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Blood, 15 August 2001, Vol. 98, No. 4, pp. 1255-1257
BRIEF REPORT
Levels of vascular endothelial growth factor are elevated in
patients with obstructive sleep apnea-hypopnea syndrome
Shigehiko Imagawa,
Yuji Yamaguchi,
Masato Higuchi,
Tomohiro Neichi,
Yuichi Hasegawa,
Harumi Y. Mukai,
Norio Suzuki,
Masayuki Yamamoto, and
Toshiro Nagasawa
From the Division of Hematology, Institute of Clinical
Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan; Center for
Sleep Respiratory Disorder at Fukuoka, Fukuoka, Japan; Chugai
Pharmaceutical Co, Ltd, Tokyo, Japan; and Center for Tsukuba Advanced
Research Alliance and Institute of Basic Medical Sciences, University
of Tsukuba, Tsukuba, Ibaraki, Japan.
To better understand how humans adapt to hypoxia, the levels of
hemoglobin (Hb), serum erythropoietin (Epo), and vascular endothelial
growth factor (VEGF) were measured in 106 patients with severe
obstructive sleep apnea-hypopnea syndrome. The results indicated that
temporal hypoxic stimulation increases Hb. Furthermore, a minor
increase in Epo and a substantial increase in VEGF were found. The
induction in patients with severe sleep apnea was greater than that
reported in other types of hypoxia.

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Blood levels of vascular endothelial growth factor in obstructive sleep apnea- hypopnea syndrome
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