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1.
Sci Adv ; 5(11): eaaw7215, 2019 11.
Article in English | MEDLINE | ID: mdl-31799389

ABSTRACT

Mitochondrial transfer plays a crucial role in the regulation of tissue homeostasis and resistance to cancer chemotherapy. Osteocytes have interconnecting dendritic networks and are a model to investigate its mechanism. We have demonstrated, in primary murine osteocytes with photoactivatable mitochondria (PhAM)floxed and in MLO-Y4 cells, mitochondrial transfer in the dendritic networks visualized by high-resolution confocal imaging. Normal osteocytes transferred mitochondria to adjacent metabolically stressed osteocytes and restored their metabolic function. The coordinated movement and transfer of mitochondria within the dendritic network rely on contact between the endoplasmic reticulum (ER) and mitochondria. Mitofusin 2 (Mfn2), a GTPase that tethers ER to mitochondria, predominantly mediates the transfer. A decline in Mfn2 expression with age occurs concomitantly with both impaired mitochondrial distribution and transfer in the osteocyte dendritic network. These data show a previously unknown function of ER-mitochondrial contact in mediating mitochondrial transfer and provide a mechanism to explain the homeostasis of osteocytes.


Subject(s)
Endoplasmic Reticulum/metabolism , GTP Phosphohydrolases/metabolism , Mitochondria/metabolism , Osteocytes/metabolism , Animals , Cell Line , Homeostasis/physiology , Mice , Mice, Knockout , Microscopy, Confocal
2.
Bone Res ; 7: 3, 2019.
Article in English | MEDLINE | ID: mdl-30701109

ABSTRACT

[This corrects the article DOI: 10.1038/s41413-018-0039-2.].

3.
Bone Res ; 6: 36, 2018.
Article in English | MEDLINE | ID: mdl-30534458

ABSTRACT

Exosomes are a heterogeneous group of cell-derived membranous structures, which mediate crosstalk interaction between cells. Recent studies have revealed a close relationship between exosomes and bone homeostasis. It is suggested that bone cells can spontaneously secret exosomes containing proteins, lipids and nucleic acids, which then to regulate osteoclastogenesis and osteogenesis. However, the network of regulatory activities of exosomes in bone homeostasis as well as their therapeutic potential in bone injury remain largely unknown. This review will detail and discuss the characteristics of exosomes, the regulatory activities of exosomes in bone homeostasis as well as the clinical potential of exosomes in bone injury.

5.
Histol Histopathol ; 21(12): 1277-85, 2006 12.
Article in English | MEDLINE | ID: mdl-16977578

ABSTRACT

Using a sheep femoral allograft model we have investigated the cellular and molecular mechanisms associated with non-union of bone allografts. Histomorphometric analysis revealed that allograft non-unions featured both marked increases in osteoclast (OC) numbers and total eroded bone surface as compared to allografts which had undergone direct union. Three distinct cellular layers lying adjacent to the allograft bone surface were identified in all non-union cases. The outer or fibroblastic layer contained an abundance of fibroblasts and connective tissue. Circumscribing this layer was a band of synovial-like cells consisting mainly of large spindle-shaped mononuclear cells mixed with scattered round-shaped mononuclear cells. The third layer, which was directly juxtaposed to the allograft bone surface, consisted predominantly of multinuclear OCs which were positively identified by calcitonin receptor immunohistochemistry. Interestingly, in-situ hybridisation revealed that surrounding synovial-like cells in non-union allografts, expressed abundant gene transcripts for receptor activator NF-kappaB ligand (RANKL), a membrane bound factor critical for both the induction of OC activity and osteoclastogenesis. We propose that excessive bone resorption by host OCs contributes, at least partially, to the failure of bone allografts. The production of RANKL by synovial-like fibroblasts may be the driving force responsible for the elevated generation and activation of OCs. Based on such evidence novel therapeutic strategies for the treatment of non-union bone allografts using anti-bone resorbing agents may be devised.


