PMID- 20406482 OWN - NLM STAT- MEDLINE DCOM- 20101028 LR - 20211020 IS - 1824-7288 (Electronic) IS - 1720-8424 (Linking) VI - 36 DP - 2010 Apr 20 TI - Angiogenic biomarkers in children with congenital heart disease: possible implications. PG - 32 LID - 10.1186/1824-7288-36-32 [doi] AB - BACKGROUND: Vascular endothelial growth factor (VEGF), platelet derived endothelial cell growth factor/thymidine phosphorylase (PD-ECGF/TP) and leptin are known as potent angiogenic factors The objective of the study was to evaluate these angiogenic factors VEGF, PD-ECGF/TP and leptin in children with congenital heart disease (CHD) and the factors that lead to angiogenesis in such cases. METHODS: Sixty CHD children were studied and divided into two groups (n=30); cyanotic-CHD (C-CHD) and acyanotic-CHD (A-CHD). Twenty five healthy children were included as controls. RESULTS: Significantly higher serum levels of VEGF, PD-ECGF/TP activity and leptin were detected in patients with CHD, particularly in patients with C-CHD. CHD patients with SpO2<90%, pulmonary hypertension (PH), severe pulmonary stenosis (PS), detectable collaterals, cardiomegaly and/or heart failure showed significantly higher levels of these factors than those with higher SpO2 or those without these findings. CONCLUSION: Hypoxia, PH and PS are important factors that lead to harmful angiogenesis. However, angiogenesis could be essential in some cases of CHD as coarctation of aorta to enhance renal perfusion. This may provide new ways for therapeutic strategies aiming at reducing or promoting angiogenesis in CHD to improve patient's outcome. FAU - El-Melegy, Nagla T AU - El-Melegy NT AD - Medical Biochemistry Department, Faculty of Medicine, Assiut University, Assiut, (71515), Egypt. elmelegynagla@yahoo.com FAU - Mohamed, Nagwa A AU - Mohamed NA LA - eng PT - Comparative Study PT - Journal Article DEP - 20100420 PL - England TA - Ital J Pediatr JT - Italian journal of pediatrics JID - 101510759 RN - 0 (Biomarkers) RN - 0 (Leptin) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.4.2.4 (Thymidine Phosphorylase) SB - IM MH - Biomarkers/*blood MH - Child, Preschool MH - Disease Progression MH - Echocardiography MH - Female MH - Heart Defects, Congenital/blood/*complications/diagnostic imaging MH - Humans MH - Leptin/blood MH - Male MH - Neovascularization, Pathologic/*blood/etiology MH - Prognosis MH - Spectrophotometry MH - Thymidine Phosphorylase/*blood MH - Vascular Endothelial Growth Factor A/*blood PMC - PMC2874565 EDAT- 2010/04/22 06:00 MHDA- 2010/10/29 06:00 PMCR- 2010/04/20 CRDT- 2010/04/22 06:00 PHST- 2009/09/28 00:00 [received] PHST- 2010/04/20 00:00 [accepted] PHST- 2010/04/22 06:00 [entrez] PHST- 2010/04/22 06:00 [pubmed] PHST- 2010/10/29 06:00 [medline] PHST- 2010/04/20 00:00 [pmc-release] AID - 1824-7288-36-32 [pii] AID - 10.1186/1824-7288-36-32 [doi] PST - epublish SO - Ital J Pediatr. 2010 Apr 20;36:32. doi: 10.1186/1824-7288-36-32.