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[Cancer Research 55, 3964-3968, September 15, 1995]
© 1995 American Association for Cancer Research

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Expression of Vascular Endothelial Growth Factor and Its Receptor, KDR, Correlates with Vascularity, Metastasis, and Proliferation of Human Colon Cancer1

Yutaka Takahashi, Yasuhiko Kitadai, Corazon D. Bucana, Karen R. Cleary and Lee M. Ellis2

Departments of Cell Biology [Y. T., Y. K., C. D. B., L. M. E.], Surgical Oncology [Y. T., L. M. E.], and Pathology [K. R. C.], The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030

We studied the correlation between expression of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), and their receptors with vascularity, metastasis, and proliferative index of human colon cancers. Immunohistochemical analyses using antibodies against VEGF, bFGF, their receptors (KDR, flt-1, bek, and flg), factor VIII, and proliferating cell nuclear antigen were carried out on archival specimens of 52 human colon carcinomas and 10 adenomas. Vessels were quantitated by light microscopy (x200), and the intensity of staining for VEGF and bFGF was assessed on a scale of 0–3+. The presence or absence of immunostaining for KDR, flt-1, bek, and flg was evaluated in endothelial cells, and proliferation was determined by counting the number of proliferating cell nuclear antigen-positive cells per 500 tumor cells. Expression of VEGF and KDR was higher in metastatic than in nonmetastatic neoplasms and directly correlated with the extent of neovascularization and the degree of proliferation, whereas expression of bFGF, flt-1, bek, and flg did not differ among tumor types. Vessel counts were greater in metastatic tumors than in nonmetastatic tumors. These findings support the hypothesis that VEGF is an important angiogenic factor in primary and metastatic human colon cancer. VEGF expression and vessel counts may aid in predicting patients at risk for metastasis from colon cancer.

1 This work was supported in part by American Cancer Society Cancer Development Award 94-21 (L. M. E.).

2 To whom requests for reprints should be addressed, at The University of Texas M. D. Anderson Cancer Center, Texas Medical Center, Box 106, 1515 Holcombe Boulevard, Houston, TX 77030.

Received 6/ 5/95. Accepted 6/ 5/95.




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F. Kabbinavar, H. I. Hurwitz, L. Fehrenbacher, N. J. Meropol, W. F. Novotny, G. Lieberman, S. Griffing, and E. Bergsland
Phase II, Randomized Trial Comparing Bevacizumab Plus Fluorouracil (FU)/Leucovorin (LV) With FU/LV Alone in Patients With Metastatic Colorectal Cancer
J. Clin. Oncol., January 1, 2003; 21(1): 60 - 65.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
N. Tripodis and P. Demant
Genetic Analysis of Three-dimensional Shape of Mouse Lung Tumors Reveals Eight Lung Tumor Shape-Determining (Ltsd) Loci That Are Associated with Tumor Heterogeneity and Symmetry
Cancer Res., January 1, 2003; 63(1): 125 - 131.
[Abstract] [Full Text] [PDF]


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BloodHome page
G. Schuch, M. Machluf, G. Bartsch Jr, M. Nomi, H. Richard, A. Atala, and S. Soker
In vivo administration of vascular endothelial growth factor (VEGF) and its antagonist, soluble neuropilin-1, predicts a role of VEGF in the progression of acute myeloid leukemia in vivo
Blood, December 15, 2002; 100(13): 4622 - 4628.
[Abstract] [Full Text] [PDF]


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IOVSHome page
C. Bellan, G. De Falco, G. M. Tosi, S. Lazzi, F. Ferrari, G. Morbini, S. Bartolomei, P. Toti, P. Mangiavacchi, G. Cevenini, et al.
Missing Expression of pRb2/p130 in Human Retinoblastomas Is Associated with Reduced Apoptosis and Lesser Differentiation
Invest. Ophthalmol. Vis. Sci., December 1, 2002; 43(12): 3602 - 3608.
[Abstract] [Full Text] [PDF]


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Mol. Pathol.Home page
E S Bamberger and C W Perrett
Angiogenesis in epithelian ovarian cancer
Mol. Pathol., December 1, 2002; 55(6): 348 - 359.
[Abstract] [Full Text] [PDF]


