Identification and Clinical Significance of Mobilized Endothelial Progenitor Cells in Tumor Vasculogenesis of Hepatocellular Carcinoma

Purpose: To investigate the distribution, frequency, and clinical significance of mobilized endothelial progenitor cells (EPC) in hepatocellular carcinoma (HCC). Experimental Design: In healthy controls and patients with HCC, the frequency of circulating EPCs was determined by colony-forming assays,...

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Veröffentlicht in:Clinical cancer research 2007-07, Vol.13 (13), p.3814-3824
Hauptverfasser: Yu, Decai, Sun, Xitai, Qiu, Yudong, Zhou, Jianxing, Wu, Yafu, Zhuang, Lingyuan, Chen, Jun, Ding, Yitao
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container_end_page 3824
container_issue 13
container_start_page 3814
container_title Clinical cancer research
container_volume 13
creator Yu, Decai
Sun, Xitai
Qiu, Yudong
Zhou, Jianxing
Wu, Yafu
Zhuang, Lingyuan
Chen, Jun
Ding, Yitao
description Purpose: To investigate the distribution, frequency, and clinical significance of mobilized endothelial progenitor cells (EPC) in hepatocellular carcinoma (HCC). Experimental Design: In healthy controls and patients with HCC, the frequency of circulating EPCs was determined by colony-forming assays, fluorescence-activated cell sorting, and real-time PCR. One hundred sixty-five–amino acid form of vascular endothelial growth factor and platelet-derived growth factor-BB in plasma and tissue were quantified by ELISA. The distribution and frequency of EPCs were evaluated by immunofluorescence, immunohistochemistry, and real-time PCR in normal liver ( n = 8), and tumor tissue (TT), adjacent nonmalignant liver tissue (AT), and tumor-free tissue 5 cm from the tumor edge (TF) from 64 patients with HCC. Clinicopathologic data for these patients were evaluated. Results: Compared with values for healthy controls, colony-forming unit scores were higher in the peripheral blood of patients with HCC. Plasma 165-amino acid form of vascular endothelial growth factor and platelet-derived growth factor-BB correlated with the expression level of the AC133 gene, which was also higher in the peripheral blood of patients with HCC. Immunohistochemical analysis showed that EPCs were incorporated into the microvessels in cirrhotic and tumor tissue. Compared with normal liver (9.00), increased AC133 + microvessel density (microvessels/0.74 mm 2 ) was found in TT (53.56), AT (84.76), and TF (48.33). The levels of AC133 gene expression and AC133-microvessel density in AT, which were the highest among four groups, correlated with clinicopathologic variables (the absence of tumor capsule, venous invasion, proliferating cell nuclear antigen intensity, and early recurrence). Conclusions: Mobilized EPCs participate in tumor vasculogenesis of HCC. AC133 gene or antigen in peripheral blood and liver tissue could be used as a biomarker for predicting the progression of HCC.
doi_str_mv 10.1158/1078-0432.CCR-06-2594
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Experimental Design: In healthy controls and patients with HCC, the frequency of circulating EPCs was determined by colony-forming assays, fluorescence-activated cell sorting, and real-time PCR. One hundred sixty-five–amino acid form of vascular endothelial growth factor and platelet-derived growth factor-BB in plasma and tissue were quantified by ELISA. The distribution and frequency of EPCs were evaluated by immunofluorescence, immunohistochemistry, and real-time PCR in normal liver ( n = 8), and tumor tissue (TT), adjacent nonmalignant liver tissue (AT), and tumor-free tissue 5 cm from the tumor edge (TF) from 64 patients with HCC. Clinicopathologic data for these patients were evaluated. Results: Compared with values for healthy controls, colony-forming unit scores were higher in the peripheral blood of patients with HCC. Plasma 165-amino acid form of vascular endothelial growth factor and platelet-derived growth factor-BB correlated with the expression level of the AC133 gene, which was also higher in the peripheral blood of patients with HCC. Immunohistochemical analysis showed that EPCs were incorporated into the microvessels in cirrhotic and tumor tissue. Compared with normal liver (9.00), increased AC133 + microvessel density (microvessels/0.74 mm 2 ) was found in TT (53.56), AT (84.76), and TF (48.33). The levels of AC133 gene expression and AC133-microvessel density in AT, which were the highest among four groups, correlated with clinicopathologic variables (the absence of tumor capsule, venous invasion, proliferating cell nuclear antigen intensity, and early recurrence). Conclusions: Mobilized EPCs participate in tumor vasculogenesis of HCC. AC133 gene or antigen in peripheral blood and liver tissue could be used as a biomarker for predicting the progression of HCC.