Articles

Evaluation of Angiogenesis in Colorectal Carcinoma by CD34 Immunohistochemistry Method and its Correlation with Clinicopathologic Parameters

Abstract

The basic pathogenic step in the process of tumor growth, invasion and metastasis is tumor-induced angiogenesis. The aim of this study was to evaluate the angiogenesis in colorectal carcinoma by microvascular density (MVD) determination with IHC (immunohistochemistry) method and to determine if and how angiogenesis correlates with clinicopathologic parameters. Sixty two archival, paraffin embedded tissue samples of colorectal carcinoma from Omid Hospital (Mashhad, Islamic republic of Iran) were selected. Microvessels were identified immunohistochemically, using monoclonal CD34 antibody. Two investigators examined the microvessel density then the median value of MVD was determined and correlated with clinicopathologic parameters. Tumor-induced angiogenesis of colorectal carcinoma statistically correlated with histological tumor grade (P=0.000). There was no significant correlation between intratumoral microvessel density and sex and age of patients, localization, and stage and histologicalal tumor type (P > 0.1). Intratumoral microvessel density quantification in histologic specimens of colorectal carcinoma reflects the grade of tumors and may be a useful additional prognostic factor.

Kumar V, Assas AK, Fausto N, editors. Robbins and Cotran Pathologic Basis of Disease. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005.

Weidner N, Semple JP, Welch WR, Folkman J. Tumor angiogenesis and metastasis: correlation in invasive breast carcinoma. N Engl J Med 1991; 324(1): 1-8.

Maeda K, Chung YS, Takatsuka S, Ogawa Y, Sawada T, Yamashita Y, et al. Tumor angiogenesis as a predictor of recurrence in gastric carcinoma. J Clin Oncol 1995; 13(2): 477-81.

Lindmark G, Gerdin B, Sundberg C, Påhlman L, Bergström R, Glimelius B. Prognostic significance of the microvascular count in colorectal cancer. J Clin Oncol 1996; 14(2): 461-6.

Fenjvesi A. Prognostic significance of tumor-induced angiogenesis in colorectal carcinoma. Med Pregl 2003; 56(5-6): 263-8.

Zheng S, Han MY, Xiao ZX, Peng JP, Dong Q. Clinicalsignificance of vascular endothelial growth factor expression and neovascularization in colorectal carcinoma. WorldJ Gastroenterol 2003; 9(6): 1227-30.

Cristi E, Perrone G, Toscano G, Verzì A, Nori S, Santini D, et al. Tumour proliferation, angiogenesis, and ploidy statusin human colon cancer. J Clin Pathol 2005; 58(11): 1170-4.

Hollingsworth SJ, Drye ER, Tou SI, Boulos PB. Expression of angiogenic VEGF-A (soluble isoforms 121, 165) andlymphangiogenic VEGF-C in colorectal cancers with micro- satellite instability. J Surg Oncol 2005; 92(4): 317-25.

Grantab R, Sivananthan S, Tannock IF. The penetration of anticancer drugs through tumor tissue as a function of cellularadhesion and packing density of tumor cells. Cancer Res2006; 66(2): 1033-9.

Bafandeh Y, Daghestani D, Esmaili H, Aharizad S. Distribution of cancer and adenomatous polyps in the colorectum: study in an Iranian population. Asian Pac J CancerPrev 2006; 7(1): 65-8.

Yazdizadeh B, Jarrahi AM, Mortazavi H, Mohagheghi MA, Tahmasebi S, Nahvijo A. Time trends in the occurrence of major GI cancers in Iran. Asian Pac J Cancer Prev 2005; 6(2): 130-4.

Rosai J. Rosai and Ackerman's Surgical Pathology. 9th ed.Edinburgh: Mosby; 2004.

Fox SH, Whalen GF, Sanders MM, Burleson JA, Jennings K, Kurtzman S, et al. Angiogenesis in normal tissue adjacent to colon cancer. J Surg Oncol 1998; 69(4): 230-4.

Bossi P, Viale G, Lee AK, Alfano R, Coggi G, Bosari S. Angiogenesis in colorectal tumors: microvessel quantitation in adenomas and carcinomas with clinicopathological correlations. Cancer Res 1995; 55(21): 5049-53.

Engel CJ, Bennett ST, Chambers AF, Doig GS, Kerkvliet N, O'Malley FP. Tumor angiogenesis predicts recurrence in invasive colorectal cancer when controlled for Dukes staging.Am J Surg Pathol 1996; 20(10): 1260-5.

Tanigawa N, Amaya H, Matsumura M, Lu C, Kitaoka A,Matsuyama K, et al. Tumor angiogenesis and mode of metastasisin patients with colorectal cancer. Cancer Res 1997; 57(6): 1043-6.

Boxer GM, Tsiompanou E, Levine T, Watson R, Begent RH. Immunohistochemical expression of vascular endothelial growth factor and microvessel counting as prognostic indicators in node-negative colorectal cancer. Tumour Biol 2005; 26(1): 1-8.

Wang HM, Zhang GY. Indomethacin suppresses growth of colon cancer via inhibition of angiogenesis in vivo. World J Gastroenterol 2005; 11(3): 340-3.

Liang P, Hong JW, Ubukata H, Liu HR, Watanabe Y, KatanoM, et al. Increased density and diameter of lymphatic microvessels correlate with lymph node metastasis in early stage invasive colorectal carcinoma. Virchows Arch 2006; 448(5): 570-5.

Des Guetz G, Uzzan B, Nicolas P, Cucherat M, Morere JF, Benamouzig R, et al. Microvessel density and VEGF expression are prognostic factors in colorectal cancer. Metaanalysis of the literature. Br J Cancer 2006; 94(12): 1823-32.

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IssueVol 47, No 3 (2009) QRcode
SectionArticles
Keywords
Angiogenesis antigens CD34 colorectal neoplasm immunohistochemistry clinical pathology

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How to Cite
1.
Sharifi N, Ghaffarzadegan K, Ayatollahi H, Shakeri MT, Sadeghian MH, Bordbar Azari J. Evaluation of Angiogenesis in Colorectal Carcinoma by CD34 Immunohistochemistry Method and its Correlation with Clinicopathologic Parameters. Acta Med Iran. 1;47(3):161-164.