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Gut 54:666-672 doi:10.1136/gut.2004.050831
  • Colorectal cancer

Placenta growth factor expression is correlated with survival of patients with colorectal cancer

  1. S-C Wei1,*,
  2. P-N Tsao2,*,
  3. S-C Yu3,
  4. C-T Shun4,
  5. J-J Tsai-Wu5,
  6. C H H Wu6,
  7. Y-N Su7,
  8. F-J Hsieh8,
  9. J-M Wong1
  1. 1Department of Internal Medicine, National Taiwan University Hospital and College of Medicine, Taiwan
  2. 2Department of Paediatrics, and Department of Medical Genetics, National Taiwan University Hospital and College of Medicine, Taiwan
  3. 3Department of Surgery, National Taiwan University Hospital and College of Medicine, Taiwan
  4. 4Department of Forensic Medicine and Pathology, National Taiwan University Hospital and College of Medicine, Taiwan
  5. 5Department of Medical Research, National Taiwan University Hospital, Taiwan
  6. 6Institute of Molecular Medicine, Medical College, National Taiwan University, Taiwan, and AbGenomics Co., Taipei, Taiwan
  7. 7Department of Medical Genetics, National Taiwan University Hospital and College of Medicine, Taiwan
  8. 8Department of Obstetrics and Gynecology, National Taiwan University Hospital and College of Medicine, Taiwan
  1. Correspondence to:
    Dr J-M Wong
    Department of Internal Medicine, National Taiwan University Hospital, No 7 Chung Shan South Rd, Taipei, Taiwan; jmwongha.mc.ntu.edu.tw
  • Accepted 8 December 2004
  • Revised 28 November 2004

Abstract

Background: Overexpression of vascular endothelial growth factor (VEGF) correlates with vascularity, metastasis, and proliferation in colorectal cancer but the role of its homologue, placenta growth factor (PlGF), is unknown. The aim of this study was to evaluate expression and clinical implications of PlGF in colorectal cancer.

Methods: We investigated 74 tumour/non-tumour pairs of colorectal cryosections. Clinical staging was based on the UICC-TNM classification. Expression levels of mRNA for PlGF and VEGF were analysed with quantitative real time reverse transcription-polymerase chain reaction. Proteins were analysed by immunohistochemical staining and enzyme linked immunoabsorbant assay. Analysis of the differences in PlGF and VEGF levels between tumour and non-tumour tissues in the same patient were performed by paired t test; differences between localised and advanced disease patients by the Mann-Whitney, χ2, and Fisher’s exact tests and survival curves by the Kaplan-Meier method.

Results: Expression levels for both growth factors were significantly higher in tumour than in non-tumour tissues (p⩽0.001). The ratio of PlGF expression in tumour to non-tumour in the advanced disease group was significantly higher than for the localised disease group (p = 0.009). Patients with more tumour PlGF mRNA had shorter survival (p = 0.028). The majority of PlGF was expressed in tumour cells.

Conclusions: Our results suggest that PlGF expression correlates with disease progression and patient survival and may be used as a prognostic indicator for colorectal cancer.

Footnotes

  • * S-C Wei and P-N Tsao contributed equally to this study.

  • Conflict of interest: None declared.

  • Part of the results were presented at the 95th AACR (American Association for Cancer Research) in March 2004.