Intratumoral c-Met expression is associated with vascular endothelial growth factor C expression, lymphangiogenesis, and lymph node metastasis in oral squamous cell carcinoma: implications for use as a prognostic marker

Summary Hepatocyte growth factor has been identified as a lymphangiogenic factor in experimental animal models. However, the correlation between hepatocyte growth factor or c-Met expression and lymphangiogenesis in human spontaneous tumors has been rarely reported, and the distribution pattern of c-...

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Veröffentlicht in:Human pathology 2011-10, Vol.42 (10), p.1514-1523
Hauptverfasser: Zhao, Dan, MD, Wang, Si-Hua, MD, Feng, Yang, MD, Hua, Cheng-Ge, MD, Zhao, Jun, MD, Tang, Xiu-Fa, MD
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container_issue 10
container_start_page 1514
container_title Human pathology
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creator Zhao, Dan, MD
Wang, Si-Hua, MD
Feng, Yang, MD
Hua, Cheng-Ge, MD
Zhao, Jun, MD
Tang, Xiu-Fa, MD
description Summary Hepatocyte growth factor has been identified as a lymphangiogenic factor in experimental animal models. However, the correlation between hepatocyte growth factor or c-Met expression and lymphangiogenesis in human spontaneous tumors has been rarely reported, and the distribution pattern of c-Met on tumor-related lymphatic vessels remains to be further investigated. Lymphatic vessel density, lymphatic invasion, the expression of hepatocyte growth factor, c-Met , and vascular endothelial growth factor C proteins were evaluated by immunohistochemistry in 76 cases of oral squamous cell carcinoma. The distribution of c-Met on lymphatic endothelium was examined. High expression of c-Met in tumor cells was significantly associated with advanced clinical stage ( P = .045), high expression of vascular endothelial growth factor-C ( P < .001), higher peritumoral lymphatic vessel density ( P = .003), higher incidence of peritumoral lymphatic invasion ( P = .032), and positive lymph node status ( P = .005), in spite of its negative expression on most lymphatic vessels. Patients with high– c-Met expression tumors exhibited shorter overall survival and disease-free survival ( P < .001 and P = .010, respectively). Taken together, our results provide indirect evidence for an association and possible regulatory link of c-Met with the lymphangiogenic factor, vascular endothelial growth factor C, and, by extension, with lymphangiogenesis and lymph node metastasis, suggesting important prognostic significance of c-Met for patients with oral squamous cell carcinoma.
doi_str_mv 10.1016/j.humpath.2010.03.012
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However, the correlation between hepatocyte growth factor or c-Met expression and lymphangiogenesis in human spontaneous tumors has been rarely reported, and the distribution pattern of c-Met on tumor-related lymphatic vessels remains to be further investigated. Lymphatic vessel density, lymphatic invasion, the expression of hepatocyte growth factor, c-Met , and vascular endothelial growth factor C proteins were evaluated by immunohistochemistry in 76 cases of oral squamous cell carcinoma. The distribution of c-Met on lymphatic endothelium was examined. High expression of c-Met in tumor cells was significantly associated with advanced clinical stage ( P = .045), high expression of vascular endothelial growth factor-C ( P &lt; .001), higher peritumoral lymphatic vessel density ( P = .003), higher incidence of peritumoral lymphatic invasion ( P = .032), and positive lymph node status ( P = .005), in spite of its negative expression on most lymphatic vessels. Patients with high– c-Met expression tumors exhibited shorter overall survival and disease-free survival ( P &lt; .001 and P = .010, respectively). Taken together, our results provide indirect evidence for an association and possible regulatory link of c-Met with the lymphangiogenic factor, vascular endothelial growth factor C, and, by extension, with lymphangiogenesis and lymph node metastasis, suggesting important prognostic significance of c-Met for patients with oral squamous cell carcinoma.