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Vascular endothelial growth factor receptor 2 (VEGFR-2) and vascular endothelial growth factor receptor 3 (VEGFR-3) (VEGFR-2 (also known as KDR or Flk-1) and VEGFR-3 (also known as FLT4))

Target
VEGFR-2 (also known as KDR or Flk-1) and 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[5][7][4]. VEGFR-2 (KDR/Flk-1) is the principal mediator of VEGF-driven angiogenesis, regulating vascular endothelial cell proliferation, migration, survival, and vascular permeability[3][7][5][4]. VEGFR-3 (FLT4) is central to the process of lymphangiogenesis, controlling lymphatic endothelial cell proliferation and development, and is also involved in embryonic vasculogenesis and some aspects of adult vascular biology[7][4][1][9]. Both receptors are activated by their respective VEGF ligands, which induce receptor dimerization and auto-phosphorylation, triggering multiple downstream signaling cascades, notably the MAPK and PI3K-Akt pathways. Aberrant activation of VEGFR-2/VEGFR-3 signaling is implicated in tumor growth, metastasis, chronic inflammation, and vascular/lymphatic malformations, making them key therapeutic targets for anti-angiogenic and anti-lymphangiogenic therapies[4][5][7].

Other names
KDRFlk-1FLT4
02

Mechanism of action

Inhibition of receptor tyrosine kinase activity Blockade of downstream VEGF-driven angiogenic and lymphangiogenic signaling Suppression of endothelial cell proliferation, migration, and vessel formation

03

Biological functions

Signal transductionAngiogenesisLymphangiogenesisCell proliferationCell migrationVascular permeabilityEmbryonic vascular and lymphatic development
04

Disease associations

CancerCardiovascular diseaseInflammationLymphedemaOther diseases involving pathological angiogenesis or lymphangiogenesis
05

Safety considerations

HypertensionProteinuriaBleeding/hemorrhageImpaired wound healingArterial and venous thromboembolismGastrointestinal perforationLymphedema (especially if VEGFR-3 is inhibited)Cardiac dysfunction
06

Interacting drugs

Bevacizumab

6 more in the full profile.

07

Biomarkers

VEGF-A (ligand, for VEGFR-2 pathway activation)VEGF-C, VEGF-D (ligands, for VEGFR-3 pathway)Soluble VEGFR-2 and VEGFR-3 (circulating forms, as pharmacodynamic markers)Downstream phosphorylated signaling mediators (e.g., p-VEGFR2/3, p-ERK, p-AKT)

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