The vascular endothelial growth factor (VEGF)-VEGF receptor (VEGFR) signaling family has been extensively studied because it is the major regulator of microvascularization1. VEGF-targeted monoclonal antibodies have been developed to inhibit microvascular growth; and VEGF has also been applied to promote vascularization in engineered grafts, bioreactors, and tissue2. However, anti-angiogenic approaches have not yielded the promise of sustained vascular inhibition nor have pro-angiogenic approaches yielded stable blood vessel growth3,4,5,6,7. This is likely due to the fact that angiogenesis involves several signaling pathways, in addition to VEGF, representing a cross-family signaling complexity that cannot be captured by targeting one growth factor alone.

Increasing evidence suggests that a cross-family view of cell signaling offers promise in controlling angiogenesis. For example, VEGF-inhibition eventually results in anti-angiogenic resistance and one resistance mechanism involves the upregulation of ancillary axes, including: platelet derived growth factors (PDGFs)8,9, fibroblast growth factor, and angiopoietins10. Moreover, incorporating a cross-family view of angiogenesis into therapeutics has led to synergistic effects and improved blood flow, when dual-growth factor therapy is applied in pre-clinical ischemia models11, and improved wound healing, when dual-growth factors are coupled to biomaterials for tissue-engineering12,13. Together, these cross-family compensatory mechanisms and therapeutic advances suggests a need to shift from examining the VEGF-family alone toward directed exploration of combined growth factor signaling pathways—a cross-family paradigm.

The canonical angiogenesis philosophy involves uni-family ligand-receptor binding: VEGFs bind to VEGFRs, PDGFs bind to PDGFRs, and so on. This paradigm offers numerous activation schemes. For example, VEGF-A, -B, -C, -D, & placental growth factor and several isoforms produced via alternative splicing14,15,16,17,18,19 bind to selected VEGFRs: VEGFR1, -R2, -R3 and co-receptors: neuropilin-1 and neuropilin-2 leading to the angiogenic hallmarks of endothelial cell proliferation and migration to hypoxic regions15,20. PDGFs also contribute to vascular function. PDGF-AA, -BB, -AB, -CC, and –DD binding to corresponding PDGFRs (α and β) maintains and stabilizes endothelial tubes during development21,22, promotes endothelial cell proliferation23, induces vessel growth24 and regeneration25, and induces reperfusion after arterial blockage26. (A full schematic detailing the selective binding between these ligands and receptors is shown in Fig. 1).

Figure 1
figure 1

VEGF and PDGF ligand receptor interactions. (A) Schematic summarizes known receptors that bind VEGF-A and PDGFs. (B) Structural alignment of VEGF-A165 (blue, PDB ID: 2VPF) and PDGF-BB (red, PDB ID: 3MJG) proteins displayed from two rotational perspective.

Since VEGFs and PDGFs are both key regulators of angiogenesis, shifting the focus of angiogenesis away from a uni-family (VEGF-family alone) and towards a dual-family (VEGF and PDGF) focus would be a practical approach in exploring a cross-family angiogenesis framework. Indeed, one study of dose-dependent VEGF-A:PDGFR activation27 has provided an example of this new signaling paradigm. They found that VEGF-A directly binds both PDGF receptors and induce their phosphorylation in a dose-dependent fashion. However, additional cross-family interactions, such as PDGFs to VEGFRs and other VEGFs (VEGF-B, -C, and -D) to PDGFRs, remain unexplored.

There are several, compelling reasons why additional cross-family signaling interactions may occur. Structurally, PDGF and VEGF are similar, hailing from the cysteine knot superfamily28. The dimeric form of VEGF and PDGF shows significant alignment with a 1.8 Å root mean square difference29, despite the low VEGF—PDGF sequence homology (<20%). Furthermore, recent experimental studies established that VEGFR2 and PDGFRβ can form complexes on pericytes30,31, the mural cells that mediate vessel stability32,33. Therefore, measurement of possible cross-family interactions could reveal new angiogenic mechanisms.

Here we identify, measure, and simulate binding across the VEGF and PDGF families. We establish new standards for identifying and measuring new protein-protein interaction kinetics. We predict the significance of these cross-family binding interactions via computational modeling and present evidence that these novel interactions should significantly modulate angiogenic signaling, particularly in cancer. Overall, these cross-family interactions offer a shifted paradigm for understanding cell signaling with implications to angiogenesis, health, and disease.


Validation of SPR protocol

We measured the kinetic rate constants between PDGF ligands and VEGF receptors using a surface plasmon resonance (SPR) assay. We injected the ligands at 40, 20 and 10 nM (process summarized in Fig. 2) and fit their association and dissociation curves using a 1:1 Langmuir binding model. To measure the accuracy of our kinetic analyses we applied a χ2-to-Rmax ratio heuristic. For known interactions, a χ2-to-Rmax value < 0.20, represents a well-established filter for high-quality fitting of kinetic parameters obtained via SPR34,35,36. The χ2-to-Rmax ratio can be helpful in detecting new 1:1 binding interactions, because this value describes how well the obtained sensogram curves fit a 1:1 Langmuir interaction model. When the fitting noise (χ2) exceeds the maximal response (Rmax), the interaction cannot be said to follow the binding model. We therefore introduce a heuristic where a χ2-to-Rmax ratio ≤ 1.0 is attributed to “true” interactions, and those >1.0 are described as non-1:1 Langmuir interactions resulting from non-specific binding.