</description><identifier>ISSN: 1078-0432</identifier><identifier>EISSN: 1557-3265</identifier><identifier>DOI: 10.1158/1078-0432.CCR-06-2594</identifier><identifier>PMID: 17606712</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>AC133 ; AC133 Antigen ; Adult ; Antigens, CD - biosynthesis ; Antigens, CD34 - biosynthesis ; Antineoplastic agents ; Biological and medical sciences ; Biomarkers, Tumor - metabolism ; Carcinoma, Hepatocellular - diagnosis ; Carcinoma, Hepatocellular - metabolism ; Carcinoma, Hepatocellular - pathology ; Endothelial Cells - cytology ; Endothelial progenitor cells ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Glycoproteins - biosynthesis ; Hepatocellular carcinoma ; Humans ; Liver Neoplasms - diagnosis ; Liver Neoplasms - metabolism ; Liver Neoplasms - pathology ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Neovascularization ; Neovascularization, Pathologic ; Peptides ; Pharmacology. Drug treatments ; Platelet-Derived Growth Factor - biosynthesis ; Postal vasculogenesis ; Proto-Oncogene Proteins c-sis ; Stem Cells - cytology ; Tumors ; Vascular Endothelial Growth Factor A - blood</subject><ispartof>Clinical cancer research, 2007-07, Vol.13 (13), p.3814-3824</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-5f432a66f4f5050b3c11b452bc44c5be9924a4e150ba64d613f6d6595a551e703</citedby><cites>FETCH-LOGICAL-c371t-5f432a66f4f5050b3c11b452bc44c5be9924a4e150ba64d613f6d6595a551e703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,3354,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18926046$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17606712$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yu, Decai</creatorcontrib><creatorcontrib>Sun, Xitai</creatorcontrib><creatorcontrib>Qiu, Yudong</creatorcontrib><creatorcontrib>Zhou, Jianxing</creatorcontrib><creatorcontrib>Wu, Yafu</creatorcontrib><creatorcontrib>Zhuang, Lingyuan</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Ding, Yitao</creatorcontrib><title>Identification and Clinical Significance of Mobilized Endothelial Progenitor Cells in Tumor Vasculogenesis of Hepatocellular Carcinoma</title><title>Clinical cancer research</title><addtitle>Clin Cancer Res</addtitle><description>Purpose: To investigate the distribution, frequency, and clinical significance of mobilized endothelial progenitor cells (EPC) in hepatocellular carcinoma (HCC). Experimental Design: In healthy controls and patients with HCC, the frequency of circulating EPCs was determined by colony-forming assays, fluorescence-activated cell sorting, and real-time PCR. One hundred sixty-five–amino acid form of vascular endothelial growth factor and platelet-derived growth factor-BB in plasma and tissue were quantified by ELISA. The distribution and frequency of EPCs were evaluated by immunofluorescence, immunohistochemistry, and real-time PCR in normal liver ( n = 8), and tumor tissue (TT), adjacent nonmalignant liver tissue (AT), and tumor-free tissue 5 cm from the tumor edge (TF) from 64 patients with HCC. Clinicopathologic data for these patients were evaluated. Results: Compared with values for healthy controls, colony-forming unit scores were higher in the peripheral blood of patients with HCC. Plasma 165-amino acid form of vascular endothelial growth factor and platelet-derived growth factor-BB correlated with the expression level of the AC133 gene, which was also higher in the peripheral blood of patients with HCC. Immunohistochemical analysis showed that EPCs were incorporated into the microvessels in cirrhotic and tumor tissue. Compared with normal liver (9.00), increased AC133 + microvessel density (microvessels/0.74 mm 2 ) was found in TT (53.56), AT (84.76), and TF (48.33). The levels of AC133 gene expression and AC133-microvessel density in AT, which were the highest among four groups, correlated with clinicopathologic variables (the absence of tumor capsule, venous invasion, proliferating cell nuclear antigen intensity, and early recurrence). Conclusions: Mobilized EPCs participate in tumor vasculogenesis of HCC. AC133 gene or antigen in peripheral blood and liver tissue could be used as a biomarker for predicting the progression of HCC.