Vascular endothelial growth factors: biology and current status of clinical applications in cardiovascular medicine.

Abstract:

:Members of the vascular endothelial growth factor (VEGF) family are among the most powerful modulators of vascular biology. They regulate vasculogenesis, angiogenesis, and vascular maintenance during embryogenesis and in adults. Because of their profound effects on blood vessels, VEGFs have received much attention regarding their potential therapeutic use in cardiovascular medicine, especially for therapeutic vascular growth in myocardial and peripheral ischemia. However, completed randomized controlled VEGF trials have not provided convincing evidence of clinical efficacy. On the other hand, recent preclinical proangiogenic VEGF studies have given insight, and anti-VEGF studies have shown that the disturbance of vascular homeostasis by blocking VEGF-A may lead to endothelial dysfunction and adverse vascular effects. Excess VEGF-A may contribute to neovascularization of atherosclerotic lesions but, currently, there is no evidence that transient overexpression by gene transfer could lead to plaque destabilization. Here, we review the biology and effects of VEGFs as well as the current status of clinical applications and future perspectives of the therapeutic use of VEGFs in cardiovascular medicine.

journal_name

J Am Coll Cardiol

authors

Ylä-Herttuala S,Rissanen TT,Vajanto I,Hartikainen J

doi

10.1016/j.jacc.2006.09.053

subject

Has Abstract

pub_date

2007-03-13 00:00:00

pages

1015-26

issue

10

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(06)03114-7

journal_volume

49

pub_type

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