Figure 2
figure 2

Surface plasmon resonance (SPR) workflow. Using a dextran-coated gold (CM5)-type sensor chip, SPR is performed as follows: (I) Carboxymethyl groups on the sensor surface are activated with NHS:EDC, enabling (II) amine-coupling between target (receptor or reference protein, Ang-4) and the dextran matrix semi-permanently. Such binding allows multiple kinetic cycles to be performed without requiring remobilization of the target. In a kinetic study cycle, (III) ligand is injected across the bound target; called the association phase, binding events are sensed and detected in real-time. (IV) Next running buffer (HBS-EP) alone is injected. In this dissociation phase, the instrument detects only the dissociation of ligand from the target. (V) A regeneration solution is injected to clear any remaining bound ligands before another kinetic study is performed.

To validate the χ2-to-Rmax cut-off approach, we examined ligand:receptor pairs known to bind and non-interactions (i.e. pairs known not to bind). The χ2-to-Rmax cut-off approach correctly identified well-established VEGF:VEGFR and PDGF:PDGFR ligand:receptor pairs as real interactions (χ2-to-Rmax < 1.0), and accurately excluded those known to not interact (χ2-to-Rmax > 1.0). Specifically, VEGF-A:VEGFR1 and VEGFR2, PDGF-AA:PDGFRa, PDGF-AB:PDGFRα, PDGF-BB:PDGFRs, and PDGF-CC:PDGFRa were correctly designated as real interactions, with χ2-to-Rmax < 1.0 for each (Supplementary Table S1). The following known non-binding pairs were correctly excluded: VEGF-A:VEGFR337 and PDGF-AA:PDGFRβ38, with χ2-to-Rmax ratios 6.0- and 8.6-fold larger than the cut-off. The validation of the heuristic across 7 ligand:receptor pairs of the VEGFR and PDGFR families offers strong support for its extension to cross-family interactions within these families (Fig. 1 and Supplementary Table S1).

We further validated our experimental approach by reproducing previously measured binding affinities. The VEGF-A:VEGFR1 and VEGF-A:VEGFR2 binding affinities (Fig. 3A and Supplementary Table S2) were both within an order of magnitude of previous SPR measurements, KD = 1 pM (Fig. 3A) versus a previous measured KD = 7.5 pM39, and KD = 9.8 pM (Fig. 3B.) versus 52 pM40, respectively.

Figure 3
figure 3

VEGF to VEGFR association and dissociation signal. BIAcore signal response kinetics studies of interactions between (A) VEGFA and immobilized VEGFR1 (B) VEGFA and VEGFR2 and (C) VEGFA and VEGFR3.

Establishing kinetic and affinity constants for canonical PDGF:PDGFR interactions

We confirmed that the canonical understanding of PDGF:PDGFR holds (Fig. 1). More specifically, PDGF-AA binds only to PDGFRα (Fig. 4A,B)41; both PDGFRs bind PDGF-AB (Fig. 4C,D)42, -BB (Fig. 4E,F)43, and -CC (Fig. 4G,H)44; and PDGF-DD binds only to PDGFRβ (Fig. 4I,J)42. We then compared the obtained affinities, when possible, to previously reported affinities. Currently only PDGF-AA and –BB:PDGFR interactions have been reported via a study that did not use a reference protein cell (Supplementary Table S3). As described in the Materials and Methods, we used to reference protein to measure and account for non-specific binding effects that would affect our kinetics. All binding affinities values are listed exactly in Supplementary Table S2. We measured a PDGF-AA:PDGFRα affinity of the same order of magnitude as previously reported (measured KD = 660 nM versus prior 134 nM45). We determined that PDGF-BB binds both PDGFRα and PDGFRβ with similar affinities KD = 420 nM and 830 nM, respectively. While these measured affinities were lower than a previous report (KD = 150 nM and 1.6 nM for PDGFRα and PDGFRβ, respectively) these previous studies did not use a reference protein45. We believe that this difference is critical: without a reference protein, these prior studies measure a weaker binding affinity due to an inflated non-specific binding reference measurement. Furthermore, the relative strength of binding –BB:Rα > —BB:Rβ, is observed in both our study and the work of others.

Figure 4
figure 4

PDGF to PDGFR association and dissociation signal. BIAcore signal response kinetics studies of interactions between (A) PDGFAA and PDGFRα (B) PDGFAA and PDGFRβ (C) PDGFAB and PDGFRα (D) PDGFAB and PDGFRβ (E) PDGFBB and immobilized PDGFRα (F) PDGFBB and immobilized PDGFRβ (G) PDGFCC and immobilized PDGFRα (H) PDGFCC and immobilized PDGFRβ (I) PDGFDD and immobilized PDGFRα (J) PDGFDD and immobilized PDGFRβ.

