
PMC:4134656 / 14811-15337
Annnotations
2_test
In the proliferative phase of IH there is an increased expression of pro-angiogenic factors in particular the vascular endothelial growth factors (VEGF) and basic fibroblast growth factors (bFGF). The intermediate effects of propranolol are due to a downregulation of both VEGF and bFGF resulting in inhibition of proangiogenic cascade and angiogenesis. The long term effect of propranolol is due to apoptosis resulting in regression of haemangiomas.[41] This may be the reason for its use in the post proliferative phase.[41]