Angiostatic

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Angiostasis refers to the physiological process that inhibits the formation of new blood vessels, a process known as angiogenesis. This regulation is crucial for maintaining vascular homeostasis and plays a significant role in various physiological and pathological conditions. Angiostasis is mediated by a balance between angiostatic factors and angiogenic factors within the body.

Overview[edit | edit source]

Angiogenesis, the formation of new blood vessels from pre-existing ones, is essential for processes such as wound healing, growth, and reproductive functions. However, its regulation is vital to prevent excessive or insufficient vascular growth. Angiostasis counters angiogenesis by inhibiting the proliferation, migration, and differentiation of endothelial cells, which line the interior surface of blood vessels.

Angiostatic Factors[edit | edit source]

Several molecules are known to exhibit angiostatic properties, including:

  • Thrombospondin-1: A glycoprotein that plays a critical role in angiostasis by inhibiting endothelial cell proliferation.
  • Angiostatin: A fragment of plasminogen that inhibits endothelial cell proliferation and migration.
  • Endostatin: A fragment of collagen XVIII that inhibits endothelial cell migration and tube formation.
  • Interferon-gamma (IFN-γ): A cytokine with potent angiostatic activity, inhibiting endothelial cell proliferation and modulating the expression of other angiostatic and angiogenic factors.

Mechanisms of Action[edit | edit source]

The mechanisms by which angiostatic factors inhibit angiogenesis are diverse and include:

  • Inhibition of endothelial cell proliferation and migration.
  • Induction of endothelial cell apoptosis.
  • Modulation of the extracellular matrix to inhibit angiogenesis.
  • Downregulation of angiogenic factors and receptors.

Clinical Significance[edit | edit source]

Angiostasis has significant implications in various diseases and conditions:

  • Cancer: Tumors require blood vessels to supply nutrients and oxygen for their growth. Angiostatic therapy aims to inhibit tumor growth by preventing angiogenesis.
  • Ocular diseases: Conditions such as diabetic retinopathy and age-related macular degeneration involve pathological angiogenesis. Angiostatic agents are explored as potential treatments.
  • Cardiovascular diseases: Excessive angiogenesis can contribute to diseases such as atherosclerosis. Angiostatic mechanisms are of interest for therapeutic interventions.

Therapeutic Applications[edit | edit source]

The therapeutic potential of angiostatic agents is being explored in various fields, including oncology and ophthalmology. The development of drugs that can effectively and selectively inhibit angiogenesis without significant side effects is a key area of research.

Conclusion[edit | edit source]

Angiostasis plays a critical role in regulating angiogenesis, maintaining vascular homeostasis, and has significant implications in health and disease. Understanding the mechanisms and factors involved in angiostasis is essential for developing novel therapeutic strategies for diseases characterized by abnormal angiogenesis.

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Contributors: Prab R. Tumpati, MD