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Vascular endothelial growth factor receptors 1, 2, and 3 (VEGFR-1, VEGFR-2, VEGFR-3)

Target
VEGFR-1, VEGFR-2, VEGFR-3
Molecular classification
Receptor tyrosine kinase, Single-pass transmembrane protein, Growth factor receptor
01

Overview

Vascular endothelial growth factor receptors 1, 2, and 3 are cell surface receptor tyrosine kinases essential for angiogenesis, vasculogenesis, and lymphangiogenesis. Each receptor comprises an extracellular region with seven immunoglobulin-like domains, a single transmembrane region, and a cytoplasmic split kinase domain. VEGFR-1 primarily modulates VEGFR-2 signaling and can act as a decoy, binding VEGF-A and regulating vascular formation. VEGFR-2 is the principal mediator of VEGF-driven endothelial cell proliferation, migration, survival, and vascular permeability, serving as a major therapeutic target in oncology and ophthalmology. VEGFR-3 is mostly expressed in lymphatic endothelial cells and is crucial for the formation, migration, and survival of lymphatic vessels, with roles in embryonic vascular development and lymphatic disorders. Dysregulation of VEGFRs is implicated in cancers, cardiovascular disease, inflammatory conditions, and lymphatic pathologies, making all three receptors key therapeutic drug targets.

Other names
VEGFR-1: FLT-1VEGFR-2: KDRVEGFR-2: Flk-1VEGFR-3: FLT-4Tyrosine kinase receptor familyFetal liver kinase (VEGFR-2 in mouse)
02

Mechanism of action

Tyrosine kinase inhibition (most small molecules: sunitinib, sorafenib, etc.) Ligand sequestration (antibodies binding VEGF: bevacizumab) Preventing receptor dimerization and activation (monoclonal antibodies: ramucirumab)

03

Biological functions

Angiogenesis (formation of new blood vessels)Vasculogenesis (de novo vessel formation)Lymphangiogenesis (formation of lymphatic vessels, most notably VEGFR-3)Cell proliferation and migration (vascular and lymphatic endothelial cells)Regulation of vascular permeabilityEmbryonic development of vascular system
04

Disease associations

Cancer (tumor angiogenesis, metastasis)Cardiovascular diseaseInflammationOcular diseases (e.g., macular degeneration)Lymphatic disorders (especially VEGFR-3)
05

Safety considerations

HypertensionBleeding risk (impaired vessel integrity)ThromboembolismProteinuria/renal dysfunctionDelayed wound healingCardiac dysfunction (rare, but notable)
06

Interacting drugs

Bevacizumab

8 more in the full profile.

07

Biomarkers

VEGF-A levels (for VEGFR-1/2 targeted therapies)VEGF-C/D levels (for VEGFR-3)Soluble VEGFR (for monitoring efficacy or resistance)

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