RT Journal Article SR Electronic T1 Epithelial Expression of VEGF Receptors in Colorectal Carcinomas and their Relationship to Metastatic Status JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 3245 OP 3250 VO 27 IS 5A A1 SIMIANTONAKI, NEKTARIA A1 TAXEIDIS, MARIOS A1 JAYASINGHE, CAREN A1 KIRKPATRICK, CHARLES JAMES YR 2007 UL http://ar.iiarjournals.org/content/27/5A/3245.abstract AB Background: Vascular endothelial growth factor (VEGF), originally identified as an endothelium-specific factor, can also bind to malignant cells, a mechanism by which a tumor could regulate its own progression. The biological effects of VEGF are mediated by three receptors (VEGFRs), VEGFR-1, VEGFR-2 and VEGFR-3. This study aimed at defining the expression of VEGFs in colorectal cancer (CRC) epithelia and their relationship to the metastatic status. Materials and Methods: Using immunohistochemistry, the levels of tumoral immunoreactivity for VEGFs in 105 non-metastatic, lymphogenously-metastatic and haematogenously-metastatic CRC specimens were assessed. Statistical analysis was performed using Fisher's exact probability test. Results: VEGFR-1 immunoreactivity was positive in only 50% of the cases. However lack of expression of VEGFR-1 was significantly associated with lymphogenous and haematogenous metastases. VEGFR-2 and VEGFR-3 were expressed in all investigated specimens to varying degrees. Low levels of VEGFR-2 were significantly associated with distant metastases. No significant changes were detected in VEGFR-3 expression. Conclusion: Epithelial expression of VEGFR-1 and VEGFR-2 appear to have a protective effect against tumor aggressiveness in CRC. Copyright© 2007 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved