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The prognostic significance of combining VEGFA, FLT1 and KDR mRNA expressions in brain tumors
Zhang S.-D.3; Leung K.L.1; McCrudden C.M.3; Kwok H.F.1
2015
Source PublicationJournal of Cancer
ISSN18379664
Volume6Issue:9Pages:812-818
Abstract

Tumor cells require angiogenesis to deliver nutrients and oxygen to support their fast growth and metabolism. The vascular endothelial growth factor (VEGF) pathway plays an important role in promoting angiogenesis, including tumor-induced angiogenesis. Recent clinical trials have demonstrated the benefit of targeting VEGF in the treatment of glioblastoma. However, the prognostic significance of the expression of VEGFA and its receptors VEGFR1 (FLT1) and VEGFR2 (KDR) are still largely elusive. In the present study, we aimed to investigate the prognostic significance of these three factors, alone or in combination, in glioma patients. Gene mRNA expression was extracted from three independent brain tumor cohorts totaling 242 patients and the association between gene expression and survival was tested. We found that when VEGFA, FLT1 and KDR expressions were considered alone, only VEGFA demonstrated a significant association with patient survival. Patients with high expression of both VEGFA and either receptor had significantly worse survival than patients expressing both factors at a low level. Importantly, we found that those patients whose tumors overexpressed all three genes had a significantly shorter survival compared to those patients with a low level expression of these genes. Our results suggest that a high level expression of VEGFA and its receptors, both FLT1 and KDR, may be required for brain tumor progression, and that these three factors should be considered together as a prognostic indicator for brain tumor patients.

KeywordAngiogenesis Brain Tumor Flt1 Kdr Survival Vegfa
DOI10.7150/jca.11975
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaOncology
WOS SubjectOncology
WOS IDWOS:000360298500001
Scopus ID2-s2.0-84947771305
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Citation statistics
Document TypeJournal article
CollectionCancer Centre
Faculty of Health Sciences
Affiliation1.Universidade de Macau
2.University of Cambridge
3.Queen's University Belfast
Recommended Citation
GB/T 7714
Zhang S.-D.,Leung K.L.,McCrudden C.M.,et al. The prognostic significance of combining VEGFA, FLT1 and KDR mRNA expressions in brain tumors[J]. Journal of Cancer, 2015, 6(9), 812-818.
APA Zhang S.-D.., Leung K.L.., McCrudden C.M.., & Kwok H.F. (2015). The prognostic significance of combining VEGFA, FLT1 and KDR mRNA expressions in brain tumors. Journal of Cancer, 6(9), 812-818.
MLA Zhang S.-D.,et al."The prognostic significance of combining VEGFA, FLT1 and KDR mRNA expressions in brain tumors".Journal of Cancer 6.9(2015):812-818.
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