolutionized the treatment of many malignancies leading to significantly improved outcomes and survival. Despite these advances, cardiovascular toxicity is a frequently reported complication. Angiogenesis is the physiologic process of new blood vessel development and can be dysregulated in some forms of cancer. VEGF inhibitors are the pharmaceutical agents targeting this pathway; however hypertension is a commonly observed toxicity which can have significant adverse consequences including premature cessation of therapy if adequate blood pressure control cannot be achieved. This review will provide a comprehensive discussion about hypertension due to VEGF inhibition, focusing on pathophysiology, frequently used agents, and available treatment options for VEGF-induced hypertension.