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Vascular endothelial growth factor receptor 2; Vascular endothelial growth factor receptor 3 (VEGFR-2 (also known as KDR/Flk-1); VEGFR-3 (also known as FLT4))

Target
VEGFR-2 (also known as KDR/Flk-1); VEGFR-3 (also known as FLT4)
Molecular classification
Receptor tyrosine kinase, Receptor
01

Overview

Vascular endothelial growth factor receptor 2 (VEGFR-2) and vascular endothelial growth factor receptor 3 (VEGFR-3) are cell surface receptor tyrosine kinases primarily expressed on vascular and lymphatic endothelial cells, respectively. VEGFR-2 is the principal mediator of VEGF-driven angiogenesis, promoting endothelial cell proliferation, migration, survival, and enhanced vascular permeability, crucial for both physiological and pathological blood vessel formation[4][5][7]. VEGFR-3, in contrast, mainly mediates lymphangiogenesis in response to VEGF-C and VEGF-D and is crucial in developmental and pathological lymphatic growth, with roles in tumor metastasis and lymphatic disorders[1][4][7]. Both receptors share a similar structure: an extracellular region with seven immunoglobulin-like domains, a single-pass transmembrane segment, and an intracellular split tyrosine kinase domain[3][4][5]. They are extensively targeted in oncology and ophthalmology for anti-angiogenic therapies, as well as being studied for potential therapies in lymphedema and lymphatic metastasis[7][8].

Other names
KDRFlk-1CD309FLT4Fms-like tyrosine kinase 4
02

Mechanism of action

Inhibition of ligand binding and subsequent receptor dimerization Inhibition of tyrosine kinase activity, blocking downstream signaling (such as PI3K/AKT and MAPK/ERK pathways)

03

Biological functions

Signal transductionCell proliferationAngiogenesis (VEGFR-2)Lymphangiogenesis (VEGFR-3)Vascular permeability (VEGFR-2)Endothelial cell survival
04

Disease associations

Cancer (notably tumor angiogenesis and metastasis)Cardiovascular diseaseInflammationLymphatic insufficiency (VEGFR-3)Ocular neovascular diseasesNeurodegenerative disease (evidence for VEGFRs in Alzheimer's)
05

Safety considerations

Hypertension and proteinuria (anti-VEGFR-2 targeting)Impaired wound healing, hemorrhage, arterial and venous thromboembolic eventsLymphatic edema (VEGFR-3 targeting, theoretical)Off-target vascular complications
06

Interacting drugs

Bevacizumab (targets VEGF-A, affecting VEGFR-2)

8 more in the full profile.

07

Biomarkers

Circulating VEGF-A, VEGF-C, or VEGF-D levels (for patient selection or monitoring)VEGFR-2 expression in tumor endothelium (predictive/prognostic)VEGFR-3 expression for lymphatic involvement

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