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Vascular endothelial growth factor A and Angiopoietin-2 (VEGF-A and Ang2)

Target
VEGF-A and Ang2
Molecular classification
VEGF-A: Growth factor, secreted protein, cytokine, Angiopoietin-2: Growth factor, secreted protein
01

Overview

Vascular endothelial growth factor A (VEGF-A) is a secreted glycoprotein that binds to VEGF receptors, primarily VEGFR-2, on endothelial cells to promote angiogenesis, endothelial cell proliferation, and vascular permeability. Angiopoietin-2 (Ang2) is a secreted growth factor that modulates vascular remodeling by binding to the endothelial Tie2 receptor. While Angiopoietin-1 stabilizes vessels, Angiopioetin-2 antagonizes Tie2 signaling, destabilizing vessels and promoting vascular sprouting in the presence of VEGF-A. The coordinated action of VEGF-A and Angiopoietin-2 is critical in both physiological angiogenesis and various pathologies such as cancer, diabetic retinopathy, and inflammatory diseases. Therapeutic strategies that target both VEGF-A and Angiopoietin-2 are in clinical use and under development for diseases with pathological angiogenesis[1][2][3][4][5].

Other names
Vascular permeability factor (for VEGF-A)Angpt2 (for Angiopoietin-2)Ang-2 (common clinical abbreviation)
02

Mechanism of action

Inhibition of signaling leading to reduced angiogenesis and vascular permeability. Blocking endothelial proliferation and new vessel formation in tumors and pathological tissues[2][5]. Restoration of vascular stability by disrupting Ang2-mediated destabilization of endothelium (with Ang2 inhibitors)[3][4].

03

Biological functions

Angiogenesis (blood vessel formation)Vascular permeabilityEndothelial cell proliferation and migrationVascular remodelingEndothelial survival and apoptosis modulation[1][2][3][5]
04

Disease associations

Cancer (tumor angiogenesis and progression)[2][5]Inflammation and sepsisCardiovascular disease (e.g., heart failure, myocardial infarction)[4]Diabetic retinopathy, retinal vascular disorders
05

Safety considerations

Hypertension (for anti-VEGF drugs)Proteinuria, thrombotic events, impaired wound healing (for VEGF inhibitors)[5]Potential vascular instability, bleeding risk, and exacerbation of ischemia (possible with dual VEGF/Ang2 blockade)Edema and risk of heart failure with Ang2 inhibitors in susceptible groups[4][5]
06

Interacting drugs

Bevacizumab (VEGF-A inhibitor)

4 more in the full profile.

07

Biomarkers

Circulating VEGF-A (prognostic for response to antiangiogenics)Circulating Angiopoietin-2 (prognostic for inflammation, cardiovascular risk, and tumor angiogenesis)[4]Microvessel density in tumors (reflecting activity)[2]

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