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Vascular endothelial growth factor receptor 1 (VEGFR1) and Vascular endothelial growth factor receptor 2 (VEGFR2) (VEGFR1, VEGFR2)

Target
VEGFR1, VEGFR2
Molecular classification
Receptor, Receptor tyrosine kinase (RTK)
01

Overview

Vascular endothelial growth factor receptor 1 (VEGFR1, encoded by FLT1) and vascular endothelial growth factor receptor 2 (VEGFR2, encoded by KDR) are structurally related receptor tyrosine kinases predominantly expressed on vascular endothelial cells. Both receptors share a similar architecture: an extracellular region containing seven immunoglobulin-like domains, a transmembrane segment, and an intracellular split kinase domain. VEGFR2 is the principal mediator of VEGF-induced angiogenic signaling, driving endothelial proliferation, migration, and permeability by binding VEGF-A, VEGF-C, and VEGF-D. VEGFR1, which also binds VEGF-A (with higher affinity than VEGFR2), VEGF-B, and placental growth factor (PlGF), functions primarily as a negative regulator or decoy, sequestering VEGF to restrain excessive VEGFR2 activation, and has relatively weak kinase activity. Both receptors play essential roles in physiological and pathological angiogenesis and are validated therapeutic targets in cancer and other angiogenesis-driven diseases.

Other names
VEGFR1: Fms-like tyrosine kinase 1 (FLT1)VEGFR2: Kinase insert domain-containing receptor (KDR), Fetal liver kinase 1 (Flk-1)
02

Mechanism of action

Inhibition of ligand binding (antibodies, soluble receptors); Inhibition of tyrosine kinase activity (small molecule inhibitors); Downregulation of VEGF-VEGFR2 signaling pathway (prevents angiogenesis, tumor growth)

03

Biological functions

Angiogenesis (formation of blood vessels)VasculogenesisRegulation of vascular permeabilityEndothelial cell proliferation, migration, and survivalEmbryonic development, especially vascular and hematopoietic systemsNegative regulation of VEGF signaling (VEGFR1 as decoy)Lymphangiogenesis (more for VEGFR3, but VEGFR2 implicated via VEGF-C/D)
04

Disease associations

Cancer (solid tumors via pathological angiogenesis)Cardiovascular diseaseRetinopathyInflammatory diseasesOther diseases associated with abnormal angiogenesis
05

Safety considerations

HypertensionProteinuriaArterial thromboembolic eventsHemorrhageImpaired wound healingGastrointestinal perforation (for anti-VEGF/VEGFR therapy)
06

Interacting drugs

Bevacizumab (monoclonal antibody, VEGF inhibitor)

3 more in the full profile.

07

Biomarkers

VEGFR2 protein or mRNA expression in tumors (predictive of anti-angiogenic therapy efficacy)Circulating VEGF-A or VEGFR2 levelsDynamic imaging of vascular permeability

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