Analysis of neovasculature in uveal melanoma by targeting the TGFbeta-binding receptor endoglin: is there prognostic relevance of proliferating endothelium?

Endoglin/CD105 is a transmembrane regulatory receptor for transforming growth factor-beta (TGF-beta) that is predominantly expressed on proliferating endothelial cells (ECs) in culture and on angiogenic blood vessels in vivo. Endoglin has been associated with angiogenesis and prognosis in several ma...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2006-09, Vol.244 (9), p.1124-1131
Hauptverfasser: Ziemssen, Focke, Wegner, Rayime, Wegner, Jürgen, Tatar, Olcay, Süsskind, Daniela, Gelisken, Faik, Rohrbach, Martin, Bartz-Schmidt, Karl U, Grisanti, Salvatore
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container_title Graefe's archive for clinical and experimental ophthalmology
container_volume 244
creator Ziemssen, Focke
Wegner, Rayime
Wegner, Jürgen
Tatar, Olcay
Süsskind, Daniela
Gelisken, Faik
Rohrbach, Martin
Bartz-Schmidt, Karl U
Grisanti, Salvatore
description Endoglin/CD105 is a transmembrane regulatory receptor for transforming growth factor-beta (TGF-beta) that is predominantly expressed on proliferating endothelial cells (ECs) in culture and on angiogenic blood vessels in vivo. Endoglin has been associated with angiogenesis and prognosis in several malignancies. Although microvascular structure has been characterized by a variety of different other endothelial markers so far, there is no consensus on the prognostic value of microvessel quantification in uveal melanoma due to differences in tissue pretreatment, variability in the reactivity of endothelial cell markers, blood vessel counting methods, and vasculogenic mimicry by melanoma cells expressing endothelial cell markers. The aim of this study was to investigate the expression pattern of endoglin and to evaluate whether proliferative activity of ECs determines the clinical prognosis of uveal melanoma. Paraffin sections from 35 clinicopathologically well-characterized cases of primary uveal melanomas were stained for Ki-67, von Willebrand factor (vWF) and endoglin. In 16 cases, metastatic disease led to death. The mean follow-up of the nonmetastasized cases was 10.6 (9-13) years. The immunohistological specimens were evaluated by three independent observers who were masked to the follow-up of patients. Statistical analyzes included Kaplan-Meier survival curves and the fitting of log-rank and Wilcoxon test models. Immunohistochemistry with vWF confirmed that all examined specimens were vascularized. Expression of Ki-67 could be found in 26 (74%) of the samples. Moderate to high expression of endoglin was found in 13 cases (37%). Kaplan-Meier analysis showed a significant association (p
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Endoglin has been associated with angiogenesis and prognosis in several malignancies. Although microvascular structure has been characterized by a variety of different other endothelial markers so far, there is no consensus on the prognostic value of microvessel quantification in uveal melanoma due to differences in tissue pretreatment, variability in the reactivity of endothelial cell markers, blood vessel counting methods, and vasculogenic mimicry by melanoma cells expressing endothelial cell markers. The aim of this study was to investigate the expression pattern of endoglin and to evaluate whether proliferative activity of ECs determines the clinical prognosis of uveal melanoma. Paraffin sections from 35 clinicopathologically well-characterized cases of primary uveal melanomas were stained for Ki-67, von Willebrand factor (vWF) and endoglin. In 16 cases, metastatic disease led to death. The mean follow-up of the nonmetastasized cases was 10.6 (9-13) years. 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The data suggest not only a prognostic relevance in individual patients but promise applications in assessing the efficacy of antiangiogenic agents.</abstract><cop>Germany</cop><pmid>16523306</pmid><tpages>8</tpages></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adult
Aged
Aged, 80 and over
Antigens, CD - metabolism
Biomarkers, Tumor - metabolism
Cell Proliferation
Endoglin
Endothelium, Vascular - metabolism
Female
Humans
Immunoenzyme Techniques
Ki-67 Antigen - metabolism
Male
Melanoma - blood supply
Melanoma - pathology
Middle Aged
Neovascularization, Pathologic - metabolism
Neovascularization, Pathologic - pathology
Observer Variation
Receptors, Cell Surface - metabolism
Uveal Neoplasms - blood supply
Uveal Neoplasms - pathology
von Willebrand Factor - metabolism
title Analysis of neovasculature in uveal melanoma by targeting the TGFbeta-binding receptor endoglin: is there prognostic relevance of proliferating endothelium?
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