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Prognostic significance of combining VEGFA, FLT1 and KDR mRNA expression in lung cancer
Zhang S.-D.1; McCrudden C.M.3; Kwok H.F.1
2015
Source PublicationOncology Letters
ISSN17921082 17921074
Volume10Issue:3Pages:1893-1901
Abstract

Angiogenesis is important in cancer progression. Promising results in clinical trials have indicated that targeting vascular epidermal growth factor (VEGF) signaling may prolong lung cancer patient survival. In particular, various studies have implicated VEGFA as a potential prognostic marker in lung cancer, although prognostication using the expression of VEGF receptors (VEGFRs), such as fms‑related tyrosine kinase 1 (FLT1; also known as VEGFR1) and kinase insert domain receptor (KDR; also known as VEGFR2), has produced varied results in different lung cancer studies. The present study aimed to investigate the prognostic significance of these three factors, alone or in combination. mRNA expression data were extracted from four independent lung cancer cohorts totaling 583 patients, and the association between mRNA expression and survival was investigated by performing statistical analyses. When VEGFA, FLT1 and KDR expression were considered alone, only VEGFA demonstrated a significant association with patient survival consistently across all four datasets (P<0.05). Patients with a high expression of VEGFA and one of the two receptors were associated with significantly worse survival than patients expressing low levels of VEGFA and the particular receptor (P<0.05). Notably, patients with a high level expression of all three genes in their tumor specimens were associated with a significantly shorter survival time compared with patients exhibiting a low level expression of one, two or all three genes (P<0.05). The results indicate that a high level of VEGFA expression and its receptors may be required for cancer progression. Therefore, these three factors should be considered together as a prognostic indicator for lung cancer patients.

KeywordAngiogenesis Fms‑related Tyrosine Kinase 1 Kinase Insert Domain Receptor Lung Cancer Survival Vascular Epidermal Growth Factor a
DOI10.3892/ol.2015.3415
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaOncology
WOS SubjectOncology
WOS IDWOS:000360923000117
Scopus ID2-s2.0-84929482005
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Citation statistics
Document TypeJournal article
CollectionCancer Centre
Faculty of Health Sciences
Affiliation1.Universidade de Macau
2.University of Cambridge
3.Queen's University Belfast
First Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Zhang S.-D.,McCrudden C.M.,Kwok H.F.. Prognostic significance of combining VEGFA, FLT1 and KDR mRNA expression in lung cancer[J]. Oncology Letters, 2015, 10(3), 1893-1901.
APA Zhang S.-D.., McCrudden C.M.., & Kwok H.F. (2015). Prognostic significance of combining VEGFA, FLT1 and KDR mRNA expression in lung cancer. Oncology Letters, 10(3), 1893-1901.
MLA Zhang S.-D.,et al."Prognostic significance of combining VEGFA, FLT1 and KDR mRNA expression in lung cancer".Oncology Letters 10.3(2015):1893-1901.
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