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Vol. 69, No. 2, 2005
Issue release date: September 2005
Section title: Laboratory/Clinical Translational Research
Oncology 2005;69:159–166
(DOI:10.1159/000087840)

Absence of Smooth Muscle Actin-Positive Pericyte Coverage of Tumor Vessels Correlates with Hematogenous Metastasis and Prognosis of Colorectal Cancer Patients

Yonenaga Y. · Mori A. · Onodera H. · Yasuda S. · Oe H. · Fujimoto A. · Tachibana T. · Imamura M.
Department of Surgery and Surgical Basic Science, Graduate School of Medicine, Kyoto University, Kyoto, Japan

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Article / Publication Details

First-Page Preview
Abstract of Laboratory/Clinical Translational Research

Received: 10/5/2004
Accepted: 4/14/2005
Published online: 9/21/2005

Number of Print Pages: 8
Number of Figures: 4
Number of Tables: 3

ISSN: 0030-2414 (Print)
eISSN: 1423-0232 (Online)

For additional information: http://www.karger.com/OCL

Abstract

Objectives: Immature microvessels, which are not covered by pericytes, are irregular and leaky. We hypothesized that tumor cells can penetrate immature microvessels more easily than mature microvessels. In this study, we investigated the maturation of angiogenesis by the immunohistochemical staining of colorectal cancer specimens and determined the correlation between the microvessel count or the maturity of microvessels and clinicopathological variables. Methods: Ninety-two surgical specimens from our department were used. Double immunostaining of endothelial cells with anti-CD34 antibody and pericytes with anti-α-smooth muscle actin antibody was performed. The microvessel density (MVD) and microvessel pericyte coverage index (MPI) as an index of microvessel maturation were evaluated. Results: The MVD showed a significant positive correlation with tumor size, depth of invasion and Dukes’ stage. The MPI showed a significant positive correlation with the histological differentiation of the tumor tissues and distant metastasis at the time of operation. The high MVD group (≧26.0, n = 50) tended to have a poorer prognosis than the low MVD group (<26.0, n = 42) (p = 0.097). Next, the 50 patients in the high MVD group were classified into two subgroups of high MPI (≧78.1%, n = 25) and low MPI (<78.1%, n = 25). MPI showed a significant negative correlation with hematogenous metastasis, and the low MPI group demonstrated a significantly poorer survival than the high MPI group (p = 0.040). Conclusions: These findings demonstrate that immature neovascularization was observed in poorly differentiated tumors and was correlated with metastasis, resulting in a poorer prognosis. Taken together, not only microvessel density but also vascular maturation were crucial factors for colorectal cancer patients.


  

Author Contacts

Yoshikuni Yonenaga, MD
Department of Surgery and Surgical Basic Science, Graduate School of Medicine
Kyoto University, 54-Shogoin kawara-cho
Sakyo-ku, Kyoto 606-8507 (Japan)
Tel. +81 75 751 3446, Fax +81 75 751 3219, E-Mail yoney@kuhp.kyoto-u.ac.jp

  

Article Information

Received: October 5, 2004
Accepted after revision: April 14, 2005
Published online: August 24, 2005
Number of Print Pages : 8
Number of Figures : 4, Number of Tables : 3, Number of References : 39

  

Publication Details

Oncology (International Journal of Cancer Research and Treatment)

Vol. 69, No. 2, Year 2005 (Cover Date: Released September 2005)

Journal Editor: Trump, D.L. (Buffalo, N.Y.)
ISSN: 0030–2414 (print), 1423–0232 (Online)

For additional information: http://www.karger.com/ocl


Article / Publication Details

First-Page Preview
Abstract of Laboratory/Clinical Translational Research

Received: 10/5/2004
Accepted: 4/14/2005
Published online: 9/21/2005

Number of Print Pages: 8
Number of Figures: 4
Number of Tables: 3

ISSN: 0030-2414 (Print)
eISSN: 1423-0232 (Online)

For additional information: http://www.karger.com/OCL


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