</description><subject>AC133</subject><subject>AC133 Antigen</subject><subject>Adult</subject><subject>Antigens, CD - biosynthesis</subject><subject>Antigens, CD34 - biosynthesis</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Carcinoma, Hepatocellular - diagnosis</subject><subject>Carcinoma, Hepatocellular - metabolism</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>Endothelial Cells - cytology</subject><subject>Endothelial progenitor cells</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Glycoproteins - biosynthesis</subject><subject>Hepatocellular carcinoma</subject><subject>Humans</subject><subject>Liver Neoplasms - diagnosis</subject><subject>Liver Neoplasms - metabolism</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neovascularization</subject><subject>Neovascularization, Pathologic</subject><subject>Peptides</subject><subject>Pharmacology. Drug treatments</subject><subject>Platelet-Derived Growth Factor - biosynthesis</subject><subject>Postal vasculogenesis</subject><subject>Proto-Oncogene Proteins c-sis</subject><subject>Stem Cells - cytology</subject><subject>Tumors</subject><subject>Vascular Endothelial Growth Factor A - blood</subject><issn>1078-0432</issn><issn>1557-3265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkV2L1DAUhoMo7of-BCU3LuxF15w2SaeXUlZ3YUXR1duQpiczkTQZkxbRH-DvNt0ZWQgkh_Ocj7wvIa-AXQGIzVtg7aZivKmv-v5LxWRVi44_IacgRFs1tRRPy_s_c0LOcv7BGHBg_Dk5gVYy2UJ9Sv7ejhhmZ53Rs4uB6jDS3rtQYk-_um14SAWDNFr6MQ7Ouz840uswxnmH3hXqc4pbDG6OifbofaYu0PtlKuF3nc3i1yxml9cON7jXczQFW7wuvE7GhTjpF-SZ1T7jy-N9Tr69v77vb6q7Tx9u-3d3lWlamCthy2e0lJZbwQQbGgMwcFEPhnMjBuy6mmuOUFJa8lFCY-UoRSe0EIAta87JxaHvPsWfC-ZZTS6v6-iAccmqZVIyztoCigNoUsw5oVX75CadfitgajVAreKqVVxVDFBMqtWAUvf6OGAZJhwfq46KF-DNESjiaG9TEdflR27T1WUDWbjLA7dz290vl1A92JASZiyq7RQ062k2wJt_0PqeRg</recordid><startdate>20070701</startdate><enddate>20070701</enddate><creator>Yu, Decai</creator><creator>Sun, Xitai</creator><creator>Qiu, Yudong</creator><creator>Zhou, Jianxing</creator><creator>Wu, Yafu</creator><creator>Zhuang, Lingyuan</creator><creator>Chen, Jun</creator><creator>Ding, Yitao</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070701</creationdate><title>Identification and Clinical Significance of Mobilized Endothelial Progenitor Cells in Tumor Vasculogenesis of Hepatocellular Carcinoma</title><author>Yu, Decai ; Sun, Xitai ; Qiu, Yudong ; Zhou, Jianxing ; Wu, Yafu ; Zhuang, Lingyuan ; Chen, Jun ; Ding, Yitao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-5f432a66f4f5050b3c11b452bc44c5be9924a4e150ba64d613f6d6595a551e703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>AC133</topic><topic>AC133 Antigen</topic><topic>Adult</topic><topic>Antigens, CD - biosynthesis</topic><topic>Antigens, CD34 - biosynthesis</topic><topic>Antineoplastic agents</topic><topic>Biological and medical sciences</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Carcinoma, Hepatocellular - diagnosis</topic><topic>Carcinoma, Hepatocellular - metabolism</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>Endothelial Cells - cytology</topic><topic>Endothelial progenitor cells</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Glycoproteins - biosynthesis</topic><topic>Hepatocellular carcinoma</topic><topic>Humans</topic><topic>Liver Neoplasms - diagnosis</topic><topic>Liver Neoplasms - metabolism</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neovascularization</topic><topic>Neovascularization, Pathologic</topic><topic>Peptides</topic><topic>Pharmacology. Drug treatments</topic><topic>Platelet-Derived Growth Factor - biosynthesis</topic><topic>Postal vasculogenesis</topic><topic>Proto-Oncogene Proteins c-sis</topic><topic>Stem Cells - cytology</topic><topic>Tumors</topic><topic>Vascular Endothelial