Elevated vascular endothelia growth factor-A in the serum and peritoneal fluid of patients with endometriosis

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This study found significantly higher serum and peritoneal fluid levels of vascular endothelial growth factor-A in patients with endometriosis compared to controls, with higher levels observed in more severe disease stages.

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This study measured VEGF-A concentrations in serum and peritoneal fluid from 46 patients with surgically confirmed endometriosis and 40 control women without clinical evidence or detectable lesions at surgery, using ELISA. Mean VEGF-A levels were significantly higher in both compartments in endometriosis patients than in controls, and levels were higher in severe disease (stages III–IV) compared with minimal disease. The authors conclude that endometriosis is associated with modulation of circulating VEGF-A levels, though the study does not address mechanistic sources of VEGF-A in participants within the reported design. This paper is centrally about endometriosis — it focuses on elevated VEGF-A in serum and peritoneal fluid across disease severity.

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Abstract

There has been emergence of evidence suggesting that specific variants of the vascular endothelia growth factor (VEGF) family, based on their ability to regulate angiogenesis, would be pivotal in the pathogenesis of endometriosis. This study was aimed at determining whether high levels of VEGF-A could be found in the serum and peritoneal fluid (PF) of patients with endometriosis. VEGF-A levels were measured by enzyme-linked immunosorbent assay (ELISA) in serum and PF from 46 patients with surgically confirmed endometriosis, and 40 controls with no clinical evidence of the disease or detectable endometriotic lesions at the time of surgical examination. The results showed the mean VEGF-A levels were significantly higher in the serum and PF of patients with endometriosis than in the controls. The VEGF-A levels in the serum and PF of patients with severe endometriosis (stages III-IV) were significantly higher than in those with minimal endometriosis (P<0.001). It was concluded that endometriosis was associated with significant modulation in the levels of circulating VEGF-A.
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Summary There has been emergence of evidence suggesting that specific variants of the vascular endothelia growth factor (VEGF) family, based on their ability to regulate angiogenesis, would be pivotal in the pathogenesis of endometriosis. This study was aimed at determining whether high levels of VEGF-A could be found in the serum and peritoneal fluid (PF) of patients with endometriosis. VEGF-A levels were measured by enzyme-linked immunosorbent assay (ELISA) in serum and PF from 46 patients with surgically confirmed endometriosis, and 40 controls with no clinical evidence of the disease or detectable endometriotic lesions at the time of surgical examination. The results showed the mean VEGF-A levels were significantly higher in the serum and PF of patients with endometriosis than in the controls. The VEGF-A levels in the serum and PF of patients with severe endometriosis (stages III–IV) were significantly higher than in those with minimal endometriosis (P<0.001). It was concluded that endometriosis was associated with significant modulation in the levels of circulating VEGF-A. Similar content being viewed by others References Ozkan S, Arici A. Advances in treatment options of endometriosis. Gynecol Obstet Invest, 2008,67(2):81–91 Takehara M, Ueda M, Yamashita Y, et al. Vascular endothelial growth factor A and C gene expression in endometriosis. Hum Pathol, 2004,35(11):1369–1375 Girling JE, Rogers PA. Recent advances in endometrial angiogenesis research. Angiogenesis, 2005,8(2):89–99 Cho SH, Oh YJ, Nam A, et al. Evaluation of serum and urinary angiogenic factors in patients with endometriosis. Am J Reprod Immunol, 2007,58(6): 497–504 García-Manero M, Alcazar JL, Toledo G. Vascular endothelial growth factor (VEGF) and ovarian endometriosis: correlation between VEGF serum levels, VEGF cellular expression, and pelvic pain. Fertil Steril, 2007,88(2):513–515 Pupo-Nogueira A, de Oliveira RM, Petta CA, et al. 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Increased concentration of vascular endothelial growth factor in the follicular fluid of patients with endometriosis does not affect the outcome of in vitro fertilization-embryo transfer. Fertil Steril, 2003,80(6):1518–1520 Breen EC. VEGF in biological control. J Cell Biochem, 2007,102(6):1358–1367 Otrock ZK, Makarem JA, Shamseddine AI. Vascular endothelial growth factor family of ligands and receptors: review. Blood Cells Mol Dis, 2007, 38(3):258–268 Kano MR, Morishita Y, Iwata C, et al. VEGF-A and FGF-2 synergistically promote neoangiogenesis through enhancement of endogenous PDGF-B-PDGFRbeta signaling. J Cell Sci, 2005,118(Pt 16):3759–3768 Bourlev V, Volkov N, Pavlovitch S, et al. The relationship between microvessel density, proliferative activity and expression of vascular endothelial growth factor-A and its receptors in eutopic endometrium and endometriotic lesions. Reproduction, 2006,132(3):501–509 McLaren J, Prentice A, Charnock-Jones DS, et al. Vascular endothelial growth factor is produced by PF macrophages in endometriosis and is regulated by ovarian steroids. J Clin Invest, 1996,98(2):482–489 Lin YJ, Lai MD, Lei HY, et al. Neutrophils and macrophages promote angiogenesis in the early stage of endometriosis in a mouse model. Endocrinology, 2006,147(3): 1278–1286 Becker CM, D’Amato RJ. Angiogenesis and antiangiogenic therapy in endometriosis. Microvasc Res, 2007,74(2–3):121–130 Tee MK, Vigne JL, Taylor RN. All-trans retinoic acid inhibits vascular endothelial growth factor expression in a cell model of neutrophil activation. Endocrinology, 2006,147(3):1264–1270 Author information Authors and Affiliations Rights and permissions About this article Cite this article Wang, H., Gorpudolo, N., Li, Y. et al. Elevated vascular endothelia growth factor-A in the serum and peritoneal fluid of patients with endometriosis. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 29, 637–641 (2009). https://doi.org/10.1007/s11596-009-0520-7 Received: Published: Issue date: DOI: https://doi.org/10.1007/s11596-009-0520-7

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Condition tags

endometriosis

MeSH descriptors

Ascitic Fluid Endometriosis Peritoneal Diseases Vascular Endothelial Growth Factor A Vascular Endothelial Growth Factor A Adolescent Adult Ascitic Fluid Endometriosis Enzyme-Linked Immunosorbent Assay Female Humans Middle Aged Peritoneal Diseases Vascular Endothelial Growth Factor A Young Adult

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