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Clinical Cancer Research Vol. 7, 1627-1632, June 2001
© 2001 American Association for Cancer Research


Regular Articles

Tumor Angiogenesis and Its Possible Role in Intravasation of Colorectal Epithelial Cells

Yu-Wen Tien, King-Jen Chang1, Yung-Ming Jeng, Po-Huang Lee, Ming-Shi Wu, Jaw-Town Lin and Su-Ming Hsu

Departments of Surgery [Y. W. T., K. J. C., P. H. L.], Pathology [Y. M. J., S. M. H.], and Gastroenterology [M. S. W., J. T. L.], National Taiwan University, Taipei 10002, Taiwan

Purpose: To determine whether an increase in tumor angiogenesis facilitates intravasation of colorectal epithelial cells, we compared intratumoral microvessel counts with the presence of circulating colorectal epithelial cells in the portal venous blood from patients with colorectal carcinomas.

Experimental Design: Circulating colorectal epithelial cells were detected by a reverse transcription-PCR assay to amplify guanylyl cyclase C (GCC) transcripts. The extent of tumor vascularization was quantitatively assessed by immunohistochemical staining with anti-CD31 antibody.

Results: Colorectal epithelial cells (as measured by GCC mRNA expression) were detected in the portal venous blood in 30 of 58 patients (52%). The mean (± SD) microvessel count in the tumors from patients with expression of GCC mRNA in their portal venous blood was 82.74 ± 24.97. The corresponding values in the tumors from patients without expression of GCC mRNA in portal venous blood was 65.96 ± 19. For each 10-microvessel increase per x200 field, the risk of colorectal epithelial cell presence in the portal venous blood increased 1.52-fold (95% confidence interval, 1.19–2.12; P = 0.005).

Conclusion: High intratumoral vessel count was noted to be a valuable factor for predicting the presence of colorectal epithelial cells in the portal venous blood.




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Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Meeting Abstracts Online
Copyright © 2001 by the American Association for Cancer Research.