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Vascular endothelial growth factor B or Placental growth factor (VEGF-B, PlGF)

Target
VEGF-B, PlGF
Molecular classification
growth factors, vascular endothelial growth factors (VEGFs), Ligand for: receptor tyrosine kinases (mainly VEGFR-1)
01

Overview

Vascular endothelial growth factor B (VEGF-B) and placental growth factor (PlGF) are secreted polypeptides belonging to the VEGF family, which play essential roles in blood vessel formation and vascular homeostasis[1][2][3]. Both primarily bind to VEGF receptor 1 (VEGFR-1), but with distinct biological effects: VEGF-B mainly regulates endothelial cell survival and participates in pathological angiogenesis, while PlGF is involved in pathological but not physiological angiogenesis and is particularly linked to inflammation and tissue remodeling. They have overlapping but non-redundant functions and represent distinct therapeutic targets in angiogenesis-related diseases such as cancer, cardiovascular disease, and ocular disorders[2][3]. The designation "VEGF-B, Placental Growth Factor" is incorrect as a single canonical target—each is a distinct protein, encoded by separate genes, and needs to be treated individually when extracting structured information.

Other names
VEGF-BPlGFPGFVEGFBPGF (gene)
02

Mechanism of action

Ligand inhibition: Drugs such as aflibercept bind VEGF-B or PlGF, preventing their interaction with receptor VEGFR-1, thus inhibiting angiogenesis. Receptor blockade: Hypothetically, blocking VEGFR-1 also blocks all ligand-mediated signaling.

03

Biological functions

Angiogenesis (formation of blood vessels)Regulation of vascular permeabilityEndothelial cell growth, migration, and survivalPlGF also contributes to inflammatory responses, particularly in pathological angiogenesis
04

Disease associations

Cancer (tumor angiogenesis)Cardiovascular diseases (coronary artery disease, atherosclerosis)Ocular disorders (diabetic retinopathy, age-related macular degeneration)Other diseases where pathological angiogenesis plays a role (e.g., preeclampsia for PlGF)
05

Safety considerations

Off-target effects due to inhibition of normal angiogenic processes (wound healing, cardiovascular complications)Potential for hypertension, thromboembolic events, impaired wound healingOver-inhibition may impair normal vascular homeostasis
06

Interacting drugs

Aflibercept
07

Biomarkers

Serum PlGF level is used as a biomarker in preeclampsia and for cardiovascular risk evaluation.Circulating levels of VEGF family members may serve as investigational biomarkers for tumor angiogenesis activity.

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