Subject(s)
Bone Resorption/pathology , Bone Transplantation/adverse effects , Bone Transplantation/pathology , Osteoclasts/pathology , Animals , Bone Resorption/etiology , Carrier Proteins/genetics , Cell Count , Connective Tissue , Femur/transplantation , Fibroblasts , Membrane Glycoproteins/genetics , Models, Animal , NF-kappa B/genetics , RANK Ligand , RNA, Messenger/analysis , Sheep , Transplantation, Homologous
6.
Int J Mol Med ; 13(5): 623-8, 2004 May.
Article in English | MEDLINE | ID: mdl-15067360

ABSTRACT

Autologous chondrocyte implantation (ACI) relies on the use of cultured cells. However, the biosynthetic profile of cultured chondrocytes is shown to be altered during in vitro expansion. The purpose of this study therefore, was to examine the cellular phenotype of chondrocytes cultured for ACI and to determine the apoptotic index of cells implanted into patients. Using electron microscopy, immunohistochemistry, RT-PCR and flow cytometry analyses, we have investigated protein and gene expression of several chondrocyte-specific, or associated markers in cultured cells used for implantation in patients. They included S-100, type I and II collagen, aggrecan, transforming growth factor beta, glucocorticoid receptor alpha and beta and vitamin D3 receptor. We have also examined the apoptotic index of chondrocytes. Our results demonstrated that cultured cells for ACI display the characteristics of chondrocytes. These cells are round in shape, contain numerous small surface processes of cytoplasmic membrane and have an accumulation of glycogen within the cytoplasm. They express S-100, aggrecan TGF-beta, glucocorticoid receptor alpha and vitamin D3 receptor as evidenced by either immunohistochemistry or RT-PCR, however, there is variation in the expression of type I, type II collagen glucocorticoid receptor beta between cases. Chondrocyte used for implantation has relatively low level of apoptosis (<11%). In conclusion, although there was variation in the level of expression of these genetic markers, our data indicate that cultured cells used for ACI were of chondrocytic lineage cells and have low level of apoptotic cells.


Subject(s)
Chondrocytes/metabolism , Chondrocytes/transplantation , Adult , Aggrecans , Apoptosis , Cell Survival , Cells, Cultured , Chondrocytes/cytology , Chondrocytes/ultrastructure , Collagen Type I/genetics , Collagen Type II/genetics , Extracellular Matrix Proteins/genetics , Female , Humans , Immunohistochemistry , Lectins, C-Type , Male , Middle Aged , Proteoglycans/genetics , RNA, Messenger/genetics , RNA, Messenger/metabolism , Receptors, Calcitriol/genetics , Receptors, Glucocorticoid/genetics , S100 Proteins/metabolism , Tissue Engineering , Transforming Growth Factor beta/genetics , Transplantation, Autologous
7.
Postgrad Med J ; 80(940): 80-3, 2004 Feb.
Article in English | MEDLINE | ID: mdl-14970294

ABSTRACT

Congenital microvillous atrophy (CMVA) is the leading cause of neonatal secretory diarrhoea with onset either in the first 72 hours of life (early onset) or at 6-8 weeks after birth (late onset). To date over 30 cases have been reported worldwide. The prognosis for this life threatening condition continues to be poor. Therapeutic agents like somatostatin and epidermal growth factor are either ineffective or of marginal benefit. Overall five year survival after small bowel transplantation is currently approximately 50%. The following brief review is aimed towards helping neonatologists/perinatologists in the early diagnosis, and management of CMVA and in counselling the parents appropriately.


