Beyond inhibition: harnessing the DRD2–VEGF-A feedback loop for precision anti-angiogenesis therapy in cancer - Summary - MDSpire

Beyond inhibition: harnessing the DRD2–VEGF-A feedback loop for precision anti-angiogenesis therapy in cancer

  • By

  • Manas Ranjan Sahu

  • Venu Akkanapally

  • Partha Sarathi Dasgupta

  • Sujit Basu

  • May 28, 2026

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Objective:

To propose a significant change in anti-angiogenic therapy by leveraging the DRD2/VEGF-A feedback loop for improved patient selection and treatment optimization.

Key Findings:
  • DRD2 activation selectively inhibits VEGFR2 phosphorylation and vascular permeability in tumor endothelium.
  • The VEGF-A–ERK1/2–KLF11 signaling axis serves as a biomarker for predicting responsiveness to DRD2 agonists.
  • DRD2 agonists can normalize vascular permeability without systemic toxicity.
Interpretation:

The proposed approach transforms anti-angiogenic therapy into a precision theranostic platform, allowing for real-time assessment of tumor VEGF-dependency and enhancing treatment efficacy.

Limitations:
  • The need for high-resolution spatial transcriptomic mapping is critical for precision stratification across diverse tumor microenvironments to ensure effective treatment.
Conclusion:

The study suggests that targeting the DRD2/VEGF-A feedback mechanism could enhance the efficacy and safety of anti-angiogenic treatments.

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