Angiogenesis and pro-angiogenic factors in uterine fibroids - facts and myths

Folia Med Cracov. 2016;56(2):37-43.

Abstract

Uterine leiomyomata present major problem for females. Although they are benign tumors their frequency is associated with many symptoms like infertility, abdominal pain, menorrhagia. Authors based on their own morphological studies and review of the literature try to indicate main factors causing angiogenesis within leiomyomata and its influence on tumor growth. The strongest proangiogenic factor seems to be hypoxia, which stimulates up- and down-regulation of numerous genetically determined substances. Also mechanical pressure acting upon newly growing vessels is one of the factors which may determine formation of so called "vascular pseudocapsule" around the lesion.

Keywords: angiogenesis; microvessel density; uterine leiomyomata.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inducing Agents / metabolism*
  • Female
  • Humans
  • Intercellular Signaling Peptides and Proteins / metabolism
  • Leiomyoma / blood supply*
  • Myometrium / blood supply*
  • Neovascularization, Pathologic
  • Uterine Neoplasms / blood supply*
  • Uterus / blood supply*
  • Vascular Endothelial Growth Factors / metabolism

Substances

  • Angiogenesis Inducing Agents
  • Intercellular Signaling Peptides and Proteins
  • Vascular Endothelial Growth Factors