Viewpoint

Nature Clinical Practice Nephrology (2008) 4, 536-537
doi:10.1038/ncpneph0907  
Received 6 May 2008 | Accepted 30 June 2008 | Published online: 29 July 2008

Nitric oxide depletion is responsible for the adverse effects of vascular endothelial growth factor inhibitors

Jecko Thachil

Correspondence University of Liverpool, Haematology Department, Prescot Street, Liverpool L7 8XP, UK

Email
 jeckothachil@yahoo.co.uk

Inhibitors of vascular endothelial growth factor, such as bevacizumab, are a promising approach to the treatment of tumors and other angiogenesis-dependent conditions. However, it is becoming increasingly obvious that these drugs can have serious adverse effects including proteinuria, hypertension and thrombotic microangiopathy. This Viewpoint evaluates current evidence to argue that these adverse effects are probably elicited by inhibition of nitric oxide production in the renal vasculature.

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