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Updated: Dec 13, 2025

In Vitro Model of Coronary Angiogenesis
Published on: March 10, 2020
VEGF-A in Cardiomyocytes and Heart Diseases
Mariantonia Braile1,2, Simone Marcella1,2, Leonardo Cristinziano1,2
1Department of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, 80131 Naples, Italy.
Insights
Vascular Endothelial Growth Factor (VEGF) plays a dual role in cardiovascular diseases (CVD). While it aids heart cell repair, high levels are linked to poor prognosis, suggesting therapeutic control is key.
Area of Science:
- Cardiovascular Biology
- Angiogenesis Research
- Molecular Medicine
Background:
- Vascular Endothelial Growth Factor (VEGF) is central to angiogenesis, the formation of new blood vessels.
- Cardiomyocytes (CM) produce and respond to VEGF-A, expressing its receptors VEGFR1 and VEGFR2.
- VEGF-A's role in the heart is complex, influencing CM function and being produced during cardiac stress.
Purpose of the Study:
- To review the expression and effects of VEGF-A on cardiomyocytes.
- To explore the role of VEGF-A in cardiovascular diseases (CVD).
- To discuss the therapeutic potential of controlling angiogenesis and VEGF-A in heart disease.
Main Methods:
- Literature review of current knowledge on VEGF-A and cardiomyocytes.
- Analysis of studies on VEGF-A's involvement in various cardiovascular conditions.
- Examination of clinical data regarding angiogenesis therapy for heart disease.
Main Results:
- VEGF-A activates cardiomyocytes, promoting morphogenesis, contractility, and wound healing.
- Cardiomyocytes produce VEGF-A in response to inflammation, mechanical stress, and cytokines.
- Elevated VEGF-A levels in CVD patients often correlate with increased disease severity and worse outcomes.
Conclusions:
- VEGF-A has a significant, multifaceted role in cardiovascular health and disease.
- Understanding VEGF-A's impact on cardiomyocytes is crucial for cardiovascular research.
- Targeting angiogenesis and VEGF-A may offer therapeutic strategies to improve outcomes for heart disease patients.
Abstract:
The vascular endothelial growth factor (VEGF), a homodimeric vasoactive glycoprotein, is the key mediator of angiogenesis. Angiogenesis, the formation of new blood vessels, is responsible for a wide variety of physio/pathological processes, including cardiovascular diseases (CVD). Cardiomyocytes (CM), the main cell type present in the heart, are the source and target of VEGF-A and express its receptors, VEGFR1 and VEGFR2, on their cell surface. The relationship between VEGF-A and the heart is double-sided. On the one hand, VEGF-A activates CM, inducing morphogenesis, contractility and wound healing. On the other hand, VEGF-A is produced by CM during inflammation, mechanical stress and cytokine stimulation. Moreover, high concentrations of VEGF-A have been found in patients affected by different CVD, and are often correlated with an unfavorable prognosis and disease severity. In this review, we summarized the current knowledge about the expression and effects of VEGF-A on CM and the role of VEGF-A in CVD, which are the most important cause of disability and premature death worldwide. Based on clinical studies on angiogenesis therapy conducted to date, it is possible to think that the control of angiogenesis and VEGF-A can lead to better quality and span of life of patients with heart disease.
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