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Vascular endothelial growth factor receptor 1 (VEGFR-1) (VEGFR-1)

Target
VEGFR-1
Molecular classification
Receptor, Enzyme, Receptor tyrosine kinase [UniProt: P17948]
01

Overview

Vascular endothelial growth factor receptor 1 (VEGFR-1), also known as Fms-like tyrosine kinase 1 (FLT-1), is a cell-surface receptor tyrosine kinase that plays a critical role in the regulation of angiogenesis and vasculogenesis [UniProt: P17948]. It binds with high affinity to VEGF-A, VEGF-B, and placental growth factor (PlGF), often acting as a "decoy" receptor that sequesters VEGF-A to modulate its interaction with VEGFR-2 [PubMed: 11085981]. Beyond its decoy function, VEGFR-1 signaling is involved in the recruitment of bone marrow-derived cells and the promotion of inflammatory processes [PubMed: 16461337]. In clinical oncology, VEGFR-1 is a major target for multi-kinase inhibitors like sunitinib and sorafenib, which block its intracellular kinase activity to inhibit tumor blood vessel growth [PubChem: CID 5329102]. Additionally, a soluble form of the receptor (sFlt-1) is a significant biomarker in preeclampsia, where elevated levels contribute to endothelial dysfunction [NIH: NBK532910]. Therapeutic targeting of VEGFR-1 is essential for treating various cancers and neovascular eye diseases, though it is associated with side effects such as hypertension and proteinuria [PubMed: 20634430]. The receptor's complex role as both a signaling molecule and a negative regulator makes it a unique focus in vascular biology and drug development.

Other names
Fms-like tyrosine kinase 1FLT-1Tyrosine-protein kinase FRTVascular endothelial growth factor receptor 1
02

Mechanism of action

Inhibition of the intracellular tyrosine kinase domain to block downstream signaling pathways and sequestration of VEGF ligands to prevent receptor activation [PubMed: 11085981, PubChem: CID 5329102].

03

Biological functions

Angiogenesis [UniProt: P17948]Vasculogenesis [UniProt: P17948]Cell migration [UniProt: P17948]Signal transduction [UniProt: P17948]Inflammatory response [PubMed: 16461337]Regulation of VEGF-A availability [PubMed: 11085981]
04

Disease associations

Cancer [PubMed: 16461337]Preeclampsia [NIH: NBK532910]Cardiovascular disease [PubMed: 20634430]Diabetic retinopathy [PubMed: 22951307]Age-related macular degeneration [PubMed: 22951307]
05

Safety considerations

Hypertension [PubMed: 20634430]Proteinuria [PubMed: 20634430]Gastrointestinal perforation [PubChem: CID 5329102]Hemorrhage [PubChem: CID 5329102]Impaired wound healing [PubMed: 20634430]Hand-foot skin reaction [PubMed: 20634430]
06

Interacting drugs

Axitinib [PubChem: CID 11496919]

9 more in the full profile.

07

Biomarkers

Soluble Flt-1 (sFlt-1) [NIH: NBK532910]Placental growth factor (PlGF) [PubMed: 20634430]VEGF-A levels [PubMed: 11085981]

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