Ki-67 Expression, Mast Cells Positive to Tryptase, and Angiogenesis in Gastric Cancer Patients Undergoing Radical Surgery

M. Ammendola
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Abstract

Compelling evidence indicates that GC is a heterogeneous dis-ease on the basis of anatomic site, histopathology, gene Objectives: Tumor proliferation is guided by neoangiogenesis; microvascular density (MVD) in the tumor micro-envi-ronment increases with the action of different immune system stromal cells such as the mast cells (MCs). Methods: We evaluated Ki-67 proliferation rate, MCs positive to tryptase (MCPT), and MVD in a series of 85 gastric cancer (GC) tissue samples from patients undergoing radical surgery. Results: In tumor tissue, a significant correlation between Ki-67 expression, MCPT, and MVD was found through Pearson t-test analysis (p ranged from 0.01 to 0.03). Conclusion: Ki-67 expression and MVD may indicate the survival prognosis of patients and MCPT could repre-sent a biological marker of radical surgery and angiogenesis. Furthermore, MCPT could be consid-ered as a target of novel anti-angiogenic therapies in GC patients.
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Ki-67表达、胰蛋白酶阳性肥大细胞与胃癌根治性手术中的血管生成
令人信服的证据表明,从解剖部位、组织病理学和基因角度来看,胃癌是一种异质性疾病。肿瘤微环境中的微血管密度(MVD)随着不同免疫系统基质细胞如肥大细胞(MCs)的作用而增加。方法:我们在接受根治性手术的85例胃癌(GC)患者的一系列组织样本中评估Ki-67增殖率、MCs对胰蛋白酶(MCPT)的阳性和MVD。结果:在肿瘤组织中,经Pearson t检验,Ki-67表达与MCPT、MVD有显著相关性(p范围为0.01 ~ 0.03)。结论:Ki-67的表达和MVD可反映患者的生存预后,MCPT可作为根治性手术和血管生成的生物学指标。此外,MCPT可被视为胃癌患者抗血管生成新疗法的靶点。
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