PMID- 21281818 OWN - NLM STAT- MEDLINE DCOM- 20110523 LR - 20211020 IS - 1525-2191 (Electronic) IS - 0002-9440 (Print) IS - 0002-9440 (Linking) VI - 178 IP - 2 DP - 2011 Feb TI - Gene expression patterns related to vascular invasion and aggressive features in endometrial cancer. PG - 861-71 LID - 10.1016/j.ajpath.2010.10.040 [doi] AB - The presence of tumor cells entering vascular channels is a prognostic marker for many cancers, including endometrial carcinoma. Vascular invasion is considered to be an early step in the metastatic process and important for the progress of malignant tumors. Here, we investigated the gene expression patterns related to vascular involvement in 57 primary endometrial cancers, using DNA microarray and quantitative PCR techniques. A vascular invasion signature of 18 genes was significantly associated with patient survival and clinicopathological phenotype. Vascular involvement was also related to gene sets for epithelial-mesenchymal transition, wound response, endothelial cells, and vascular endothelial growth factor (VEGF) activity. With immunohistochemical validation, both collagen 8 and matrix metalloproteinase 3 (MMP3) were associated with vascular invasion, whereas ANGPTL4 and IL-8 were associated with patient survival. Our findings indicate that vascular involvement within primary tumors is associated with gene expression profiles related to angiogenesis and epithelial-mesenchymal transition. These data could contribute to an improved understanding of potential targets for metastatic spread and may provide clinically important information for better management of endometrial cancer. CI - Copyright (c) 2011 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved. FAU - Mannelqvist, Monica AU - Mannelqvist M AD - Section for Pathology, The Gade Institute, University of Bergen, Bergen, Norway. FAU - Stefansson, Ingunn M AU - Stefansson IM FAU - Bredholt, Geir AU - Bredholt G FAU - Hellem Bo, Trond AU - Hellem Bo T FAU - Oyan, Anne M AU - Oyan AM FAU - Jonassen, Inge AU - Jonassen I FAU - Kalland, Karl-Henning AU - Kalland KH FAU - Salvesen, Helga B AU - Salvesen HB FAU - Akslen, Lars A AU - Akslen LA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (Biomarkers, Tumor) SB - IM MH - Biomarkers, Tumor/genetics/metabolism MH - Blotting, Western MH - Cluster Analysis MH - Endometrial Neoplasms/*genetics/*pathology MH - Endothelial Cells/metabolism/pathology MH - Female MH - *Gene Expression Profiling MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Middle Aged MH - Neoplasm Invasiveness MH - Neovascularization, Pathologic/*genetics MH - Phenotype MH - Polymerase Chain Reaction MH - Reproducibility of Results MH - Survival Analysis PMC - PMC3070569 EDAT- 2011/02/02 06:00 MHDA- 2011/05/24 06:00 PMCR- 2012/02/01 CRDT- 2011/02/02 06:00 PHST- 2010/07/02 00:00 [received] PHST- 2010/08/31 00:00 [revised] PHST- 2010/10/13 00:00 [accepted] PHST- 2011/02/02 06:00 [entrez] PHST- 2011/02/02 06:00 [pubmed] PHST- 2011/05/24 06:00 [medline] PHST- 2012/02/01 00:00 [pmc-release] AID - S0002-9440(10)00136-7 [pii] AID - AJPA135 [pii] AID - 10.1016/j.ajpath.2010.10.040 [doi] PST - ppublish SO - Am J Pathol. 2011 Feb;178(2):861-71. doi: 10.1016/j.ajpath.2010.10.040.