Before the 1960s,
cancer researchers believed that the blood supply reached tumors simply because
pre-existing blood vessels dilated. But experiments have shown that
angiogenesis—the growth of the new blood vessels—is necessary for cancerous
tumors to keep growing and spreading. Research by William Li, MD, has shown
that tumor cells secrete growth factors (VEGF, bFGF) that bind to endothelial
cell receptors in the lining of blood vessels, which activate the growth of new
capillaries (angiogenesis) in order to bring nutrients to the tumor. In
addition, the tumor cells stop producing the enzyme PKG, an anti-VEGF or
inhibitor. Much as with tumors, fat tissue is highly angiogenetic. Estimates
are that one pound of excess fat may contain from 7 to 100 miles of
capillaries. Anti-angiogenesis factors may, therefore, have a potentially
positive impact on obesity. More tomorrow.
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