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High bone marrow angiopoietin-1 expression is an independent poor prognostic factor for survival in patients with myelodysplastic syndromes

Background: Angiogenic factors have an essential role in normal and pathologic angiogenesis. However, the clinical implication of angiogenic factor expression in myelodysplastic syndromes (MDS) remains unclear. Methods: In this study, we sought to investigate the prognostic impact of the expression...

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Published in:British journal of cancer 2011-09, Vol.105 (7), p.975-982
Main Authors: Cheng, C-L, Hou, H-A, Jhuang, J-Y, Lin, C-W, Chen, C-Y, Tang, J-L, Chou, W-C, Tseng, M-H, Yao, M, Huang, S-Y, Ko, B-S, Hsu, S-C, Wu, S-J, Tsay, W, Chen, Y-C, Tien, H-F
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cited_by cdi_FETCH-LOGICAL-c536t-5cb414b6e0b86362e8ba4ae91ec4ec06d77238e328a639972e6b930c1abc11783
cites cdi_FETCH-LOGICAL-c536t-5cb414b6e0b86362e8ba4ae91ec4ec06d77238e328a639972e6b930c1abc11783
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container_title British journal of cancer
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creator Cheng, C-L
Hou, H-A
Jhuang, J-Y
Lin, C-W
Chen, C-Y
Tang, J-L
Chou, W-C
Tseng, M-H
Yao, M
Huang, S-Y
Ko, B-S
Hsu, S-C
Wu, S-J
Tsay, W
Chen, Y-C
Tien, H-F
description Background: Angiogenic factors have an essential role in normal and pathologic angiogenesis. However, the clinical implication of angiogenic factor expression in myelodysplastic syndromes (MDS) remains unclear. Methods: In this study, we sought to investigate the prognostic impact of the expression of genes encoding angiopoietin-1 ( Ang-1 ), Ang-2 , the receptor Tie2 , vascular endothelial growth factor-A ( VEGF-A ) and VEGF-C in the bone marrow (BM) in 208 patients with newly diagnosed primary MDS. Results: BM Ang-1 expression was significantly higher in MDS patients, especially those with higher-risk subtypes, than in normal controls. With a median follow-up time of 32.9 months, the disease transformed to acute leukaemia more frequently in the patients bearing higher Ang-1 expression than in those with lower expression (31.5% vs 18.6%, P =0.023). The MDS patients with higher Ang-1 expression had shorter overall survival than those with lower expression (median 20.8±4.5 months vs 63.3±17.8 months, P
doi_str_mv 10.1038/bjc.2011.340
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However, the clinical implication of angiogenic factor expression in myelodysplastic syndromes (MDS) remains unclear. Methods: In this study, we sought to investigate the prognostic impact of the expression of genes encoding angiopoietin-1 ( Ang-1 ), Ang-2 , the receptor Tie2 , vascular endothelial growth factor-A ( VEGF-A ) and VEGF-C in the bone marrow (BM) in 208 patients with newly diagnosed primary MDS. Results: BM Ang-1 expression was significantly higher in MDS patients, especially those with higher-risk subtypes, than in normal controls. With a median follow-up time of 32.9 months, the disease transformed to acute leukaemia more frequently in the patients bearing higher Ang-1 expression than in those with lower expression (31.5% vs 18.6%, P =0.023). The MDS patients with higher Ang-1 expression had shorter overall survival than those with lower expression (median 20.8±4.5 months vs 63.3±17.8 months, P &lt;0.001). Multivariate analyses showed that higher Ang-1 expression was an independent unfavourable prognostic factor for overall survival. There was no impact of the expression of other angiogenic factors on survival. Conclusion: BM Ang-1 expression may serve as a new biomarker to predict clinical outcome in MDS patients.