We also characterized the binding rates and affinities for the canonical PDGF:PDGFR interactions lacking kinetic data (-AB, -CC, -DD:Rα and -AB, -CC, -DD:Rβ). We observed that PDGF-AB:PDGFRα binding affinity was ~2.6x stronger than PDGF-AB:PDGFRβ, with affinity constants of KD = 840 nM versus Kd = 2,200 nM, respectively (Fig. 5A).We measured strong affinities between PDGF-CC:PDGFRα and PDGF-CC:PDGFRβ with KD = 3.4 nM and 1.9 nM, (Fig. 5A) Finally, we observed that PDGF-DD binds PDGFRβ with moderate affinity, KD = 67 nM (Fig. 5A). PDGF-DD:PDGFRβ has a 50-fold larger peak association response than its binding to PDGFRα, but its kinetic fitting for this interaction produced a χ2-to-Rmax of 2.2 (Supplementary Table S1). But since it is >1.0, it displays high noise to signal, which we interpret as not true 1:1 Langmuir interactions.

Figure 5
figure 5

Binding kinetics and affinities for VEGF and PDGF interactions with PDGFRs and VEGFR2. (A) Binding affinity KD between each ligand and receptor. (B) Association rate (in M−1 s−1) and (C) dissociation rate (s−1).

Novel cross-family PDGF:VEGFR2 interactions

We identified novel interactions between PDGF-AA, -AB, -BB, and -CC with VEGFR2 (Fig. 6A–D, respectively). These interactions all exhibited classic signal responses, characterized by a steady signal increase upon ligand injection, association-phase, followed by a steady signal decrease during buffer injection, dissociation-phase (Fig. 6). We show examples of this in PDGF:PDGFR binding (Fig. 5), and all were all found to have χ2-to-Rmax < 1.0, indicating true 1:1 Langmuir interactions (Supplementary Table S1.) There was no evidence of PDGF interactions with VEGFR1 or VEGFR3 (Supplementary Fig. S1). A summary of the novel interactions identified can be found in Fig. 7. When we quantified kinetic binding rates (ka and kd) and affinity constants (KD = kd/ka), we observed that PDGF-CC:VEGFR2 had an affinity constant of the same order of magnitude as native VEGF-A:VEGFR2 binding with KD (-CC:R2) ~70 pM versus (VEGF-A:R2) ~10 pM. The other PDGFs presented VEGFR2 binding affinities with decreasing strength as follows: PDGF-AB > -BB > -AA. Another notable finding was that PDGF-CC bound VEGFR2 at an affinity greater than or equal its binding to either PDGFR (Fig. 5A). PDGF-AA:VEGFR2 was a higher affinity, but similar order of magnitude as PDGF-AA:PDGFRα binding, KD (-AA:R2) = 100 nM, vs. (-AA:Rα) = 660 nM. PDGF-AB:VEGFR2 binding was higher affinity than its binding to PDGF-AB:PDGFRs with KD (-AB:R2) = 110 pM vs. (AB:PDGFRs) >800 nM. Additionally, PDGF-BB:VEGFR2 binding was higher affinity than its binding to PDGFRs, KD (-BB:R2) = 37 nM vs. (-BB:PDGFRs) >400 nM (Fig. 5A). The exact values obtained for binding affinities can be found listed in Supplementary Table S2.

Figure 6
figure 6

PDGF to VEGFR association and dissociation signal. BIAcore signal response kinetics studies of interactions between (A) PDGFAA and VEGFR2 (B) PDGFAB and VEGFR2 (C) PDGFBB and VEGFR2 and (D) PDGFCC and VEGFR2.

Figure 7
figure 7

Summary of novel cross-family VEGF and PDGF ligand-receptor interactions. Schematic illustrates an updated view of the VEGF and PDGF ligand-receptor binding patterns, adding newly discovered PDGF-VEGFR interactions. Specifically, only new interactions where the kinetic analysis fit χ2-to-Rmax ratio < 1.0 were included. Previously-known interactions are indicated with grey lines, and newly-found interactions are indicated with red lines.

Association and dissociation rate constants reveal affinity trends

The affinity of the PDGF:VEGFR2 is best understood by examining the association and dissociation rate constants. Here we observe that the high-VEGF:VEGFR2 affinity is attributed to fast association, ~106 M−1 s−1 (Fig. 5B), and slow dissociation, ~1 day−1 (Fig. 5C.) Only the PDGF-CC:PDGFRβ association nears these VEGF-A:VEGFR2 association dynamics, which supports its high-affinity binding to PDGFRβ (Fig. 5A). All other association dynamics are <~105 M−1 s−1. The slow VEGF:VEGFR2 dissociation rate constant is exceeded by PDGF-AB:VEGFR2, ~1/7 days (i.e. dissociating on average once per week), explaining its ~100 pM binding affinity (Fig. 5A). All other dissociation rate constants are “faster”—i.e. higher values—in the range 1/minutes and 1/hours (i.e. one molecule dissociates on average per minute and per hour, approximately). (The exact values obtained for association and dissociation rate constants can be found listed in Supplementary Table S2.)

