IntroductionAscites (pulmonary hypertension), is a metabolic disorder that causes economic losses and is characterized by the accumulation of lymph fluid in the abdomen due to right heart failure in meat-type chickens. At necropsy, besides the lesions observed, other common findings such as generalized edema and expansion of the air capillaries are typically observed in the lung tissues of the chickens (1). Although environmental factors such as cold, high altitude, and diet play significant roles in the development of the syndrome (2), the main cause is hypoxia caused by increased oxygen demand, pulmonary hypertension, and extra workload on the heart (1-4).Vascular endothelial growth factor (VEGF), which is also known as edema factor, is a potent and key factor in the development of tumoral angiogenesis and edema formation by increasing vascular permeability (5,6). There are five VEGF products of alternative splicing, VEGF 121, VEGF 145, VEGF 165, VEGF 189, and VEGF 206 (7). VEGF 121 and VEGF 165 are secreted and both have mitogenic and permeability-inducing properties. VEGF has been synthesized in both animals and humans in endothelial cells, in mesenchymal cells, in alveolar macrophages of lung, in neurons, in renal epithelial cells, in connective tissue cells, and in tumor cells (8). Hypoxia has an important role in triggering VEGF (5,9). Investigations on people living at high altitudes showed that there might be a direct relationship between hypoxia and VEGF level due to the observed higher levels of serum VEGF, while in vitro studies on VEGF revealed that fibroblasts inflicted with mechanical damage and exposed to hypoxia showed an increase in VEGF levels compared with the control group (9).During the formation of pulmonary edema, matrix metalloproteinases (MMPs) and their relation with hypoxic stress were examined through both in vivo and in vitro studies for pulmonary hypertension syndrome (10,11). It was shown that MMPs have the potential for damaging the vascular basement membrane, but the mechanisms by which hypoxia causes ascites by increasing vascular permeability remains unclear. Thus, the aim of this study is to investigate the effects of hypoxic stress on VEGF, also known as edema factor, and its contribution to the pathogenesis of the disease in cultured lung fibroblasts of meat-type chickens.
Materials and methods
Cell cultureThis study was carried out after receiving written approval from the Scientific and Ethics Committee of Uludağ