author_facet Korkolopoulou, P.
Patsouris, E.
Konstantinidou, A. E.
Pavlopoulos, P. M.
Kavantzas, N.
Boviatsis, E.
Thymara, I.
Perdiki, M.
Thomas‐Tsagli, E.
Angelidakis, D.
Rologis, D.
Sakkas, D.
Korkolopoulou, P.
Patsouris, E.
Konstantinidou, A. E.
Pavlopoulos, P. M.
Kavantzas, N.
Boviatsis, E.
Thymara, I.
Perdiki, M.
Thomas‐Tsagli, E.
Angelidakis, D.
Rologis, D.
Sakkas, D.
author Korkolopoulou, P.
Patsouris, E.
Konstantinidou, A. E.
Pavlopoulos, P. M.
Kavantzas, N.
Boviatsis, E.
Thymara, I.
Perdiki, M.
Thomas‐Tsagli, E.
Angelidakis, D.
Rologis, D.
Sakkas, D.
spellingShingle Korkolopoulou, P.
Patsouris, E.
Konstantinidou, A. E.
Pavlopoulos, P. M.
Kavantzas, N.
Boviatsis, E.
Thymara, I.
Perdiki, M.
Thomas‐Tsagli, E.
Angelidakis, D.
Rologis, D.
Sakkas, D.
Neuropathology and Applied Neurobiology
Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
Physiology (medical)
Neurology (clinical)
Neurology
Histology
Pathology and Forensic Medicine
author_sort korkolopoulou, p.
spelling Korkolopoulou, P. Patsouris, E. Konstantinidou, A. E. Pavlopoulos, P. M. Kavantzas, N. Boviatsis, E. Thymara, I. Perdiki, M. Thomas‐Tsagli, E. Angelidakis, D. Rologis, D. Sakkas, D. 0305-1846 1365-2990 Wiley Physiology (medical) Neurology (clinical) Neurology Histology Pathology and Forensic Medicine http://dx.doi.org/10.1111/j.1365-2990.2003.00535.x <jats:p>Hypoxia‐inducible factor (HIF)‐1α is a transcription factor that promotes ischaemia‐driven angiogenesis. The aim of this study was to determine the relation of HIF‐1α to vascular endothelial growth factor (VEGF; an important angiogenic molecule in brain tumours), p53 expression, angiogenesis, proliferative potential and clinical outcome in a large series of diffuse astrocytomas. Expression of HIF‐1α, VEGF, Ki‐67 (a proliferation‐associated marker) and p53 was determined immunohistochemically in 83 adult patients with supratentorial diffuse astrocytomas. Microvessels, highlighted by means of anti‐CD34 immunohistochemistry, were enumerated with computer‐assisted image analysis. Although HIF‐1α and VEGF were expressed in the majority of cases, their levels increased significantly with increasing grade and proliferative potential. HIF‐1α positively correlated with microvessel counts and VEGF with total vascular area and the presence of rounder vessel sections. There was a positive correlation of VEGF with p53 expression in astrocytomas and anaplastic astrocytomas. In univariate analysis, both VEGF and HIF‐1α were associated with shortened survival in the entire cohort, but lost significance when grades II/III and grade IV were analysed separately. Multivariate analysis revealed that the combination of HIF‐1α with grade was a significant prognostic indicator. HIF‐1α expression may be used to refine the prognostic information provided by grade in patients with diffuse astrocytomas. Its adverse prognostic effect is most likely mediated by hypoxia, the driving force for HIF‐1α accumulation.</jats:p> Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis Neuropathology and Applied Neurobiology
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title Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_unstemmed Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_full Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_fullStr Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_full_unstemmed Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_short Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_sort hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. associations with microvessel morphometry, proliferation and prognosis
topic Physiology (medical)
Neurology (clinical)
Neurology
Histology
Pathology and Forensic Medicine
url http://dx.doi.org/10.1111/j.1365-2990.2003.00535.x
publishDate 2004
physical 267-278
description <jats:p>Hypoxia‐inducible factor (HIF)‐1α is a transcription factor that promotes ischaemia‐driven angiogenesis. The aim of this study was to determine the relation of HIF‐1α to vascular endothelial growth factor (VEGF; an important angiogenic molecule in brain tumours), p53 expression, angiogenesis, proliferative potential and clinical outcome in a large series of diffuse astrocytomas. Expression of HIF‐1α, VEGF, Ki‐67 (a proliferation‐associated marker) and p53 was determined immunohistochemically in 83 adult patients with supratentorial diffuse astrocytomas. Microvessels, highlighted by means of anti‐CD34 immunohistochemistry, were enumerated with computer‐assisted image analysis. Although HIF‐1α and VEGF were expressed in the majority of cases, their levels increased significantly with increasing grade and proliferative potential. HIF‐1α positively correlated with microvessel counts and VEGF with total vascular area and the presence of rounder vessel sections. There was a positive correlation of VEGF with p53 expression in astrocytomas and anaplastic astrocytomas. In univariate analysis, both VEGF and HIF‐1α were associated with shortened survival in the entire cohort, but lost significance when grades II/III and grade IV were analysed separately. Multivariate analysis revealed that the combination of HIF‐1α with grade was a significant prognostic indicator. HIF‐1α expression may be used to refine the prognostic information provided by grade in patients with diffuse astrocytomas. Its adverse prognostic effect is most likely mediated by hypoxia, the driving force for HIF‐1α accumulation.</jats:p>
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author Korkolopoulou, P., Patsouris, E., Konstantinidou, A. E., Pavlopoulos, P. M., Kavantzas, N., Boviatsis, E., Thymara, I., Perdiki, M., Thomas‐Tsagli, E., Angelidakis, D., Rologis, D., Sakkas, D.
