VEGF-C and
VEGF-D are secreted
glycoproteins that induce angiogenesis and lymphangiogenesis in
cancer, thereby promoting
tumor growth and spread. They exhibit structural homology and activate
VEGFR-2 and
VEGFR-3, receptors on endothelial cells that signal for growth of blood vessels and lymphatics.
VEGF-C and
VEGF-D were thought to exhibit similar bioactivities, yet recent studies indicated distinct signaling mechanisms (e.g.
tumor-derived
VEGF-C promoted expression of the
prostaglandin biosynthetic
enzyme COX-2 in lymphatics, a response thought to facilitate
metastasis via the lymphatic vasculature, whereas
VEGF-D did not). Here we explore the basis of the distinct bioactivities of
VEGF-D using a
neutralizing antibody,
peptide mapping, and mutagenesis to demonstrate that the N-terminal α-helix of mature
VEGF-D (Phe93-Arg108) is critical for binding
VEGFR-2 and
VEGFR-3. Importantly, the N-terminal part of this α-helix, from Phe93 to Thr98, is required for binding
VEGFR-3 but not
VEGFR-2. Surprisingly, the corresponding part of the α-helix in mature
VEGF-C did not influence binding to either
VEGFR-2 or
VEGFR-3, indicating distinct determinants of receptor binding by these
growth factors. A variant of mature
VEGF-D harboring a mutation in the N-terminal α-helix, D103A, exhibited enhanced potency for activating
VEGFR-3, was able to promote increased COX-2
mRNA levels in lymphatic endothelial cells, and had enhanced capacity to induce lymphatic sprouting in vivo This mutant may be useful for developing
protein-based
therapeutics to drive lymphangiogenesis in clinical settings, such as
lymphedema. Our studies shed light on the
VEGF-D structure/function relationship and provide a basis for understanding functional differences compared with
VEGF-C.