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Increased mobilisation of circulating endothelial progenitors in von Hippel-Lindau disease and renal cell carcinoma

Background: Circulating endothelial cells (CECs) are a candidate biomarker for monitoring angiogenesis in cancer. Circulating endothelial cell subsets are mobilised by angiogenic mediators. Because of the highly angiogenic phenotype of renal cell carcinoma (RCC), we sought to assess the potential of...

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Published in:British journal of cancer 2011-06, Vol.105 (1), p.112-117
Main Authors: Bhatt, R S, Zurita, A J, O'Neill, A, Norden-Zfoni, A, Zhang, L, Wu, H K, Wen, P Y, George, D, Sukhatme, V P, Atkins, M B, Heymach, J V
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container_title British journal of cancer
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creator Bhatt, R S
Zurita, A J
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description Background: Circulating endothelial cells (CECs) are a candidate biomarker for monitoring angiogenesis in cancer. Circulating endothelial cell subsets are mobilised by angiogenic mediators. Because of the highly angiogenic phenotype of renal cell carcinoma (RCC), we sought to assess the potential of CECs as a marker of RCC in patients with von Hippel-Lindau (VHL) disease and those with sporadic RCC. Methods: We performed multicolour flow cytometry to enumerate CECs in patients with RCC, patients with VHL disease with and without RCC, and normal subjects. Two subsets of CECs were evaluated: mature CECs (mCECs) and circulating endothelial progenitors (CEPs). Results: In patients with VHL disease and RCC and those with sporadic RCC ( N =10), CEPs and the CEP:mCEC ratio were higher than in normal subjects ( N =17) (median CEPs: 0.97 vs 0.19 cells μl −1 , respectively, P
doi_str_mv 10.1038/bjc.2011.186
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Circulating endothelial cell subsets are mobilised by angiogenic mediators. Because of the highly angiogenic phenotype of renal cell carcinoma (RCC), we sought to assess the potential of CECs as a marker of RCC in patients with von Hippel-Lindau (VHL) disease and those with sporadic RCC. Methods: We performed multicolour flow cytometry to enumerate CECs in patients with RCC, patients with VHL disease with and without RCC, and normal subjects. Two subsets of CECs were evaluated: mature CECs (mCECs) and circulating endothelial progenitors (CEPs). Results: In patients with VHL disease and RCC and those with sporadic RCC ( N =10), CEPs and the CEP:mCEC ratio were higher than in normal subjects ( N =17) (median CEPs: 0.97 vs 0.19 cells μl −1 , respectively, P &lt;0.01; median CEP:mCEC: 0.92 vs 0.58, respectively, P =0.04). However, in patients with VHL without RCC, CECs were not increased. In paired pre- and post-nephrectomy RCC patient samples ( N =20), CEPs decreased after surgery (median difference 0.02 cells μl −1 , −0.06 to 1.2; P =0.05). Conclusion: Circulating endothelial progenitors were elevated in RCC, but not in patients with VHL without RCC. 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692/699/67/589/1588/1351
692/699/75/593
Biological and medical sciences
Biomarkers, Tumor - analysis
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Renal Cell - pathology
Case-Control Studies
Drug Resistance
Endothelial Cells - pathology
Epidemiology
Hematopoietic Stem Cell Mobilization
Humans
Kidney Neoplasms - pathology
Kidneys
Medical sciences
Molecular Diagnostics
Molecular Medicine
Neoplastic Stem Cells - pathology
Nephrology. Urinary tract diseases
Oncology
Survival Rate
Treatment Outcome
Tumors
Tumors of the urinary system
von Hippel-Lindau Disease - pathology
title Increased mobilisation of circulating endothelial progenitors in von Hippel-Lindau disease and renal cell carcinoma
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