author_facet Korkolopoulou, P., Patsouris, E., Konstantinidou, A. E., Pavlopoulos, P. M., Kavantzas, N., Boviatsis, E., Thymara, I., Perdiki, M., Thomas‐Tsagli, E., Angelidakis, D., Rologis, D., Sakkas, D., Korkolopoulou, P., Patsouris, E., Konstantinidou, A. E., Pavlopoulos, P. M., Kavantzas, N., Boviatsis, E., Thymara, I., Perdiki, M., Thomas‐Tsagli, E., Angelidakis, D., Rologis, D., Sakkas, D.
author_sort korkolopoulou, p.
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container_title Neuropathology and Applied Neurobiology
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description <jats:p>Hypoxia‐inducible factor (HIF)‐1α is a transcription factor that promotes ischaemia‐driven angiogenesis. The aim of this study was to determine the relation of HIF‐1α to vascular endothelial growth factor (VEGF; an important angiogenic molecule in brain tumours), p53 expression, angiogenesis, proliferative potential and clinical outcome in a large series of diffuse astrocytomas. Expression of HIF‐1α, VEGF, Ki‐67 (a proliferation‐associated marker) and p53 was determined immunohistochemically in 83 adult patients with supratentorial diffuse astrocytomas. Microvessels, highlighted by means of anti‐CD34 immunohistochemistry, were enumerated with computer‐assisted image analysis. Although HIF‐1α and VEGF were expressed in the majority of cases, their levels increased significantly with increasing grade and proliferative potential. HIF‐1α positively correlated with microvessel counts and VEGF with total vascular area and the presence of rounder vessel sections. There was a positive correlation of VEGF with p53 expression in astrocytomas and anaplastic astrocytomas. In univariate analysis, both VEGF and HIF‐1α were associated with shortened survival in the entire cohort, but lost significance when grades II/III and grade IV were analysed separately. Multivariate analysis revealed that the combination of HIF‐1α with grade was a significant prognostic indicator. HIF‐1α expression may be used to refine the prognostic information provided by grade in patients with diffuse astrocytomas. Its adverse prognostic effect is most likely mediated by hypoxia, the driving force for HIF‐1α accumulation.</jats:p>
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spelling Korkolopoulou, P. Patsouris, E. Konstantinidou, A. E. Pavlopoulos, P. M. Kavantzas, N. Boviatsis, E. Thymara, I. Perdiki, M. Thomas‐Tsagli, E. Angelidakis, D. Rologis, D. Sakkas, D. 0305-1846 1365-2990 Wiley Physiology (medical) Neurology (clinical) Neurology Histology Pathology and Forensic Medicine http://dx.doi.org/10.1111/j.1365-2990.2003.00535.x <jats:p>Hypoxia‐inducible factor (HIF)‐1α is a transcription factor that promotes ischaemia‐driven angiogenesis. The aim of this study was to determine the relation of HIF‐1α to vascular endothelial growth factor (VEGF; an important angiogenic molecule in brain tumours), p53 expression, angiogenesis, proliferative potential and clinical outcome in a large series of diffuse astrocytomas. Expression of HIF‐1α, VEGF, Ki‐67 (a proliferation‐associated marker) and p53 was determined immunohistochemically in 83 adult patients with supratentorial diffuse astrocytomas. Microvessels, highlighted by means of anti‐CD34 immunohistochemistry, were enumerated with computer‐assisted image analysis. Although HIF‐1α and VEGF were expressed in the majority of cases, their levels increased significantly with increasing grade and proliferative potential. HIF‐1α positively correlated with microvessel counts and VEGF with total vascular area and the presence of rounder vessel sections. There was a positive correlation of VEGF with p53 expression in astrocytomas and anaplastic astrocytomas. In univariate analysis, both VEGF and HIF‐1α were associated with shortened survival in the entire cohort, but lost significance when grades II/III and grade IV were analysed separately. Multivariate analysis revealed that the combination of HIF‐1α with grade was a significant prognostic indicator. HIF‐1α expression may be used to refine the prognostic information provided by grade in patients with diffuse astrocytomas. Its adverse prognostic effect is most likely mediated by hypoxia, the driving force for HIF‐1α accumulation.</jats:p> Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis Neuropathology and Applied Neurobiology
spellingShingle Korkolopoulou, P., Patsouris, E., Konstantinidou, A. E., Pavlopoulos, P. M., Kavantzas, N., Boviatsis, E., Thymara, I., Perdiki, M., Thomas‐Tsagli, E., Angelidakis, D., Rologis, D., Sakkas, D., Neuropathology and Applied Neurobiology, Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis, Physiology (medical), Neurology (clinical), Neurology, Histology, Pathology and Forensic Medicine
title Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_full Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_fullStr Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_full_unstemmed Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_short Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
title_sort hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. associations with microvessel morphometry, proliferation and prognosis
title_unstemmed Hypoxia‐inducible factor 1α/vascular endothelial growth factor axis in astrocytomas. Associations with microvessel morphometry, proliferation and prognosis
topic Physiology (medical), Neurology (clinical), Neurology, Histology, Pathology and Forensic Medicine
url http://dx.doi.org/10.1111/j.1365-2990.2003.00535.x