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Updated: May 24, 2026

Assessment of Vascular Tone Responsiveness using Isolated Mesenteric Arteries with a Focus on Modulation by Perivascular Adipose Tissues
Published on: June 3, 2019
Circulating vascular growth factors and central hemodynamic load in the community
Justin P Zachariah1, Vanessa Xanthakis, Martin G Larson
1Framingham Heart Study, 73 Mount Wayte Ave, Framingham, MA 01702-5803, USA.
Insights
Cardiovascular health is linked to vascular growth factors. This study found insulin-like growth factor 1 and vascular endothelial growth factor influence hemodynamic load components, impacting cardiovascular disease risk.
Area of Science:
- Cardiovascular Physiology
- Endocrinology
- Vascular Biology
Background:
- Hemodynamic load, both mean and pulsatile, is associated with cardiovascular disease.
- Vascular growth factors are crucial for vascular remodeling, but their relationship with hemodynamic load is not well understood.
Purpose of the Study:
- To investigate the associations between circulating vascular growth factors and central arterial load components.
- To explore the links between specific growth factors (angiopoietin 2, VEGF, HGF, IGF-1) and hemodynamic measures.
Main Methods:
- Cross-sectional analysis of 3496 participants from the Framingham Heart Study third generation cohort.
- Measured central arterial load using carotid femoral pulse wave velocity, forward pressure wave, mean arterial pressure, and reflection coefficient.
- Assessed circulating concentrations of multiple vascular growth factors and their receptors using multivariable linear regression, adjusted for cardiovascular risk factors.
Main Results:
- Insulin-like growth factor 1 (IGF-1) concentrations were negatively associated with pulse wave velocity, mean arterial pressure, and reflection coefficient.
- Vascular endothelial growth factor (VEGF) levels were positively associated with pulse wave velocity and mean arterial pressure.
- Insulin-like growth factor binding protein 3 (IGFBP3) and soluble angiopoietin 2 receptor (sAng2R) showed positive associations with mean arterial pressure and forward pressure wave, respectively.
Conclusions:
- Circulating vascular growth factor levels are related to central hemodynamic load in a large community-based sample.
- Findings align with the known physiological roles of IGF-1 and VEGF in vascular regulation.
- These associations may provide insights into the mechanisms linking growth factors to cardiovascular disease risk.
Abstract:
Mean and pulsatile components of hemodynamic load are related to cardiovascular disease. Vascular growth factors play a fundamental role in vascular remodeling. The links between growth factors and hemodynamic load components are not well described. In 3496 participants from the Framingham Heart Study third generation cohort (mean age: 40±9 years; 52% women), we related 4 tonometry-derived measures of central arterial load (carotid femoral pulse wave velocity and forward pressure wave, mean arterial pressure, and the global reflection coefficient) to circulating concentrations of angiopoietin 2, its soluble receptor; vascular endothelial growth factor, its soluble receptor; hepatocyte growth factor; insulin-like growth factor 1; and its binding protein 3. Using multivariable linear regression models, adjusted for standard cardiovascular risk factors, serum insulin-like growth factor 1 concentrations were negatively associated with carotid femoral pulse wave velocity, mean arterial pressure, and reflection coefficient (P≤0.01 for all), whereas serum vascular endothelial growth factor levels were positively associated with carotid femoral pulse wave velocity and mean arterial pressure (P<0.04). Serum insulin-like growth factor binding protein 3 and soluble angiopoietin 2 receptor levels were positively related to mean arterial pressure and to forward pressure wave, respectively (P<0.05). In our cross-sectional study of a large community-based sample, circulating vascular growth factor levels were related to measures of mean and pulsatile hemodynamic load in a pattern consistent with the known physiological effects of insulin-like growth factor 1 and vascular endothelial growth factor.
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