PMID- 16675263 OWN - NLM STAT- MEDLINE DCOM- 20070220 LR - 20151119 IS - 1010-7940 (Print) IS - 1010-7940 (Linking) VI - 29 IP - 6 DP - 2006 Jun TI - Expression of hypoxia-inducible factor-1 alpha and its prognostic significance in small-sized adenocarcinomas of the lung. PG - 891-5 AB - OBJECTIVE: To analyze the prognostic value of hypoxia-inducible factor-1 (HIF-1) alpha expression and its correlation with clinicopathologic variables and the expression of vascular endothelial growth factor-A and -C in patients with lung adenocarcinomas of small size. METHODS: The expression of hypoxia-inducible factor-1 alpha was immunohistochemically determined in 78 cases of small-sized adenocarcinoma (maximum dimension < or = 2 cm) using antibody against a recombinant protein corresponding to amino acids 575-780 of hypoxia-inducible factor-1 alpha. Data regarding patient survival, clinicopathologic factors, and immunohistochemical studies of vascular endothelial growth factors were also collected. RESULTS: Strong expression of hypoxia-inducible factor-1 alpha was observed in 23 of 78 cases; absent or minimal expression was found in the localized bronchioloalveolar carcinomas. Strong expression of hypoxia-inducible factor-1 alpha was significantly higher in cases with vascular invasion, lymph node involvement, and vascular endothelial growth factor-A expression. The 5-year survival rate was 63.2% if expression of hypoxia-inducible factor-1 alpha was strong and 85.1% if expression was weak (p < 0.05). CONCLUSION: Immunohistochemical staining of HIF-1 alpha, along with examination of metastatic potential via vascular pathways, may be valid defining a subpopulation of patients with small-sized adenocarcinoma of the lung whose tumors have aggressive angiogenesis potential. FAU - Enatsu, Sotarou AU - Enatsu S AD - Second Department of Surgery, Faculty of Medicine, Fukuoka University, 7-45-1, Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan. md040004@cis.fukuoka-u.ac.jp FAU - Iwasaki, Akinori AU - Iwasaki A FAU - Shirakusa, Takayuki AU - Shirakusa T FAU - Hamasaki, Makoto AU - Hamasaki M FAU - Nabeshima, Kazuki AU - Nabeshima K FAU - Iwasaki, Hiroshi AU - Iwasaki H FAU - Kuroki, Motomu AU - Kuroki M FAU - Kuroki, Masahide AU - Kuroki M LA - eng PT - Journal Article DEP - 20060503 PL - Germany TA - Eur J Cardiothorac Surg JT - European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery JID - 8804069 RN - 0 (Biomarkers, Tumor) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Neoplasm Proteins) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (Vascular Endothelial Growth Factor C) SB - IM MH - Adenocarcinoma/*metabolism/pathology/secondary/surgery MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*metabolism MH - Female MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*metabolism MH - Lung Neoplasms/*metabolism/pathology/surgery MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Neoplasm Proteins/metabolism MH - Neoplasm Staging MH - Prognosis MH - Survival Analysis MH - Treatment Outcome MH - Vascular Endothelial Growth Factor A/metabolism MH - Vascular Endothelial Growth Factor C/metabolism EDAT- 2006/05/06 09:00 MHDA- 2007/02/21 09:00 CRDT- 2006/05/06 09:00 PHST- 2006/01/06 00:00 [received] PHST- 2006/03/09 00:00 [revised] PHST- 2006/03/14 00:00 [accepted] PHST- 2006/05/06 09:00 [pubmed] PHST- 2007/02/21 09:00 [medline] PHST- 2006/05/06 09:00 [entrez] AID - S1010-7940(06)00296-X [pii] AID - 10.1016/j.ejcts.2006.03.027 [doi] PST - ppublish SO - Eur J Cardiothorac Surg. 2006 Jun;29(6):891-5. doi: 10.1016/j.ejcts.2006.03.027. Epub 2006 May 3.