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Integrin alpha-V beta-1 (αvβ1), alpha-V beta-3 (αvβ3), and alpha-V beta-6 (αvβ6) are members of the integrin family of heterodimeric transmembrane receptors, each comprising a shared alpha-V (ITGAV) subunit paired with a distinct beta subunit (ITGB1, ITGB3, ITGB6, respectively)[2][3][6]. These receptors mediate cell-cell and cell-extracellular matrix adhesion by recognizing specific amino acid motifs (notably RGD sequences) in ECM proteins such as fibronectin, vitronectin, tenascin, osteopontin, and TGF-β latency-associated peptides[1][3]. Integrins not only anchor cells but also transduce bidirectional signals, regulating cellular processes including migration, proliferation, survival, angiogenesis, and immune response[2][3][5]. αvγ is well known for its role in angiogenesis, tumor growth, and metastasis, making it a longstanding therapeutic target in oncology[1][3]. αvζ is upregulated in several epithelial cancers and fibrotic diseases and is a key activator of TGF-β, contributing to tissue fibrosis and tumor progression[1][7]. αvα, more recently recognized, is involved in TGF-β activation and fibrosis and is emerging as a novel therapeutic target[1]. Multiple therapeutic agents—including antibodies, peptides, and small molecules—have been developed to selectively block these integrins, aiming to inhibit tumor angiogenesis, cancer cell migration, and fibrotic processes[1][3]. Due to their widespread physiological expression and role in normal tissue maintenance, safety concerns include bleeding, delayed wound healing, and immunomodulation[3]. Integrin ligands and receptor expression serve as biomarkers for diagnosis, prognostic stratification, and patient selection in clinical trials.
Antagonism of ligand binding (prevents attachment to ECM proteins such as fibronectin, vitronectin, osteopontin); Inhibition of TGF-β activation (especially αvβ6 and αvβ1); Blockade of angiogenesis and tumor cell migration
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