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VEGFR, FGFR, PDGFR, c-Kit, RET group (VEGFR, FGFR, PDGFR, KIT, RET)

Target
VEGFR, FGFR, PDGFR, KIT, RET
Molecular classification
Receptor tyrosine kinase (RTK), Receptor
01

Overview

This group contains multiple closely related receptor tyrosine kinases—including vascular endothelial growth factor receptors (VEGFR-1, -2, -3), fibroblast growth factor receptors (FGFR-1, -2, -3, -4), platelet-derived growth factor receptors (PDGFR-α and -β), mast/stem cell growth factor receptor (KIT/c-Kit), and rearranged during transfection proto-oncogene (RET) receptor. They are critical mediators of growth factor signaling in angiogenesis, cell proliferation, differentiation, and survival, and have well-established roles in cancer, both as oncogenic drivers and as mediators of the tumor microenvironment. Multi-target tyrosine kinase inhibitors frequently inhibit several of these RTKs to overcome redundancy and resistance, forming a cornerstone of therapy in renal cell carcinoma, thyroid cancer, gastrointestinal stromal tumors, and other malignancies. Adverse effects often arise from the blockade of physiological signaling needed for normal vascular function.

Other names
VEGFR, FGFR, PDGFR, c-Kit, RET sometimes referred together as "class III/IV/other RTKs"multi-targeted RTK panel
02

Mechanism of action

Competitive inhibition of ATP binding at the tyrosine kinase domain (Tyrosine kinase inhibitor, TKI) Occasionally, ligand sequestration (e.g., anti-VEGF antibodies as indirect RTK inhibitors)

03

Biological functions

Signal transductionCell proliferationAngiogenesisDifferentiationSurvival/apoptosis regulationDevelopment
04

Disease associations

CancerCardiovascular diseaseInflammation
05

Safety considerations

Hypertension (notably from anti-VEGFR)Proteinuria, bleeding, impaired wound healing (antiangiogenic effects)Fatigue, GI toxicity, hand-foot syndromeCardiotoxicity, especially with multi-RTK TKIsOff-target effects due to broad kinase inhibition
06

Interacting drugs

Sunitinib

9 more in the full profile.

07

Biomarkers

Expression or mutation of VEGFR, FGFR, PDGFR, KIT, RET genes in tumor tissueVEGF serum/plasma levels for VEGFR therapiesFGFR fusions, mutations, or amplifications

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