Angiogenesis and extracellular matrix remodelling in bronchioloalveolar carcinomas: distinctive patterns in mucinous and non-mucinous tumours
| Autor: | O. Groussard, Claude Degott, G Lesèche, Sylvie Dubois, Gabriel Thabut, M Fournier, Nathalie Guedj, Anne Couvelard, G Arcangeli |
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| Rok vydání: | 2004 |
| Předmět: |
Vascular Endothelial Growth Factor A
Pathology medicine.medical_specialty Histology Lung Neoplasms Angiogenesis Pathology and Forensic Medicine chemistry.chemical_compound medicine Mucinous carcinoma Humans Basement membrane Alveolar Wall Lung biology Neovascularization Pathologic Alveolar septum General Medicine respiratory system Adenocarcinoma Bronchiolo-Alveolar medicine.disease Adenocarcinoma Mucinous Immunohistochemistry Extracellular Matrix Fibronectin Vascular endothelial growth factor medicine.anatomical_structure chemistry biology.protein |
| Zdroj: | Histopathology. 44(3) |
| ISSN: | 0309-0167 |
| Popis: | Aim: Bronchioloalveolar carcinomas (BACs) are rare primitive lung adenocarcinomas growing along the alveolar septum without stromal, vascular or pleural invasion. We report an immunohistochemical study of their vascular microenvironment. Methods and results: In three mucinous BACs (M-BAC) and three non-mucinous BACs (NM-BAC) we examined the following parameters in comparison with the normal lung: (i) constituents of the alveolar extracellular matrix; (ii) qualitative and quantitative changes of alveolar capillaries; and (iii) expression of vascular endothelial growth factor (VEGF) by tumour cells. In M-BAC, the alveolar matrix was unchanged compared with the normal parenchyma. Capillaries expressed normal alveolar endothelial markers and their average surface was calculated, as in normal lung, as 8%. VEGF was negative in tumour cells. In NM-BAC, the alveolar wall was thickened by deposits of fibronectin and type III collagen containing myofibroblasts and the basement membrane was disrupted. Capillaries did not retain alveolar endothelial markers and their surface was calculated as 19%. Tumour cells expressed high levels of VEGF. Conclusions: In contrast to NM-BAC, M-BAC do not modify the alveolar structure and seem to exploit the normal alveolar vascular bed to grow, without inducing neoangiogenesis. A better understanding of the mechanisms of growth of lung cancers may have implications for future anti-angiogenic therapeutic strategies. |
| Databáze: | OpenAIRE |
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