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Spider angiomas in patients with liver cirrhosis: Role of vascular endothelial growth factor and basic fibroblast growth factor

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World Journal of Gastroenterology 2003年第12期9卷 2832-2835页

作者： Chun-Pin Li Fa-Yauh Lee Shinn-Jang Hwang Rei-Hwa Lu Wei-Ping Lee Yee Chao Sung-Sang Wang Full-Young Chang Jacqueline Whang-Peng Shou-Dong Lee Division of Gastroenterology Department of MedicineTaipei Veterans General Hospital and Institute of Clinical MedicineNational Yang-Ming University School of MedicineTaipeiTaiwanChina Cancer Center Taipei Veterans General Hospital and National Yang-Ming University School of MedicineTaipeiTaiwanChina Cancer Research Division National Health Research Institutes and Institute of Clinical MedicineNational Yang-Ming University School of MedicineTaipeiTaiwanChina

AIM: To investigate whether vascular endothelial growth factor (VEGF) and basic fibroblastic growth factor (bFGF) are associated wibh spider angiomas in patients wibh liver cirrhosis. METHODS: Eighty-six patients with liver cirrhosis were enrolled and the number and size of the spider angiomas were recorded. Fifty-three healthy subjects were selected as controls. Plasma levels of VEGF and bFGF were measured in both the cirrhotics and the controls. RESULTS: Plasma VEGF and bFGF were increased in cirrhotics compared with controls (122±13 vs. 71±11 pg/mL, P=0.003 for VEGF; 5.1±0.5 vs. 3.4±0.5 pg/mL, P=0.022 for bFGF). In cirrhotics, plasma VEGF and bFGF were also higher in patients with spider angiomas compared with patients without spider angiomas (185±28 vs. 90±10 pg/mL, P=-0.003 for VEGF; 6.8±1.0 vs. 4.1±0.5 pg/mL, P=0.017 for bFGF). Multivariate logistic regression showed that young age and increased plasma levels of VEGF and bFGF were the most significant predictors for the presence of spider angiomas in cirrhotic patients (odds ratio [OR]=6.64, 95% confidence interval[CI]=2.02-21.79, P=0.002; OR=4.35, 95% CI=1.35-14.01,P=0.014; OR=5.66, 95% CI=1.72-18.63, P=0.004, respectively). CONCLUSION: Plasma VEGF and bFGF are elevated inpatients with liver cirrhosis. Age as well as plasma levels of VEGF and bFGF are significant predictors for spider angiomas in cirrhotic patients.

关键词：血管内皮生长因子基质纤维原细胞生长因子肝硬化蛛形血管瘤作用机制

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