Vascular endothelial growth factor is a peptide signaling hormone involved in blood vessel formation, endothelial survival, vascular permeability regulation, tissue oxygen adaptation, and angiogenic signaling. VEGF functions as one of the principal regulators of angiogenesis by stimulating growth and maintenance of endothelial cells that line blood vessels.
The hormone promotes formation of new capillaries, increases vascular permeability, supports endothelial migration, and coordinates tissue responses to reduced oxygen availability. VEGF signaling is essential during embryonic vascular development, wound healing, tissue regeneration, and physiological adaptation to metabolic demand. Through these actions, VEGF helps maintain oxygen and nutrient delivery throughout the body.
VEGF is produced by endothelial cells, macrophages, fibroblasts, skeletal muscle, epithelial tissues, and numerous additional cell populations. Production increases strongly during hypoxia when oxygen-sensitive signaling pathways activate VEGF gene transcription.
Several VEGF family isoforms exist and may differ in tissue distribution and receptor interactions. Local tissue synthesis allows highly targeted angiogenic signaling within regions requiring vascular adaptation or repair.
VEGF production is regulated primarily by oxygen availability through hypoxia-inducible factor signaling pathways. Hypoxia stabilizes HIF transcription factors that strongly increase VEGF gene expression. Inflammatory cytokines, oxidative stress, growth factors, exercise signaling, and tissue injury also influence production.
VEGF acts through receptor tyrosine kinases including VEGFR-1 and VEGFR-2 located on endothelial cells. Receptor activation stimulates MAP kinase pathways, PI3K-AKT signaling, nitric oxide synthesis, endothelial migration, and vascular permeability responses. Feedback systems involving oxygen delivery and vascular stabilization help regulate angiogenic activity. Through these integrated vascular-signaling systems, VEGF coordinates angiogenesis, endothelial adaptation, oxygen delivery, and tissue perfusion.
VEGF coordinates endothelial growth, survival, and new vessel formation for normal adaptive perfusion.
