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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 3, 364-370.
doi: 10.1302/0301-620X.90B3.19806  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Expression of hypoxia-inducible factor-1{alpha} and its relationship to tumour angiogenesis and cell proliferation in cartilage tumours

T. Kubo, MD, PhD, Assistant Professor, Orthopaedic Surgeon1; T. Sugita, MD, PhD, Director, Orthopaedic Surgeon3; S. Shimose, MD, PhD, Assistant Professor, Orthopaedic Surgeon1; T. Matsuo, MD, PhD, Assistant Professor, Orthopaedic Surgeon1; K. Arihiro, MD, PhD, Associate Professor, Pathologist2; and M. Ochi, MD, PhD, Professor and Chairman, Orthopaedic Surgeon1

1 Department of Orthopaedic Surgery
2 Department of Anatomical Pathology, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
3 Department of Orthopaedic Surgery, Hiroshima Prefecture Hospital, 1-5-54 Ujinakanda, Minami-ku, Hiroshima, 734-8530, Japan.

Correspondence should be sent to Dr T. Kubo; e-mail: kubot{at}hiroshima-u.ac.jp

We investigated the use of hypoxia-inducible factor (HIF) proteins as prognostic markers in chondrosarcoma and the relationship of HIF to the biological characteristics of cartilage tumours. The expression of HIF-1{alpha}, HIF-2{alpha}, proliferating cell nuclear antigen (PCNA) and microvessel density (MVD) were measured immunohistochemically in 29 specimens of cartilage tumour.

There was no HIF-1{alpha} and HIF-2{alpha} staining in any of the nine benign cartilage tumours. In 20 specimens of chondrosarcoma, the rate of HIF-1{alpha} and HIF-2{alpha} expression was 40% and 25%, respectively. The tumour size (≥ 8 cm), histological grade (grade 2 and grade 3) surgical margin (marginal and intralesional) and HIF-1{alpha} expression (positive) correlated significantly with a shorter disease-free survival. There was a significant association between HIF-1{alpha} and the MVD and a strong trend towards a correlation between HIF-1{alpha} and the PCNA index or histological grade.

Our findings suggest that HIF-1{alpha} protein may be a useful objective marker in the assessment of the prognosis in chondrosarcoma, since it plays an important role in tumour angiogenesis and cell proliferation.




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Inappropriate use of a chi-squared test and the Fisher exact test
Yu-Min Lin, et al.
J Bone Joint Surg Br Online, 20 Mar 2008 [Full text]


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