PMID- 27730400 OWN - NLM STAT- MEDLINE DCOM- 20171211 LR - 20240213 IS - 1873-4626 (Electronic) IS - 1091-255X (Linking) VI - 20 IP - 12 DP - 2016 Dec TI - Expression of VEGF-D, SMAD4, and SMAD7 and Their Relationship with Lymphangiogenesis and Prognosis in Colon Cancer. PG - 2074-2082 AB - AIM: The vascular endothelial growth factor (VEGF) and TGF-beta1 pathways play important roles in cancer. However, few studies have evaluated the expression and roles of VEGF-D, SMAD4, and SMAD7 in colon cancer, and the conclusions remain controversial. To clarify the roles of VEGF-D, SMAD4, and SMAD7 in colon cancer, we examined their expression and evaluated correlations with lymphangiogenesis, prognosis, and chemotherapeutic outcome. METHODS: The expression of VEGF-D, SMAD4, and SMAD7 was immunohistochemically examined in 251 primary colon cancer samples obtained from the Harbin Medical University. RESULTS: The expression of VEGF-D, SMAD4, and SMAD7 was identified in 71.7, 41.0, and 69.7 % of samples, respectively. Positive expression of VEGF-D and SMAD7 and lost expression of SMAD4 were significantly correlated with lymph node metastasis and high lymphatic vessel density. VEGF-D and SMAD7 were found to be independent indicators of prognosis and chemotherapy outcome, and positive expression of either VEGF-D or SMAD7 was associated with significantly shorter overall survival and disease-free survival (OS and DFS) than negative expression in all 251 patients (P < 0.001 for OS and DFS) and patients following chemotherapy (P < 0.001 for OS and DFS). CONCLUSION: VEGF-D, SMAD4, and SMAD7 were involved in lymphangiogenesis and lymph node metastasis. VEGF-D and SMAD7 can serve as predictors of prognosis and chemotherapeutic outcome in colon cancer. FAU - Su, Fei AU - Su F AD - College of Bioinformatics Science and Technology, Harbin Medical University, Harbin, 150081, People's Republic of China. FAU - Li, Xuemei AU - Li X AD - Department of Anatomy, Harbin Medical University, 57 Baojian Road, Harbin, 150081, People's Republic of China. FAU - You, Kai AU - You K AD - Department of Anatomy, Harbin Medical University, 57 Baojian Road, Harbin, 150081, People's Republic of China. FAU - Chen, Mingwei AU - Chen M AD - Department of Anatomy, Harbin Medical University, 57 Baojian Road, Harbin, 150081, People's Republic of China. FAU - Xiao, Jianbing AU - Xiao J AD - Department of Anatomy, Harbin Medical University, 57 Baojian Road, Harbin, 150081, People's Republic of China. FAU - Zhang, Yafang AU - Zhang Y AD - Department of Anatomy, Harbin Medical University, 57 Baojian Road, Harbin, 150081, People's Republic of China. FAU - Ma, Jing AU - Ma J AD - Department of Anatomy, Harbin Medical University, 57 Baojian Road, Harbin, 150081, People's Republic of China. FAU - Liu, Baoquan AU - Liu B AD - Department of Anatomy, Harbin Medical University, 57 Baojian Road, Harbin, 150081, People's Republic of China. lbquan505@163.com. LA - eng PT - Journal Article DEP - 20161011 PL - Netherlands TA - J Gastrointest Surg JT - Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract JID - 9706084 RN - 0 (Antineoplastic Agents) RN - 0 (SMAD4 protein, human) RN - 0 (SMAD7 protein, human) RN - 0 (Smad4 Protein) RN - 0 (Smad7 Protein) RN - 0 (VEGFD protein, human) RN - 0 (Vascular Endothelial Growth Factor D) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/therapeutic use MH - Colonic Neoplasms/drug therapy/*metabolism/pathology MH - Disease-Free Survival MH - Female MH - Humans MH - *Lymphangiogenesis MH - Lymphatic Metastasis MH - Lymphatic Vessels/pathology MH - Male MH - Middle Aged MH - Smad4 Protein/*metabolism MH - Smad7 Protein/*metabolism MH - Survival Rate MH - Vascular Endothelial Growth Factor D/*metabolism MH - Young Adult OTO - NOTNLM OT - Colon cancer OT - Prognosis OT - SMAD4 OT - SMAD7 OT - VEGF-D EDAT- 2016/10/13 06:00 MHDA- 2017/12/12 06:00 CRDT- 2016/10/13 06:00 PHST- 2016/05/12 00:00 [received] PHST- 2016/09/29 00:00 [accepted] PHST- 2016/10/13 06:00 [pubmed] PHST- 2017/12/12 06:00 [medline] PHST- 2016/10/13 06:00 [entrez] AID - S1091-255X(23)06774-4 [pii] AID - 10.1007/s11605-016-3294-9 [doi] PST - ppublish SO - J Gastrointest Surg. 2016 Dec;20(12):2074-2082. doi: 10.1007/s11605-016-3294-9. Epub 2016 Oct 11.