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Expression of Angiopoietin-2 and Vascular Endothelial Growth Factor Receptor-3 Correlates with Lymphangiogenesis and Angiogenesis and Affects Survival of Oral Squamous Cell Carcinoma

Identifieur interne : 003649 ( Main/Exploration ); précédent : 003648; suivant : 003650

Expression of Angiopoietin-2 and Vascular Endothelial Growth Factor Receptor-3 Correlates with Lymphangiogenesis and Angiogenesis and Affects Survival of Oral Squamous Cell Carcinoma

Auteurs : Chao Li [République populaire de Chine] ; Jinchuan Fan [République populaire de Chine] ; Xicheng Song [République populaire de Chine] ; Bing Zhang [République populaire de Chine] ; Yu Chen [République populaire de Chine] ; Chunhua Li [République populaire de Chine] ; Kun Mi [République populaire de Chine] ; Hong Ma [République populaire de Chine] ; Yufeng Song [République populaire de Chine] ; Xiaofeng Tao [République populaire de Chine] ; Guojun Li [États-Unis]

Source :

RBID : PMC:3770542

Abstract

Background

Both Ang-2 and VEGFR-3 are major regulators of angiogenesis and lymphangiogenesis, respectively, and thus may affect prognosis of OSCC. We sought to determine the associations between Ang-2 and VEGFR-3 expression and survival of OSCC.

Methods

Ang-2 and VEGFR-3 expression was determined immunohistochemically in tumor tissues from 112 patients with OSCC; OSCC-adjacent noncancerous oral tissue from 85 OSCC patients; and normal oral mucosa from 37 cancer-free individuals. A log-rank test and Cox proportional hazard models were used to compare survival among different groups with expression of Ang-2 and VEGFR-3.

Results

Ang-2 and VEGFR-3 expression was upregulated in OSCC compared to nontumor tissue (all P<0.05). High Ang-2 expression positively correlated with microvessel density (MVD) (P<0.01), and high VEGFR-3 expression positively correlated with lymph node metastasis (P<0.01) and lymphatic vessel density (LVD) (P<0.01). The patients with high expression of Ang-2 alone or in combination with VEGFR-3 had a significantly worse survival than in patients with low expression of Ang-2 or any other co-expression status (all P<0.05), respectively. Furthermore, multivariable analysis showed that patients with high expression of Ang-2 alone or in combination with VEGFR-3 had a significantly increased risk of death compared with those with low expression of Ang-2 or any other co-expression status (HR, 2.7, 95% CI, 1.1–6.2 and 5.0, 1.3–15.4, respectively).

Conclusions

These results suggest that increased expression in tumors of Ang-2 may individually, or in combination with VEGFR-3, predict poor prognosis of OSCC.


Url:
DOI: 10.1371/journal.pone.0075388
PubMed: 24040410
PubMed Central: 3770542


Affiliations:


