Malignant fibrous histiocytoma (MFH) is one of the most common soft tissue sarcomas. MFH has been proposed to be a lesion accompanied with inflammatory responses. During chronic inflammation, reactive nitrogen and oxygen species generated from inflammatory cells are considered to participate in carcinogenesis by causing DNA damage. 8-nitroguanine is a mutagenic nitrative DNA lesion formed during chronic inflammation. We examined whether nitrative DNA damage is related to the prognosis of MFH patients. We performed immunohistochemical analyses to examine the distribution of DNA damage and the expression of inflammation-related molecules including inducible nitric oxide synthase (iNOS), nuclear factor-κ κ κ κB (NF-κ κ κ κB), and cyclooxygenase-2 (COX-2) in clinical specimens from 25 patients with MFH. We also analyzed the correlation of DNA damage or the expression of these genes with the prognosis of MFH patients. Immunohistochemical staining revealed that the formation of 8-nitroguanine and 8-oxo-7,8-dihydro-2′ ′ ′ ′-deoxyguanosine (8-oxodG), an oxidative DNA lesion, occurred to a much greater extent in MFH tissue specimens from deceased patients than in live patients. iNOS, NF-κ κ κ κB and COX-2 were colocalized with 8-nitroguanine in MFH tissues. It is noteworthy that the statistical analysis using the Kaplan-Meier method demonstrated strong 8-nitroguanine staining to be associated with a poor prognosis. In conclusion, 8-nitroguanine appears to participate in not only the initiation and promotion of MFH, but also in the progression of MFH, and could therefore be used as a promising biomarker to evaluate the prognosis of cancer patients. (Cancer Sci 2007; 98: 163-168) M alignant fibrous histiocytoma has been regarded as one of the most common soft tissue sarcomas occurring in adult patients, (1) and it occurs most frequently in the extremities, trunk and retroperitoneum.(2) MFH is classified into four subtypes including storiform-pleomorphic (60 -70%), myxoid (10 -20%), giant cell (approximately 10%) and inflammatory (relatively rare).(3) MFH has been proposed to be a lesion accompanied with inflammatory responses. The expression of cytokines in a certain type of MFH (inflammatory MFH) may account for the local inflammatory infiltrate and the aggressive nature observed in these malignant cells.(4) In the early phases of experimentally induced rat sarcoma, an inflammatory reaction characterized by an infiltration of lymphocytes, monocytes and macrophages was observed.(5) It has been hypothesized that many malignancies arise from areas of inflammation.(6,7) Moreover, chronic inflammation has also been proposed to contribute to the development of various cancers.(6,7) These findings led us to an idea that the inflammatory responses thus play a role in the pathogenesis of MFH.During chronic inflammation, RNS and ROS are generated from inflammatory and epithelial cells, and therefore are considered to play a key role in both carcinogenesis and tumor progression. (8,9) ROS can induce the formation of 8-oxod), an indi...