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Vascular endothelial growth factor receptor 2 and Vascular endothelial growth factor receptor 3 (VEGFR-2 and VEGFR-3)

Target
VEGFR-2 and VEGFR-3
Molecular classification
Receptor tyrosine kinase, Receptor (cell-surface, transmembrane), Protein kinase (for intracellular domain)
01

Overview

Vascular endothelial growth factor receptor 2 (VEGFR-2) and vascular endothelial growth factor receptor 3 (VEGFR-3) are membrane-bound receptor tyrosine kinases that mediate the effects of vascular endothelial growth factors. VEGFR-2, encoded by the KDR gene, is predominantly found on vascular endothelial cells and is the principal receptor for VEGF-A, playing a central role in angiogenesis and vascular permeability. VEGFR-3, encoded by the FLT4 gene, is expressed mainly in lymphatic endothelial cells and binds VEGF-C and VEGF-D, driving lymphangiogenesis, lymphatic vascular maintenance, and is critical in cancer metastasis. Both receptors possess extracellular domains containing seven Ig-like modules for ligand binding and dimerization, signal across the membrane, and initiate intracellular phosphorylation cascades that regulate cell growth, migration, differentiation, and survival. Dysregulation of VEGFR-2 and VEGFR-3 pathways is implicated in cancer, inflammation, cardiovascular changes, and lymphatic disorders[1][3][4][5][7]. Therapeutic targeting of VEGFR-2 and VEGFR-3 with monoclonal antibodies or small molecule kinase inhibitors forms the basis of many anti-angiogenic and anti-lymphangiogenic strategies in oncology and related diseases.

Other names
KDRFlk-1Flt4
02

Mechanism of action

Direct inhibition of ligand binding (e.g., antibodies to VEGF-A or VEGFR-2); Inhibition of receptor tyrosine kinase activity (small molecule TKIs competitively bind ATP site on intracellular kinase domain); Blockade of dimerization and downstream signaling; Suppression of endothelial or lymphatic cell proliferation, migration, and new vessel formation

03

Biological functions

Angiogenesis (VEGFR-2 main function)Lymphangiogenesis (VEGFR-3 main function)Signal transduction (via phosphorylation cascades)Cell proliferation (endothelial and lymphatic cell types)Cell migration, survival
04

Disease associations

Cancer (tumor angiogenesis, metastasis)InflammationCardiovascular disease (atherosclerosis, hypertension)Lymphatic insufficiency, lymphedemaOther: Wound healing, developmental vascular defects
05

Safety considerations

Hypertension (class effect of VEGF/VEGFR inhibition)Proteinuria, renal toxicityHemorrhage, impaired wound healingCardiac dysfunction, arterial thromboembolismEdema, especially lymphedema (for VEGFR-3 blockade)Gastrointestinal perforation or complications
06

Interacting drugs

Bevacizumab

8 more in the full profile.

07

Biomarkers

Phosphorylated VEGFR-2 (for therapy response monitoring)VEGFR-2/VEGFR-3 expression in tumor tissue (for patient selection)VEGF-A and VEGF-C plasma/tumor levels

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