1768: Prognostic Significance of Plasma Placental Growth Factor Levels in Renal Cell Cancer: An Association with Clinical Characteristics and Vascular Endothelial Growth Factor Levels

2004 ◽  
Vol 171 (4S) ◽  
pp. 467-467 ◽  
Author(s):  
Kazuhisa Matsumoto ◽  
Kazuhiro Suzuki ◽  
Hidekazu Koike ◽  
Keigo Okamura ◽  
Kiyotaka Tsuchiya ◽  
...  
2011 ◽  
Vol 152 (17) ◽  
pp. 655-662 ◽  
Author(s):  
Anikó Maráz

Therapeutic options in advanced renal-cell cancer have expanded through better understanding of molecular patho­logy and development of novel targeted therapeutics. Vascular endothelial growth factor, the key ligand of angioge­nesis, has a major role in the progression of vascularized kidney tumors and this is the target molecule of modern medications. The three types of the mechanism of action of current therapies are: monoclonal antibodies blocking directly vascular endothelial growth factor ligand (bevacizumab), tyrosine-kinase inhibitors blocking vascular endothelial growth factor receptors (sorafenib, sunitinib, pazopanib) and inhibitors of the intracellular mTOR-kinase (temsirolimus, everolimus). Based on randomized studies, sunitinib, pazopanib or interferon-α-bevacizumab combination should be the first-line therapy in patients with good/moderate prognosis, while temsirolimus is recommended in those with poor prognosis. Following an ineffective cytokine therapy sorafenib or pazopanib are the se­cond-line treatment. In case of tyrosine-kinase inhibitor inefficacy, current evidence favors everolimus. Patient outcome can further be improved by the involvement of more modern and effective target products. Orv. Hetil., 2011, 152, 655–662.


2008 ◽  
Vol 25 (3) ◽  
pp. 141-148 ◽  
Author(s):  
Ching Tzao ◽  
Shih-Chun Lee ◽  
Ho-Jui Tung ◽  
Han-Shui Hsu ◽  
Wen-Hu Hsu ◽  
...  

Hypoxia-inducible factor (HIF)-1αand vascular endothelial growth factor (VEGF) are important angiogenic factors in human cancers. Relative to VEGF-C, prognostic significance of VEGF-D expression and its association with HIF-1αexpression remain elusive in esophageal squamous cell cancer (ESCC). We studied expression of HIF-1αand VEGF-D using immunohistochemistry in 85 resected ESCC specimens and correlated results with patients' clinicopathologic parameters and survival. Association between expression of HIF-1αand VEGF-D was investigated using a concordance analysis. High expression of HIF-1αand VEGF-D was observed in 52 (61.2%) and 56 (65.9%) patients, respectively. HIF-1αexpression correlated well with tumor stage (P= 0.041), whereas VEGF-D expression correlated with tumor stage (P= 0.027) and N status (P= 0.019). Groups of high HIF-1αand VEGF-D showed worse survivals than those of low expression (P= 0.002 and 0.001, respectively). Multivariate analysis supported expression of HIF-1αand VEGF-D as significant survival predictors (P= 0.044 and 0.035, respectively). A concordance rate of 69.5% was observed between expression of HIF-1αand VEGF-D. In conclusion, protein expression of HIF-1αand VEGF-D are independent prognostic predictors. An association between expression of HIF-1αand VEGF-D suggests that these two angiogenic factors are essential in progression of ESCC.


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