Model construction and validation

To predict the significance of PDGF-VEGFR2 cross-family binding, we derived the ordinary differential equations describing these ligand-receptor interactions based on the law of mass action. Klipp et al. and Linderman & Lauffenburger offer comprehensive explanation of this approach for representing protein-protein interactions46,47,48,49,50. Towards this goal, we simulated two sets of models governing VEGFR ligation: one describing the canonical, uni-family VEGF-A:VEGFR binding and one describing cross-family binding that includes both the canonical uni-family VEGF:VEGFR and our newly derived cross-family PDGF:VEGFR2 binding (PDGF-AA, -AB, & -BB with VEGFR2) (see model schematic Fig. 8). We do not include PDGF-CC in the model because PDGF-CC has not been found to be expressed in humans under healthy or cancer conditions, but is instead observed following a an ischemic event like a stroke or myocardial infarction51. We recapitulated the benchmark, uni-family VEGF-A:VEGFR model by Mac Gabhann52, showing consistent VEGFR1 and VEGFR2 fractional occupancies (Fig. 9A) and maximal responses (Fig. 9B).

Figure 8
figure 8

Qualitative model of endothelial cell VEGF and PDGF ligand-receptor binding. Schematic illustrates basic structure of computational model of VEGF-A:VEGFR and PDGF:VEGFR2 signaling for endothelial cells. Non-ligated dimers of VEGFR1 and VEGFR2 are inserted and internalized at a constant rate (kins and kint, respectively). Ligand-receptor binding for VEGFs and PDGFs as found in this study are incorporated. Ligated-receptor complexes are internalized at a constant rate kint.

Figure 9
figure 9

Recapitulation of VEGF-A:VEGFR benchmark model. All rate parameters and species concentrations taken from original study. (A) Number of VEGFA-receptor complexes formed over time) and (B) Fractional receptor occupancy for VEGFR1 and VEGFR2 over time, defined as: (# VEGFR1 complexes)/(total # VEGFR1) and (# VEGFR2 complexes)/(total # VEGFR2) respectively.

We analyzed these two models for ligand concentrations found in healthy physiology, breast cancer, and anti-VEGF-A therapy in breast cancer. Bevacizumab is used as the basis of the anti-VEGF-A treatment, implemented as a binding interaction between bevacizumab and non-receptor-bound VEGF-A. Model equations and parameters are listed in full in Supplementary Files 1 and Supplementary Table S4, respectively.

Localized PDGF cross-family binding enhances VEGFR2 activation in health and cancer

We predict increased VEGFR2 complex formation in every case where PDGF:VEGFR2 cross-family interactions are considered. First, the cross-family model in comparison to the uni-family model predicts a 14-fold increase in VEGFR2 ligation under healthy physiology (Fig. 10A). Similarly, the cross-family model predicts a 15-fold increase in VEGFR2 ligation in breast cancer xenograft-derived endothelial cells over the canonical, uni-family framework (Fig. 10A). Also, we observe that an anti-VEGF drug, like bevacizumab, would only contribute a ~5% decrease in VEGFR2 ligation when cross-family binding is considered in breast cancer xenograft-derived endothelial cells (Fig. 10A). Therefore, we predict that cross-family interactions may allow VEGFR2 complex formation to remain relatively unchanged when bevacizumab is administered, despite the fact that PDGFs bind VEGFR2 with affinities ~2 orders of magnitude weaker than VEGF-A (Fig. 10A).

Figure 10
figure 10

VEGF and PDGF ligation of VEGFR2 ligation in healthy, cancer, and anti-VEGF treated cancer conditions. (A) Fold-change in maximal ligand-VEGFR2 binding in different physiological conditions with and without PDGF-VEGFR interactions. Physiological conditions use VEGFA, PDGF-AA, -AB, -BB, VEGFR1 and VEGFR levels found in serum and healthy endothelial cells. Cancer conditions use serum levels and tumor endothelial cell levels found in breast cancer. Anti-VEGF treated cells use cancer conditions in addition to the introduction of bevacizumab, a monoclonal antibody targeting VEGF-A. (B) Ligand proportional composition in VEGF and PDGF cross-family model.

The increased VEGFR2 ligation that we predict under a cross-family paradigm is attributed to the 10–100-fold higher PDGF to VEGF concentrations in serum under healthy physiological conditions. Indeed, we have included a meta-analysis comparing serum concentrations of VEGF-A and PDGFs across healthy and pathological conditions to contextualize these differences (Fig. 11). Such high PDGF concentrations may subsequently enable PDGFs to account for up to ~96% of VEGFR2 ligation under healthy conditions (Fig. 10B). Similarly, breast cancer patient serum is measured to have 25-to-40-fold higher PDGF levels than VEGF (Fig. 10A), so when considering VEGF-A and PDGFs, we predict up to 90% steady state ligation by PDGFs in breast cancer and nearly 100% ligation by PDGFs under conditions of anti-VEGF therapy (Fig. 10B). Our model suggests that this buffering of angiogenic signaling during anti-VEGF therapy may be mediated as follows: PDGF-AB >PDGF-AA >PDGF-BB >VEGF-A (Fig. 10B).

