2008
DOI: 10.3346/jkms.2008.23.4.592
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Correlation of Vascular Endothelial Growth Factor-D Expression and VEGFR-3-Positive Vessel Density with Lymph Node Metastasis in Gastric Carcinoma

Abstract: Lymph node metastasis is an important prognostic factor in gastric cancer. Vascular endothelial growth factor-D (VEGF-D) is a lymphangiogenic growth factor that activates VEGF receptor (VEGFR)-3, a receptor expressed in the lymphatic endothelium. We investigated the clinical value of VEGF-D expression and VEGFR-3 positive vessel density in gastric carcinoma with regard to lymphangiogenesis. Immunohistochemical staining was used to determine the expression of VEGF-D and VEGFR-3 in specimens from 104 cases of re… Show more

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Cited by 25 publications
(19 citation statements)
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References 25 publications
(26 reference statements)
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“…VEGFD was isolated as a cFos oncogene-inducible mitogen [27], and it is primarily found in skeletal muscle, heart, lung, and intestine [28]. More and more evidences proved that high VEGFD expression was related with tumor growth and metastasis [16][17][18][19][29][30][31]. In addition, there are some reports about the promotion of VEGFD on the tumor growth and metastasis of hepatocellular carcinoma [32,33].…”
Section: Discussionmentioning
confidence: 96%
“…VEGFD was isolated as a cFos oncogene-inducible mitogen [27], and it is primarily found in skeletal muscle, heart, lung, and intestine [28]. More and more evidences proved that high VEGFD expression was related with tumor growth and metastasis [16][17][18][19][29][30][31]. In addition, there are some reports about the promotion of VEGFD on the tumor growth and metastasis of hepatocellular carcinoma [32,33].…”
Section: Discussionmentioning
confidence: 96%
“…VEGF-C not only induces the hyperplasia of peritumoral vessels, but also increases the volumetric flow rate of fluid in lymphatics that results in the increased delivery of tumor cells to the lymph node (44). Indeed, many other growth factors (FGF-2, Ang-1, VEGF-A, IGF-1, HGF) stimulate lymphangiogenesis indirectly through VEGF-C. VEGF-D also plays a role in the regulation of tumor lymphangiogenesis (45,46). Functional autocrine stimulation of VEGF-D in cancer not only stimulates the proliferation of cancer cells and LECs, but also plays a role in the maintenance of anti-apoptotic characteristics of tumor-derived endothelial cells (20).…”
Section: Discussionmentioning
confidence: 97%
“…An association of high LVD, rising regional and distant metastases, and poor patients’ survival was found for different types of tumours [8]. Further, the VEGF-C/VEGF-D/VEGFR-3 signalling axis was shown to induce metastatic spread [56], and a variety of human cancers revealed a correlation between high expression of VEGF-C, VEGF-D and/or VEGFR-3 and high LVD, lymph node metastasis and shortened survival [57,58,59]. In contrast, our findings did not show a correlation between the overall low LVD and expression levels of any VEGF or VEGFR, especially of VEGF-C, -D, and VEGFR-3, with systemic spread, or patients’ overall survival in ileal EC cell carcinoids.…”
Section: Discussionmentioning
confidence: 99%