Target intelligence / Profile preview

Endostatin (C-terminal fragment of collagen XVIII) (ES)

Target
ES
Molecular classification
Peptide fragment, Endogenous angiogenesis inhibitor, Matrix protein fragment (derivative of collagen XVIII), Other (not a receptor, not a classical enzyme/transcription factor)
01

Overview

Endostatin is a naturally occurring, 20-kDa C-terminal fragment of collagen XVIII, released through proteolytic cleavage in the extracellular matrix[1][3][5][8]. It is regarded as one of the most potent inhibitors of angiogenesis, acting predominantly by binding to endothelial cell surface receptors including integrins (αvβ3, α5β1), glypicans (heparan sulfate proteoglycans), and VEGF receptors to block proliferation, migration, invasion, and tube formation of vascular endothelial cells, and to promote apoptosis[2][3][4][8]. Endostatin also interacts with matrix metalloproteinases, inhibiting their activity and further dampening extracellular matrix remodeling and angiogenic responses[8]. In cancer therapy, recombinant human endostatin (Endostar) is approved in China for lung cancer, demonstrating anti-tumor efficacy mainly via anti-angiogenic and immunomodulatory effects[3][5][8]. Endostatin's fragment origin, receptor binding specificity, and broad regulatory functions in angiogenesis and the tumor microenvironment make it a unique molecular target in oncology and vascular biology.

Other names
EndostatinESC-terminal fragment of collagen XVIIIRecombinant human endostatin (Endostar, a modified form)
02

Mechanism of action

Binds and blocks VEGF receptors (VEGFR2, VEGFR3), interfering with VEGF-C and VEGF-induced angiogenic signaling; Inhibits FGF (fibroblast growth factor)-induced signaling; Binds integrins (αvβ3, α5β1) on endothelial cells, blocking cell migration and survival; Inhibits matrix metalloproteinases (MMP-2, MMP-9, MMP-13, and MT1-MMP) catalytic activity, thus indirectly suppressing ECM remodeling and angiogenesis; Induces endothelial cell apoptosis and halts cell cycle progression; Modulates immune cell function, promoting anti-tumor M1 macrophage polarization

03

Biological functions

Angiogenesis inhibitionInhibition of endothelial cell proliferation and migrationInduction of endothelial cell apoptosisAnti-tumor, anti-lymphangiogenic activityModulation of immune cell polarization (promoting M1-type macrophages)
04

Disease associations

Cancer (especially as an anti-angiogenic agent)Inflammation (potentially via immune modulation)Cardiovascular disease (elevated levels may indicate vascular remodeling)Other (potential indications in fibrotic and angiogenesis-dependent disorders)
05

Safety considerations

Limited efficacy in human cancer (clinical studies show modest benefit; requires high, sustained dosing)Few notable side effects observed (low toxicity reported in animal and human trials)Potential for impaired wound healing, vessel formation, and tissue regeneration by anti-angiogenic actionDrug resistance not commonly observed, but rapid systemic clearance and bioavailability challenges exist
06

Interacting drugs

Endostar (recombinant human endostatin, marketed in China for cancer therapy)

2 more in the full profile.

07

Biomarkers

Serum endostatin levels (proposed for cancer prognosis/diagnosis, particularly in colorectal cancer)Vascular endothelial growth factor (VEGF) levels (for efficacy monitoring in anti-angiogenic therapy)Tumor microvessel density (secondary endpoint in clinical studies)

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