Evidence map›Paper›PMID 33672235›Full record

ReviewBiology2021

Proteolytic Cleavages in the VEGF Family: Generating Diversity among Angiogenic VEGFs, Essential for the Activation of Lymphangiogenic VEGFs.

Jaana Künnapuu, Honey Bokharaie, Michael Jeltsch

Open access · goldAbstract readReview
In one paragraph

Review in Biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
  2. Article
  3. Angiogenic Doping: Plausible Yet Difficult to Detect.Sports medicine (Auckland, N.Z.) · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Neutrophils in tumor- and inflammation-induced lymphangiogenesis.International journal of biological sciences · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Jaana KünnapuuDrug Research Program, Faculty of Pharmacy, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0001-9509-1862
Honey BokharaieDrug Research Program, Faculty of Pharmacy, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0002-3826-7582
Michael JeltschDrug Research Program, Faculty of Pharmacy, University of Helsinki, 00014 Helsinki, Finland.ORCID 0000-0003-2890-7790
University of Helsinki · FI

Funding

Academy of Finland 337430Einar and Karin Stroem Foundation -Novo Nordisk Fonden 21036Opetushallitus TM-20-11320Päivikki and Sakari Sohlberg Foundation -Paulon Säätiö -
6 · The paper itself

Abstract

Specific proteolytic cleavages turn on, modify, or turn off the activity of vascular endothelial growth factors (VEGFs). Proteolysis is most prominent among the lymph-angiogenic VEGF-C and VEGF-D, which are synthesized as precursors that need to undergo enzymatic removal of their C- and N-terminal propeptides before they can activate their receptors. At least five different proteases mediate the activating cleavage of VEGF-C: plasmin, ADAMTS3, prostate-specific antigen, cathepsin D, and thrombin. All of these proteases except for ADAMTS3 can also activate VEGF-D. Processing by different proteases results in distinct forms of the "mature" growth factors, which differ in affinity and receptor activation potential. The "default" VEGF-C-activating enzyme ADAMTS3 does not activate VEGF-D, and therefore, VEGF-C and VEGF-D do function in different contexts. VEGF-C itself is also regulated in different contexts by distinct proteases. During embryonic development, ADAMTS3 activates VEGF-C. The other activating proteases are likely important for non-developmental lymphangiogenesis during, e.g., tissue regeneration, inflammation, immune response, and pathological tumor-associated lymphangiogenesis. The better we understand these events at the molecular level, the greater our chances of developing successful therapies targeting VEGF-C and VEGF-D for diseases involving the lymphatics such as lymphedema or cancer.

Indexed as

ADAMTS3angiogenesiscathepsin DCCBE1KLK3lymphangiogenesislymphedemametastasisplasminPlGFprostate-specific antigen (PSA)proteasesproteolytic activationthrombinvascular biologyvascular endothelial growth factors (VEGFs)VEGF-AVEGF-BVEGF-CVEGF-Dwound healing

Identifiers

PMID33672235
PMCPMC7926383
OpenAlexW3132161629

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.