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Le document en format XML

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<name sortKey="Song, Xicheng" sort="Song, Xicheng" uniqKey="Song X" first="Xicheng" last="Song">Xicheng Song</name>
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<country xml:lang="fr">République populaire de Chine</country>
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<name sortKey="Zhang, Bing" sort="Zhang, Bing" uniqKey="Zhang B" first="Bing" last="Zhang">Bing Zhang</name>
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<name sortKey="Mi, Kun" sort="Mi, Kun" uniqKey="Mi K" first="Kun" last="Mi">Kun Mi</name>
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<name sortKey="Ma, Hong" sort="Ma, Hong" uniqKey="Ma H" first="Hong" last="Ma">Hong Ma</name>
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<addr-line>Department of Oral and Maxillary Surgery, the Affiliated Hospital of Guiyang Medical College, Guiyang, China</addr-line>
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<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Oral and Maxillary Surgery, the Affiliated Hospital of Guiyang Medical College, Guiyang</wicri:regionArea>
<wicri:noRegion>Guiyang</wicri:noRegion>
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<name sortKey="Song, Yufeng" sort="Song, Yufeng" uniqKey="Song Y" first="Yufeng" last="Song">Yufeng Song</name>
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<addr-line>Department of Oral and Maxillary Surgery, the Affiliated Hospital of Guiyang Medical College, Guiyang, China</addr-line>
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<wicri:regionArea>Department of Oral and Maxillary Surgery, the Affiliated Hospital of Guiyang Medical College, Guiyang</wicri:regionArea>
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<addr-line>Radiology Department of Shanghai Ninth People's Hospital Affiliated Shanghai JIaoTong University School of Medicine, Shanghai, China</addr-line>
</nlm:aff>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Radiology Department of Shanghai Ninth People's Hospital Affiliated Shanghai JIaoTong University School of Medicine, Shanghai</wicri:regionArea>
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<name sortKey="Li, Guojun" sort="Li, Guojun" uniqKey="Li G" first="Guojun" last="Li">Guojun Li</name>
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<wicri:regionArea>Department of Head and Neck Surgery, U.T. M.D. Anderson Cancer Center, Houston, Texas</wicri:regionArea>
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<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Both Ang-2 and VEGFR-3 are major regulators of angiogenesis and lymphangiogenesis, respectively, and thus may affect prognosis of OSCC. We sought to determine the associations between Ang-2 and VEGFR-3 expression and survival of OSCC.</p>
</sec>
<sec>
<title>Methods</title>
<p>Ang-2 and VEGFR-3 expression was determined immunohistochemically in tumor tissues from 112 patients with OSCC; OSCC-adjacent noncancerous oral tissue from 85 OSCC patients; and normal oral mucosa from 37 cancer-free individuals. A log-rank test and Cox proportional hazard models were used to compare survival among different groups with expression of Ang-2 and VEGFR-3.</p>
</sec>
<sec>
<title>Results</title>
<p>Ang-2 and VEGFR-3 expression was upregulated in OSCC compared to nontumor tissue (all
<italic>P</italic>
<0.05). High Ang-2 expression positively correlated with microvessel density (MVD) (
<italic>P</italic>
<0.01), and high VEGFR-3 expression positively correlated with lymph node metastasis (
<italic>P</italic>
<0.01) and lymphatic vessel density (LVD) (
<italic>P</italic>
<0.01). The patients with high expression of Ang-2 alone or in combination with VEGFR-3 had a significantly worse survival than in patients with low expression of Ang-2 or any other co-expression status (all
<italic>P</italic>
<0.05), respectively. Furthermore, multivariable analysis showed that patients with high expression of Ang-2 alone or in combination with VEGFR-3 had a significantly increased risk of death compared with those with low expression of Ang-2 or any other co-expression status (HR, 2.7, 95% CI, 1.1–6.2 and 5.0, 1.3–15.4, respectively).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>These results suggest that increased expression in tumors of Ang-2 may individually, or in combination with VEGFR-3, predict poor prognosis of OSCC.</p>
</sec>
</div>
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<affiliations>
<list>
<country>
<li>République populaire de Chine</li>
<li>États-Unis</li>
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<li>Texas</li>
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<name sortKey="Chen, Yu" sort="Chen, Yu" uniqKey="Chen Y" first="Yu" last="Chen">Yu Chen</name>
<name sortKey="Fan, Jinchuan" sort="Fan, Jinchuan" uniqKey="Fan J" first="Jinchuan" last="Fan">Jinchuan Fan</name>
<name sortKey="Li, Chao" sort="Li, Chao" uniqKey="Li C" first="Chao" last="Li">Chao Li</name>
<name sortKey="Li, Chunhua" sort="Li, Chunhua" uniqKey="Li C" first="Chunhua" last="Li">Chunhua Li</name>
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<name sortKey="Song, Yufeng" sort="Song, Yufeng" uniqKey="Song Y" first="Yufeng" last="Song">Yufeng Song</name>
<name sortKey="Tao, Xiaofeng" sort="Tao, Xiaofeng" uniqKey="Tao X" first="Xiaofeng" last="Tao">Xiaofeng Tao</name>
<name sortKey="Zhang, Bing" sort="Zhang, Bing" uniqKey="Zhang B" first="Bing" last="Zhang">Bing Zhang</name>
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<country name="États-Unis">
<region name="Texas">
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