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INSERM Unité 492, Dépt de Physiologie and Services de Réanimation Médicale et Pneumologie, Hôpital Henri-Mondor, Créteil, France
CORRESPONDENCE: C. Delclaux, INSERM U492, Faculté de Médecine, 8, rue du Général Sarrail, 94010, Créteil, France. Fax: 33 148981777
Keywords: acute respiratory distress syndrome, animal study, bronchoalveolar lavage, human study, Pseudomonas aeruginosa pneumonia
Received: August 29, 2000
Accepted January 31, 2001
Vascular endothelial growth factor (VEGF) is a potent angiogenic and endothelial survival factor, which is abundantly expressed in the normal lung. Conceivably, VEGF may be released by numerous cell types found around the airspaces, including alveolar type 2 cells, alveolar macrophages, and polymorphonuclear neutrophils.
Using a bacteria-induced lung injury model in rats, VEGF expression in lung was investigated. Both VEGF protein and VEGF messenger ribonucleic acid (mRNA), 4 and 24 h after bacterial challenge (Pseudomonas aeruginosa), were decreased compared with sham rats.
VEGF protein was also investigated in bronchoalveolar lavage (BAL) from patients studied within 7 days of acute respiratory distress syndrome (ARDS) onset and in patients without ARDS. VEGF protein levels in BAL were decreased in patients with ARDS versus those without (14.3±11.1 pg·mL1 versus 76.8±51.1 pg·mL1, p=0.03).
In aggregate, these findings show that the initial phase of acute lung injury is associated with a decrease in vascular endothelial growth factor in the lung. This downregulation may represent a protective mechanism aimed at limiting endothelial permeability, and may participate in the decrease in capillary number that is observed during early acute respiratory distress syndrome.
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