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Endocrine Reviews 25 (4): 581-611
Copyright © 2004 by The Endocrine Society

Vascular Endothelial Growth Factor: Basic Science and Clinical Progress

Napoleone Ferrara

Department of Molecular Oncology, Genentech, Inc., South San Francisco, California 94080

Correspondence: Address all correspondence and requests for reprints to: Napoleone Ferrara, M.D., Department of Molecular Oncology, Genentech, Inc., 1 DNA Way, South San Francisco, California 94080. E-mail: nf{at}gene.com

Vascular endothelial growth factor (VEGF) is an endothelial cell-specific mitogen in vitro and an angiogenic inducer in a variety of in vivo models. Hypoxia has been shown to be a major inducer of VEGF gene transcription. The tyrosine kinases Flt-1 (VEGFR-1) and Flk-1/KDR (VEGFR-2) are high-affinity VEGF receptors. The role of VEGF in developmental angiogenesis is emphasized by the finding that loss of a single VEGF allele results in defective vascularization and early embryonic lethality. VEGF is critical also for reproductive and bone angiogenesis. Substantial evidence also implicates VEGF as a mediator of pathological angiogenesis. In situ hybridization studies demonstrate expression of VEGF mRNA in the majority of human tumors. Anti-VEGF monoclonal antibodies and other VEGF inhibitors block the growth of several tumor cell lines in nude mice. Clinical trials with various VEGF inhibitors in a variety of malignancies are ongoing. Very recently, an anti-VEGF monoclonal antibody (bevacizumab; Avastin) has been approved by the Food and Drug Administration as a first-line treatment for metastatic colorectal cancer in combination with chemotherapy. Furthermore, VEGF is implicated in intraocular neovascularization associated with diabetic retinopathy and age-related macular degeneration.




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Am. J. Physiol. Heart Circ. Physiol.Home page
M. Kubo, T.-S. Li, R. Suzuki, B. Shirasawa, N. Morikage, M. Ohshima, S.-L. Qin, and K. Hamano
Hypoxic preconditioning increases survival and angiogenic potency of peripheral blood mononuclear cells via oxidative stress resistance
Am J Physiol Heart Circ Physiol, February 1, 2008; 294(2): H590 - H595.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
M. Calvani, D. Trisciuoglio, C. Bergamaschi, R. H. Shoemaker, and G. Melillo
Differential Involvement of Vascular Endothelial Growth Factor in the Survival of Hypoxic Colon Cancer Cells
Cancer Res., January 1, 2008; 68(1): 285 - 291.
[Abstract] [Full Text] [PDF]


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Neuro Oncol DukeHome page
I. Fischer, C. H. Cunliffe, R. J. Bollo, S. Raza, D. Monoky, L. Chiriboga, E. C. Parker, J. G. Golfinos, P. J. Kelly, E. A. Knopp, et al.
High-grade glioma before and after treatment with radiation and Avastin: Initial observations
Neuro-oncol, January 1, 2008; 10(5): 700 - 708.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
F. H. Thomas, H. Wilson, A. Silvestri, and H. M. Fraser
Thrombospondin-1 Expression Is Increased during Follicular Atresia in the Primate Ovary
Endocrinology, January 1, 2008; 149(1): 185 - 192.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
N. Korsisaari, J. Ross, X. Wu, M. Kowanetz, N. Pal, L. Hall, J. Eastham-Anderson, W. F. Forrest, N. Van Bruggen, F. V. Peale, et al.
Blocking Vascular Endothelial Growth Factor-A Inhibits the Growth of Pituitary Adenomas and Lowers Serum Prolactin Level in a Mouse Model of Multiple Endocrine Neoplasia Type 1
Clin. Cancer Res., January 1, 2008; 14(1): 249 - 258.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
G. Zhang, N. Dmitrieva, Y. Liu, K. A. McGinty, and K. J. Berkley
Endometriosis as a neurovascular condition: estrous variations in innervation, vascularization, and growth factor content of ectopic endometrial cysts in the rat
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2008; 294(1): R162 - R171.
[Abstract] [Full Text] [PDF]


