VEGF-D correlates with metastatic disease in gastric cancer patients undergoing surgery.

Abstract:

BACKGROUND:The present study was designed to evaluate the impact of the tyrosine kinase ligands VEGF-A/C/D, PDGF-A/B on tumor dissemination and survival in gastric cancer. This is the first study analyzing all these parameters in a homogeneous patient population undergoing surgery. METHODS:The expression pattern of VEGF-A/C/D and PDGF-A/B was analyzed by reverse transcriptase polymerase chain reaction (RT-PCR) in 69 samples of human gastric adenocarcinoma and correlated with tumor stage and survival. RESULTS:Expression of the ligand VEGF-D significantly correlated with distant metastatic disease (P=0.00001) but not with patient survival. However, VEGF-A inversely correlated with M1 and grading, PDGF-A inversely correlated with pT and pN category. In contrast, VEGF-C and PDGF-B did not have an impact on clinicopathological parameters. CONCLUSIONS:The ligand VEGF-D, rather than the other ligands or tyrosine kinase receptors analyzed, is associated with progressive disease in gastric cancer patients undergoing surgery. The VEGF-D ligand might be a helpful marker indicating disseminated disease, and targeting VEGF-D may be a potential therapeutic strategy, although limitations imposed by the selected sample population have to be considered critically.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Schimanski CC,Schlaegel F,Jordan M,Moehler M,Sgourakis G,Drescher DG,Galle PR,Lang H,Gockel I

doi

10.1007/s00268-011-1041-7

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

1010-6

issue

5

eissn

0364-2313

issn

1432-2323

journal_volume

35

pub_type

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