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Updated: Jul 16, 2026

A Simple Bioassay for the Evaluation of Vascular Endothelial Growth Factors
Published on: March 15, 2016
Genetic polymorphisms for vascular endothelial growth factor in perinatal complications
Ilona Bányász1, Géza Bokodi, Barna Vásárhelyi
11st Department of Pediatrics, Semmelweis University, 1083 Budapest, Bókay J. u. 53-54., Hungary. banyasz@gyer1.sote.hu
Insights
Genetic variations in vascular endothelial growth factor (VEGF) are linked to preterm birth and serious infant complications. Specific VEGF polymorphisms increase risks for necrotizing enterocolitis and acute renal failure in low birth weight infants.
Area of Science:
- Perinatal Medicine
- Medical Genetics
- Neonatology
Background:
- Low birth weight (LBW) infants face higher risks of perinatal complications due to immature vascular systems.
- Vascular Endothelial Growth Factor (VEGF), crucial for embryonic blood vessel development, is implicated in these complications.
Purpose of the Study:
- To investigate the association between functional genetic polymorphisms of VEGF and the risk of preterm birth or perinatal morbidity in LBW infants.
Main Methods:
- Genotyping of VEGF T-460C, C-2578A, and G+405C polymorphisms in 128 LBW infants using real-time PCR or PCR-RFLP.
- Comparison of VEGF genotypes with 200 healthy, term neonates.
Main Results:
- The VEGF+405 C allele was more prevalent in LBW infants (OR: 1.29).
- VEGF -2578A allele carrier status was an independent risk factor for necrotizing enterocolitis (NEC) (aOR: 2.77).
- VEGF -2578AA genotype carriers showed a reduced risk of acute renal failure (ARF) (aOR: 0.2).
Conclusions:
- VEGF G+405C polymorphism may be associated with an increased risk of preterm birth.
- VEGF C-2578A polymorphism appears to play a role in the pathogenesis of perinatal complications like NEC and ARF in LBW infants.
Abstract:
Low birth weight (LBW) infants have increased susceptibility to perinatal complications. An immature and impaired vascular system may possibly participate in these complications. There is evidence that supports the notion that vascular endothelial growth factor (VEGF), which is an essential regulator of embryonic angiogenesis, plays a central role in the pathogenesis of perinatal complications. We aimed to test whether functional genetic polymorphisms of VEGF are associated with the risk of preterm birth or perinatal morbidity. We enrolled 128 LBW infants (< or = 1500 grams). VEGF T-460C, VEGF C-2578A and VEGF G+405C polymorphisms were determined by real-time PCR or PCR-RFLP, respectively. Their genotypes were compared with VEGF genotypes of 200 healthy, term neonates. The prevalence of the VEGF+405 C allele was higher in LBW infants than in healthy, term neonates (OR [95% CI]: 1.29 [1.01-1.65]). Carrier state for the VEGF -2578A allele was an independent risk factor for enterocolitis necrotisans (NEC) (adjusted OR [95% CI]: 2.77 [1.00-7.65]). The carrier state for the VEGF -2578AA genotype was associated with a decreased risk of acute renal failure (ARF) (adjusted OR [95% CI]: 0.2 [0.05-0.78]). These results suggest that VEGF G+405C polymorphism might be associated with a higher risk of preterm birth and that VEGF C-2578A polymorphism may participate in the development of perinatal complications such as NEC and ARF.
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