Endostatin

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Endostatin is a naturally occurring protein that inhibits angiogenesis, the process through which new blood vessels form from pre-existing vessels. It is a fragment of collagen XVIII, a type of collagen found in the extracellular matrix of various tissues. Endostatin has been studied for its potential use in cancer treatment due to its ability to suppress the growth of tumors by cutting off their blood supply.

Discovery and Structure

Endostatin was first discovered in 1997 by Dr. Judah Folkman and his team at Children's Hospital Boston. It is a 20 kDa protein that is derived from the C-terminal fragment of collagen XVIII. The structure of endostatin includes a compact, globular domain that is stabilized by disulfide bonds.

Mechanism of Action

Endostatin exerts its anti-angiogenic effects by binding to various receptors on the surface of endothelial cells, which are the cells that line the interior surface of blood vessels. This binding inhibits the proliferation, migration, and tube formation of endothelial cells, thereby preventing the formation of new blood vessels. Endostatin also interferes with the signaling pathways of vascular endothelial growth factor (VEGF) and fibroblast growth factor (FGF), both of which are critical for angiogenesis.

Clinical Applications

Endostatin has been investigated in several clinical trials for its potential use in treating various types of cancer, including lung cancer, breast cancer, and prostate cancer. Although initial results were promising, subsequent studies have shown mixed outcomes regarding its efficacy. Researchers continue to explore the optimal dosing, delivery methods, and combination therapies to enhance the therapeutic potential of endostatin.

Research and Development

Ongoing research is focused on understanding the detailed mechanisms of endostatin's action, improving its stability and bioavailability, and developing novel delivery systems such as nanoparticles and gene therapy approaches. Additionally, studies are being conducted to identify biomarkers that can predict patient response to endostatin treatment.

See Also

References



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Contributors: Prab R. Tumpati, MD