Vascular endothelial growth factor gene polymorphisms and intracranial aneurysms
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Abstract
Background
The exact pathophysiology of the development and rupture of saccular aneurysms is still controversial. Several lines of evidence indicate a role for inflammatory processes. Similarly, abnormal angiogenesis might be related to aneurysm growth. Expression of angiogenesis factors is higher in patients harboring aneurysms. The aim of this study was to verify the association of two functionally active polymorphisms (+ 396 C>T and 18 bp microdeletion) in the vascular endothelial growth factor (VEGF) gene with both susceptibility to and clinical features of aneurysmal subarachnoid hemorrhage (SAH) in an Italian population.
Method
Allelic and genotypic frequencies of the + 396 C>T and the 18 bp microdeletion of the VEGF gene were determined in 200 patients and 200 healthy controls.
Results
Both allelic and genotypic frequencies of the examined polymorphisms in the VEGF gene were not significantly different between cases and controls. Furthermore, the different VEGF genotypes did not seem to significantly modify the main clinical features of the disease.
Conclusions
Our data suggest that the VEGF gene is not a major genetic risk factor for aneurysmal subarachnoid hemorrhage.
Keywords
Vascular endothelial growth factor Polymorphisms Genotype Angiogenesis Aneurysmal subarachnoid hemorrhageNotes
Conflicts of interest
None.
References
- 1.Akiyama K, Narita A, Nakaoka H, Cui T, Takahashi T, Yasuno K, Tajima A, Krischek B, Yamamoto K, Kasuya H, Hata A, Inoue I (2010) Genome-wide association study to identify genetic variants present in Japanese patients harboring intracranial aneurysms. J Hum Genet 55:656–661PubMedCrossRefGoogle Scholar
- 2.Andaluz N, Zuccarello M (2009) Recent trends in the treatment of spontaneous intracerebral hemorrhage: analysis of a nationwide inpatient database. J Neurosurg 110:403–410PubMedCrossRefGoogle Scholar
- 3.Bederson JB, Awad IA, Wiebers DO, Piepgras D, Haley EC Jr, Brott T, Hademenos G, Chyatte D, Rosenwasser R, Caroselli C (2000) Recommendations for the management of patients with unruptured intracranial aneurysms: a Statement for healthcare professionals from the Stroke Council of the American Heart Association. Stroke 31:2742–2750PubMedCrossRefGoogle Scholar
- 4.Bird TD, Jarvik GP, Wood NW (2001) Genetic association studies: genes in search of dis-eases. Neurology 57:1153–1154PubMedCrossRefGoogle Scholar
- 5.Brogan IJ, Khan N, Isaac K, Hutchinson JA, Pravica V, Hutchinson IV (1999) Novel polymorphisms in the promoter and 5′ UTR regions of the human vascular endothelial growth factor gene. Hum Immunol 60:1245–1249PubMedCrossRefGoogle Scholar
- 6.Bussolati B, Dunk C, Grohman M, Kontos CD, Mason J, Ahmed A (2001) Vascular endothelial growth factor receptor-1 modulates vascular endothelial growth factor-mediated angiogenesis via nitric oxide. Am J Pathol 159:993–1008PubMedCrossRefGoogle Scholar
- 7.Fisher CM, Kistler JP, Davis JM (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6:1–9PubMedCrossRefGoogle Scholar
- 8.Fontanella M, Rainero I, Gallone S, Rubino E, Fenoglio P, Valfrè W, Garbossa D, Benevello C, Ducati A, Pinessi L (2008) Interleukin 6 gene polymorphisms are not associated with aneurysmal subarachnoid haemorrhage in an Italian population. J Neurol Neurosurg Psychiatry 79:471–473PubMedCrossRefGoogle Scholar
- 9.Fontanella M, Rainero I, Gallone S, Rubino E, Fornaro R, Fenoglio P, Valfrè W, Vaula G, Benevello C, Ducati A, Pinessi L (2010) Interleukin-1 cluster gene polymorphisms and aneurysmal subarachnoid hemorrhage. Neurosurgery 66:1058–1062PubMedCrossRefGoogle Scholar
