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Minimally invasive colon resection for malignant colonic conditions is associated with a transient early increase in plasma sVEGFR1 and a decrease in sVEGFR2 levels after surgery
Authors:H. M. C. Shantha Kumara  J. C. Cabot  A. Hoffman  M. Luchtefeld  M. F. Kalady  N. Hyman  D. Feingold  R. Baxter  R. L. Whelan
Affiliation:(1) Section of Colon and Rectal Surgery, Department of Surgery, New York-Presbyterian Hospital-Columbia Campus, 177 Fort Washington Avenue, New York, NY 10032, USA;(2) Division of Colon and Rectal Surgery, Ferguson Clinic, 4100, Lake Dr. SE, Suite 205, Grand Rapids, MI 49546, USA;(3) Department of Colorectal Surgery, Cleveland Clinic, 9500, Euclid Avenue, A30, Cleveland, OH 44195, USA;(4) Department of Surgery, Fletcher 465, University of Vermont, College of Medicine, Burlington, VT 05401, USA
Abstract:

Introduction  

Plasma VEGF levels increase after minimally invasive colorectal resection (MICR) and remain elevated for 2–4 weeks. VEGF induces physiologic and pathologic angiogenesis by binding to endothelial cell (EC) bound VEGF-Receptor-1 (VEGFR1) and VEGFR2. Soluble forms of these receptors sequester plasma VEGF, decreasing the amount available to bind to EC-bound receptors. Ramifications of surgery-related plasma VEGF changes partially depend on plasma levels of sVEGFR1 and sVEGFR2. This study assessed perioperative sVEGFR1 and sVEGFR2 levels after MICR in patients with colorectal cancer.
Keywords:
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