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VEGFR1, VEGFR3, RET

Molecular classification
Receptor tyrosine kinase, Single-pass transmembrane protein, Growth factor receptor, Proto-oncogene receptor, RTK (receptor tyrosine kinase) family
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Overview

Vascular endothelial growth factor receptor 1 (VEGFR1), Vascular endothelial growth factor receptor 3 (VEGFR3), and RET proto-oncogene (RET) are single-pass transmembrane receptor tyrosine kinases that mediate critical biological processes including angiogenesis, lymphangiogenesis, cell proliferation, and survival. VEGFR1 primarily regulates blood vessel formation by acting as both a signaling and a decoy receptor for VEGF-A, while VEGFR3 drives lymphatic vessel formation by binding VEGF-C and VEGF-D. RET is a multifunctional proto-oncogene receptor implicated in development of neural crest-derived tissues, as well as several forms of cancer due to oncogenic mutation or rearrangement. Inhibitors that target these receptors are important components of current therapeutic strategies for cancer and vascular diseases, but are often limited by adverse effects related to the broad role of RTKs in physiology[2][3][4][5][6].

Other names
Flt-1fms-like tyrosine kinase 1Flt-4fms-like tyrosine kinase 4RET receptorRet proto-oncogene
02

Mechanism of action

Inhibition of receptor tyrosine kinase activity, preventing ligand-induced phosphorylation and downstream signaling (anti-angiogenic/anti-lymphangiogenic effect) for VEGFR1/VEGFR3; Inhibition of RET tyrosine kinase, blocking pathological signaling, most often in cancer for RET.

03

Biological functions

Regulation of angiogenesisDecoy receptor functionEndothelial cell survivalRegulation of lymphangiogenesisRegulation of cell proliferation, differentiation, and survivalNeural crest development
04

Disease associations

Cancer (tumor angiogenesis)Cardiovascular diseaseRetinopathyCancer (lymphatic metastasis)LymphedemaCancer (medullary thyroid carcinoma, lung, others)Multiple endocrine neoplasiaCongenital disorders (Hirschsprung disease)
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Safety considerations

HypertensionProteinuriaBleeding and thromboembolic eventsOff-target toxicities due to kinase inhibition (e.g., liver, thyroid, cardiac adverse events)QT prolongationDiarrheaFatigue
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Interacting drugs

Tyrosine kinase inhibitors (e.g., sorafenib, sunitinib, lenvatinib)

3 more in the full profile.

07

Biomarkers

VEGFR1 expression levels in tumor endothelium can indicate angiogenic activityVEGFR3 expression in lymphatic vessels can indicate metastatic potential in cancers; lymphangiogenic markerRET genetic mutations or rearrangements, notably in thyroid cancer, serve as actionable biomarkers

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