With that said, it’s unclear if year-round elevated VEGF is desirable, even in the context of a cancer-free patient. Perhaps it’s something one would want to only intermittently stimulate. Here’s what ChatGPT 4.5 had to say given the query
Is there a downside to elevated (high-normal to borderline high) VEGF at all times assuming no cancer is present? Eg year-round stimulation via HBOT
Elevated VEGF (Vascular Endothelial Growth Factor) levels, even within a high-normal to borderline-high range, can lead to physiological changes that may have potential downsides if sustained chronically. Assuming no cancer is present, continuously elevated VEGF—such as that induced by frequent hyperbaric oxygen therapy (HBOT)—can lead to:
- Abnormal Angiogenesis and Capillary Leakage:
Chronic elevation of VEGF could cause excessive formation of fragile new blood vessels, potentially resulting in abnormal vascular networks. This may increase the risk of capillary permeability, tissue edema, and localized inflammation. Examples include retinal neovascularization, which can compromise visual acuity, and peripheral edema.
- Chronic Inflammation and Fibrosis:
Persistently elevated VEGF levels can promote chronic inflammatory responses, increasing the deposition of extracellular matrix components and collagen. This may result in fibrosis, altering tissue elasticity and potentially impairing normal organ function. For example, in pulmonary tissue, elevated VEGF levels over time might contribute to interstitial fibrosis or thickening.
- Increased Vascular Permeability and Edema:
Elevated VEGF enhances vascular permeability, which, if maintained chronically, can lead to persistent fluid leakage into surrounding tissues, causing edema. Such edema could potentially exacerbate chronic conditions such as congestive heart failure, kidney dysfunction, or cerebral edema.
- Potential Acceleration of Non-cancerous Pathologies:
Elevated VEGF has been associated with conditions other than cancer, including macular degeneration, diabetic retinopathy, rheumatoid arthritis, and psoriasis, suggesting chronic elevations could exacerbate or predispose an individual to these conditions over the long term.
- Cardiovascular Implications:
Sustained angiogenesis and elevated VEGF could theoretically influence cardiovascular health negatively through dysfunctional vessel growth or abnormal vascular remodeling. While controlled angiogenesis is beneficial in healing ischemic tissues, uncontrolled or chronic angiogenesis can sometimes result in unstable or fragile vessels.
Contextual Consideration:
HBOT-induced VEGF elevation is typically intermittent and controlled. However, continuous or excessively frequent exposure could theoretically magnify the physiological consequences outlined above, especially over extended periods.
If considering ongoing HBOT or another VEGF-stimulating intervention, monitoring markers of inflammation, endothelial function, and tissue health periodically may help detect adverse physiological responses early.