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/bjc.2011.340</identifier><identifier>PMID: 21878936</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/250/1620/1342 ; 692/699/67/1857 ; 692/699/67/1990/1673 ; 692/700/1750 ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Angiopoietin-1 - genetics ; Angiopoietin-1 - metabolism ; Angiopoietin-2 - genetics ; Angiopoietin-2 - metabolism ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Bone Marrow - metabolism ; Cancer Research ; Case-Control Studies ; Cohort Studies ; Drug Resistance ; Epidemiology ; Female ; Hematologic and hematopoietic diseases ; Humans ; Immunoenzyme Techniques ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Male ; Medical sciences ; Middle Aged ; Molecular Diagnostics ; Molecular Medicine ; Myelodysplastic syndromes ; Myelodysplastic Syndromes - genetics ; Myelodysplastic Syndromes - metabolism ; Myelodysplastic Syndromes - mortality ; Oncology ; Prognosis ; Receptor, TIE-2 - genetics ; Receptor, TIE-2 - metabolism ; Reverse Transcriptase Polymerase Chain Reaction ; RNA, Messenger - genetics ; Survival Rate ; Tumors ; Vascular Endothelial Growth Factor A - genetics ; Vascular Endothelial Growth Factor A - metabolism ; Vascular Endothelial Growth Factor C - genetics ; Vascular Endothelial Growth Factor C - metabolism ; Young Adult</subject><ispartof>British journal of cancer, 2011-09, Vol.105 (7), p.975-982</ispartof><rights>The Author(s) 2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Sep 27, 2011</rights><rights>Copyright © 2011 Cancer Research UK 2011 Cancer Research UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-5cb414b6e0b86362e8ba4ae91ec4ec06d77238e328a639972e6b930c1abc11783</citedby><cites>FETCH-LOGICAL-c536t-5cb414b6e0b86362e8ba4ae91ec4ec06d77238e328a639972e6b930c1abc11783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185953/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185953/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24578877$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21878936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, C-L</creatorcontrib><creatorcontrib>Hou, H-A</creatorcontrib><creatorcontrib>Jhuang, J-Y</creatorcontrib><creatorcontrib>Lin, C-W</creatorcontrib><creatorcontrib>Chen, C-Y</creatorcontrib><creatorcontrib>Tang, J-L</creatorcontrib><creatorcontrib>Chou, W-C</creatorcontrib><creatorcontrib>Tseng, M-H</creatorcontrib><creatorcontrib>Yao, M</creatorcontrib><creatorcontrib>Huang, S-Y</creatorcontrib><creatorcontrib>Ko, B-S</creatorcontrib><creatorcontrib>Hsu, S-C</creatorcontrib><creatorcontrib>Wu, S-J</creatorcontrib><creatorcontrib>Tsay, W</creatorcontrib><creatorcontrib>Chen, Y-C</creatorcontrib><creatorcontrib>Tien, H-F</creatorcontrib><title>High bone marrow angiopoietin-1 expression is an independent poor prognostic factor for survival in patients with myelodysplastic syndromes</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Background: Angiogenic factors have an essential role in normal and pathologic angiogenesis. However, the clinical implication of angiogenic factor expression in myelodysplastic syndromes (MDS) remains unclear. Methods: In this study, we sought to investigate the prognostic impact of the expression of genes encoding angiopoietin-1 ( Ang-1 ), Ang-2 , the receptor Tie2 , vascular endothelial growth factor-A ( VEGF-A ) and VEGF-C in the bone marrow (BM) in 208 patients with newly diagnosed primary MDS. Results: BM Ang-1 expression was significantly higher in MDS patients, especially those with higher-risk subtypes, than in normal controls. With a median follow-up time of 32.9 months, the disease transformed to acute leukaemia more frequently in the patients bearing higher Ang-1 expression than in those with lower expression (31.5% vs 18.6%, P =0.023). The MDS patients with higher Ang-1 expression had shorter overall survival than those with lower expression (median 20.8±4.5 months vs 63.3±17.8 months, P &lt;0.001). Multivariate analyses showed that higher Ang-1 expression was an independent unfavourable prognostic factor for overall survival. There was no impact of the expression of other angiogenic factors on survival. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molecular Diagnostics</subject><subject>Molecular Medicine</subject><subject>Myelodysplastic syndromes</subject><subject>Myelodysplastic Syndromes - genetics</subject><subject>Myelodysplastic Syndromes - metabolism</subject><subject>Myelodysplastic Syndromes - mortality</subject><subject>Oncology</subject><subject>Prognosis</subject><subject>Receptor, TIE-2 - genetics</subject><subject>Receptor, TIE-2 - metabolism</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>RNA, Messenger - genetics</subject><subject>Survival Rate</subject><subject>Tumors</subject><subject>Vascular Endothelial Growth Factor A - genetics</subject><subject>Vascular Endothelial Growth Factor A - metabolism</subject><subject>Vascular Endothelial Growth Factor C - genetics</subject><subject>Vascular Endothelial Growth Factor C - metabolism</subject><subject>Young Adult</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp9ks-P1CAUxxujccfVm2dDTMx6sCM_2gKXTcxGXZNNvOiZUPraYdJChXbW-Rv8p5c646ya6AEIvA_f7-Pxsuw5wWuCmXhbb82aYkLWrMAPshUpGc2JoPxhtsIY8xxLis-yJzFu01ZiwR9nZ5QILiSrVtmPa9ttUO0doEGH4G-Rdp31o7cwWZcTBN_HADFa75CNKYisa2CENLkJjd4HNAbfOR8na1CrzZRO2jTiHHZ2p_vEo1FPNuER3dppg4Y99L7Zx7HXPy_FvWuCHyA-zR61uo_w7LieZ18_vP9ydZ3ffP746erdTW5KVk15aeqCFHUFuBYVqyiIWhcaJAFTgMFVwzllAhgVumJScgpVLRk2RNeGEC7YeXZ50B3neoDGpNSC7tUYbCrBXnlt1Z8RZzeq8zvFiChlyZLAxVEg-G8zxEkNNhroe-3Az1EJWQiKOVmsXv-XJBgLUWDGeUJf_oVu_RxcKsSix7AUYoHeHCATfIwB2lPWBKulHVRqB7W0g0rtkPAXv7_0BP_6_wS8OgI6Gt23QTtj4z1XlDzZLr75gYsp5DoI98n9wxgdeKenOcBJMEELsyB3K9Xa3A</recordid><startdate>20110927</startdate><enddate>20110927</enddate><creator>Cheng, C-L</creator><creator>Hou, H-A</creator><creator>Jhuang, J-Y</creator><creator>Lin, C-W</creator><creator>Chen, C-Y</creator><creator>Tang, J-L</creator><creator>Chou, W-C</creator><creator>Tseng, M-H</creator><creator>Yao, M</creator><creator>Huang, S-Y</creator><creator>Ko, B-S</creator><creator>Hsu, S-C</creator><creator>Wu, S-J</creator><creator>Tsay, W</creator><creator>Chen, Y-C</creator><creator>Tien, H-F</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110927</creationdate><title>High bone marrow angiopoietin-1 expression is an independent poor prognostic factor for survival in patients with myelodysplastic syndromes</title><author>Cheng, C-L ; Hou, H-A ; Jhuang, J-Y ; Lin, C-W ; Chen, C-Y ; Tang, J-L ; Chou, W-C ; Tseng, M-H ; Yao, M ; Huang, S-Y ; Ko, B-S ; Hsu, S-C ; Wu, S-J ; Tsay, W ; Chen, Y-C ; Tien, H-F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-5cb414b6e0b86362e8ba4ae91ec4ec06d77238e328a639972e6b930c1abc11783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>631/250/1620/1342</topic><topic>692/699/67/1857</topic><topic>692/699/67/1990/1673</topic><topic>692/700/1750</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiopoietin-1 - genetics</topic><topic>Angiopoietin-1 - metabolism</topic><topic>Angiopoietin-2 - genetics</topic><topic>Angiopoietin-2 - metabolism</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Bone Marrow - metabolism</topic><topic>Cancer Research</topic><topic>Case-Control Studies</topic><topic>Cohort Studies</topic><topic>Drug Resistance</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Immunoenzyme Techniques</topic><topic>Leukemias. 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ispartof British journal of cancer, 2011-09, Vol.105 (7), p.975-982
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subjects 631/250/1620/1342
692/699/67/1857
692/699/67/1990/1673
692/700/1750
Adolescent
Adult
Aged
Aged, 80 and over
Angiopoietin-1 - genetics
Angiopoietin-1 - metabolism
Angiopoietin-2 - genetics
Angiopoietin-2 - metabolism
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Bone Marrow - metabolism
Cancer Research
Case-Control Studies
Cohort Studies
Drug Resistance
Epidemiology
Female
Hematologic and hematopoietic diseases
Humans
Immunoenzyme Techniques
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Male
Medical sciences
Middle Aged
Molecular Diagnostics
Molecular Medicine
Myelodysplastic syndromes
Myelodysplastic Syndromes - genetics
Myelodysplastic Syndromes - metabolism
Myelodysplastic Syndromes - mortality
Oncology
Prognosis
Receptor, TIE-2 - genetics
Receptor, TIE-2 - metabolism
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - genetics
Survival Rate
Tumors
Vascular Endothelial Growth Factor A - genetics
Vascular Endothelial Growth Factor A - metabolism
Vascular Endothelial Growth Factor C - genetics
Vascular Endothelial Growth Factor C - metabolism
Young Adult
title High bone marrow angiopoietin-1 expression is an independent poor prognostic factor for survival in patients with myelodysplastic syndromes
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