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Exp PhysiolHome page
C. Liu, G. M. Balanos, M. Fatemian, T. G. Smith, K. L. Dorrington, and P. A. Robbins
Effects of hydralazine on the pulmonary vasculature and respiratory control in humans
Exp Physiol, January 1, 2008; 93(1): 104 - 114.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
H. Rossiter, C. Barresi, M. Ghannadan, F. Gruber, M. Mildner, D. Fodinger, and E. Tschachler
Inactivation of VEGF in mammary gland epithelium severely compromises mammary gland development and function
FASEB J, December 1, 2007; 21(14): 3994 - 4004.
[Abstract] [Full Text] [PDF]


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Poult. Sci.Home page
N. C. Rath, W. E. Huff, and G. R. Huff
Thiram-Induced Changes in the Expression of Genes Relating to Vascularization and Tibial Dyschondroplasia
Poult. Sci., November 1, 2007; 86(11): 2390 - 2395.
[Abstract] [Full Text] [PDF]


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Ann OncolHome page
K. Fizazi
The role of Src in prostate cancer
Ann. Onc., November 1, 2007; 18(11): 1765 - 1773.
[Abstract] [Full Text] [PDF]


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Evid Based Complement Alternat MedHome page
H. Izuta, Y. Chikaraishi, M. Shimazawa, S. Mishima, and H. Hara
10-Hydroxy-2-decenoic Acid, a Major Fatty Acid from Royal Jelly, Inhibits VEGF-induced Angiogenesis in Human Umbilical Vein Endothelial Cells
Evid. Based Complement. Altern. Med., October 22, 2007; (2007) nem152v1.
[Abstract] [Full Text] [PDF]


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JCOHome page
L. B. Saltz, H.-J. Lenz, H. L. Kindler, H. S. Hochster, S. Wadler, P. M. Hoff, N. E. Kemeny, E. M. Hollywood, M. Gonen, M. Quinones, et al.
Randomized Phase II Trial of Cetuximab, Bevacizumab, and Irinotecan Compared With Cetuximab and Bevacizumab Alone in Irinotecan-Refractory Colorectal Cancer: The BOND-2 Study
J. Clin. Oncol., October 10, 2007; 25(29): 4557 - 4561.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
J. Klubo-Gwiezdzinska, R. Junik, E. Kopczynska, O. Juraniec, and H. Kardymowicz
The comparison of serum vascular endothelial growth factor levels between patients with metastatic and non-metastatic thyroid cancer, and patients with nontoxic multinodular goiter
Eur. J. Endocrinol., October 1, 2007; 157(4): 521 - 527.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
T. Ostendorf, A. S. De Vriese, and J. Floege
Renal side effects of anti-VEGF therapy in man: a new test system
Nephrol. Dial. Transplant., October 1, 2007; 22(10): 2778 - 2780.
[Full Text] [PDF]


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Arch OphthalmolHome page
O. Sawada, H. Kawamura, M. Kakinoki, T. Sawada, and M. Ohji
Vascular Endothelial Growth Factor in Aqueous Humor Before and After Intravitreal Injection of Bevacizumab in Eyes With Diabetic Retinopathy
Arch Ophthalmol, October 1, 2007; 125(10): 1363 - 1366.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
D. Krilleke, A. DeErkenez, W. Schubert, I. Giri, G. S. Robinson, Y.-S. Ng, and D. T. Shima
Molecular Mapping and Functional Characterization of the VEGF164 Heparin-binding Domain
J. Biol. Chem., September 21, 2007; 282(38): 28045 - 28056.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
F. A. Scappaticci, J. R. Skillings, S. N. Holden, H.-P. Gerber, K. Miller, F. Kabbinavar, E. Bergsland, J. Ngai, E. Holmgren, J. Wang, et al.
Arterial Thromboembolic Events in Patients with Metastatic Carcinoma Treated with Chemotherapy and Bevacizumab
J Natl Cancer Inst, August 15, 2007; 99(16): 1232 - 1239.
[Abstract] [Full Text] [PDF]


