1. Biological effects of a software-controlled voltage pulse generator (PhyBack PBK-2C) on the release of vascular endothelial growth factor (VEGF).
- Author
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Ferroni P, Roselli M, Guadagni F, Martini F, Mariotti S, Marchitelli E, and Cipriani C
- Subjects
- Aged, Algorithms, Cytokines metabolism, E-Selectin blood, Electric Stimulation instrumentation, Female, Humans, Italy, Kinetics, Male, Middle Aged, Nitric Oxide biosynthesis, Peripheral Vascular Diseases physiopathology, Pilot Projects, Solubility, Tumor Necrosis Factor-alpha metabolism, Vascular Endothelial Growth Factor A blood, Electric Stimulation methods, Equipment and Supplies, Peripheral Vascular Diseases therapy, Software, Vascular Endothelial Growth Factor A metabolism
- Abstract
Background: Electrical stimulation (ES) may induce vascular permeability and physiological angiogenesis. ES of rat muscles significantly increases the microvessel density and vascular endothelial growth factor (VEGF) protein levels. Thus, a pilot study was designed to analyze the effects of low-voltage electric impulses on VEGF levels in patients with dystrophic ulcers., Materials and Methods: Circulating VEGF levels were analyzed in 9 patients undergoing an ES session with low voltage software-controlled impulses applied through topical transducers (1-9 micros width, 1-420-Hz frequency and 30-120 V strength-100 microA max)., Results: The session was accompanied by a peak of circulating VEGF (3-10 min from start) in all 9 patients, which was preceded by a rise of TNF-alpha (2-min) and was independently associated with soluble E-selectin levels. Nitric oxide generation was significantly improved on the day after treatment. No hemostatic activation or sustained inflammatory reaction were observed., Conclusion: ES may represent a safe method for augmenting VEGF-mediated vascular protection, either directly or by induction of NO.
- Published
- 2005