Skip to main content

Advertisement

Log in

VEGF and GM-CSF levels in nodular thyroid diseases

  • Original Article
  • Published:
Endocrine Aims and scope Submit manuscript

Abstract

VEGF is a specific mitogen for endothelial cells. GM-CSF is a key player in the regulation of steady-state functions. The aim of this study was to evaluate VEGF and GM-CSF levels in thyroid nodules >1 cm, which are negative for malignancy with fine needle aspiration biopsy. Age, serum VEGF, GM-CSF, TSH, fT3, fT4, anti-TG, anti-TPO, thyroid size, and thyroid volume were compared between 41 female patients and 20 healthy female volunteers. This study was performed with 41 female patients who were euthyroid and whose nodules were benign. Twenty healthy female volunteers were enrolled as the control group. VEGF and GM-CSF were assayed by ELISA; TSH, fT3, and fT4 were detected by electrochemiluminescence method and anti-TPO and anti-TG were detected by competitive immunoassay method. Only thyroid volume and anti-TG levels were significantly different between the two groups (p < 0.007 and p < 0.026, respectively). Other parameters including VEGF and GM-CSF were not significantly different. VEGF has a weak positive correlation only with anti-TPO levels in the patient group (r = 0.325, p = 0.036). There was a weak positive correlation between anti-TPO and anti-TG (r = 0.388, p = 0.007). There was a positive correlation between nodule size and thyroid volume (r = 0.464, p = 0.015). GM-CSF was not correlated with any parameters. VEGF and GM-CSF were not found to be increased in euthyroid patients with benign nodules and they do not seem to play a role in development of simple nodular goiter.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Abbreviations

VEGF:

Vascular endothelial growth factor

GM-CSF:

Granulocyte macrophage colony-stimulating factor

TSH:

Thyroid-stimulating hormone

fT3:

Free triiodothyronine

fT4:

Free thyroxine

Anti-TG:

Anti-thyroglobulin

Anti-TPO:

Anti-thyroid peroxidase

References

  1. M.J. Welker, D. Orlov, Thyroid nodules. Am. Fam. Physician 67(3), 559–566 (2003)

    PubMed  Google Scholar 

  2. C.D. Lansford, T.N. Teknos, Evaluation of the thyroid nodule. Cancer Control 13(2), 86–98 (2006)

    Google Scholar 

  3. R.V. Data, N.J. Petrelli, J. Ramzy, Evaluation and management of incidentally discovered thyroid nodules. Surg. Oncol. 15, 33–42 (2006)

    Article  Google Scholar 

  4. C.Y. Eng, M.S. Quraishi, P.J. Bradley, Management of thyroid nodules in adult patients. Head Neck Oncol. 5, 2–11 (2010)

    Google Scholar 

  5. A. Jebreel, J. England, K. Bedford, J. Murphy, L. Karsal, S. Atkin, Vascular endothelial growth factor (VEGF), VEGF receptors expression and microvascular density in benign and malignant thyroid diseases. Int. J. Exp. Pathol. 88, 271–277 (2007)

    Article  PubMed Central  PubMed  Google Scholar 

  6. E. Vassilatou, M. Fisfis, G. Morphopoulos, E. Voucouti, K. Stefanoudaki, I. Tzavara, Papillary thyroid carcinoma producing granulocyte-macrophage colony-stimulating factor is associated with neutrophilia and eosinophilia. Hormones 5(4), 303–309 (2006)

    Article  PubMed  Google Scholar 

  7. T.R. Hercus, T. Daniel, M.A. Guthridge, P.G. Ekert, J. King-Scot, M.W. Parker, A.F. Lopez, The granulocyte-macrophage colony-stimulating factor receptor: linking its structure to cell signaling and its role in disease. Am. Soc. Hematol. 114(7), 1289–1298 (2009)

    CAS  Google Scholar 

  8. R.M. Tuttle, M. Fleisher, G.L. Francis, R.J. Robbins, Serum vascular endothelial growth factor levels are elevated in metastatic differentiated thyroid cancer but not increased by short-term TSH stimulation. J. Clin. Endocrinol. Metab. 87, 1737–1742 (2002)

    CAS  PubMed  Google Scholar 

  9. M. Iitaka, S. Miura, K. Yamanaka, S. Kawasaki, S. Kitahama, Y. Kawakami, I. Oosuga, S. Wada, S. Katayama, Increased serum vascular endothelial growth factor levels and intrathyroidal vascular area in patients with Graves’ disease and Hashimoto’s thyroiditi. J. Clin. Endocrinol. Metab. 83(11), 3908–3912 (1998)

