Expression of vascular endothelial growth factor and hypoxia-inducible factor in the airway of asthmatic patients

Authors: Lee, Sook Y.1; Kwon, Soon1; Kim, Kwan H.y.o.u.n.g.1; Moon, Hwa S.i.k.1; Song, Jung S.u.p.1; Park, Sung H.a.k.1; Kim, Young K.y.o.o.n.1

Source: Annals of Allergy, Asthma and Immunology, Volume 97, Number 6, December 2006 , pp. 794-799(6)

Publisher: American College of Allergy, Asthma, & Immunology

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Abstract:

Background: Vascular endothelial growth factor (VEGF) is a potent proangiogenic cytokine, and it also increases vascular permeability. It is well known that VEGF levels are increased in the airway of asthmatic patients. Hypoxia-inducible factor (HIF) induces a rapid and strong increase in VEGF expression.

Objectives: To evaluate the relationship between VEGF level and clinical characteristics and to determine whether VEGF expression is associated with HIF expression in asthmatic patients.

Methods: Bronchoscopy was performed on 30 asthmatic patients and 14 control subjects. The concentration of VEGF in the bronchoalveolar lavage fluid (BALF) was examined using enzyme-linked immunosorbent assay. We measured VEGF, HIF-1α, and HIF-2α expression on biopsy specimens by means of immunoreactivity.

Results: The VEGF level in the BALF was significantly higher in asthmatic patients than in controls. The VEGF level correlated with eosinophil counts in the BALF in asthmatic subjects (r = 0.501; P < .01). However, the VEGF level did not correlate with percentage of forced expiratory volume in 1 second and airway hyperresponsiveness. Asthmatic patients exhibited higher VEGF, HIF-1α, and HIF-2α immunoreactivity in the submucosa than did controls. Furthermore, VEGF expression correlated significantly with HIF-1α (r = 0.614; P = .02) and HIF-2α (r = 0.881; P = .001) expression.

Conclusion: These findings suggest that VEGF may play an important role in inflammation and that VEGF level is related to HIF in bronchial asthma.

Document Type: Original article

Affiliations: 1: Department of Internal Medicine, Kangnam St Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

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