- 10.Fontanella M, Rainero I, Gallone S, Rubino E, Rivoiro C, Valfrè W, Garbossa D, Nurisso C, Ducati A, Pinessi L (2007) Lack of association between the apolipoprotein E gene and aneurysmal subarachnoid hemorrhage in an Italian population. J Neurosurg 106:245–249PubMedCrossRefGoogle Scholar
- 11.Fontanella M, Valfrè W, Benech F, Carlino C, Garbossa D, Ferrio M, Perez R, Berardino M, Bradac G, Ducati A (2008) Vasospasm after SAH due to aneurysm rupture of the anterior circle of Willis: value of TCD monitoring. Neurol Res 30:256–261PubMedCrossRefGoogle Scholar
- 12.Frösen J, Piippo A, Paetau A, Kangasniemi M, Niemelä M, Hernesniemi J, Jääskeläinen J (2006) Growth factor receptor expression and remodeling of saccular cerebral artery aneurysm walls: implications for biological therapy preventing rupture. Neurosurgery 58:534–541PubMedGoogle Scholar
- 13.Hunt WE, Hess RM (1968) Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–20PubMedCrossRefGoogle Scholar
- 14.Investigators ISUIA (1998) Unruptured intracranial aneurysms—risk of rupture and risks of surgical intervention. N Engl J Med 339:1725–1733CrossRefGoogle Scholar
- 15.Juvela S (2000) Risk factors for multiple intracranial aneurysms. Stroke 31:392–397PubMedCrossRefGoogle Scholar
- 16.Keedy A (2006) An overview of intracranial aneurysms. Mcgill J Med 9:141–146PubMedGoogle Scholar
- 17.Kilic T, Sohrabifar M, Kurtkaya O, Yildirim O, Elmaci I, Günel M, Pamir MN (2005) Expression of structural proteins and angiogenic factors in normal arterial and unruptured and ruptured aneurysm walls. Neurosurgery 57:997–1007PubMedCrossRefGoogle Scholar
- 18.Kim TG, Kim NK, Baek MJ, Huh R, Chung SS, Choi JU, Yu SY (2011) The relationships between endothelial nitric oxide synthase polymorphisms and the formation of intracranial aneurysms in the Korean population. Neurosurg Focus 30:E23PubMedCrossRefGoogle Scholar
- 19.Kim HW, Ko GJ, Kang YS, Lee MH, Song HK, Kim HK, Cha DR (2009) Role of the VEGF 936 C/T polymorphism in diabetic microvascular complications in type 2 diabetic patients. Nephrology (Carlton) 14:681–688CrossRefGoogle Scholar
- 20.Maderna E, Corsini E, Franzini A, Giombini S, Pollo B, Broggi G, Solero CL, Ferroli P, Messina G, Marras C (2010) Expression of vascular endothelial growth factor receptor-1/-2 and nitric oxide in unruptured intracranial aneurysms. Neurol Sci 31:617–623PubMedCrossRefGoogle Scholar
- 21.McCormick ML, Gavrila D, Weintraub NL (2007) Role of oxidative stress in the pathogenesis of abdominal aortic aneurysms. Arterioscler Thromb Vasc Biol 27:461–469PubMedCrossRefGoogle Scholar
- 22.Olsson S, Csajbok LZ, Jood K, Nylén K, Nellgård B, Jern C (2011) Association between genetic variation on chromosome 9p21 and aneurysmal subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry 82:384–388PubMedCrossRefGoogle Scholar
- 23.Paik DC, Fu C, Bhattacharya J, Tilson MD (2004) Ongoing angiogenesis in blood vessels of the abdominal aortic aneurysm. Exp Mol Med 36:524–533PubMedCrossRefGoogle Scholar
- 24.Renner W, Kotschan S, Hoffmann C, Obermayer-Pietsch B, Pilger E (2000) A common 936 C/T mutation in the gene for vascular endothelial growth factor is associated with vascular endothelial growth factor plasma levels. J Vasc Res 37:443–448PubMedCrossRefGoogle Scholar
- 25.Sandalcioglu IE, Wende D, Eggert A, Regel JP, Stolke D, Wiedemayer H (2006) VEGF plasma levels in non-ruptured intracranial aneurysms. Neurosurg Rev 29:26–29PubMedCrossRefGoogle Scholar
- 26.Skirgaudas M, Awad IA, Kim J, Rothbart D, Criscuolo G (1996) Expression of angiogenesis factors and selected vascular wall matrix proteins in intracranial saccular aneurysms. Neurosurgery 39:537–547PubMedGoogle Scholar
- 27.Vincenti V, Cassano C, Rocchi M, Persico G (1996) Assignment of the vascular endothelial growth factor gene to human chromosome 6p21.3. Circulation 93:1493–1495PubMedCrossRefGoogle Scholar