</description><identifier>ISSN: 0046-8177</identifier><identifier>EISSN: 1532-8392</identifier><identifier>DOI: 10.1016/j.humpath.2010.03.012</identifier><identifier>PMID: 21531000</identifier><identifier>CODEN: HPCQA4</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Biomarkers, Tumor - metabolism ; c-Met ; Carcinoma, Squamous Cell - diagnosis ; Carcinoma, Squamous Cell - metabolism ; Carcinoma, Squamous Cell - pathology ; Endothelial Cells - metabolism ; Endothelium, Lymphatic - metabolism ; Female ; Hematologic and hematopoietic diseases ; Hepatocyte Growth Factor - metabolism ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Lymph node metastasis ; Lymphangiogenesis ; Lymphatic Metastasis ; Lymphatic Vessels - metabolism ; Lymphatic Vessels - pathology ; Male ; Medical research ; Medical sciences ; Mouth Neoplasms - diagnosis ; Mouth Neoplasms - metabolism ; Mouth Neoplasms - pathology ; Neoplasm Recurrence, Local ; Oral squamous cell carcinoma ; Otorhinolaryngology. Stomatology ; Pathology ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Prognosis ; Proteins ; Proto-Oncogene Proteins c-met - metabolism ; Rodents ; Studies ; Survival Analysis ; Tumors ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Vascular endothelial growth factor ; Vascular Endothelial Growth Factor C - metabolism</subject><ispartof>Human pathology, 2011-10, Vol.42 (10), p.1514-1523</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. 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However, the correlation between hepatocyte growth factor or c-Met expression and lymphangiogenesis in human spontaneous tumors has been rarely reported, and the distribution pattern of c-Met on tumor-related lymphatic vessels remains to be further investigated. Lymphatic vessel density, lymphatic invasion, the expression of hepatocyte growth factor, c-Met , and vascular endothelial growth factor C proteins were evaluated by immunohistochemistry in 76 cases of oral squamous cell carcinoma. The distribution of c-Met on lymphatic endothelium was examined. High expression of c-Met in tumor cells was significantly associated with advanced clinical stage ( P = .045), high expression of vascular endothelial growth factor-C ( P &lt; .001), higher peritumoral lymphatic vessel density ( P = .003), higher incidence of peritumoral lymphatic invasion ( P = .032), and positive lymph node status ( P = .005), in spite of its negative expression on most lymphatic vessels. Patients with high– c-Met expression tumors exhibited shorter overall survival and disease-free survival ( P &lt; .001 and P = .010, respectively). Taken together, our results provide indirect evidence for an association and possible regulatory link of c-Met with the lymphangiogenic factor, vascular endothelial growth factor C, and, by extension, with lymphangiogenesis and lymph node metastasis, suggesting important prognostic significance of c-Met for patients with oral squamous cell carcinoma.</description><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>c-Met</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Carcinoma, Squamous Cell - metabolism</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Endothelial Cells - metabolism</subject><subject>Endothelium, Lymphatic - metabolism</subject><subject>Female</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hepatocyte Growth Factor - metabolism</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Lymph node metastasis</subject><subject>Lymphangiogenesis</subject><subject>Lymphatic Metastasis</subject><subject>Lymphatic Vessels - metabolism</subject><subject>Lymphatic Vessels - pathology</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Mouth Neoplasms - diagnosis</subject><subject>Mouth Neoplasms - metabolism</subject><subject>Mouth Neoplasms - pathology</subject><subject>Neoplasm Recurrence, Local</subject><subject>Oral squamous cell carcinoma</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pathology</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lymph node metastasis</topic><topic>Lymphangiogenesis</topic><topic>Lymphatic Metastasis</topic><topic>Lymphatic Vessels - metabolism</topic><topic>Lymphatic Vessels - pathology</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Mouth Neoplasms - diagnosis</topic><topic>Mouth Neoplasms - metabolism</topic><topic>Mouth Neoplasms - pathology</topic><topic>Neoplasm Recurrence, Local</topic><topic>Oral squamous cell carcinoma</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pathology</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Prognosis</topic><topic>Proteins</topic><topic>Proto-Oncogene Proteins c-met - metabolism</topic><topic>Rodents</topic><topic>Studies</topic><topic>Survival