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Review
. 2010 Jan;77(1):13-9.
doi: 10.1016/j.jbspin.2009.05.011. Epub 2009 Dec 21.

New insights in synovial angiogenesis

Affiliations
Review

New insights in synovial angiogenesis

Zoltán Szekanecz et al. Joint Bone Spine. 2010 Jan.

Abstract

Angiogenesis is the formation of new capillaries from pre-existing vessels. A number of soluble and cell-bound factors may stimulate neovascularization. The perpetuation of angiogenesis involving numerous soluble and cell surface-bound mediators has been associated with rheumatoid arthritis (RA). These angiogenic mediators, among others, include growth factors, primarily vascular endothelial growth factor (VEGF) and hypoxia-inducible factors (HIFs), as well as pro-inflammatory cytokines, various chemokines, cell adhesion molecules, proteases and others. Among the several potential angiogenesis inhibitors, targeting of VEGF, HIF-1, angiopoietin and the alpha(V)beta(3) integrin, as well as some endogenous or synthetic compounds including angiostatin, endostatin, paclitaxel, fumagillin analogues, 2-methoxyestradiol and thalidomide seems to be promising for the management of synovial inflammation and angiogenesis. A complete review of antiangiogenic drugs used in animal models of arthritis or human RA is available in a table.

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Conflict of interest statement

Conflicts of interest

The authors have no conflicts of interest to declare.

Figures

Fig 1
Fig 1
The process of angiogenesis. Both soluble and cell surface-bound angiogenic factors trigger endothelial activation, sprouting, lumen formation and then the formation of new vessels.

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References

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