Involvement of vascular endothelial growth factor in schizophrenia

Neurosci Lett. 2021 Aug 24:760:136093. doi: 10.1016/j.neulet.2021.136093. Epub 2021 Jun 30.

Abstract

Vascular endothelial growth factor (VEGF), which acts as an angiogenic and neurotrophic factor, is involved the regulation of cerebral blood volume and flow in Schizophrenia (SCZ). Several evidence indicates that modification of brain blood circulation due to alterations in the VEGF system affects cognitive performance and brain function in patients with SCZ. The aim of this study is: 1) To analyze the literature data concerning the role of VEGF in modulating the angiogenic response in SCZ. These data are controversial because some studies found elevated VEGF serum levels of VEGF in patients with SCZ, whereas others demonstrated no significant differences between SCZ patients and controls. 2)To analyze the role of VEGF as a predictive factor on the effects of antipsychotics agents used in the treatment of SCZ. In this context, high VEGF levels, associated to better responses to antipsychotics, might be predictive of the use of first generation antipsycotic drugs, whereas low VEGF levels, expression of resistance to therapy, might be predictive for the use of second generation antipsycotic drugs.

Keywords: Angiogenesis; Antipsychotics agents; Neuronal development; Schizophrenia; Vascular endothelial growth factor.

Publication types

  • Review

MeSH terms

  • Antipsychotic Agents / pharmacology
  • Antipsychotic Agents / therapeutic use*
  • Biomarkers / blood
  • Biomarkers / metabolism
  • Brain / blood supply
  • Brain / drug effects
  • Brain / physiopathology
  • Cerebrovascular Circulation / physiology*
  • Cognitive Dysfunction / blood
  • Cognitive Dysfunction / diagnosis
  • Cognitive Dysfunction / drug therapy*
  • Cognitive Dysfunction / physiopathology
  • Disease Progression
  • Humans
  • Schizophrenia / blood
  • Schizophrenia / complications
  • Schizophrenia / drug therapy*
  • Schizophrenia / physiopathology
  • Treatment Outcome
  • Vascular Endothelial Growth Factor A / blood
  • Vascular Endothelial Growth Factor A / metabolism*

Substances

  • Antipsychotic Agents
  • Biomarkers
  • VEGFA protein, human
  • Vascular Endothelial Growth Factor A