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Vet PatholHome page
F. Millanta, G. Lazzeri, I. Vannozzi, P. Viacava, and A. Poli
Correlation of Vascular Endothelial Growth Factor Expression to Overall Survival in Feline Invasive Mammary Carcinomas
Vet. Pathol., November 1, 2002; 39(6): 690 - 696.
[Abstract] [Full Text] [PDF]


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Ann OncolHome page
E. Laack, A. Kohler, C. Kugler, T. Dierlamm, C. Knuffmann, G. Vohwinkel, A. Niestroy, N. Dahlmann, A. Peters, J. Berger, et al.
Pretreatment serum levels of matrix metalloproteinase-9 and vascular endothelial growth factor in non-small-cell lung cancer
Ann. Onc., October 1, 2002; 13(10): 1550 - 1557.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
N. Reinmuth, W. Liu, F. Fan, Y. D. Jung, S. A. Ahmad, O. Stoeltzing, C. D. Bucana, R. Radinsky, and L. M. Ellis
Blockade of Insulin-like Growth Factor I Receptor Function Inhibits Growth and Angiogenesis of Colon Cancer
Clin. Cancer Res., October 1, 2002; 8(10): 3259 - 3269.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
C. J. McCabe, K. Boelaert, L. A. Tannahill, A. P. Heaney, A. L. Stratford, J. S. Khaira, S. Hussain, M. C. Sheppard, J. A. Franklyn, and N. J. L. Gittoes
Vascular Endothelial Growth Factor, Its Receptor KDR/Flk-1, and Pituitary Tumor Transforming Gene in Pituitary Tumors
J. Clin. Endocrinol. Metab., September 1, 2002; 87(9): 4238 - 4244.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
A. Stopeck, M. Sheldon, M. Vahedian, G. Cropp, R. Gosalia, and A. Hannah
Results of a Phase I Dose-escalating Study of the Antiangiogenic Agent, SU5416, in Patients with Advanced Malignancies
Clin. Cancer Res., September 1, 2002; 8(9): 2798 - 2805.
[Abstract] [Full Text] [PDF]


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JNMHome page
S. Kinuya, A. Kawashima, K. Yokoyama, K. Koshida, S. Konishi, N. Watanabe, N. Shuke, H. Bunko, T. Michigishi, and N. Tonami
Cooperative Effect of Radioimmunotherapy and Antiangiogenic Therapy with Thalidomide in Human Cancer Xenografts
J. Nucl. Med., August 1, 2002; 43(8): 1084 - 1089.
[Abstract] [Full Text] [PDF]


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Vet PatholHome page
B. Restucci, S. Papparella, P. Maiolino, and G. De Vico
Expression of Vascular Endothelial Growth Factor in Canine Mammary Tumors
Vet. Pathol., July 1, 2002; 39(4): 488 - 493.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
L. M. Veenendaal, H. Jin, S. Ran, L. Cheung, N. Navone, J. W. Marks, J. Waltenberger, P. Thorpe, and M. G. Rosenblum
In vitro and in vivo studies of a VEGF121/rGelonin chimeric fusion toxin targeting the neovasculature of solid tumors
PNAS, June 11, 2002; 99(12): 7866 - 7871.
[Abstract] [Full Text] [PDF]


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J. Histochem. Cytochem.Home page
A. N. Witmer, J. Dai, H. A. Weich, G. F.J.M. Vrensen, and R. O. Schlingemann
Expression of Vascular Endothelial Growth Factor Receptors 1, 2, and 3 in Quiescent Endothelia
J. Histochem. Cytochem., June 1, 2002; 50(6): 767 - 778.
[Abstract] [Full Text] [PDF]


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Eur. J. Cardiothorac. Surg.Home page
M. Lucchi, A. Mussi, G. Fontanini, P. Faviana, A. Ribechini, and C. A. Angeletti
Small cell lung carcinoma (SCLC): the angiogenic phenomenon
Eur. J. Cardiothorac. Surg., June 1, 2002; 21(6): 1105 - 1110.
[Abstract] [Full Text] [PDF]


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Eur Respir JHome page
C.S. Brock and S.M. Lee
Anti-angiogenic strategies and vascular targeting in the treatment of lung cancer
Eur. Respir. J., March 1, 2002; 19(3): 557 - 570.
[Abstract] [Full Text] [PDF]


