How we use angiopoietin-2 in the diagnosis and management of vascular anomalies

Pediatr Blood Cancer. 2024 May;71(5):e30921. doi: 10.1002/pbc.30921. Epub 2024 Mar 4.

Abstract

The diagnosis of vascular anomalies remains challenging due to significant clinical heterogeneity and uncertain etiology. Evaluation using biopsy and/or genetic testing for somatic variants is invasive, expensive, and prone to sampling error. There is great need for noninvasive and easily measured blood laboratory biomarkers that can aid not only in diagnosis, but also management of treatments for vascular anomalies. Angiopoietin-2, a circulating blood angiogenic factor, is highly elevated in patients with kaposiform hemangioendothelioma with Kasabach-Merritt phenomenon and kaposiform lymphangiomatosis. Here, we describe our clinical experience using serum angiopoietin-2 as a biomarker for diagnosis and monitoring response to treatment.

Keywords: angiopoietin‐2; kaposiform hemangioendothelioma; kaposiform lymphangiomatosis; vascular anomaly.

MeSH terms

  • Angiopoietin-2* / blood
  • Biomarkers / blood
  • Hemangioendothelioma / blood
  • Hemangioendothelioma / diagnosis
  • Hemangioendothelioma / therapy
  • Humans
  • Kasabach-Merritt Syndrome / blood
  • Kasabach-Merritt Syndrome / diagnosis
  • Kasabach-Merritt Syndrome / therapy
  • Vascular Malformations* / blood
  • Vascular Malformations* / diagnosis
  • Vascular Malformations* / therapy

Substances

  • Angiopoietin-2
  • Biomarkers