Subject(s)
Infant, Newborn, Diseases/pathology , Intestinal Mucosa/ultrastructure , Atrophy/etiology , Atrophy/pathology , Atrophy/therapy , Dehydration/etiology , Dehydration/therapy , Diarrhea, Infantile/congenital , Diarrhea, Infantile/pathology , Diarrhea, Infantile/therapy , Humans , Infant , Infant, Newborn , Infant, Newborn, Diseases/etiology , Infant, Newborn, Diseases/therapy , Microvilli/ultrastructure , Prognosis
8.
J Mol Endocrinol ; 27(1): 117-22, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11573517

ABSTRACT

Small GTP-binding proteins of the Rab subfamily are key regulators of intracellular vesicle transport. Here we report the isolation of a cDNA clone encoding the complete Rab3c isoform from mouse embryo using a degenerative PCR-based approach. Multiple sequence alignment revealed that the predicted amino acid sequence was identical to the previously identified rat Rab3c isoform and 98% identical to the published bovine Rab3c GTPase from brain. Furthermore by in situ hybridisation, Rab3c mRNA was detectable within various regions of the brain, cartilage and highly enriched within intestinal villi of foetal tissues. Chondrocytes in the hypertrophic zone, but not reserve or proliferative zones, expressed high levels of Rab3c. This pattern of expression corresponds with the genesis of matrix vesicles during endochondral ossification. In all, our results suggest that in addition to its functional role during regulated secretion in brain, Rab3c may play a part in matrix vesicle trafficking during skeletal development.


Subject(s)
Embryo, Mammalian/physiology , rab3 GTP-Binding Proteins/genetics , Amino Acid Sequence , Animals , Base Sequence , Cloning, Molecular , DNA, Complementary/analysis , Mice , Mice, Inbred C57BL , Molecular Sequence Data , Polymerase Chain Reaction , RNA, Messenger/biosynthesis , Sequence Homology, Amino Acid , rab3 GTP-Binding Proteins/biosynthesis , rab3 GTP-Binding Proteins/physiology
9.
J Cancer Res Clin Oncol ; 127(2): 109-15, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11216911

ABSTRACT

PURPOSE: Cyclophilin 40 (CyP40) is an estrogen receptor-associated protein which appears to modify receptor function. The aim of this study was to determine the extent of allelic loss at the CyP40 locus in a panel of breast carcinomas using a newly characterized microsatellite marker located upstream of the CyP40 gene and then to correlate this with losses at chromosomal sites for cancer-associated genes. METHODS: Allelic loss at CyP40 was determined from patients' matched tumor and normal breast tissue using Genescan 672 software analysis of fluorescently labeled, PAGE-separated PCR products incorporating the marker. For each patient, allelic loss at CyP40 was then assessed and compared with losses at markers for various cancer-associated genes. RESULTS: Allelic loss was detected in 30% of breast carcinomas from patients heterozygous for the CyP40 marker. All carcinomas demonstrating allelic loss were grade II or III invasive ductal carcinomas and generally showed multiple losses at other sites near known cancer-associated genes. CONCLUSIONS: The polymorphic marker which we characterized was useful in determining allelic loss at the CyP40 locus in breast cancer patients and when applied in these studies in conjunction with various cancer-associated gene markers, suggests that deletions in the region of the CyP40 gene might be a late event in breast tumor progression.


Subject(s)
Breast Neoplasms/genetics , Carrier Proteins/genetics , Cyclophilins , Loss of Heterozygosity , Peptidylprolyl Isomerase/genetics , Receptors, Estrogen/metabolism , Breast/metabolism , Breast Neoplasms/metabolism , Peptidyl-Prolyl Isomerase F , Female , Humans , Microsatellite Repeats
10.
Histol Histopathol ; 16(1): 239-49, 2001 01.
Article in English | MEDLINE | ID: mdl-11193200

