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Targeting angiogenesis in the pathological ovary

W. Colin Duncan A B and Junko Nio-Kobayashi A
+ Author Affiliations
- Author Affiliations

A MRC Centre for Reproductive Health, The Queen’s Medical Research Institute, The University of Edinburgh, 47 Little France Crescent, Edinburgh EH16 4TJ, UK.

B Corresponding author. Email: w.c.duncan@ed.ac.uk

Reproduction, Fertility and Development 25(2) 362-371 https://doi.org/10.1071/RD12112
Submitted: 6 April 2012  Accepted: 13 July 2012   Published: 27 August 2012

Abstract

The ovary is a key tissue in the study of physiological neo-vascularisation in the adult and its study has highlighted important molecules involved in the regulation of angiogenesis in vivo. These include vascular endothelial growth factor, delta-like ligand 4, thrombospondin-1, prokineticin-1 and prostaglandin E2. Targeting these molecular pathways has therapeutic potential and their manipulation has an increasing preclinical and clinical role in the management of the pathological ovary. Targeting angiogenic pathways has utility in the promotion of ovarian angiogenesis to improve tissue and follicle survival and function as well as the prevention and management of ovarian hyperstimulation syndrome. There is a theoretical possibility that targeting angiogenesis may improve the function of the polycystic ovary and a real role for targeting angiogenesis in ovarian cancer.

Additional keywords: corpus luteum, notch signalling, thrombospondin, VEGF.


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