PMID- 22208663 OWN - NLM STAT- MEDLINE DCOM- 20120829 LR - 20221207 IS - 1756-9966 (Electronic) IS - 0392-9078 (Print) IS - 0392-9078 (Linking) VI - 31 IP - 1 DP - 2012 Jan 2 TI - Reduced expression of tissue factor pathway inhibitor-2 contributes to apoptosis and angiogenesis in cervical cancer. PG - 1 LID - 10.1186/1756-9966-31-1 [doi] AB - BACKGROUND: Tissue factor pathway inhibitor-2 (TFPI-2) is an extracellular matrix associated broad-spectrum Kunitz-type serine proteinase inhibitor. Recently, down regulation of TFPI-2 was suggested to be involved in tumor invasion and metastasis in some cancers. METHODS: This study involved 12 normal cervical squamous epithelia, 48 cervical intraepithelial neoplasia (CIN), and 68 cervical cancer. The expression of TFPI-2, Ki-67 and vascular endothelial growth factor (VEGF) were investigated by immunohistochemistry staining. The apoptolic index(AI) was determined with an in situ end-labeling assay(TUNEL). And the marker of CD34 staining was used as an indicator of microvessel density (MVD). RESULTS: TFPI-2 expression has a decreasing trend with the progression of cervical cancer and was significantly correlated with FIGO stage, lymph node metastasis and HPV infection. In addition, there were significant positive correlations between the grading of TFPI-2 expression and AI(P=0.004). In contrast, the expression of TFPI-2 and VEGF or MVD was negatively correlated (both p < 0.001). However, we did not establish any signi fi cant correlation between Ki-67 and TFPI-2 expression in cervical cancer. CONCLUSIONS: The results suggested that the expression of TFPI-2 had a decreasing trend with tumor progression of cervical cancer. There was a close association between the expression of TFPI-2 and tumor cell apoptosis and angiogenesis in patients with cervical cancer. TFPI-2 may play an inhibitive role during the development of cervical cancer. FAU - Zhang, Qiao AU - Zhang Q AD - Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, 110004, China. FAU - Zhang, Yao AU - Zhang Y FAU - Wang, Shi Z AU - Wang SZ FAU - Wang, Ning AU - Wang N FAU - Jiang, Wei G AU - Jiang WG FAU - Ji, Yao H AU - Ji YH FAU - Zhang, Shu L AU - Zhang SL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120102 PL - England TA - J Exp Clin Cancer Res JT - Journal of experimental & clinical cancer research : CR JID - 8308647 RN - 0 (Glycoproteins) RN - 0 (Ki-67 Antigen) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (tissue-factor-pathway inhibitor 2) SB - IM MH - Adult MH - Aged MH - Apoptosis/*genetics MH - Disease Progression MH - Female MH - Gene Expression Regulation, Neoplastic MH - Glycoproteins/*genetics/*metabolism MH - Humans MH - Ki-67 Antigen/genetics/metabolism MH - Middle Aged MH - Neoplasm Staging MH - Neovascularization, Pathologic/genetics/metabolism MH - Uterine Cervical Neoplasms/blood supply/genetics/*metabolism/pathology MH - Vascular Endothelial Growth Factor A/genetics/metabolism MH - Uterine Cervical Dysplasia/blood supply/genetics/*metabolism/pathology PMC - PMC3314549 EDAT- 2012/01/03 06:00 MHDA- 2012/08/30 06:00 PMCR- 2012/01/02 CRDT- 2012/01/03 06:00 PHST- 2011/09/30 00:00 [received] PHST- 2012/01/02 00:00 [accepted] PHST- 2012/01/03 06:00 [entrez] PHST- 2012/01/03 06:00 [pubmed] PHST- 2012/08/30 06:00 [medline] PHST- 2012/01/02 00:00 [pmc-release] AID - 1756-9966-31-1 [pii] AID - 10.1186/1756-9966-31-1 [doi] PST - epublish SO - J Exp Clin Cancer Res. 2012 Jan 2;31(1):1. doi: 10.1186/1756-9966-31-1.