VEGF (Vascular Endothelial Growth Factor, research)
/ Endogenous secreted glycoprotein growth factor; multiple isoforms (VEGF121, VEGF165, VEGF189, VEGF206 from alternative splicing)ALIAS · VEGF-A · VEGF (research-grade recombinant) · Vascular Endothelial Growth Factor
Terms in this page you can click for a plain-English popup: , , , , , , , .
Tier 3. Endogenous VEGF-A is among the most-studied growth factors in biology; recombinant VEGF for therapeutic angiogenesis has been studied in Phase 1-2 trials (peripheral arterial disease, cardiac ischaemia) without translation to approval. The clinical impact has been on the inhibition side — anti-VEGF antibodies (bevacizumab, ranibizumab, aflibercept) are FDA-approved for cancer and ocular indications.
VEGF-A binds VEGFR-1 (Flt-1) and VEGFR-2 (KDR/Flk-1) on endothelial cells, driving proliferation, migration, vascular permeability, and angiogenesis. The 165-residue isoform (VEGF165) is the most abundant secreted form and the workhorse of preclinical and clinical angiogenesis research.
Tier 3 for therapeutic recombinant VEGF (no approved product). Robust rodent and large-animal evidence for therapeutic angiogenesis; Phase 1-2 trials in critical limb ischaemia and refractory angina (early 2000s) failed to demonstrate clear functional benefit and were discontinued.
Recombinant VEGF dosing in early human trials produced expected vascular permeability effects (transient hypotension, edema) without serious safety surprises. Theoretical concerns about pro-tumour angiogenesis in patients with occult malignancy underlie cautious clinical positioning.
Regulatory status
- FDA status:
- Not FDA-approved
Vendor-sold recombinant VEGF is intended for in-vitro research applications (cell culture, angiogenesis assays). Use as a therapeutic injectable is outside any approved or characterised clinical pathway; pro-angiogenic dosing in humans without disease-specific protocols carries the malignancy-promotion concern.