Coexpression of inducible nitric oxide synthase and COX-2 in hepatocellular carcinoma and surrounding liver : Possible involvement of COX-2 in the angiogenesis of hepatitis C virus-positive cases

Expression of inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2) has been reported to be responsible for enhanced tumor growth and angiogenesis in various tumors. However, the relationships between tumor vascularity and COX-2 and iNOS expression have not been evaluated in hepatocell...

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Veröffentlicht in:Clinical cancer research 2001-05, Vol.7 (5), p.1325-1332
Hauptverfasser: ATIQUR RAHMAN, Md, DIPOK KUMAR DHAR, YAMAGUCHI, Emi, MARUYAMA, Seiji, SATO, Takashi, HAYASHI, Hikota, ONO, Takashi, YAMANOI, Akira, KOHNO, Hitoshi, NAGASUE, Naofumi
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container_title Clinical cancer research
container_volume 7
creator ATIQUR RAHMAN, Md
DIPOK KUMAR DHAR
YAMAGUCHI, Emi
MARUYAMA, Seiji
SATO, Takashi
HAYASHI, Hikota
ONO, Takashi
YAMANOI, Akira
KOHNO, Hitoshi
NAGASUE, Naofumi
description Expression of inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2) has been reported to be responsible for enhanced tumor growth and angiogenesis in various tumors. However, the relationships between tumor vascularity and COX-2 and iNOS expression have not been evaluated in hepatocellular carcinoma (HCC). In this study, we examined the expression of iNOS and COX-2 and microvessel density (MVD) by immunohistochemical staining in 100 tissue sections collected from HCC patients. iNOS expression was significantly higher in hepatitis C virus (HCV)-positive HCCs (P = 0.011). COX-2 expression was significantly correlated with iNOS expression (P = 0.046) and tumor MVD (P = 0.011) in HCV-positive HCCS: iNOS expression was neither correlated with MVD nor had any influence on patient survival; however, combined negative expression of iNOS and COX-2 had a significant impact on patient survival (P = 0.041 and 0.018, log-rank test for overall and recurrence-free survival rate, respectively). The present findings suggest that combined expression of iNOS and COX-2 may play an important role in prognosis of HCV-positive HCC patients and that this could be partially attributable to modulation of angiogenesis by COX-2.
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Liver. Pancreas. Abdomen</topic><topic>Hepacivirus - isolation &amp; purification</topic><topic>Humans</topic><topic>Isoenzymes - biosynthesis</topic><topic>Isoenzymes - physiology</topic><topic>Liver Neoplasms - metabolism</topic><topic>Liver Neoplasms - physiopathology</topic><topic>Liver Neoplasms - virology</topic><topic>Liver. Biliary tract. Portal circulation. 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However, the relationships between tumor vascularity and COX-2 and iNOS expression have not been evaluated in hepatocellular carcinoma (HCC). In this study, we examined the expression of iNOS and COX-2 and microvessel density (MVD) by immunohistochemical staining in 100 tissue sections collected from HCC patients. iNOS expression was significantly higher in hepatitis C virus (HCV)-positive HCCs (P = 0.011). COX-2 expression was significantly correlated with iNOS expression (P = 0.046) and tumor MVD (P = 0.011) in HCV-positive HCCS: iNOS expression was neither correlated with MVD nor had any influence on patient survival; however, combined negative expression of iNOS and COX-2 had a significant impact on patient survival (P = 0.041 and 0.018, log-rank test for overall and recurrence-free survival rate, respectively). The present findings suggest that combined expression of iNOS and COX-2 may play an important role in prognosis of HCV-positive HCC patients and that this could be partially attributable to modulation of angiogenesis by COX-2.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>11350902</pmid><tpages>8</tpages></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research; Alma/SFX Local Collection
subjects Adult
Aged
Antibodies - analysis
Antigens, CD34 - immunology
Biological and medical sciences
Carcinoma, Hepatocellular - metabolism
Carcinoma, Hepatocellular - physiopathology
Carcinoma, Hepatocellular - virology
Cyclooxygenase 2
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hepacivirus - isolation & purification
Humans
Isoenzymes - biosynthesis
Isoenzymes - physiology
Liver Neoplasms - metabolism
Liver Neoplasms - physiopathology
Liver Neoplasms - virology
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Membrane Proteins
Middle Aged
Multivariate Analysis
Neovascularization, Pathologic - etiology
Neovascularization, Pathologic - virology
Nitric Oxide Synthase - biosynthesis
Nitric Oxide Synthase Type II
Prostaglandin-Endoperoxide Synthases - biosynthesis
Prostaglandin-Endoperoxide Synthases - physiology
Tumors
title Coexpression of inducible nitric oxide synthase and COX-2 in hepatocellular carcinoma and surrounding liver : Possible involvement of COX-2 in the angiogenesis of hepatitis C virus-positive cases
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