The evolution of safe and effective coaguligands for vascular targeting and precision thrombosis of solid tumors and vascular malformations

Fahimeh Faqihi, Marcus A. Stoodley, Lucinda S. McRobb*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

In cardiovascular and cerebrovascular biology, control of thrombosis and the coagulation cascade in ischemic stroke, myocardial infarction, and other coagulopathies is the focus of significant research around the world. Ischemic stroke remains one of the largest causes of death and disability in developed countries. Preventing thrombosis and protecting vessel patency is the primary goal. However, utilization of the body’s natural coagulation cascades as an approach for targeted destruction of abnormal, disease-associated vessels and tissues has been increasing over the last 30 years. This vascular targeting approach, often termed “vascular infarction”, describes the deliberate, targeted delivery of a thrombogenic effector to diseased blood vessels with the aim to induce localized activation of the coagulation cascade and stable thrombus formation, leading to vessel occlusion and ablation. As systemic delivery of pro-thrombotic agents may cause consternation amongst traditional stroke researchers, proponents of the approach must suitably establish both efficacy and safety to take this field forward. In this review, we describe the evolution of this field and, with a focus on thrombogenic effectors, summarize the current literature with respect to emerging trends in “coaguligand” development, in targeted tumor vessel destruction, and in expansion of the approach to the treatment of brain vascular malformations
Original languageEnglish
Article number776
Pages (from-to)1-22
Number of pages22
JournalBiomedicines
Volume9
Issue number7
DOIs
Publication statusPublished - 4 Jul 2021

Bibliographical note

Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • brain arteriovenous malformations
  • radiation
  • targeted therapy
  • thrombosis
  • tumor
  • vascular malformations
  • vascular targeting

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