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Epidermal growth factor receptor (EGFR) and vascular endothelial growth factor receptor (VEGFR) (EGFR/VEGFR)

Target
EGFR/VEGFR
Molecular classification
Receptor, Enzyme
01

Overview

The combined inhibition of the Epidermal Growth Factor Receptor (EGFR) and angiogenic Receptor Tyrosine Kinases (RTKs), such as Vascular Endothelial Growth Factor Receptor (VEGFR), represents a strategic approach to treating Non-Small Cell Lung Cancer (NSCLC) (Source: PubMed, PMID: 31593850). EGFR is a transmembrane glycoprotein that regulates cell proliferation and survival, and its mutation is a major driver in NSCLC (Source: UniProt, P00533). Angiogenic RTKs like VEGFR2 are critical for tumor neovascularization, providing the blood supply necessary for tumor expansion (Source: UniProt, P35968). Research indicates significant crosstalk between these pathways, where EGFR signaling upregulates VEGF expression, and VEGF signaling can mediate resistance to EGFR inhibitors (Source: Journal of Thoracic Oncology, 2020). Therapeutic strategies include multi-targeted tyrosine kinase inhibitors like vandetanib or combination therapies such as erlotinib with bevacizumab (Source: FDA, 2021). This dual targeting aims to overcome bypass resistance mechanisms and improve progression-free survival in patients with advanced disease (Source: Lancet Oncology, 2019). Common adverse effects associated with this dual blockade include hypertension and skin toxicity, reflecting the physiological roles of these receptors in vascular and epithelial homeostasis (Source: Nature Reviews Clinical Oncology, 2018).

Other names
EGFR/VEGFR dual inhibitionEGFR and angiogenic RTK co-inhibitionEGFR-VEGF axisCombined EGFR and VEGFR targeting
02

Mechanism of action

Simultaneous inhibition of the EGFR signaling pathway, which drives tumor cell proliferation and survival, and the VEGFR/angiogenic pathways, which facilitate tumor neovascularization and nutrient supply.

03

Biological functions

Signal transductionCell proliferationOther
04

Disease associations

Cancer
05

Safety considerations

HypertensionSkin toxicity (rash)DiarrheaProteinuriaHemorrhageImpaired wound healing
06

Interacting drugs

Vandetanib

6 more in the full profile.

07

Biomarkers

EGFR mutation status (e.g., Exon 19 deletion, L858R)VEGF expression levelsVEGFR2 expression

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