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VEGFR1, VEGFR2, KIT, MET, FLT3, RET (Group of Receptor Tyrosine Kinases) (VEGFR1, VEGFR2, KIT, MET, FLT3, RET)

Target
VEGFR1, VEGFR2, KIT, MET, FLT3, RET
Molecular classification
Receptor tyrosine kinase, Enzyme, Receptor
01

Overview

Vascular endothelial growth factor receptor 1 (VEGFR1), vascular endothelial growth factor receptor 2 (VEGFR2), KIT proto-oncogene receptor tyrosine kinase (KIT), MET proto-oncogene receptor tyrosine kinase (MET), Fms-related tyrosine kinase 3 (FLT3), and Ret proto-oncogene receptor tyrosine kinase (RET) are members of the receptor tyrosine kinase family involved in cellular signaling cascades that regulate angiogenesis, cell proliferation, survival, migration, and differentiation. These receptors play central roles in cancer pathogenesis as well as in normal developmental and physiological processes. They are therapeutic targets of several multi-kinase inhibitors, used to treat various solid tumors and some hematological malignancies, by blocking their kinase activity and consequently shutting down downstream signaling pathways essential for tumor growth and progression[1][2][3][4][5][6][7].

Other names
FLT1FLT-1Fms-like tyrosine kinase 1Vascular endothelial growth factor receptor 1KDRFLK-1Vascular endothelial growth factor receptor 2c-KitCD117Stem cell factor receptorc-MetHepatocyte growth factor receptorHGFRFms-related tyrosine kinase 3CD135Rearranged during transfectionRET proto-oncogene
02

Mechanism of action

Inhibition of receptor tyrosine kinase enzymatic (ATP-binding) activity, blocking phosphorylation and downstream signal transduction. Inhibition of angiogenesis (by targeting VEGFRs). Inhibition of cell proliferation, induction of apoptosis (KIT, FLT3, MET, RET, etc.). Inhibition of tumor migration, invasiveness, and metastatic spread.

03

Biological functions

Signal transductionCell proliferationAngiogenesis (particularly VEGFR1, VEGFR2)VasculogenesisHematopoiesis (KIT, FLT3)Organ developmentCell migrationCell survival
04

Disease associations

Cancer (many solid and hematologic malignancies)InflammationCardiovascular diseaseRare developmental syndromes (especially RET)Other
05

Safety considerations

HypertensionProteinuriaCardiotoxicity (QT prolongation, heart failure; especially with some multi-kinase inhibitors)Myelosuppression (due to KIT or FLT3 inhibition)Hand-foot skin reactionDiarrheaFatigueHemorrhageImpaired wound healing (due to anti-angiogenesis)HepatotoxicityThyroid dysfunction (especially with VEGFR and RET inhibitors)Resistance development (secondary gatekeeper mutations, pathway reactivation)
06

Interacting drugs

Sunitinib

11 more in the full profile.

07

Biomarkers

Expression or mutation/amplification of MET, KIT, FLT3, and RET (in cancer diagnosis and therapy selection)VEGFR2 or MET mRNA/protein levels may predict response to inhibitors in some settingsFLT3-ITD (internal tandem duplication) mutation (in acute myeloid leukemia)RET gene fusions/mutations (in medullary thyroid carcinoma, NSCLC, etc.)

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