    CAS  PubMed  Google Scholar 

  10. K. Sato, M. Miakawa, N. Onoda, H. Demura, T. Yamashita, M. Miura, T. Kasajima, K. Yamazaki, T. Obara, Increased concentration of vascular endothelial growth factor/vascular permeability factor in cyst fluid of enlarging and recurrent thyroid nodules. J. Clin. Endocrinol. Metab. 82(6), 1968–1973 (1997)

    CAS  PubMed  Google Scholar 

  11. G. Viglietto, D. Maglione, M. Rambaldi, J. Cerutti, A. Romano, F. Trapasso, M. Fedele, P. Ippolito, G. Chiappetta, G. Botti, Upregulation of vascular endothelial growth factor (VEGF) and downregulation of placenta growth factor (PIGF) associated with malignancy in human thyroid tumors and cell lines. Oncogene 11, 1569–1579 (1995)

    CAS  PubMed  Google Scholar 

  12. J.F. Wang, V. Milosveski, C. Schramek, G.H. Fong, G.P. Becks, D.J. Hill, Presence and possible role of vascular endothelial growth factor in thyroid cell growth and function. J. Endocrinol. 157, 5–12 (1998)

    Article  CAS  PubMed  Google Scholar 

  13. R. Katoh, E. Miyagi, A. Kawaoi, A. Hemmi, A. Komiyana, T. Oyama, M. Shibuya, Expression of vascular endothelial growth factor (VEGF) in human thyroid neoplasms. Hum. Pathol. 30(8), 891–897 (1999)

    Article  CAS  PubMed  Google Scholar 

  14. C. Fenton, A. Patel, C. Dinauer, D.K. Robie, R.M. Tuttle, G.L. Francis, The expression of vascular endothelial growth factor and the type 1 vascular endothelial growth factor receptor correlate with the size of papillary thyroid carcinoma in children and young adults. Thyroid 10(4), 349–357 (2000)

    Article  CAS  PubMed  Google Scholar 

  15. E.Y. Soh, Q.Y. Duh, S.A. Sobhi, D.M. Young, H.D. Epstein, M.G. Wong, Y.K. Garcia, Y.D. Min, R.F. Grossman, A.E. Siperstein, O.H. Clark, Vascular endothelial growth factor expression is higher in differentiated thyroid cancer than in normal or benign thyroid. J. Clin. Endocrinol. Metab. 82, 3741–3747 (1997)

    CAS  PubMed  Google Scholar 

  16. J.D. Ramsden, Angiogenesis in the thyroid gland. J. Endocrinol. 166, 475–480 (2000)

    Article  CAS  PubMed  Google Scholar 

  17. S. Nagura, R. Katoh, E. Miyagi, M. Shibuya, A. Kawaoi, Expression of vascular endothelial growth factor (VEGF) and VEGF receptor-1 (flt-1)in Graves disease possibly correlated with increased vascular density. Hum. Pathol. 32, 110–117 (2001)

    Article  Google Scholar 

  18. M. Klein, E. Picard, J.M. Vignaud, B. Marie, L. Bresler, B. Toussaint, G. Weryha, A. Duprez, J. Leclere, Vascular endothelial growth factor gene and protein: strong expression in thyroiditis and thyroid carcinoma. J. Endocrinol. 161, 41–49 (1999)

    Article  CAS  PubMed  Google Scholar 

  19. T. Sato, M. Omura, J. Saito, A. Hirasawa, Y. Kakuta, Y. Wakabayashi, T. Nishikawa, Neutrophilia associated with anaplastic carcinoma of the thyroid: production of macrophage colony-stimulating factor(M-CSF) and interleukin-6. Thyroid 10, 1113–1118 (2000)

    Article  CAS  PubMed  Google Scholar 

  20. H. Asakawa, T. Kobayashi, The secretion of cytokines and granulocyte colony stimulating factor by anaplastic and poorly differentiated thyroid carcinoma cell lines. Anticancer Res. 19, 761–764 (1999)

    CAS  PubMed  Google Scholar 

  21. K. Kasai, N. Banba, S. Motohashi, H. Fukuda, K. Manaka, M. Matsumura, Y. Sekiguchi, Y. Hattor, Production of granulocyte/macrophage and macrophage colony-stimulating factor by human thyrocytes in culture. Biochem. Biophys. Res. Commun. 238, 191–196 (1997)