ABSTRACT

Pax genes play a pivotal role in development of the vertebrate visual system. Pax6 is the master control gene for eye development: ectopic expression of Pax6 in Xenopus laevis and Drosphila melanogaster leads to the formation of differentiated eyes on the legs or wings. Pax6 is involved in formation of ganglion cells of the retina, as well as cells of the lens, iris and cornea. In addition Pax6 may play a role in axon guidance in the visual system. Pax2 regulates differentiation of the optic disk through which retinal ganglion cell axons exit the eye. Furthermore, Pax2 plays a critical role in development of the optic chiasm and in the guidance of axons along the contralateral or ipsilateral tracts of the optic nerve to visual targets in the brain. During development Pax7 is expressed in neuronal cells of one of the major visual targets in the brain, the optic tectum/superior colliculus. Neurons expressing Pax7 migrate towards the pia and concentrate in the stratum griseum superficiale (SGFS), the target site for retinal axons. Together, expression of Pax2, 6 and 7 may guide axons during formation of functional retinotectal/collicular projections. Highly regulated Pax gene expression is also observed in mature animals. Moreover, evidence suggests that Pax genes are important for regeneration of the visual system. We are currently investigating Pax gene expression in species that display a range of outcomes of optic nerve regeneration. We predict that such information will provide valuable insights for the induction of successful regeneration of the optic nerve and of other regions of the central nervous system in mammals including man.


Subject(s)
Eye Proteins/biosynthesis , Eye/growth & development , Gene Expression Regulation, Developmental/physiology , Nerve Regeneration/physiology , Optic Nerve/growth & development , Animals , Eye/metabolism , Eye Proteins/genetics , Gene Expression Regulation, Developmental/genetics , Genes/genetics , Humans , Optic Nerve/metabolism
11.
Histol Histopathol ; 16(1): 297-307, 2001 01.
Article in English | MEDLINE | ID: mdl-11193206

ABSTRACT

Giant cell tumour of bone (GCT) is a benign primary neoplasm of a bone characterised by distinctive clinical, radiological and pathological features. Females are slightly more often affected than males, and the majority of patients present between the ages of 20 and 50. GCT is locally aggressive and produces expansive and lytic lesions, most commonly in the epiphyses of long tubular bones. Histologically, it is composed of oval and spindle mononuclear cells, uniformly distributed amongst which are large multinucleated osteoclast-like giant cells. Although the term "Giant Cell Tumour" (and the erroneous historical term 'osteoclastoma') may imply that it is the multinucleated giant cells which are responsible for the proliferative capacity of the tumour, there is evidence that the stromal-like cells, the major component of the mononuclear cell population, represent the true neoplastic component of the neoplasm. The diagnosis and management of conventional GCT are often challenging and there is considerable current interest in its pathobiology. The precise histogenesis of GCT and the nature of its varying cellular constituents have remained a matter of some controversy. Factors influencing the clinical course and biological aggression of GCT are also unclear. In this selective review, the clinicopathological characteristics of GCT are summarised and current areas of interest in the study of the neoplasm are presented and discussed. Lastly, a hypothetical model of the mechanism of histogenesis and the biological behaviour of GCT is presented.


Subject(s)
Bone Neoplasms/pathology , Giant Cell Tumor of Bone/pathology , Osteoclasts/pathology , Animals , Bone Neoplasms/genetics , Bone Neoplasms/metabolism , Female , Giant Cell Tumor of Bone/genetics , Giant Cell Tumor of Bone/metabolism , Humans , Male , Models, Biological , Osteoclasts/metabolism , Steroids/metabolism
13.
J Cardiovasc Surg (Torino) ; 41(3): 341-8, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10952321

ABSTRACT

OBJECTIVE: Valve related factors and patient related factors are responsible for calcification of valvular bioprostheses. Recent studies showed different donor and recipient species have different influences on the total calcification rate of bioprostheses. This study was performed to evaluate and compare Kangaroo aortic valve leaflets with porcine aortic valve leaflets. Experimental design. Prospective study. Setting. Cardio-thoracic experimental research of a university department. MATERIALS AND METHODS: Glutaraldehyde-fixed Kangaroo and porcine valve leaflets were evaluated in vitro according to valve geometry (internal diameter and leaflet thickness), morphology (light and electron microscopy) and tensile strength. In vivo evaluation consisted of implantation in a rat model for 8 weeks, Von Kossa stain for calcium and atomic absorption spectrophotometry for total extractable calcium content. RESULTS: Kangaroo valves indicated a smaller internal valve diameter as well as a thinner valve leaflet (p<0.01, ANOVA) at corresponding body weight, less proteoglycan spicules in the fibrosa, increased elasticity (p<0.05) and low calcification potential (p<0.01, confidence interval 95%). CONCLUSIONS: Kangaroo aortic valve leaflets have different valvular qualities compared to porcine valve tissue. Kangaroo valve leaflets are significantly superior to porcine valve leaflets as far as calcification is concerned. These results are encouraging and suggest further in vivo evaluation in a larger animal model before clinical application can be considered.


