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Vascular endothelial growth factor receptor-2 (VEGFR-2) plays a pivotal role in tumor angiogenesis, progression, and metastasis by modulating cell proliferation, migration, and survival via VEGF-mediated signaling. Despite the therapeutic success of current VEGFR-2 inhibitors, their clinical utility is often constrained by acquired resistance, off-target toxicities, and suboptimal selectivity. The 1,3,4-thiadiazole (TDA) scaffold has emerged as a privileged moiety in cancer drug discovery due to its mesoionic character, structural diversity, and molecular pharmacology. Notably, the ─N─N═C─S motif and sulfur atom of TDA significantly contribute to VEGFR-2 binding through key molecular interactions. This work provides a comprehensive overview of the role of VEGFR-2 in cancer biology, the chemistry of 1,3,4-TDA, and the mechanistic basis of VEGFR-2 inhibition. A systematic analysis of different publications from the last decade led to the extraction and evaluation of 151 TDA-based VEGFR-2 inhibitors. Chemical space, structure-activity relationship (SAR), substitution patterns, selectivity, toxicity, and essential binding interactions (ATP or allosteric site) with VEGFR-2 were critically examined. The review underscores the potential of 1,3,4-TDA derivatives as promising scaffolds for selective and efficacious VEGFR-2 inhibition, offering strategic guidance for the rational design of next-generation VEGFR-2 inhibitors with improved efficiency, selectivity, and reduced toxicity for anticancer therapy.
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http://dx.doi.org/10.1002/cbdv.202501361 | DOI Listing |
Bioorg Chem
August 2025
University of Chemical Technology and Metallurgy, 8 Kliment Ohridski Blvd., 1756 Sofia, Bulgaria; Institute of Organic Chemistry with Centre of Phytochemistry, Bulgarian Academy of Sciences, Acad. G. Bonchev Str., bl. 9, 1113 Sofia, Bulgaria. Electronic address:
In this review we aimed to summarize the accomplished advances in the field of benzimidazole hybrids-based EGFR/VEGFR inhibitors creation during the last few years. In the fight against cancer, special attention is paid to the treatment using enzyme inhibitors. EGFR, VEGF and VEGFR proteins are expressed on numerous non-endothelial cells including tumor cells.
View Article and Find Full Text PDFPurpose: Patients with advanced, well-differentiated extrapancreatic neuroendocrine tumors (epNETs) have limited systemic treatment options. Pazopanib, an oral multikinase inhibitor with activity against vascular endothelial growth factor receptor (VEGFR)-2 and -3, PDGFR-alpha and-beta, and c-Kit, was tested for efficacy in epNET.
Patients And Methods: We conducted a multicenter, randomized, double-blind, phase II study of pazopanib (800 mg once daily) versus placebo in low- to intermediate-grade epNET with radiologic progressive disease (PD) within 12 months of study entry.
Am J Clin Oncol
September 2025
Attending Physician, St. Vincent Medical Center at Hartford Healthcare, Bridgeport.
Esophageal squamous cell carcinoma (ESCC) is a major global health burden with limited treatment options. Combining immunotherapy with antiangiogenic agents has shown promise. Camrelizumab, a PD-1 inhibitor, and apatinib, a VEGFR-2 inhibitor, offer synergistic effects, improving outcomes in patients with advanced or metastatic ESCC.
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September 2025
Department of Clinical Epidemiology and Center for Population Medicine, Aarhus University Hospital and Aarhus University, Aarhus, Denmark.
Background: Emerging data suggest a substantial risk of arterial and venous thromboembolic events (ATE/VTE) associated with targeted cancer therapies. We examined the association between selected targeted therapies and ATE/VTE-risk using Danish population-based healthcare data.
Methods: We identified 41,744 patients with cancer treated with selected targeted therapies between January 2004 and December 2020.
Transl Oncol
August 2025
Department of Breast Center, Chongqing Key Laboratory for Intelligent Oncology in Breast Cancer (iCQBC), Chongqing University Cancer Hospital, Chongqing 400030, China. Electronic address:
Apatinib, a small-molecule inhibitor of vascular endothelial growth factor receptor 2 (VEGFR2), shows efficient antitumor activity in heavily pretreated metastatic triple-negative breast cancer (TNBC). However, not all patients respond to apatinib, indicating that it is necessary to identify response biomarkers for more precise treatment and investigate the underlying mechanisms of apatinib resistance to develop new treatment strategies for TNBC. In this study, we identified the disheveled binding antagonist of beta-catenin 3 (DACT3) as a biomarker for apatinib sensitivity, as its expression level is significantly higher in apatinib-sensitive patients and positively correlates with longer survival.
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