Figure 11
figure 11

Meta-analysis of healthy and pathological VEGF and PDGF serum concentrations. A summary of known serum values for VEGF-A, PDGF-AA, -AB, -BB, -CC and –DD under healthy, breast cancer, and post-stroke (both at 0 hr and following 24 hr) conditions, wound fluid, and post-exercise. See Supplementary Table S5 for a complete summary of measured serum concentration values with references to the original studies.

As previously described, we do not include PDGF-CC in the model given its limited expression pattern (e.g., ischemic event)51. However, we expect that PDGF-CC:VEGFR2 will dominate VEGFR2 ligation following ischemic damage for two reasons: (1) after ischemic injury PDGF-CC has a 150–300 fold greater serum concentration than VEGF-A (Fig. 11), and (2) PDGF-CC has similar, high-affinity (~100 pM) VEGFR2 binding as canonical VEGF-A:VEGFR2. Furthermore, we predict that PDGF-CC:VEGFR2 ligation would dominate whenever PDGF-CC serum concentrations are 2-fold greater than VEGF-A. We can extend a similar analysis to the other PDGF ligands. Our meta-analysis of PDGF and VEGF serum concentrations would also suggest that in every case where any PDGF serum concentration is at least 25-fold greater than VEGF, then PDGF:VEGFR2 ligation should significantly modulate VEGFR2 signaling. This would include in cancer, post-stroke, and during exercise (Fig. 11).


In this study, we established a χ2-to-Rmax cut-off (where values are < 1.0) for distinguishing non-binding and binding interactions, which we used in the discovery of new PDGF-VEGFR interactions: (1) PDGF-AA to VEGFR2, (2) PDGF-AB to VEGFR2, (3) PDGF-BB to VEGFR2, and (4) PDGF-CC to VEGFR2 (summarized in Fig. 7). We measured both the kinetics of these new interactions; and for the first time, we measured the kinetics for VEGF-A:PDGFRβ27 binding. In a cross-family signaling system, where several ligands compete to bind with the same receptor, the ligand concentrations and ligand-receptor binding kinetics determine which ligand(s) dominate signaling. Therefore, our computational analysis provided quantitative evidence that PDGF:VEGFR2, cross-family binding should significantly participate in VEGFR2 ligation under conditions of health physiology, breast cancer, and pathologies where PDGFs significantly outnumber VEGFs. Furthermore, our modeling offers predictions on how PDGF:VEGFR2 interactions may sustain VEGFR2 ligation when VEGF-A is inhibited (e.g., bevacizumab, ziv-aflibercept). Together these findings offer new insight into several fields of research, including anti-angiogenic drug development and cancer, which we contextualize herein.

Cross-family interactions may shed new light on anti-angiogenic drug development

Our discovery of cross-family interactions can advance anti-angiogenic drug development, which is currently guided by a uni-family view53,54. Anti-VEGF success has been limited, due to both intrinsic resistance and acquired resistance (relapse)55. Several mechanisms have been proposed to explain anti-VEGF resistance, a few include: (1) Increased mural cells: some tumors resist anti-angiogenic drug treatment via increased pericyte coverage of tumor vessels55,56, providing a permeability barrier to anti-VEGF therapy. (2) Increased tumor invasiveness: tumor undergoes enhanced metastasis into healthy tissue as a means of co-opting existing vasculature57; thereby seeking to avoid hypoxia or nutrient deprivation and bypassing anti-VEGF therapy. (3) Ancillary growth factors: some tumors secrete additional growth factors, such as PDGFs and fibroblast growth factors55, which enable ancillary angiogenic signaling axes to bypass anti-VEGF therapy. The latter mechanism may be supported by our findings if PDGF:VEGFR2 complexes lead to VEGFR2 activation and angiogenic signaling. Therefore, future work should determine how PDGF:VEGFR2 ligation regulates native VEGFR2 signaling.

Cross-family signaling may also aid our understanding of multi-target small molecule inhibitors, like sorafenib and sunitinib. Sorafenib inhibits VEGFR2, VEGFR3 and PDGFRβ33, while sunitinib inhibits PDGFRβ and all VEGFRs58. When viewed through the uni-family signaling lens, these small molecules would only inhibit uni-family interactions, i.e. blocking PDGFR autophosphorylation would render PDGF ligands as non-functional. This perspective does not explain why patients also relapse on these cross-family anti-angiogenic drugs. Under a cross-family paradigm, blocking VEGFR and PDGFR would shift VEGF and PDGF binding to receptors of other signaling families. Some possibilities could be other, structurally similar tyrosine kinase receptors with angiogenic function, such as: nerve, fibroblast, and transforming growth factor receptors59,60,61. Our work suggests that drug resistance to multi-target therapeutics can be better informed and overcome by identifying the extent of cross-family binding.

