Evidence map›Paper›PMID 40420164›Full record

ArticleOrphanet journal of rare diseases2025

Associations of VEGF-D levels with clinical manifestations in lymphangioleiomyomatosis: a cross-sectional analysis of 631 cases.

Luning Yang, Hanghang Wang, Chongsheng Cheng, Miaoyan Zhang, Danjing Hu, Yani Wang, Tengyue Zhang, Xiaoxin Zhang, Song Liu, Wenshuai Xu and 7 more

Abstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Current insight into the molecular mechanisms of lymphangioleiomyomatosis.American journal of respiratory cell and molecular biology · 2026
    Review
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Luning Yang *Department of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Hanghang Wang *Department of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Chongsheng ChengDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Miaoyan ZhangDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Danjing HuDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Yani WangDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Tengyue ZhangDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xiaoxin ZhangDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Song LiuCenter for Bioinformatics, National Infrastructures for Translational Medicine, Institute of Clinical Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Wenshuai XuDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Junya LiuDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Jinrong DaiDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Shuzhen MengDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Yanli YangDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Shao-Ting WangDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xinlun TianDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Kai-Feng XuDepartment of Pulmonary and Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. xukf@pumch.cn.ORCID http://orcid.org/0000-0002-7662-531X

Funding

Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences CIFMS 2021-I2M-1-003National High-Level Hospital Clinical Research Funding 2022-PUMCH-A-201National Key R&D Program of China 2022YFC2703901National Natural Science Foundation of China 82170084National Natural Science Foundation of China U20A20341PUMCH High Quality Clinical Research Project 2022-PUMCH-B-107
6 · The paper itself

Abstract

backgroundLymphangioleiomyomatosis (LAM) is a rare neoplastic disorder characterized predominantly by dyspnea, recurrent pneumothorax, chylous effusion and diffuse pulmonary cystic changes in women. Vascular endothelial growth factor-D (VEGF-D) is an important biomarker for LAM.

resultsThis study cohort comprised 631 LAM patients and investigated the correlations between serum VEGF-D levels and clinical manifestations of LAM. The median serum level of VEGF-D was 1452pg/ml (820.0-2659pg/ml) among the study population. Patients with highly-elevated VEGF-D levels exhibited younger age, lower BMI, and a higher prevalence of tuberous sclerosis complex (TSC). Elevated VEGF-D levels were associated with a lower prevalence of pneumothorax and angiomyolipomas (AMLs), and a higher risk for retroperitoneal lymphangioleiomyomas and chylous effusion. Elevated VEGF-D levels were associated with increased High-Resolution Computed Tomography (HRCT) LAM grading, reduced forced expiratory volume in one second (FEV

conclusionsThe findings highlighted the pivotal role of serum VEGF-D in LAM pathophysiology and underscore that age, TSC, retroperitoneal LAM, chylous effusion, AMLs, and high HRCT grade were independent risk factors for increased VEGF-D levels. VEGF-D is a valuable biomarker in evaluation of LAM and improve the efficiency of diagnostic algorithm.

Indexed as

LymphangioleiomyomatosisVascular Endothelial Growth Factor DAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedTuberous SclerosisYoung AdultVascular Endothelial Growth Factor DVEGFD protein, humanLymphangioleiomyomatosisTuberous sclerosis complexVascular endothelial growth factor-D

Identifiers

PMID40420164
PMCPMC12108032

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.