Purpose: Vascular endothelial growth factor (VEGF) plays an important role in promoting angiogenesis and osteogenesis during fracture repair Our previous studies have shown that cell-based VEGF gene therapy enhances bone healing of a rabbit tibia segmental bone defect in vivo The aim of this project was to examine the effect of exogenous human VEGF on the endogenous rat VEGF messenger RNA (mRNA) expression in a cell-based gene transfer model Methods: Rat fibroblasts and osteoblasts were harvested from the dermal tissue and periosteum. respectively, of Fisher 344 rats The cells were then cultured and transfected with pcDNA-human VEGF using. Superfect reagent (Qiagen) Four experimental groups were created I) fibroblast VEGF. 2) osteoblast VEGF, 3) nontransfected fibroblast controls, and 4) nontransfected osteoblast controls. The cultured cells were harvested at I. 3, and 7 days after the gene transfection The total mRNA was extracted (Trizol, Invitogen), both human VEGF and rat VEGF mRNA were measured by reverse transcriptase polymerase chain reaction and quantified by Vision WorksLS Results: The human VEGF(165) mRNA was detected by reverse transcriptase polymerase chain reaction from transfected fibroblasts and osteoblasts at I. 3, and 7 days after gene transfection The human VEGF165 levels peaked at Day 1 and then gradually reduced expression in both transfected fibroblasts and osteoblasts Two endogenous rat VEGF isofonns were detected in this cell culture model rat VEGF(120) and rat VEGF(164) We compared the tat VEGF(120) and rat VEGF(164) expression level of the fibroblasts or osteoblasts that were transfected with human VEGF165, with nontransfected control cells Both the transfected fibroblasts and osteoblasts showed greater expression of rat VEGF(164) than nontransfected controls at Day 1 (peak level) and Day 3. but not at Day 7 The expression of rat VEGF(120) was lower in transfected fibroblasts. but higher in transfected osteoblasts, than the relevant control groups at any time point after transfection In addition, human VEGF gene transfection increased osteoblast cell proliferation after 3 days Conclusion: These in vitro results suggest that cell-based human VEGF gene therapy is not only effective at causing human VEGF expression, but also enhances endogenous tat VEGF mRNA expression in both fibroblasts and osteoblasts, particularly the rat VEGF(164) isofonn