Alternative splicing in the VEGF-A gene leads to two isoforms, VEGFa and VEGFb, which have different effects on blood vessel growth due to a 6-amino acid difference.
VEGFb activates the VEGFR2 receptor but not the VEGFR1 receptor, while modifications to VEGFb can enhance its functionality, activating both pathways for better angiogenic response.
The study reveals that changing specific amino acid residues in VEGFb can create a variant that activates both VEGFR1 and VEGFR2, promoting better recovery in a model of peripheral artery disease compared to VEGFa.