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The von Willebrand factor–integrin αvβ3 → FAK/Src signaling pathway is a multi-component biological axis that regulates vascular integrity, angiogenesis, and platelet function [Starke et al., 2011]. von Willebrand factor (VWF) serves as a ligand that binds to the integrin αvβ3 receptor on endothelial cells and platelets, particularly under conditions of vascular stress [Lenting et al., 2015]. This binding event triggers the activation of Focal Adhesion Kinase (FAK) and Src family kinases, which are essential for cytoskeletal remodeling and cell motility [Mitra et al., 2005]. In the context of cancer, this pathway is frequently exploited to facilitate tumor-associated angiogenesis and the survival of circulating tumor cells [Desgrosellier & Cheresh, 2010]. Furthermore, the pathway plays a significant role in the stabilization of arterial thrombi and the inflammatory response of the endothelium [Ruggeri, 2002]. Therapeutic targeting of this axis involves the use of integrin antagonists, such as cilengitide, or small-molecule inhibitors of the downstream kinases FAK and Src [Sulzmaier et al., 2014]. However, pharmacological intervention must balance the inhibition of pathological processes with the maintenance of normal hemostasis and vascular repair [Ley et al., 2007].
Inhibition of ligand binding to the integrin αvβ3 receptor or the enzymatic activity of downstream kinases FAK and Src to disrupt cellular signaling pathways involved in angiogenesis and thrombosis.
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