Therapeutic anti-VEGF antibodies

Handb Exp Pharmacol. 2008;(181):131-50. doi: 10.1007/978-3-540-73259-4_6.

Abstract

Vascular endothelial growth factor (VEGF-A) is a key cytokine in the development of normal blood vessels as well as the development of vessels in tumors and other tissues undergoing abnormal angiogenesis. Here, we review the molecular engineering of two humanized antibodies derived from a common mouse anti-VEGF antibody--bevacizumab, a full-length IgG1 approved for the treatment of specified cancer indications, and ranibizumab, an affinity-matured antibody Fab domain approved for use in age-related macular degeneration (AMD). In clinical trials and as FDA-approved therapeutics, these two anti-VEGF antibodies, bevacizumab (Avastin anti-VEGF antibody) and ranibizumab (Lucentis anti-VEGF antibody), have demonstrated therapeutic utility in blocking VEGF-induced angiogenesis.

Publication types

  • Review

MeSH terms

  • Amino Acid Sequence
  • Angiogenesis Inhibitors / biosynthesis
  • Angiogenesis Inhibitors / chemistry
  • Angiogenesis Inhibitors / pharmacology
  • Angiogenesis Inhibitors / therapeutic use*
  • Animals
  • Antibodies, Monoclonal / biosynthesis
  • Antibodies, Monoclonal / chemistry
  • Antibodies, Monoclonal / pharmacology
  • Antibodies, Monoclonal / therapeutic use*
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents / chemistry
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use*
  • Bevacizumab
  • Endothelial Cells / drug effects
  • Endothelial Cells / metabolism
  • Humans
  • Macular Degeneration / drug therapy
  • Models, Molecular
  • Molecular Sequence Data
  • Neoplasms / blood supply
  • Neovascularization, Pathologic / drug therapy
  • Neovascularization, Physiologic / drug effects
  • Protein Conformation
  • Protein Engineering
  • Ranibizumab
  • Recombinant Fusion Proteins / therapeutic use
  • Signal Transduction / drug effects
  • Treatment Outcome
  • Vascular Endothelial Growth Factor A / chemistry
  • Vascular Endothelial Growth Factor A / immunology*
  • Vascular Endothelial Growth Factor A / metabolism

Substances

  • Angiogenesis Inhibitors
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • Recombinant Fusion Proteins
  • Vascular Endothelial Growth Factor A
  • Bevacizumab
  • Ranibizumab