Abstract
To investigate the potential role of the notch ligand delta-like ligand 4 (DLL4) in glioma angiogenesis, we examined whether its expression correlates with that of vascular endothelial growth factor (VEGF) and hypoxia-induced factor-1α (HIF-1α). Eighty-two specimens of human glioma and 7 of normal brain tissue were subjected to immunohistochemical analysis for DLL4, VEGF and HIF-1α expression. Statistical analysis were performed to determine if protein expression correlated with clinicopathological parameters, including histological type, pathological grade, and microvessel density (MVD), determined using CD34-labelling. Expression of DLL4, VEGF and HIF-1α was very strong in gliomas, relative to normal tissues, linked with the malignant grade. Moreover, DLL4 staining positively correlated with VEGF and HIF-1α expression and with MVD. Thus our results indicate that DLL4 represents a potential biomarker and therapeutic target for glioma angiogenesis.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adaptor Proteins, Signal Transducing
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Biomarkers, Tumor / genetics
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Biomarkers, Tumor / metabolism
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Brain Neoplasms / blood supply
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Brain Neoplasms / genetics
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Brain Neoplasms / metabolism*
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Brain Neoplasms / pathology
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Calcium-Binding Proteins
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Cell Transformation, Neoplastic / genetics
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Cell Transformation, Neoplastic / metabolism
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Female
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Gene Expression Regulation, Neoplastic
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Glioma / blood supply
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Glioma / genetics
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Glioma / metabolism*
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Glioma / pathology
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Humans
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Hypoxia-Inducible Factor 1, alpha Subunit / biosynthesis*
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Hypoxia-Inducible Factor 1, alpha Subunit / genetics
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Hypoxia-Inducible Factor 1, alpha Subunit / metabolism
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Immunohistochemistry / methods
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Intercellular Signaling Peptides and Proteins / biosynthesis*
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Intercellular Signaling Peptides and Proteins / genetics
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Intercellular Signaling Peptides and Proteins / metabolism
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Male
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Microvessels / metabolism
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Microvessels / pathology
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Middle Aged
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Neoplasm Staging / methods
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Neovascularization, Pathologic / genetics
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Neovascularization, Pathologic / metabolism
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Vascular Endothelial Growth Factor A / biosynthesis*
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Vascular Endothelial Growth Factor A / genetics
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Vascular Endothelial Growth Factor A / metabolism
Substances
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Adaptor Proteins, Signal Transducing
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Biomarkers, Tumor
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Calcium-Binding Proteins
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DLL4 protein, human
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HIF1A protein, human
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Hypoxia-Inducible Factor 1, alpha Subunit
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Intercellular Signaling Peptides and Proteins
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VEGFA protein, human
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Vascular Endothelial Growth Factor A