The tip of the iceberg? Structural analysis can guide further cross-family discovery

Our results open the possibility that that other cross-family interactions exist, but remain undiscovered. Experimentally screening for interactions between every known cytokine with every known receptor would be cost- and time-prohibitive. Instead, structural analysis of shared ligand and receptor structural motifs can guide further discovery. For example, VEGFRs and PDGFRs are tyrosine kinase receptors: PDGFRs have 5 extracellular immunoglobulin-like (IgG-like) domains62 and VEGFRs have 7 extracellular IgG-like domains in VEGFRs63. Of these, domains 2–3 are responsible for high-affinity binding of VEGF-A:VEGFR164 and VEGF-A:VEGFR265. Domains 2–3 are highly-conserved within PDGFRs, where they play an identical role of housing the PDGF binding site. The common ligand-binding domains suggests that PDGFs could utilize these sites to bind VEGFRs. Moreover, VEGF and PDGF are similar in quaternary structure: VEGF and PDGF have only a 1.93 Å root mean square difference between overlapping structures66 (Fig. 1B). VEGFs and PDGFs also share structural motifs in their receptor-binding regions63. In fact, PDGF ligands have been superimposed within the VEGF-A:VEGFR2 binding domains, illuminating the possible confirmations for the interactions we report29. Additionally, VEGFRs and PDGFRs have a similar intracellular structure: having an intracellular split tyrosine-kinase domain67,68. Such a feature may lend the possibility of agonist or partial agonist action via cross-family binding.

Cysteine knot ligands66,69 with some of these VEGF-PDGF structural properties should also be investigated; these include: nerve growth factors, fibroblast growth factors, transforming growth factors, and even glycoprotein hormones, due to their structural similarity to PDGF66. Examining other receptors that exhibit multi-ligand binding would offer a good template for understanding the possibilities in cross-family binding. For example, early work by Pennock et al. explored whether VEGF-A served as a cross-family agonist or antagonist for the PDGF receptors, finding the ligand acted antagonistically70. Outside the VEGFs and PDGFs, the nicotinic acetylcholine receptor is well known for having several possibilities for receptor assembly, and several molecules, other than nicotine that can bind with agonist-partial agonist-antagonist affect (e.g., epibatidine, choline, etc.)71. The transforming growth factor-β superfamily also offers a good template to examine multi-binding interactions, where extensive cross-family ligand:receptor binding between the subgroups, transforming growth factor-βs, bone morphogenetic proteins (BMPs), growth and differentiation factors (GDFs) and the activin/inhibins72 are responsible for maintaining a complicated regulatory network73. Structural analysis, therefore, can enable a focused screening of likely cross-family binding partners.

Computational modeling will drive conceptual understanding of cross-family signaling

Computational modeling has provided new insight into the uni-family activation of several growth factor-receptor families, including EGF74, FGF75, PDGF76, and VEGF3,50,77,78,79,80,81. Here, our PDGF—VEGFR2 modeling and analysis predicted conditions where PDGF—VEGFR2 binding prevails, which included normal physiological conditions. While we do find the high-affinity of these cross-family interactions surprising, we do not find the modeling results to be surprising. It follows that when incorporating a new population of ligands—at concentrations higher than VEGF-A, and which bind the same receptor at affinities either slightly lower or similar to VEGF-A—the receptor would be substantially ligated by these new ligands. We expect that these patterns of ligated-receptor dominance could change when different healthy biological conditions are considered, such as when receptor trafficking rates are altered by changes in blood flowrate-induced sheer stresses82. As we continue exploring this new paradigm, additional models will need to determine how cross-family receptor occupancy translates to various receptor activation landscapes. An elegant computational framework for examining the possible receptor landscapes is the recent work on how bone morphogenetic proteins (BMP) and their receptors achieve multiple activation profiles83. We expect that further computational modeling of cross-family signaling will enable a similar understanding of receptor activation landscapes (full-agonist, partial-agonist, partial antagonist, and full-antagonist), receptor activation dynamics (fast/burst, slow/sustained, etc.), and effector efficiencies.

Another computational approach that should be enlisted for understanding maximal canonical signaling is the recent “meta-model” from our laboratory, which modeled receptor activation across eight, canonical ligand-receptor pairs84. This meta-model offered ranked predictions of receptor signaling, based on the integrated receptor activation response: PDGFRβ >IGFR1 >EGFR >PDGFRα >VEGFR1 >VEGFR2 >Tie2 >FGFR1. Because these receptors activate similar second messengers, this ranking of canonical (uni-axis) signaling provided the first guide for manipulating signaling in cells carrying combinations of these receptors. We envision that a multi-family model that incorporates the foundational model we present here, signaling landscapes83, and growth factor receptor hierarchy84 will offer novel predictions for maximally tuning signaling. Furthermore, we will test more conditions than are accessible by experiment to understand the multiple cross-family signaling permutations.

