2009
DOI: 10.1542/peds.2008-1670
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Soluble Vascular Endothelial Growth Factor Receptor 1 in Tracheal Aspirate Fluid of Preterm Neonates at Birth May Be Predictive of Bronchopulmonary Dysplasia/Chronic Lung Disease

Abstract: We speculate that low vascular endothelial growth factor levels in tracheal aspirate fluid, concurrent with elevated soluble vascular endothelial growth factor receptor 1 levels on the first day of life, are biological markers for the development of bronchopulmonary dysplasia/chronic lung disease in very low birth weight infants requiring O(2) and assisted mechanical ventilation.

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Cited by 34 publications
(25 citation statements)
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“…Inhibition of VEGF during lung development results in disruption of vascular and alveolar development and a pathologic picture similar to that of new BPD (8). Thus, the lower initial VEGF concentrations found in our study in infants eventually developing BPD could well reflect a mechanistic process of adverse lung development and are in agreement with previous human studies (22,23). BALF VEGF levels may be used to identify individuals at particular risk for BPD at an early stage, which could facilitate future implementation of individualized preventive strategies for BPD in preterm infants.…”
Section: Discussionsupporting
confidence: 89%
“…Inhibition of VEGF during lung development results in disruption of vascular and alveolar development and a pathologic picture similar to that of new BPD (8). Thus, the lower initial VEGF concentrations found in our study in infants eventually developing BPD could well reflect a mechanistic process of adverse lung development and are in agreement with previous human studies (22,23). BALF VEGF levels may be used to identify individuals at particular risk for BPD at an early stage, which could facilitate future implementation of individualized preventive strategies for BPD in preterm infants.…”
Section: Discussionsupporting
confidence: 89%
“…VEGFR-1 is the respective tyrosine kinase receptor needed for VEGF to act physiologically (20,23,24,33). sVEGFR-1 is the splice variant of the VEGFR-1, which acts as a VEGF "trap" (21).…”
Section: Discussionmentioning
confidence: 99%
“…Tambunting et al (23) have shown that VEGF and VEGF receptor mRNA expression are impaired in lungs of extremely preterm baboons developing BPD, contributing to the dysmorphic microvasculature and disrupted alveolarization. Furthermore, Hasan et al (24) showed that VEGF levels are low and soluble VEGF receptor (sVEGFR)-1 levels are high at birth in the tracheal aspirates of preterm newborn infants who developed BPD later, suggesting that sVEGFR-1, the endogenous inhibitor of VEGF, may be a biological marker for BPD.…”
mentioning
confidence: 99%
“…Infants with BPD have reduced lung volumes and defective gas exchange (26) and can develop pulmonary hypertension (33). Previous studies measuring vascular growth factors in the lungs of patients developing BPD have reported conflicting results (2,12,20,29,30). Some insights into lung vascular pathology in BPD have come from biopsy and autopsy specimens (13).…”
mentioning
confidence: 99%