Flt-4在不同级别脑星形细胞瘤中的表达意义

目的：探讨不同组织病理分级的脑星形细胞瘤中血管内皮生长因子受体3（Flt-4又称VEGFR-3）的表达意义。 方法： 采用免疫组织化学方法，检测50例不同级别脑星形细胞瘤患者手术切除标本中Flt-4、血管内皮生长因子（VEGF）的表达，并用抗FⅧ因子抗体标记瘤组织血管内皮细胞，计算肿瘤内微血管密度（IMVD）。 结果： Flt-4、VEGF总阳性表达率分别为52%（26/50）、60%（30/50）。Flt-4、VEGF均与脑星形细胞瘤病理分级呈显著正相关（等级相关系数分别为0.359、0.360,P＜0.05）。 结论： 脑星形细胞瘤中有Flt-4表达，主要表达于血管内皮细胞和部分肿瘤细胞，Flt-4既可是内皮细胞自分泌产生，部分还可来自瘤细胞的旁分泌；脑星形细胞瘤中Flt-4阳性表达的脉管是血管；Flt-4的表达与星形细胞瘤的病理分级相关

Significance of expression of Flt-4 in different histopathological grades of astrocytoma

AIM: To study the significance of expressio n of fms-like tyrosine kinase 4 (Flt-4) in different histopathological grades of a strocytoma. METHODS: The surgical specimens from 50 brain astrocytoma patien ts were stained immunohistochemically for examining Flt-4 and vascular endotheli al growth factor (VEGF) expression. Intratumoral microvessel density (IMVD) was calculated by labeling the endothelial cells of the blood vessels within the tum or. RESULTS: Flt-4, VEGF expression were closely correlated with his topathological grades of astrocytoma. Flt-4 and VEGF expression were found in 52 % (26/50), 60% (30/50) of tumors. A significant correlation was found between Fl t-4 and VEGF expression (P<0.01). CONCLUSIONS: Flt-4 is presented in human brain astrocytoma. Flt- 4 expression is mainly expressed in vascular endothelial cells and some tumor ce lls. Flt-4 may not only come from autocrine secretion of vascular endothelial ce lls, but also from paracrine secretion of tumor cells. The expression of Flt-4 i s significantly associated with histopathological grades of astrocytoma.