Vascular endothelial growth factor in inflammatory rheumatic diseases

Authors: Zb. Hrnčíř;  J. Tomš
Authors‘ workplace: II. interní klinika, oddělení revmatologie a klinické farmakologie, Lékařská fakulta UK a Fakultní nemocnice ;  Hradec Králové
Published in: Čes. Revmatol., 17, 2009, No. 3, p. 168-172.
Category: Overview Reports


Vascular endothelial growth factor (VEGF) is a potent stimulating factor of angiogenesis (AG) and vascular permeability. VEGF exerts important physiological actions in embryogenesis, wound healing, and menstrual cycle. In pathological conditions, it has a significant role especially in solid tumour growth, but also in inflammatory disorders, incl. a broad spectrum of rheumatic diseases. High serum VEGF levels were especially observed in patients with an active form of these diseases (e.g. in systemic lupus erythematosus with correlation to SLAM score). VEGF has an important role in AG of proliferative synovitis in rheumatoid arthritis (RA), vascular changes in systemic sclerosis, and in local muscular hypoxia in polymyositis/dermatomyositis. In RA, incl. early RA, VEGF serum levels correlated with joint damage as shown in radiographic and power ultrasonography studies. Therapeutic response (DMARD, anti-TNF-alpha) in RA is associated with a decrease of elevated VEGF serum levels. Clinical experience in oncology, insights from a pathophysiology of rheumatoid synovitis, and from some experimental data suggest that AG blockade could be a possible novel strategy in RA therapy.

Key words:
vascular endothelial growth factor, angiogenesis, inflammatory rheumatic diseases, rheumatoid arthritis, systemic lupus erythematosus


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Dermatology & STDs Paediatric rheumatology Rheumatology
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