“…GAG synthesizing enzymes (C4ST-1, ChSy-1 and XT-1) are responsible for sulfation and GAG chain (hyper) elongation; multiple other hormones and growth factors stimulate GAG elongation Getachew et al, 2010). In many studies, Vascular Endothelial Growth Factor (VEGF) stimulates GAG elongation but not in retinal endothelial cells (Al Gwairi et al, 2016). As to the in vivo relevance of these findings, Emoto and colleagues have shown that the mRNA expression of some GAG synthesizing genes increases over 8 weeks in an atherosclerotic mouse model and this increase correlates with increased atherosclerosis in the mice (Anggraeni et al, 2011).…”