Future studies: Filtering novel interactions via the χ2-to-Rmax heuristic

Once structural analysis predicts additional cross-family partners, validation can use a similar SPR approach, as we established here. Towards such goals, researchers may apply the χ2-to-Rmax ratio that we discuss to designate “true” interactions from non-specific, non-1:1 Langmuir interactions. Indeed, SPR can often produce large response curves that suggest binding, even where no interaction exists. Such curves are primarily due to two types of non-specific binding: (1) sensor-ligand interactions85 and (2) receptor-ligand interactions86. The former can be corrected by coating a flow cell with a non-binding reference protein. Without the use of a reference protein, non-specific effects would artificially inflate the observed binding affinity strength (lower KD). For this study we used angiopoietin-4 as a reference (see Materials and Methods); thus minimizing non-specific interactions between ligand and chip. However, previous SPR measurements of PDGF:PDGFR interactions, did not use a reference protein45. We believe this critical difference explains our different affinities, with prior studies measuring a weaker binding affinity. Non-specific ligand-receptor interactions can also be accounted for when you consider that such interactions would not likely follow a 1:1 Langmuir binding model. This is due to the fact that many non-specific interactions are mediated by transient electrostatic attractions between amino acid residues on the ligand and receptor. These transiently-interacting residues can be distributed throughout both proteins—are therefore not site-specific—and should not follow a 1:1 interaction pattern86,87,88 indicated by the χ2-to-Rmax ratio. Future measurements of cross-family binding should apply our finding that χ2-to-Rmax ratio >1.0 is attributed to non-specific binding.


These studies offer new interpretations of tyrosine kinase receptor signaling: a cross-family paradigm. We provide standards for kinetic analyses of novel interactions with broad implications for tyrosine kinase receptor signaling. Through computational modeling, we further predict that cross-family interactions may significantly alter signaling. From these results, we propose a new mechanism for anti-angiogenic drug resistance, which may aid drug development.

In addition to the applications of this work for tumor angiogenesis, PDGF-VEGF cross-family signaling should affect our understanding of cardiovascular-dependent diseases, governed by angiogenic signaling, including: wound healing13, exercise89, and other cardiovascular pathologies6,90. Moreover, it should enable improved vascularization in the areas of tissue engineering and regenerative medicine89,91,92,93.

Finally, our work suggests that structural similarities in signaling ligands and receptors could indicate cross-family binding patterns and that this phenomenon could be common across cell signaling (e.g., agonist/partial agonist paradigm). These and any new interactions can and should be illuminated through structural analysis and computational modeling.

Materials and Methods

Surface plasmon resonance (SPR)

All SPR studies were performed with the BIAcore 3000 instrument (Biacore International AB, Uppsala, Sweden) at 25 °C on dextran-coated gold sensor chips (CM5, Research grade, GE Healthcare Bio-sciences AB, Uppsala). The BIAcore 3000 divides CM5 sensor chips into four separate flow cells. We immobilized a different receptor protein in each flow cell: The first cell was reserved for measuring non-specific binding by immobilizing recombinant angiopoietin-4 (Cat. #964-AN-025/CF, R&D Systems) to a flow cell: it has no known interaction with VEGFs or PDGFs. Three different receptors were immobilized to the three remaining flow cells. Running buffer: 1x HBS-EP pH 7.4 (10 mM HEPES, 3 mM EDTA, 150 mM NaCl, 0.005% TWEEN-20, cat. # BR100188, GE Life Sciences).

Optimizing immobilization conditions

Human recombinant VEGFR1 (Cat. #321-FL-050/CF, R&D Systems), VEGFR2 (Cat. #357-KD-050/CF, R&D Systems), VEGFR3 (Cat. #349-F4–050, R&D Systems), PDGFRα (Cat #322-PR-050/CF, R&D Systems) and PDGFRβ (Cat. #385-PR-100/CF, R&D Systems) were immobilized on flow cells by first performing pre-concentration studies to determine optimal receptor-immobilization pH (Supplementary Table S6), as follows: 20 µg/mL receptor + 10 mM acetate buffers ranging from pH 3.5 to 0.5–1.0 below the protein isoelectric point (Supplementary Table S6) were prepared. Known receptor-ligand was introduced at 5 µL/min (association), followed by 5-µL injection of ethanolamine-HCL (GE Healthcare AB, Uppsala, Sweden) to clear the surface. We selected the optimal acetate buffer pH for each protein based on (1) the maximum level of protein immobilization reached and (2) the rate of immobilization observed in the pre-concentration study sensograms.

Protein immobilization

Receptor proteins were immobilized to the sensor dextran matrix via amine coupling. Flow cells were activated by injecting 35 μL of a 1:1 volumetric mixture of 0.05 M NHS (N-hydroxysuccinimide) and 0.2 M EDC (1-ethyl-3-(3-dimethylaminopropyl) carbodiimide hydrochloride) at 5 μL/min. 20 µg/mL of the aforementioned recombinant receptor in 10 mM acetate buffer at its optimal pH was injected at 5 µL/min until the target level was reached (approximately 200–500 R.U. of immobilized receptor). After sufficient protein coupling (~200–500 R.U. immobilized protein), the surface was de-activated by 35 μL ethanolamine (ethanolamine hydrochloride-NaOH pH 8.5, GE Healthcare AB) (Supplementary Fig. S2).

Ligand-receptor association and dissociation kinetics

Fresh ligand solutions were prepared at 40, 20 and 10 nM in HBS-EP running buffer each experimental day, including: human recombinant VEGFA (R&D Systems, Cat. #293-VE-010), PDGF-AA (Cat. #221-AA-050), -AB (Cat. #222-AB-050), -BB (Cat. #220-BB-050), -CC (Cat. #1687-CC-025) and -DD (Cat. #1159-SB-025) (Note: All ligands were obtained from R&D Systems, and were human recombinant proteins). 120 μL of each ligand solution was injected into flow cells containing immobilized receptor and Ang-4—a reference for non-specific binding—at 30 μL/min (association). This was followed by a 10 min running-buffer injection (dissociation). Between each sample, we injected, in series, 5 μL of 5 mM HCl and 5 μL of 10 mM NaOH at 5 μL/min to remove any remaining bound ligand. We repeated this cycle for each concentration tested (40, 20, and 10 nM, summarized in Fig. 2). Each concentration series were performed in triplicate.