    Article  CAS  PubMed  Google Scholar 

  22. M.K. Luidens, S.A. Mousa, F.B. Davis, H.Y. Lin, P.I. Davis, Thyroid hormone and angiogenesis. Vasc. Pharmacol. 52, 142–145 (2010)

    Article  CAS  Google Scholar 

  23. N. Ferrara, K. Houck, L. Jakeman, D.W. Leung, Molecular and biological properties of the vascular endothelial growth factor family of proteins. Endocr. Rev. 13, 18–32 (1992)

    CAS  PubMed  Google Scholar 

  24. M. Celano, M. Sponziello, G. Tallini, V. Maggisano, R. Bruno, M. Dima, E. Di Oto, A. Redler, C. Durante, R. Sacco, S. Filetti, D. Russo, Increased expression of pro-angiogenic factors and vascularization in thyroid hyperfunctioning adenomas with and without TSH receptor activating mutations. Endocrine 43(1), 147–153 (2013)

    Article  CAS  PubMed  Google Scholar 

  25. I. Hassan, A. Wunderlich, E. Slater, S. Hoffmann, I. Celik, A. Zielke, Antisense p53 decreases production of VEGF in follicular thyroid cancer cells. Endocrine 29(3), 409–412 (2006)

    Article  CAS  PubMed  Google Scholar 

  26. A. Itoh, K. Iwase, S. Jimbo, H. Yamamoto, N. Yamamoto, M. Kokubo, T. Senda, A. Nakai, A. Nagagasaka, T. Nagasaka, Yç Hibi, T. Seko, Expression of vascular endothelial growth factor and presence of angiovascular cells in tissues from different thyroid disorders. World J. Surg. 34, 242–248 (2010)

    Article  PubMed  Google Scholar 

  27. C.C. Hsueh, J.D. Lin, I.C. Wu, T.C. Chao, J.S. Yu, M.I. Liou, C.J. Yeh, Vascular endothelial growth factors and angiopoietins in presentations and prognosis of papillary thyroid carcinoma. J. Surg. Oncol. 103(5), 395–399 (2011)

    Article  CAS  PubMed  Google Scholar 

  28. P. Malkomes, E. Oppermann, W.O. Bechstein, K. Holzer, Vascular endothelial growth factor—marker for proliferation in thyroid diseases? Exp. Clin. Endocrinol. Diabetes 121, 6–13 (2013)

    Article  CAS  PubMed  Google Scholar 

  29. K. Sato, K. Yamazaki, K. Shizume, Y. Kanaji, T. Obara, K. Ohsumi, H. Demura, S. Yamaguchi, M. Shibuya, Stimulation of thyroid-stimulating hormone and Graves immunoglobulin G of vascular endothelial growth factor mRNA expression in human thyroid follicles in vitro and flt mRNA expression in the rat thyroid in vivo. J. Clin. Investig. 96, 1295–1302 (1995)

    Article  CAS  PubMed  Google Scholar 

  30. K. Sato, Vascular endothelial growth factors and thyroid disorders. Endocr. J. 48(6), 635–646 (2001)

    Article  CAS  PubMed  Google Scholar 

  31. T.R. Hercus, D. Thomas, M.A. Guthridge, P.G. Ekert, J. King-Scot, M.W. Parker, A.F. Lopez, The granulocyte-macrophage colony-stimulating factor receptor: linking its structure to cell signaling and its role in disease. Blood 114(7), 1289–1298 (2009)

    Article  CAS  PubMed  Google Scholar 

  32. A.J. Fleetwood, A.D. Cook, J.A. Hamilton, Functions of granulocyte-macrophage colony stimulating factor. Crit. Rev. Immunol. 25(5), 405–428 (2005)

    Article  CAS  PubMed  Google Scholar 

  33. J.A. Hamilton, Colony-stimulating factors in inflammation and autoimmunity. Trends Immunol. 23(8), 403–408 (2002)

    Article  CAS  PubMed  Google Scholar 

  34. C. Lamagna, M. Aurrand-Lions, B.A. Imhof, Dual role of macrophages in tumor growth and angiogenesis. J. Leukoc. Bio. 80, 705–713 (2006)

    Article  CAS  Google Scholar 

Download references

Conflict of interest

No financial conflict of interest exists. The author does not have any potential conflict of interest on the discussed topic.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Birsen Bilgici.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bilgici, B., Ecemis, G.C., Tuncel, O.K. et al. VEGF and GM-CSF levels in nodular thyroid diseases. Endocrine 45, 61–66 (2014). https://doi.org/10.1007/s12020-013-9945-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12020-013-9945-7

Keywords

Navigation