PMID- 23091809 OWN - NLM STAT- MEDLINE DCOM- 20130319 LR - 20211021 IS - 2287-285X (Electronic) IS - 2287-2728 (Print) IS - 2287-2728 (Linking) VI - 18 IP - 3 DP - 2012 Sep TI - Cyclooxygenase-2 and vascular endothelial growth factor in chronic hepatitis, cirrhosis and hepatocellular carcinoma. PG - 287-94 LID - 10.3350/cmh.2012.18.3.287 [doi] AB - BACKGROUND/AIMS: Cyclooxygenase-2 (COX-2) and vascular endothelial growth factor (VEGF) are up-regulated in hepatocellular carcinoma (HCC). To investigate the levels of COX-2 and VEGF expression in chronic hepatitis (CH), cirrhosis, and HCC. METHODS: The immunohistochemical expressions of COX-2 and VEGF were evaluated in tissues from patients with CH (n=95), cirrhosis (n=38), low-grade HCC (LG-HCC; n=6), and high-grade HCC (HG-HCC; n=29). RESULTS: The COX-2 expression scores in CH, cirrhosis, LG-HCC, and HG-HCC were 3.3+/-1.9 (mean+/-SD), 4.2+/-1.7, 5.5+/-1.0, and 3.4+/-2.4, respectively (CH vs. cirrhosis, P=0.016; CH vs. LG-HCC, P=0.008; LG-HCC vs. HG-HCC, P=0.004), and the corresponding VEGF expression scores were 0.9+/-0.8, 1.5+/-0.7, 1.8+/-0.9, and 1.6+/-1.1 (CH vs. cirrhosis, P<0.001; CH vs. LG-HCC, P=0.011; LG-HCC vs. HG-HCC, P=0.075). Both factors were correlated with the fibrosis stage in CH and cirrhosis (COX-2: r=0.427, P<0.001; VEGF: r=0.491, P<0.001). There was a significant correlation between COX-2 and VEGF in all of the tissue samples (r=0.648, P<0.001), and between high COX-2 and VEGF expression scores and survival (COX-2: P=0.001; VEGF: P<0.001). CONCLUSIONS: The expressions of both COX-2 and VEGF are significantly higher in cirrhosis and LG-HCC than in CH. High COX-2 and high VEGF expressions are associated with a high survival rate. FAU - Kwon, Soon Ha AU - Kwon SH AD - Division of Gastroenterology, Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea. FAU - Jeong, Soung Won AU - Jeong SW FAU - Jang, Jae Young AU - Jang JY FAU - Lee, Ji Eun AU - Lee JE FAU - Lee, Sae Hwan AU - Lee SH FAU - Kim, Sang Gyune AU - Kim SG FAU - Kim, Young Seok AU - Kim YS FAU - Cho, Young Deok AU - Cho YD FAU - Kim, Hong Soo AU - Kim HS FAU - Kim, Boo Sung AU - Kim BS FAU - Jin, So-Young AU - Jin SY LA - eng PT - Journal Article DEP - 20120925 PL - Korea (South) TA - Clin Mol Hepatol JT - Clinical and molecular hepatology JID - 101586730 RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 1.14.99.1 (Cyclooxygenase 2) SB - IM MH - Adult MH - Aged MH - Carcinoma, Hepatocellular/*metabolism/mortality/pathology MH - Cyclooxygenase 2/*metabolism MH - Female MH - Hepatitis, Chronic/*metabolism/mortality/pathology MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Liver Cirrhosis/*metabolism/mortality/pathology MH - Liver Neoplasms/*metabolism/mortality/pathology MH - Male MH - Middle Aged MH - Vascular Endothelial Growth Factor A/*metabolism PMC - PMC3467432 OTO - NOTNLM OT - Chronic hepatitis OT - Cyclooxygenase-2 OT - Hepatocellular carcinoma OT - Liver cirrhosis OT - Vascular endothelial growth factor COIS- The authors have no conflicts to disclose. EDAT- 2012/10/24 06:00 MHDA- 2013/03/21 06:00 PMCR- 2012/09/01 CRDT- 2012/10/24 06:00 PHST- 2012/07/09 00:00 [received] PHST- 2012/08/06 00:00 [revised] PHST- 2012/08/09 00:00 [accepted] PHST- 2012/10/24 06:00 [entrez] PHST- 2012/10/24 06:00 [pubmed] PHST- 2013/03/21 06:00 [medline] PHST- 2012/09/01 00:00 [pmc-release] AID - 10.3350/cmh.2012.18.3.287 [doi] PST - ppublish SO - Clin Mol Hepatol. 2012 Sep;18(3):287-94. doi: 10.3350/cmh.2012.18.3.287. Epub 2012 Sep 25.