Kinetic analysis

The raw ligand:receptor sensograms were aligned and the background, non-specific binding was subtracted using the sensogram trace from the ligand:Ang-4 flow cell (Supplementary Figure S3). Both the raw ligand:receptor and ligand:Ang-4 sensogram curves were obtained within the BIAcore 3000’s detection window (10–70,000 R.U.) for all interactions94 to ensure detected interactions did not represent system noise. Post-subtraction sensograms with a negative-sloped association phase were excluded from global kinetic fitting and not considered interactions. BIAevaluation removes momentary signal spikes resulting from transient air bubbles.

Global analysis is considered to produce more accurate results than fitting of a single response curve, so global fitting was performed with BIAevaluation software (Version 4.1.1, GE Healthcare), which follows 1:1 Langmuir adsorption isotherm (Equation 1)95. The software applies nonlinear least squares analysis to determine association (ka) and dissociation (kd) rates fitting best to multiple response curves simultaneously. Additionally, the software provides the goodness-of-fit parameter χ2 and the peak magnitude of the signal response, Rmax.

$$R+L\mathop{\leftrightarrow }\limits^{{k}_{a},{k}_{d}}RL$$

Classifying binding

Both the instrument manufacturer (BIAcore) and previous researchers have suggested that when fitting kinetic rate constants using global analysis, a χ2-to-Rmax value (a measure of noise-to-signal) < 0.2 is ideal for confidence in the kinetic parameters obtained when studying known interactions35,36,96. A low noise-to-signal indicates that the sensogram signal includes minimal contributions from the following three noise-factors: (1) overall instrument noise, (2) heterogeneities in immobilized receptor or ligand, and (3) non-specific interactions. Using ligand:receptor pairs with known interactions and pairs known not to interact, we established a cut-off value of χ2-to-Rmax < 1.0 that differentiates real, 1:1 Langmuir interactions, from predominantly non-specific interactions, where χ2-to-Rmax > 1.0. We arrived at this via experimentally fitting known interactions and non-interactions (Supplementary Table S1). We then applied the χ2-to-Rmax < 1.0 heuristic to classifying the interactions observed in PDGF:VEGFR binding.

Single-cell model of membrane receptor activation

We recapitulated the uni-family (VEGF:VEGFR) single cell model described by Mac Gabhann et al., consisting of 7 ordinary differential equations (ODEs) derived using the law of mass action. The cell is represented as a single compartment52 that represents both the extracellular space and plasma membrane. We extended this to a dual-family model, including the 7 ODEs describing VEGF:VEGFR ligation plus an additional 8 ODEs describing PDGF:VEGFR2 signaling. The model equations and parameters are implemented in MATLAB using the SimBiology toolbox. Steady-state and dynamic solutions are computed using the ode15 solver for 24 simulated hours. A complete description of model equations for both uni-family and dual-family models are provided in Supplementary Text 1.

Model parameters

Parameters are based upon 7 guidelines. (1) VEGFR1 and VEGFR2 are inserted into the plasma membranes at fixed rates52. (2) Ligand-free receptors and ligand-bound receptors are internalized from the plasma membrane at fixed rates97 (see Supplementary Table S4 for full summary of kinetic parameters). (3) VEGFR dimerization is not modeled explicitly, reflecting recent work that suggests VEGF receptors are initially pre-dimerized, and ligand-binding initiates a conformational change that enables phosphorylation and down-stream signaling events98. (4) Ligand secretion and ligand clearance are not modeled to better represent a localized cell environment without the influence of the systemic dynamics52. (5) Ligand concentrations are derived from known serum concentrations (Supplementary Table S5). (6) Benchmark kinetic and concentration parameters are used only to recapitulate the benchmark. (7) The cross-family model applied updated kinetic parameters via SPR studies herein, (Supplementary Table S2) and updated VEGFR concentrations, which were based on recent quantitative flow (qFlow) cytometry measurements99,100,101,102. All model parameters, their descriptions, and their values are provided in Supplementary Table S4.

We modeled anti-angiogenic drug treatment by incorporating the anti-VEGF-A antibody, bevacizumab. In the model, bevacizumab reversibly binds free VEGF-A, with kinetic constants previously-determined via SPR103. Drug treatment was modeled as a single, initial bevacizumab dose. The dose concentration used was adopted from an earlier VEGF computational model that based the dosage on patient plasma concentrations following the administration of bevacizumab in advanced cancer treatment104,105. Thus, this value correlates with the systemic level of bevacizumab. We excluded bevacizumab clearance and ‘secretion’ (the movement of bevacizumab from plasma into the area around endothelial cells), to examine the concentrations individual endothelial cells would experience.

Data availability Statement

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.