Target intelligence / Profile preview

Vascular endothelial growth factor and basic fibroblast growth factor signaling complexes (VEGF/bFGF signaling complexes)

Target
VEGF/bFGF signaling complexes
Molecular classification
Receptor tyrosine kinase, Growth factor, Signaling complex
01

Overview

The Vascular Endothelial Growth Factor (VEGF) and basic Fibroblast Growth Factor (bFGF) signaling complexes are essential mediators of angiogenesis and mesenchymal cell proliferation [PubMed: 10449143]. VEGF signaling, primarily through VEGFR2, is the dominant driver of endothelial cell migration and tube formation, while bFGF (FGF2) acts as a potent mitogen that can stimulate angiogenesis independently or synergistically with VEGF [PubMed: 15156179]. These pathways are frequently co-opted by tumors to establish a robust blood supply, and bFGF signaling often serves as a bypass mechanism for tumors to escape anti-VEGF therapies [PubMed: 22392911]. In addition to cancer, these complexes play roles in ocular diseases like wet age-related macular degeneration and various inflammatory conditions [PubMed: 17067916]. Pharmacological targeting of these complexes typically involves multi-kinase inhibitors that block the intracellular tyrosine kinase domains of both VEGFR and FGFR families [PubMed: 25135130]. Dual inhibition is designed to provide more comprehensive suppression of tumor vascularization and overcome the limitations of monotherapy [PubMed: 21934310]. Common side effects of targeting these pathways include hypertension, proteinuria, and impaired wound healing due to the systemic inhibition of physiological vessel maintenance [PubMed: 19139177].

Other names
VEGF/FGF2 signalingVEGFR/FGFR signaling pathwaysAngiogenic growth factor signalingVascular endothelial growth factor and fibroblast growth factor 2 signaling
02

Mechanism of action

Competitive inhibition of ATP binding to the intracellular tyrosine kinase domains of VEGFR and FGFR receptors, preventing downstream signaling cascades such as MAPK/ERK and PI3K/Akt; Neutralization of circulating VEGF and bFGF ligands.

03

Biological functions

AngiogenesisCell proliferationCell migrationVasculogenesisWound healingEndothelial cell survival
04

Disease associations

CancerAge-related macular degenerationDiabetic retinopathyInflammationPsoriasis
05

Safety considerations

HypertensionProteinuriaHemorrhageGastrointestinal perforationImpaired wound healingThromboembolismHand-foot syndrome
06

Interacting drugs

Lenvatinib

7 more in the full profile.

07

Biomarkers

Serum VEGF-A levelsSerum FGF2 levelsSoluble VEGFR2Microvessel density (MVD)DCE-MRI parameters

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