Growth Factor A - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Decai</creatorcontrib><creatorcontrib>Sun, Xitai</creatorcontrib><creatorcontrib>Qiu, Yudong</creatorcontrib><creatorcontrib>Zhou, Jianxing</creatorcontrib><creatorcontrib>Wu, Yafu</creatorcontrib><creatorcontrib>Zhuang, Lingyuan</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Ding, Yitao</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Decai</au><au>Sun, Xitai</au><au>Qiu, Yudong</au><au>Zhou, Jianxing</au><au>Wu, Yafu</au><au>Zhuang, Lingyuan</au><au>Chen, Jun</au><au>Ding, Yitao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identification and Clinical Significance of Mobilized Endothelial Progenitor Cells in Tumor Vasculogenesis of Hepatocellular Carcinoma</atitle><jtitle>Clinical cancer research</jtitle><addtitle>Clin Cancer Res</addtitle><date>2007-07-01</date><risdate>2007</risdate><volume>13</volume><issue>13</issue><spage>3814</spage><epage>3824</epage><pages>3814-3824</pages><issn>1078-0432</issn><eissn>1557-3265</eissn><abstract>Purpose: To investigate the distribution, frequency, and clinical significance of mobilized endothelial progenitor cells (EPC) in hepatocellular carcinoma (HCC). Experimental Design: In healthy controls and patients with HCC, the frequency of circulating EPCs was determined by colony-forming assays, fluorescence-activated cell sorting, and real-time PCR. One hundred sixty-five–amino acid form of vascular endothelial growth factor and platelet-derived growth factor-BB in plasma and tissue were quantified by ELISA. The distribution and frequency of EPCs were evaluated by immunofluorescence, immunohistochemistry, and real-time PCR in normal liver ( n = 8), and tumor tissue (TT), adjacent nonmalignant liver tissue (AT), and tumor-free tissue 5 cm from the tumor edge (TF) from 64 patients with HCC. Clinicopathologic data for these patients were evaluated. Results: Compared with values for healthy controls, colony-forming unit scores were higher in the peripheral blood of patients with HCC. Plasma 165-amino acid form of vascular endothelial growth factor and platelet-derived growth factor-BB correlated with the expression level of the AC133 gene, which was also higher in the peripheral blood of patients with HCC. Immunohistochemical analysis showed that EPCs were incorporated into the microvessels in cirrhotic and tumor tissue. Compared with normal liver (9.00), increased AC133 + microvessel density (microvessels/0.74 mm 2 ) was found in TT (53.56), AT (84.76), and TF (48.33). The levels of AC133 gene expression and AC133-microvessel density in AT, which were the highest among four groups, correlated with clinicopathologic variables (the absence of tumor capsule, venous invasion, proliferating cell nuclear antigen intensity, and early recurrence). Conclusions: Mobilized EPCs participate in tumor vasculogenesis of HCC. AC133 gene or antigen in peripheral blood and liver tissue could be used as a biomarker for predicting the progression of HCC.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>17606712</pmid><doi>10.1158/1078-0432.CCR-06-2594</doi><tpages>11</tpages></addata></record>
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subjects AC133
AC133 Antigen
Adult
Antigens, CD - biosynthesis
Antigens, CD34 - biosynthesis
Antineoplastic agents
Biological and medical sciences
Biomarkers, Tumor - metabolism
Carcinoma, Hepatocellular - diagnosis
Carcinoma, Hepatocellular - metabolism
Carcinoma, Hepatocellular - pathology
Endothelial Cells - cytology
Endothelial progenitor cells
Female
Gastroenterology. Liver. Pancreas. Abdomen
Glycoproteins - biosynthesis
Hepatocellular carcinoma
Humans
Liver Neoplasms - diagnosis
Liver Neoplasms - metabolism
Liver Neoplasms - pathology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Neovascularization
Neovascularization, Pathologic
Peptides
Pharmacology. Drug treatments
Platelet-Derived Growth Factor - biosynthesis
Postal vasculogenesis
Proto-Oncogene Proteins c-sis
Stem Cells - cytology
Tumors
Vascular Endothelial Growth Factor A - blood
title Identification and Clinical Significance of Mobilized Endothelial Progenitor Cells in Tumor Vasculogenesis of Hepatocellular Carcinoma
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