PMID- 35877436 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220728 IS - 1467-3045 (Electronic) IS - 1467-3037 (Print) IS - 1467-3037 (Linking) VI - 44 IP - 7 DP - 2022 Jul 6 TI - The Expression and Prognostic Significance of VEGF and CXCR4 in Gastric Cancer: Correlation with Angiogenesis, Lymphangiogenesis and Progression. PG - 3075-3088 LID - 10.3390/cimb44070212 [doi] AB - The cellular response to hypoxia includes the expression of hypoxia-inducible factor-1 (HIF-1) and its target genes: vascular endothelial growth factor (VEGF) and CXC chemokine receptor 4 (CXCR4). The aim of this study was to investigate the expression and prognostic significance of VEGF and CXCR4, which are responsible for angiogenesis and progression in gastric cancer. Twenty-eight gastric cancer patients were analyzed. The mRNA expression was examined in primary tumors and corresponding normal gastric mucosa by RT-PCR. The protein level was examined by immunohistochemistry staining. The high expression of VEGF and CXCR4 was found in 71.0 and 64.0% of tumors, respectively. The mean levels of VEGF and CXCR4 were upregulated in primary tumors compared to normal mucosa (p = 0.0007, p = 0.0052). A correlation between VEGF expression and tumor invasion (p = 0.0216) and stage (p = 0.0181) was found. CXCR4 expression correlated with lymph node metastases (p = 0.0237) and stage (p = 0.0054). The VEGF expression correlated with microvessel density (MVD) (p = 0.0491). The overall 3-year survival rate was 46.4% and correlated negatively with high CXCR4 mRNA expression (p = 0.0089). VEGF and CXCR4 play an important role in tumor progression. Their overexpression correlates with a bad prognosis and may improve high-risk patient selection, and these patients may obtain additional survival benefits if treated more aggressively. FAU - Kruszyna, Lukasz AU - Kruszyna L AUID- ORCID: 0000-0001-5205-5765 AD - Department of Vascular and Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, Dluga (1/2) St., 61-848 Poznan, Poland. FAU - Murawa, Dawid AU - Murawa D AD - Department of General Surgery and Surgical Oncology, Faculty of Medicine and Health Sciences, University of Zielona Gora, Zyty 26 St., 65-046 Zielona Gora, Poland. FAU - Jagodzinski, Pawel Piotr AU - Jagodzinski PP AUID- ORCID: 0000-0002-9046-6802 AD - Department of Biochemistry and Molecular Biology, Poznan University of Medical Sciences, Swiecickiego 6 St., 60-781 Poznan, Poland. FAU - Oszkinis, Grzegorz AU - Oszkinis G AD - Department of Vascular and General Surgery, Institute of Medical Sciences, University of Opole, Witosa 26 St., 45-401 Opole, Poland. FAU - Krasinski, Zbigniew AU - Krasinski Z AD - Department of Vascular and Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, Dluga (1/2) St., 61-848 Poznan, Poland. LA - eng GR - NN403 1696 37/Poland's Ministry of Science and Higher Education/ PT - Journal Article DEP - 20220706 PL - Switzerland TA - Curr Issues Mol Biol JT - Current issues in molecular biology JID - 100931761 PMC - PMC9324442 OTO - NOTNLM OT - CXCR4 OT - VEGF OT - angiogenesis OT - gastric cancer OT - lymph node metastases OT - lymphangiogenesis COIS- The authors declare no conflict of interest. EDAT- 2022/07/26 06:00 MHDA- 2022/07/26 06:01 PMCR- 2022/07/06 CRDT- 2022/07/25 12:44 PHST- 2022/05/31 00:00 [received] PHST- 2022/06/27 00:00 [revised] PHST- 2022/07/04 00:00 [accepted] PHST- 2022/07/25 12:44 [entrez] PHST- 2022/07/26 06:00 [pubmed] PHST- 2022/07/26 06:01 [medline] PHST- 2022/07/06 00:00 [pmc-release] AID - cimb44070212 [pii] AID - cimb-44-00212 [pii] AID - 10.3390/cimb44070212 [doi] PST - epublish SO - Curr Issues Mol Biol. 2022 Jul 6;44(7):3075-3088. doi: 10.3390/cimb44070212.