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Activin receptor-like kinase 1 and bone morphogenetic protein receptor type 2 receptor complex (ALK1/BMPR2 receptor complex)

Target
ALK1/BMPR2 receptor complex
Molecular classification
Receptor, Serine/threonine kinase receptor complex, Transmembrane receptor complex
01

Overview

The ALK1/BMPR2 receptor complex refers to a heterotetrameric assembly of transmembrane serine/threonine kinase receptors, typically formed upon binding of bone morphogenetic protein (BMP) ligands (notably BMP9 or BMP10) to the high-affinity type I receptor ALK1 (Activin receptor-like kinase 1) and the type II receptor BMPR2 (Bone morphogenetic protein receptor type 2). Both ALK1 and BMPR2 are single-pass transmembrane proteins with extracellular ligand-binding domains and intracellular kinase domains. Upon BMP ligand engagement, the receptors oligomerize, enabling BMPR2 to phosphorylate and activate ALK1, which in turn phosphorylates downstream SMAD1/5/8 transcription factors. This initiates a transcriptional program critical for maintenance of endothelial cell function and vascular homeostasis. Pathogenic mutations in BMPR2 disrupt this process and are the primary genetic cause of hereditary pulmonary arterial hypertension, while ALK1 mutations cause hereditary hemorrhagic telangiectasia. The ALK1/BMPR2 receptor complex is an actively investigated therapeutic target in vascular diseases and oncology, owing to its central role in angiogenic and homeostatic vascular signaling.

Other names
ALK1–BMPR2 receptor complexActivin receptor-like kinase 1/BMPR2 signaling complexACVRL1/BMPR2 complexBMP type I and type II receptor complex
02

Mechanism of action

Drugs targeting this complex typically inhibit or modulate BMP ligand binding, receptor assembly, or downstream SMAD phosphorylation and transcriptional responses.

03

Biological functions

Signal transduction (BMP signaling pathway)Regulation of angiogenesis and vascular homeostasisSMAD-dependent transcriptional regulationRegulation of endothelial cell function
04

Disease associations

Cardiovascular disease (notably pulmonary arterial hypertension, PAH)Cancer (aberrant BMP signaling implicated in oncogenesis in some contexts)Hereditary hemorrhagic telangiectasia (due to ALK1 mutation)Other vascular disorders
05

Safety considerations

Therapeutic modulation carries risk of disrupting normal angiogenesis and vascular homeostasisPotential for vascular leakage, hypotension, or abnormal vessel development.On-target effects in non-diseased vasculature.
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Interacting drugs

There are no FDA-approved small molecules or biologics that directly target the ALK1/BMPR2 complex.

3 more in the full profile.

07

Biomarkers

BMPR2 mutations are biomarkers for heritable PAHLow ALK1 expression/mutations in HHT.Dysfunctional BMP-SMAD signaling readouts (e.g., circulating levels of phosphorylated SMAD1/5/8 or ligand).

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