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Vascular endothelial growth factor receptor 1; Vascular endothelial growth factor receptor 2; Vascular endothelial growth factor receptor 3 (VEGFR-1; VEGFR-2; VEGFR-3)

Target
VEGFR-1; VEGFR-2; VEGFR-3
Molecular classification
Receptor tyrosine kinases (RTK), Single-pass transmembrane receptor
01

Overview

Vascular endothelial growth factor receptors (VEGFR-1, VEGFR-2, and VEGFR-3) are receptor tyrosine kinases that mediate the effects of various VEGF family ligands in the regulation of angiogenesis, vasculogenesis, and lymphangiogenesis. They are single-pass transmembrane glycoproteins characterized by an extracellular region with seven immunoglobulin-like domains and an intracellular split kinase domain. These receptors play major roles in both healthy and pathological processes including embryonic development, tissue repair, tumor formation, cancer metastasis, and lymphatic function[1][2][3][4][5][6][7]. They are highly validated targets for anti-angiogenic and anti-lymphangiogenic therapy in cancer and other diseases, and several approved drugs inhibit their signaling clinically. Drugs targeting these receptors primarily inhibit their tyrosine kinase activity or interfere with ligand-receptor interactions, leading to reduced pathological blood and lymph vessel growth[5][6][7]. Safety concerns are linked to their role in physiological vascular maintenance, leading to effects such as hypertension and impaired wound healing when chronically inhibited[5][6].

Other names
VEGFR-1: FMS-like tyrosine kinase 1 (Flt-1)VEGFR-2: Kinase insert domain receptor (KDR) / Fetal liver kinase-1 (Flk-1)VEGFR-3: Fms-related tyrosine kinase 4 (Flt-4)
02

Mechanism of action

Inhibition of receptor tyrosine kinase activity, blocking downstream angiogenic signalling Prevention of ligand binding (e.g., by monoclonal antibodies) Ligand sequestration (decoy activity, especially VEGFR-1)

03

Biological functions

Signal transductionAngiogenesis (formation of new blood vessels)Vasculogenesis (development of blood vessels in embryogenesis)Lymphangiogenesis (development of lymphatic vessels)Cell proliferationCell migrationCell survival
04

Disease associations

Cancer (particularly tumor angiogenesis)Cardiovascular diseaseInflammationLymphatic disorders
05

Safety considerations

HypertensionCardiovascular toxicities (thromboembolism, heart failure)Proteinuria and renal toxicityHemorrhage and impaired wound healing
06

Interacting drugs

Sorafenib

6 more in the full profile.

07

Biomarkers

VEGFR-2 expression levels in tumor tissueCirculating VEGF/VEGFR levelsPhosphorylation status of downstream signaling proteins (e.g., MAPK, PI3K/Akt)

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