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
Expression of hypoxia-inducible factor-1 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 , HIF-2 , proliferating cell nuclear antigen (PCNA) and microvessel density (MVD) were measured immunohistochemically in 29 specimens of cartilage tumour.
There was no HIF-1 and HIF-2 staining in any of the nine benign cartilage tumours. In 20 specimens of chondrosarcoma, the rate of HIF-1 and HIF-2 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 expression (positive) correlated significantly with a shorter disease-free survival. There was a significant association between HIF-1 and the MVD and a strong trend towards a correlation between HIF-1 and the PCNA index or histological grade.
Our findings suggest that HIF-1 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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