Local VEGF inhibition prevents ovarian alterations associated with ovarian hyperstimulation syndrome

J Steroid Biochem Mol Biol. 2014 Oct:144 Pt B:392-401. doi: 10.1016/j.jsbmb.2014.08.013. Epub 2014 Aug 23.

Abstract

The relationship between human chorionic gonadotropin and ovarian hyperstimulation syndrome (OHSS) is partially mediated by vascular endothelial growth factor A (VEGF). The aim of this study was to investigate the effects of VEGF inhibition on the development of corpora lutea (CL) and cystic structures, steroidogenesis, apoptosis, cell proliferation, endothelial cell area, VEGF receptors (KDR and Flt-1), claudin-5 and occludin levels in ovaries from an OHSS rat model. The VEGF inhibitor used (VEGF receptor-1 (FLT-1)/Fc chimera, TRAP) decreased the concentrations of progesterone and estradiol as well as the percentage of CL and cystic structures in OHSS rats, and increased apoptosis in CL. Endothelial cell area in CL and KDR expression and its phosphorylation were increased, whereas claudin-5 and occludin levels were decreased in the OHSS compared to the control TRAP reversed these parameters. Our findings indicate that VEGF inhibition prevents the early onset of OHSS and decreases its severity in rats.

Keywords: Angiogenesis; Apoptosis; Cell proliferation; OHSS; Ovary; VEGF.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiogenesis Inhibitors / pharmacology*
  • Animals
  • Apoptosis / drug effects
  • Cell Proliferation / drug effects
  • Claudin-5 / metabolism
  • Endothelial Cells / drug effects
  • Endothelial Cells / metabolism
  • Estradiol / blood
  • Female
  • Occludin / metabolism
  • Ovarian Hyperstimulation Syndrome / metabolism*
  • Ovarian Hyperstimulation Syndrome / pathology
  • Ovary / drug effects
  • Ovary / metabolism
  • Ovary / pathology
  • Progesterone / blood
  • Rats, Sprague-Dawley
  • Receptors, Vascular Endothelial Growth Factor / pharmacology*
  • Recombinant Fusion Proteins / pharmacology*
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors*
  • Vascular Endothelial Growth Factor Receptor-1 / metabolism
  • Vascular Endothelial Growth Factor Receptor-2 / metabolism

Substances

  • Angiogenesis Inhibitors
  • Claudin-5
  • Cldn5 protein, rat
  • Occludin
  • Ocln protein, rat
  • Recombinant Fusion Proteins
  • Vascular Endothelial Growth Factor A
  • vascular endothelial growth factor A, rat
  • aflibercept
  • Progesterone
  • Estradiol
  • Flt1 protein, rat
  • Receptors, Vascular Endothelial Growth Factor
  • Vascular Endothelial Growth Factor Receptor-1
  • Vascular Endothelial Growth Factor Receptor-2