Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node Metastasis

Background. Oral squamous cell carcinoma (OSCC) is the most common oral malignancy that preferentially spreads to the cervical lymph node which, when involved, complicates the anticancer therapy and threatens the patient life. It was suggested that lymph node metastasis may be facilitated by lymphan...

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Main Authors: Manar A. Abdul-Aziz, Amina K. Amin, Dalia H. El-Rouby, Olfat G. Shaker
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2017/7285656
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author Manar A. Abdul-Aziz
Amina K. Amin
Dalia H. El-Rouby
Olfat G. Shaker
author_facet Manar A. Abdul-Aziz
Amina K. Amin
Dalia H. El-Rouby
Olfat G. Shaker
author_sort Manar A. Abdul-Aziz
collection DOAJ
description Background. Oral squamous cell carcinoma (OSCC) is the most common oral malignancy that preferentially spreads to the cervical lymph node which, when involved, complicates the anticancer therapy and threatens the patient life. It was suggested that lymph node metastasis may be facilitated by lymphangiogenesis. VEGF-C is one of the most important lymphangiogenic inducers that promotes the lymphatic vessels growth and supports the survival of adult lymphatic endothelial cells. Methods. Lymphatic vessels density (LVD) and LV morphometry were digitally evaluated using D2-40. The expression of VEGF-C was also assessed using immunohistochemistry and real-time polymerase chain reaction in 6 normal oral mucosa cases and 72 cases of OSCC. The correlation between LVD and LV morphometry, VEGF-C, and lymph node metastasis was statistically assessed. Results. A positive cytoplasmic expression of VEGF-C was detected in both epithelial and connective tissue cells in 97% of OSCC, while all normal tissues reacted negatively. A greater expression of VEGF-C was associated with larger and more dilated LV and lymph node metastasis but not with LVD. Conclusion. VEGF-C is actively involved in the invasion and metastasis of OSCC via inducing morphological changes in LV. VEGF-C may be a promising target for anticancer therapy.
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institution Kabale University
issn 1687-8728
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publishDate 2017-01-01
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series International Journal of Dentistry
spelling doaj-art-c32f0ff24a4542b096366c700bda9bed2025-02-03T01:00:21ZengWileyInternational Journal of Dentistry1687-87281687-87362017-01-01201710.1155/2017/72856567285656Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node MetastasisManar A. Abdul-Aziz0Amina K. Amin1Dalia H. El-Rouby2Olfat G. Shaker3Department of Oral and Maxillofacial Pathology, Faculty of Oral & Dental Medicine, Cairo University, Giza, EgyptDepartment of Oral and Maxillofacial Pathology, Faculty of Oral & Dental Medicine, Cairo University, Giza, EgyptDepartment of Oral and Maxillofacial Pathology, Faculty of Oral & Dental Medicine, Cairo University, Giza, EgyptDepartment of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Cairo University, Giza, EgyptBackground. Oral squamous cell carcinoma (OSCC) is the most common oral malignancy that preferentially spreads to the cervical lymph node which, when involved, complicates the anticancer therapy and threatens the patient life. It was suggested that lymph node metastasis may be facilitated by lymphangiogenesis. VEGF-C is one of the most important lymphangiogenic inducers that promotes the lymphatic vessels growth and supports the survival of adult lymphatic endothelial cells. Methods. Lymphatic vessels density (LVD) and LV morphometry were digitally evaluated using D2-40. The expression of VEGF-C was also assessed using immunohistochemistry and real-time polymerase chain reaction in 6 normal oral mucosa cases and 72 cases of OSCC. The correlation between LVD and LV morphometry, VEGF-C, and lymph node metastasis was statistically assessed. Results. A positive cytoplasmic expression of VEGF-C was detected in both epithelial and connective tissue cells in 97% of OSCC, while all normal tissues reacted negatively. A greater expression of VEGF-C was associated with larger and more dilated LV and lymph node metastasis but not with LVD. Conclusion. VEGF-C is actively involved in the invasion and metastasis of OSCC via inducing morphological changes in LV. VEGF-C may be a promising target for anticancer therapy.http://dx.doi.org/10.1155/2017/7285656
spellingShingle Manar A. Abdul-Aziz
Amina K. Amin
Dalia H. El-Rouby
Olfat G. Shaker
Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node Metastasis
International Journal of Dentistry
title Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node Metastasis
title_full Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node Metastasis
title_fullStr Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node Metastasis
title_full_unstemmed Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node Metastasis
title_short Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node Metastasis
title_sort lymphangiogenesis in oral squamous cell carcinoma correlation with vegf c expression and lymph node metastasis
url http://dx.doi.org/10.1155/2017/7285656
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AT daliahelrouby lymphangiogenesisinoralsquamouscellcarcinomacorrelationwithvegfcexpressionandlymphnodemetastasis
AT olfatgshaker lymphangiogenesisinoralsquamouscellcarcinomacorrelationwithvegfcexpressionandlymphnodemetastasis