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ReproductionHome page
A. Silvestri and H. M Fraser
Oestrogen and progesterone receptors in the marmoset endometrium: changes during the ovulatory cycle, early pregnancy and after inhibition of vascular endothelial growth factor, GnRH or ovariectomy
Reproduction, August 1, 2007; 134(2): 341 - 353.
[Abstract] [Full Text] [PDF]


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JNMHome page
W. B. Nagengast, E. G. de Vries, G. A. Hospers, N. H. Mulder, J. R. de Jong, H. Hollema, A. H. Brouwers, G. A. van Dongen, L. R. Perk, and M. N. Lub-de Hooge
In Vivo VEGF Imaging with Radiolabeled Bevacizumab in a Human Ovarian Tumor Xenograft
J. Nucl. Med., August 1, 2007; 48(8): 1313 - 1319.
[Abstract] [Full Text] [PDF]


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ThoraxHome page
R Zhai, M N Gong, W Zhou, T B Thompson, P Kraft, L Su, and D C Christiani
Genotypes and haplotypes of the VEGF gene are associated with higher mortality and lower VEGF plasma levels in patients with ARDS
Thorax, August 1, 2007; 62(8): 718 - 722.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
D. J. Kelly, D. Buck, A. J. Cox, Y. Zhang, and R. E. Gilbert
Effects on protein kinase C-beta inhibition on glomerular vascular endothelial growth factor expression and endothelial cells in advanced experimental diabetic nephropathy
Am J Physiol Renal Physiol, August 1, 2007; 293(2): F565 - F574.
[Abstract] [Full Text] [PDF]


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Br J OphthalmolHome page
M. Luke, K. Januschowski, M. Warga, J. Beutel, M. Leitritz, F. Gelisken, S. Grisanti, T. Schneider, C. Luke, K. U. Bartz-Schmidt, et al.
The retinal tolerance to bevacizumab in co-application with a recombinant tissue plasminogen activator
Br J Ophthalmol, August 1, 2007; 91(8): 1077 - 1082.
[Abstract] [Full Text] [PDF]


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DTBHome page
A view on new drugs for macular degeneration
DTB, July 1, 2007; 45(7): 49 - 52.
[Full Text] [PDF]


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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
J. H. Chidlow Jr., D. Shukla, M. B. Grisham, and C. G. Kevil
Pathogenic angiogenesis in IBD and experimental colitis: new ideas and therapeutic avenues
Am J Physiol Gastrointest Liver Physiol, July 1, 2007; 293(1): G5 - G18.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
M. Jinushi and G. Dranoff
Triggering Tumor Immunity through Angiogenesis Targeting
Clin. Cancer Res., July 1, 2007; 13(13): 3762 - 3764.
[Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
E. Liu, M. Morimoto, S. Kitajima, T. Koike, Y. Yu, H. Shiiki, M. Nagata, T. Watanabe, and J. Fan
Increased Expression of Vascular Endothelial Growth Factor in Kidney Leads to Progressive Impairment of Glomerular Functions
J. Am. Soc. Nephrol., July 1, 2007; 18(7): 2094 - 2104.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
N. Shimojo, S. Jesmin, S. Zaedi, T. Otsuki, S. Maeda, N. Yamaguchi, K. Aonuma, Y. Hattori, and T. Miyauchi
Contributory role of VEGF overexpression in endothelin-1-induced cardiomyocyte hypertrophy
Am J Physiol Heart Circ Physiol, July 1, 2007; 293(1): H474 - H481.
[Abstract] [Full Text] [PDF]




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