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JCOHome page
A. Yuan, C.-J. Yu, K.-T. Luh, S.-H. Kuo, Y.-C. Lee, and P.-C. Yang
Aberrant p53 Expression Correlates With Expression of Vascular Endothelial Growth Factor mRNA and Interleukin-8 mRNA and Neoangiogenesis in Non-Small-Cell Lung Cancer
J. Clin. Oncol., February 15, 2002; 20(4): 900 - 910.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Cell Mol. Bio.Home page
T. Maeno, T. Tanaka, Y. Sando, T. Suga, Y. Maeno, J. Nakagawa, T. Hosono, M. Sato, H. Akiyama, S. Kishi, et al.
Stimulation of Vascular Endothelial Growth Factor Gene Transcription by all trans Retinoic Acid through Sp1 and Sp3 Sites in Human Bronchioloalveolar Carcinoma Cells
Am. J. Respir. Cell Mol. Biol., February 1, 2002; 26(2): 246 - 253.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
R. Koomagi, F. Zintl, A. Sauerbrey, and M. Volm
Vascular Endothelial Growth Factor in Newly Diagnosed and Recurrent Childhood Acute Lymphoblastic Leukemia as Measured by Real-Time Quantitative Polymerase Chain Reaction
Clin. Cancer Res., November 1, 2001; 7(11): 3381 - 3384.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Y. Hamma-Kourbali, R. Vassy, A. Starzec, V. Le Meuth-Metzinger, O. Oudar, R. Bagheri-Yarmand, G. Perret, and M. Crepin
Vascular Endothelial Growth Factor 165 (VEGF165) Activities Are Inhibited by Carboxymethyl Benzylamide Dextran That Competes for Heparin Binding to VEGF165 and VEGF165{middle dot}KDR Complexes
J. Biol. Chem., October 19, 2001; 276(43): 39748 - 39754.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
C. C. Solorzano, Y. D. Jung, C. D. Bucana, D. J. McConkey, G. E. Gallick, G. McMahon, and L. M. Ellis
In Vivo Intracellular Signaling as a Marker of Antiangiogenic Activity
Cancer Res., October 1, 2001; 61(19): 7048 - 7051.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
F. Bentzien, I. Struman, J.-F. Martini, J. Martial, and R. Weiner
Expression of the Antiangiogenic Factor 16K hPRL in Human HCT116 Colon Cancer Cells Inhibits Tumor Growth in Rag1-/- Mice
Cancer Res., October 1, 2001; 61(19): 7356 - 7362.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
X. Zhang, J. P. Gaspard, and D. C. Chung
Regulation of Vascular Endothelial Growth Factor by the Wnt and K-ras Pathways in Colonic Neoplasia
Cancer Res., August 1, 2001; 61(16): 6050 - 6054.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
J. Ma, S. Pulfer, S. Li, J. Chu, K. Reed, and J. M. Gallo
Pharmacodynamic-mediated Reduction of Temozolomide Tumor Concentrations by the Angiogenesis Inhibitor TNP-470
Cancer Res., July 1, 2001; 61(14): 5491 - 5498.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
T. Etoh, H. Inoue, S. Tanaka, G. F. Barnard, S. Kitano, and M. Mori
Angiopoietin-2 Is Related to Tumor Angiogenesis in Gastric Carcinoma: Possible in Vivo Regulation via Induction of Proteases
Cancer Res., March 1, 2001; 61(5): 2145 - 2153.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
M.-D. Tabone, J. Landman-Parker, B. Arcil, M.-C. Coudert, I. Gerota, M. Benbunan, G. Leverger, and C. Dosquet
Are Basic Fibroblast Growth Factor and Vascular Endothelial Growth Factor Prognostic Indicators in Pediatric Patientswith Malignant Solid Tumors?
Clin. Cancer Res., March 1, 2001; 7(3): 538 - 543.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
M. Yang, E. Baranov, X.-M. Li, J. W. Wang, P. Jiang, L. Li, A. R. Moossa, S. Penman, and R. M. Hoffman
Whole-body and intravital optical imaging of angiogenesis in orthotopically implanted tumors
PNAS, February 27, 2001; 98(5): 2616 - 2621.
[Abstract] [Full Text] [PDF]


