Vascular endothelial growth factor signaling in health and disease: from molecular mechanisms to therapeutic perspectives

Abstract Vascular endothelial growth factor (VEGF) signaling is a critical regulator of vasculogenesis, angiogenesis, and lymphangiogenesis, processes that are vital for the development of vascular and lymphatic systems, tissue repair, and the maintenance of homeostasis. VEGF ligands and their recep...

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Main Authors: Chunsik Lee, Myung-Jin Kim, Anil Kumar, Han-Woong Lee, Yunlong Yang, Yonghwan Kim
Format: Article
Language:English
Published: Nature Publishing Group 2025-05-01
Series:Signal Transduction and Targeted Therapy
Online Access:https://doi.org/10.1038/s41392-025-02249-0
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author Chunsik Lee
Myung-Jin Kim
Anil Kumar
Han-Woong Lee
Yunlong Yang
Yonghwan Kim
author_facet Chunsik Lee
Myung-Jin Kim
Anil Kumar
Han-Woong Lee
Yunlong Yang
Yonghwan Kim
author_sort Chunsik Lee
collection DOAJ
description Abstract Vascular endothelial growth factor (VEGF) signaling is a critical regulator of vasculogenesis, angiogenesis, and lymphangiogenesis, processes that are vital for the development of vascular and lymphatic systems, tissue repair, and the maintenance of homeostasis. VEGF ligands and their receptors orchestrate endothelial cell proliferation, migration, and survival, playing a pivotal role in dynamic vascular remodeling. Dysregulated VEGF signaling drives diverse pathological conditions, including tumor angiogenesis, cardiovascular diseases, and ocular disorders. Excessive VEGF activity promotes tumor growth, invasion, and metastasis, while insufficient signaling contributes to impaired wound healing and ischemic diseases. VEGF-targeted therapies, such as monoclonal antibodies and tyrosine kinase inhibitors, have revolutionized the treatment of diseases involving pathological angiogenesis, offering significant clinical benefits in oncology and ophthalmology. These therapies inhibit angiogenesis and slow disease progression, but they often face challenges such as therapeutic resistance, suboptimal efficacy, and adverse effects. To further explore these issues, this review provides a comprehensive overview of VEGF ligands and receptors, elucidating their molecular mechanisms and regulatory networks. It evaluates the latest progress in VEGF-targeted therapies and examines strategies to address current challenges, such as resistance mechanisms. Moreover, the discussion includes emerging therapeutic strategies such as innovative drug delivery systems and combination therapies, highlighting the continuous efforts to improve the effectiveness and safety of VEGF-targeted treatments. This review highlights the translational potential of recent discoveries in VEGF biology for improving patient outcomes.
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spelling doaj-art-3a67c1e3a25b4095a88c24f4082b3b7a2025-08-20T03:47:45ZengNature Publishing GroupSignal Transduction and Targeted Therapy2059-36352025-05-0110114010.1038/s41392-025-02249-0Vascular endothelial growth factor signaling in health and disease: from molecular mechanisms to therapeutic perspectivesChunsik Lee0Myung-Jin Kim1Anil Kumar2Han-Woong Lee3Yunlong Yang4Yonghwan Kim5Department of R&D, GEMCRO IncDepartment of Biological Sciences and Research Institute of Women’s Health, Sookmyung Women’s UniversityCenter for Research and Innovations, Adichunchanagiri UniversityDepartment of R&D, GEMCRO IncDepartment of Cellular and Genetic Medicine, School of Basic Medical Sciences, Fudan UniversityDepartment of Biological Sciences and Research Institute of Women’s Health, Sookmyung Women’s UniversityAbstract Vascular endothelial growth factor (VEGF) signaling is a critical regulator of vasculogenesis, angiogenesis, and lymphangiogenesis, processes that are vital for the development of vascular and lymphatic systems, tissue repair, and the maintenance of homeostasis. VEGF ligands and their receptors orchestrate endothelial cell proliferation, migration, and survival, playing a pivotal role in dynamic vascular remodeling. Dysregulated VEGF signaling drives diverse pathological conditions, including tumor angiogenesis, cardiovascular diseases, and ocular disorders. Excessive VEGF activity promotes tumor growth, invasion, and metastasis, while insufficient signaling contributes to impaired wound healing and ischemic diseases. VEGF-targeted therapies, such as monoclonal antibodies and tyrosine kinase inhibitors, have revolutionized the treatment of diseases involving pathological angiogenesis, offering significant clinical benefits in oncology and ophthalmology. These therapies inhibit angiogenesis and slow disease progression, but they often face challenges such as therapeutic resistance, suboptimal efficacy, and adverse effects. To further explore these issues, this review provides a comprehensive overview of VEGF ligands and receptors, elucidating their molecular mechanisms and regulatory networks. It evaluates the latest progress in VEGF-targeted therapies and examines strategies to address current challenges, such as resistance mechanisms. Moreover, the discussion includes emerging therapeutic strategies such as innovative drug delivery systems and combination therapies, highlighting the continuous efforts to improve the effectiveness and safety of VEGF-targeted treatments. This review highlights the translational potential of recent discoveries in VEGF biology for improving patient outcomes.https://doi.org/10.1038/s41392-025-02249-0
spellingShingle Chunsik Lee
Myung-Jin Kim
Anil Kumar
Han-Woong Lee
Yunlong Yang
Yonghwan Kim
Vascular endothelial growth factor signaling in health and disease: from molecular mechanisms to therapeutic perspectives
Signal Transduction and Targeted Therapy
title Vascular endothelial growth factor signaling in health and disease: from molecular mechanisms to therapeutic perspectives
title_full Vascular endothelial growth factor signaling in health and disease: from molecular mechanisms to therapeutic perspectives
title_fullStr Vascular endothelial growth factor signaling in health and disease: from molecular mechanisms to therapeutic perspectives
title_full_unstemmed Vascular endothelial growth factor signaling in health and disease: from molecular mechanisms to therapeutic perspectives
title_short Vascular endothelial growth factor signaling in health and disease: from molecular mechanisms to therapeutic perspectives
title_sort vascular endothelial growth factor signaling in health and disease from molecular mechanisms to therapeutic perspectives
url https://doi.org/10.1038/s41392-025-02249-0
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