Analysis</topic><topic>Tumors</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Vascular endothelial growth factor</topic><topic>Vascular Endothelial Growth Factor C - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhao, Dan, MD</creatorcontrib><creatorcontrib>Wang, Si-Hua, MD</creatorcontrib><creatorcontrib>Feng, Yang, MD</creatorcontrib><creatorcontrib>Hua, Cheng-Ge, MD</creatorcontrib><creatorcontrib>Zhao, Jun, MD</creatorcontrib><creatorcontrib>Tang, Xiu-Fa, MD</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>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Human pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhao, Dan, MD</au><au>Wang, Si-Hua, MD</au><au>Feng, Yang, MD</au><au>Hua, Cheng-Ge, MD</au><au>Zhao, Jun, MD</au><au>Tang, Xiu-Fa, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intratumoral c-Met expression is associated with vascular endothelial growth factor C expression, lymphangiogenesis, and lymph node metastasis in oral squamous cell carcinoma: implications for use as a prognostic marker</atitle><jtitle>Human pathology</jtitle><addtitle>Hum Pathol</addtitle><date>2011-10-01</date><risdate>2011</risdate><volume>42</volume><issue>10</issue><spage>1514</spage><epage>1523</epage><pages>1514-1523</pages><issn>0046-8177</issn><eissn>1532-8392</eissn><coden>HPCQA4</coden><abstract>Summary Hepatocyte growth factor has been identified as a lymphangiogenic factor in experimental animal models. However, the correlation between hepatocyte growth factor or c-Met expression and lymphangiogenesis in human spontaneous tumors has been rarely reported, and the distribution pattern of c-Met on tumor-related lymphatic vessels remains to be further investigated. Lymphatic vessel density, lymphatic invasion, the expression of hepatocyte growth factor, c-Met , and vascular endothelial growth factor C proteins were evaluated by immunohistochemistry in 76 cases of oral squamous cell carcinoma. The distribution of c-Met on lymphatic endothelium was examined. High expression of c-Met in tumor cells was significantly associated with advanced clinical stage ( P = .045), high expression of vascular endothelial growth factor-C ( P &lt; .001), higher peritumoral lymphatic vessel density ( P = .003), higher incidence of peritumoral lymphatic invasion ( P = .032), and positive lymph node status ( P = .005), in spite of its negative expression on most lymphatic vessels. Patients with high– c-Met expression tumors exhibited shorter overall survival and disease-free survival ( P &lt; .001 and P = .010, respectively). Taken together, our results provide indirect evidence for an association and possible regulatory link of c-Met with the lymphangiogenic factor, vascular endothelial growth factor C, and, by extension, with lymphangiogenesis and lymph node metastasis, suggesting important prognostic significance of c-Met for patients with oral squamous cell carcinoma.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21531000</pmid><doi>10.1016/j.humpath.2010.03.012</doi><tpages>10</tpages></addata></record>
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subjects Biological and medical sciences
Biomarkers, Tumor - metabolism
c-Met
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - metabolism
Carcinoma, Squamous Cell - pathology
Endothelial Cells - metabolism
Endothelium, Lymphatic - metabolism
Female
Hematologic and hematopoietic diseases
Hepatocyte Growth Factor - metabolism
Humans
Investigative techniques, diagnostic techniques (general aspects)
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymph node metastasis
Lymphangiogenesis
Lymphatic Metastasis
Lymphatic Vessels - metabolism
Lymphatic Vessels - pathology
Male
Medical research
Medical sciences
Mouth Neoplasms - diagnosis
Mouth Neoplasms - metabolism
Mouth Neoplasms - pathology
Neoplasm Recurrence, Local
Oral squamous cell carcinoma
Otorhinolaryngology. Stomatology
Pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Prognosis
Proteins
Proto-Oncogene Proteins c-met - metabolism
Rodents
Studies
Survival Analysis
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Vascular endothelial growth factor
Vascular Endothelial Growth Factor C - metabolism
title Intratumoral c-Met expression is associated with vascular endothelial growth factor C expression, lymphangiogenesis, and lymph node metastasis in oral squamous cell carcinoma: implications for use as a prognostic marker
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