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JCOHome page
K. D. Miller, C. J. Sweeney, and G. W. Sledge Jr
Redefining the Target: Chemotherapeutics as Antiangiogenics
J. Clin. Oncol., February 15, 2001; 19(4): 1195 - 1206.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
H. Ishikawa, A. P. Heaney, R. Yu, G. A. Horwitz, and S. Melmed
Human Pituitary Tumor-Transforming Gene Induces Angiogenesis
J. Clin. Endocrinol. Metab., February 1, 2001; 86(2): 867 - 874.
[Abstract] [Full Text]


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Cancer Res.Home page
R. M. Shaheen, W. W. Tseng, D. W. Davis, W. Liu, N. Reinmuth, R. Vellagas, A. A. Wieczorek, Y. Ogura, D. J. McConkey, K. E. Drazan, et al.
Tyrosine Kinase Inhibition of Multiple Angiogenic Growth Factor Receptors Improves Survival in Mice Bearing Colon Cancer Liver Metastases by Inhibition of Endothelial Cell Survival Mechanisms
Cancer Res., February 1, 2001; 61(4): 1464 - 1468.
[Abstract] [Full Text]


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JCOHome page
A. Yuan, C.-J. Yu, S.-H. Kuo, W.-J. Chen, F.-Y. Lin, K.-T. Luh, P.-C. Yang, and Y.-C. Lee
Vascular Endothelial Growth Factor 189 mRNA Isoform Expression Specifically Correlates With Tumor Angiogenesis, Patient Survival, and Postoperative Relapse in Non-Small-Cell Lung Cancer
J. Clin. Oncol., January 15, 2001; 19(2): 432 - 441.
[Abstract] [Full Text] [PDF]


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GutHome page
Z von Marschall, T Cramer, M Hocker, G Finkenzeller, B Wiedenmann, and S Rosewicz
Dual mechanism of vascular endothelial growth factor upregulation by hypoxia in human hepatocellular carcinoma
Gut, January 1, 2001; 48(1): 87 - 96.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
P. P. Claudio, P. Stiegler, C. M. Howard, C. Bellan, C. Minimo, G. M. Tosi, J. Rak, A. Kovatich, Paola De Fazio, P. Micheli, et al.
RB2/p130 Gene-enhanced Expression Down-Regulates Vascular Endothelial Growth Factor Expression and Inhibits Angiogenesis in Vivo
Cancer Res., January 1, 2001; 61(2): 462 - 468.
[Abstract] [Full Text]


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Mol. Pathol.Home page
E A Baker, F G Bergin, and D J Leaper
Plasminogen activator system, vascular endothelial growth factor, and colorectal cancer progression
Mol. Pathol., December 1, 2000; 53(6): 307 - 312.
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Cancer Res.Home page
G. Zeng, L. Gao, S. Birklé, and R. K. Yu
Suppression of Ganglioside GD3 Expression in a Rat F-11 Tumor Cell Line Reduces Tumor Growth, Angiogenesis, and Vascular Endothelial Growth Factor Production
Cancer Res., December 1, 2000; 60(23): 6670 - 6676.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
D. B. Mendel, R. E. Schreck, D. C. West, G. Li, L. M. Strawn, S. S. Tanciongco, S. Vasile, L. K. Shawver, and J. M. Cherrington
The Angiogenesis Inhibitor SU5416 Has Long-lasting Effects on Vascular Endothelial Growth Factor Receptor Phosphorylation and Function
Clin. Cancer Res., December 1, 2000; 6(12): 4848 - 4858.
[Abstract] [Full Text]


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J. Thorac. Cardiovasc. Surg.Home page
S. L. Starnes, B. W. Duncan, J. M. Kneebone, C. H. Fraga, S. States, G. L. Rosenthal, and F. M. Lupinetti
Pulmonary microvessel density is a marker of angiogenesis in children after cavopulmonary anastomosis
J. Thorac. Cardiovasc. Surg., November 1, 2000; 120(5): 902 - 908.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
H. Kuniyasu, W. Yasui, H. Shinohara, S. Yano, L. M. Ellis, M. R. Wilson, C. D. Bucana, T. Rikita, E. Tahara, and I. J. Fidler
Induction of Angiogenesis by Hyperplastic Colonic Mucosa Adjacent to Colon Cancer
Am. J. Pathol., November 1, 2000; 157(5): 1523 - 1535.
[Abstract] [Full Text] [PDF]




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