Evaluation of VEGF Immunohistochemical Expression and Correlation with Clinicopathologic Features in Colorectal Cancer

Laleh Vahedi Larijani, Maryam - Ghasemi, Jamshid Yazdani Charati, Mehrdad - Mehrabian-Fard, Neda Sajadi Saravi

Abstract


Background:

Vascular endothelial growth factor (VEGF) is a signal protein produced by cells that stimulates angiogenesis and increased vascular permeability. The prognostic value of VEGF expression in colorectal cancer is unclear as shown by the discordant results still reported in the literature. This study was designed for the evaluation of VEGF expression and correlation with clinicopathologic features in colorectal cancer.

Materials and Methods:

In this study, 60 paraffin – embedded blocks including colorectal cancer specimens and adjacent non-neoplastic tissues were evaluated for VEGF immunohistochemical expression and their correlation with clinicopathologic features  among the patients who admitted in  Sari Imam Khomeini hospital.

Results:

Among the 60 patients (30 males,30 females) 51.7% (31 cases) showed VEGF overexpression (High staining) , while it was 1.7%  (1 case ) in adjacent normal tissue (p=0.004). VEGF expression  was correlated with stage(p-value <0.001),grade(p-value<0.001), lymph node metastasis(p-value<0.001), recurrence(p-value <0.001) and tumor size (p-value <0.001). In other clinicopathologic parameters, no relationship with VEGF expression was seen.

Conclusion:

These findings provide further evidence for the role of VEGF in colorectal carcinogenesis. Some previous studies showed discordant results, consequently more studies with larger sample size to confirm results are recommended.


Keywords


Colorectal cancer ; VEGF ; Clinicopathology ;Immunohistochemistry

Full Text:

PDF

References


Berg JW, Howell MA. The geographic pathology of bowel cancer. Cancer 1974, 34.807-814.

Boyle P, Zaridze DG, Smans M. Descriptive epidemiology of colorectal cancer. Int J Cancer 1985,36: 9-18.

Center MM, Jemal A, Smith RA, Ward E. Worldwide variations in colorectal center. CA Cancer I Clin 2009, 59: 366-378.

Oladipo O. Colon S,O, Grady A,Purcell C,Wikson C,Maxwell pj etal. The expression and prognostic impact of cxc-chemokines in stage ? and ? colorectal cancer epithelial and stromal tissue.British journal of cancer 2011,104:480-487.

Kolahdoozan s,sajedi A, Radmard AR, et al . Five common cancer in iran . Arch Iran med .2010 march,13(2):143-6

Mendeloff AI. Dietary fiber and the gastrointestinal tract. Critical assessment. In Beek IE (ed.): Developments in digestive diseases. Philadelphia, 1979, Lea & Febiger.

Weisburger JI-I. Causes, relevant mechanisms, and prevention of large bowel cancer. Semin Oncol 1991, 18: 316-336.

Sandra F Martins, Rui M Reis, Antonio Mesquita Rodrigues,Fatima Baltazar,Adhemar Longatto Filho.Role of endoglin and VEGF family expression in colorectal cancer prognosis and anti-angiogenic therapies.World Journal of Clinical Oncology2011,2(6):272-280

Graziano F, Cascinu S. Prognostic molecular markers for planning adjuvant chemotherapy trials in Dukes' B colorec¬tal cancer patients:how much evidenceis enough? Ann On¬col 2003;14:1026-1038

My?liwiec P, Pawlak K, Kukli?ski A, Kedra B. Combined perioperativeplasma endoglin and VEGF--a assessment in colorectal cancer patients. Folia Histochem Cytobiol 2009;47:231-236

Mosch B, Reissenweber B, Neuber C, Pietzsch J. Eph recep¬tors and ephrin ligands:important players in angiogenesis and tumor angiogenesis. J Oncol 2010; 13:52-85

De Vita F, Orditura M, Lieto E, Infusino S, Morgillo F, Mar¬tinelli E, Castellano P, Romano C, Ciardiello F, Catalano G, Pignatelli C, Galizia G. Elevated perioperativeserum vas¬cular endothelial growth factor levels in patients with colon carcinoma. Cancer 2004;100:270-278

Zheng S, Han MY, Xiao ZX, Peng JP, Dong Q. Clinical significance of vascular endothelial growth factor expression and neovascularization in colorectal carcinoma. World J Gastroenterol 2003;9:1227-1230

Ellis LM, Hicklin DJ: VEGF-targeted therapy: mechanisms of anti-tumour activity.Nat Rev Cancer 2008, 8:579–591.

Dvorak HF: Vascular permeability factor/vascular endothelial growth factor: a critical cytokine in tumor angiogenesis and a potential target for diagnosis and therapy. J Clin Oncol 2002, 20:4368–4380.

Cao Y: Positive and negative modulation of angiogenesis by VEGFR1 ligands. Sci Signal 2009, 2:re1.

Riyad Bendardaf ,Abdelbaset Buhmedia,Marja Hilska,Matti Laato,Stina Syrjanen,Kari Syrjanen,Yrjo Collan and Seppo Pyrhonen. VEGF-1 Expression in Colorectal Cancer is Associated with Disease Localization, Stage,and Long-term Disease-specific Survival. Anticancer Research 2008 ,28:3865-3870.

Ali F Hashim ,asad A.Al -Janabi,Liwaa H.Mahdi,Kaswer M. AI-toriahi and A.Yasseen.Vascular endothelial growth factor (VEGF)receptor expression correlate with histologic grade and stage of colorectal cancer. Libyan J Med 2010, 5 : 5059.

Kyriakos Zafirellis, M.D., Ph.D., George Agrogiannis, M.D., Aglaia Zachaki, M.D., Katerina Gravani, M.D., Andreas Karameris, M.D., Ph.D., and Christos Kombouras, M.D. Prognostic Significance of VEGF Expression Evaluated by Quantitative Immunohistochemical Analysis in Colorectal Cancer. Journal of Surgical Research 2008,141:99-107

Hawk ET, Linburg PJ, Viner JL: Epidemiology and prevention of colorectal cancer. Surg Clin North Am 2002, 82:905-941.

Yalcin Kekec, Semra Paydas1, Suzan Zorludemir, Cem Kaan Parsak, Gurhan Sakman, and Gulsah Seydaoglu. Prognostic Significance of Vascular Endothelial Growth Factor-A Expression in Colorectal Cancer. Journal of Cancer Molecules 2006,2(4):161-167

Dan Cao, Mei Hou*, Yong-song Guan, Ming Jiang, Yu Yang and Hongfeng Gou. Expression of HIF-1alpha and VEGF in colorectal cancer: association with clinical outcomes and prognostic implications. BMC Cancer 2009,9:432

Qingguo Li, Daorong Wang, Jing Li and Ping Chen. Clinicopathological and prognostic significance of HER-2/neu and VEGF expression in colon Carcinomas. BMC Cancer 2011, 11:277




Copyright (c)