Subject(s)
Aortic Valve , Bioprosthesis , Calcinosis/etiology , Heart Valve Prosthesis , Animals , Aortic Valve/chemistry , Aortic Valve/physiopathology , Aortic Valve/transplantation , Aortic Valve/ultrastructure , Calcinosis/metabolism , Calcinosis/pathology , Calcinosis/physiopathology , Calcium/metabolism , Macropodidae , Male , Prospective Studies , Prosthesis Failure , Rats , Rats, Wistar , Skin , Species Specificity , Spectrophotometry, Atomic , Swine , Tensile Strength/physiology , Tissue Transplantation/methods
14.
Hum Pathol ; 31(7): 804-12, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10923916

ABSTRACT

The production of vascular endothelial growth factors (VEGF), a major cause of neoangiogenesis, is a prerequisite for tumor growth and invasion. VEGF have also been shown to be important for the formation of osteoclasts. Because giant cell tumors of bone (GCT) are frequently hypervascular and have the ability to recruit macrophages and multinucleated osteoclast-like giant cells, we evaluated the levels of VEGF gene transcript in several of these tumors using Northern blot analyses, semiquantitative reverse transcription polymerase chain reaction (RT-PCR), fluorescence in situ hybridization (FISH), and immunohistochemistry. Our results showed that three major isoforms of VEGF (121, 165, and 189) were expressed in all cases of GCT investigated, with isoform 121 transcripts the most abundant. By both FISH and immunohistochemistry, we have shown that VEGF was present in spindle-shaped stromal-like tumor cells, round macrophage-like cells, and osteoclast-like multinucleate giant cells. Moreover, we have shown that the levels of VEGF gene expression but not microvessel density correlated with Enneking's clinical stage of GCT. There were higher levels of VEGF gene expression in stage III GCT than in stage I/II GCT (P < .0357). In conclusion, our results indicate that overexpression of VEGF may be associated with the advanced stage of the neoplasm.


Subject(s)
Bone Neoplasms/metabolism , Endothelial Growth Factors/genetics , Gene Expression , Giant Cell Tumor of Bone/metabolism , Lymphokines/genetics , Adult , Animals , Blotting, Northern , Bone Neoplasms/blood supply , Bone Neoplasms/pathology , DNA Probes , Female , Giant Cell Tumor of Bone/blood supply , Giant Cell Tumor of Bone/pathology , Humans , Immunohistochemistry , In Situ Hybridization, Fluorescence , Male , Mice , Microcirculation/pathology , Middle Aged , Prognosis , RNA, Messenger/analysis , Reverse Transcriptase Polymerase Chain Reaction , Vascular Endothelial Growth Factor A , Vascular Endothelial Growth Factors
15.
Neuroscience ; 98(2): 353-9, 2000.
Article in English | MEDLINE | ID: mdl-10854768

ABSTRACT

The accumulation of tubular aggregates in type II skeletal muscle fibres and fibrillo-granular inclusions in hippocampal protoplasmic astrocytes are characteristic lesions of apolipoprotein E deficient mice. Moreover these inclusions reacted immunocytochemically with an antibody specific to fragment 17-24 of the published sequence of Alzheimer's amyloid peptide. In an effort to evaluate the role of apolipoprotein E in the formation of these abnormal structures, we examined the tibialis anterior muscle and the hippocampus of several groups of animals including: (i) apolipoprotein E "knockout" mice which had been whole body irradiated with 1200 rads and bone marrow replenished with apolipoprotein E sufficient marrow; and (ii) three transgenic murine strains that had been genetically engineered to express either human apolipoprotein E2, E3 or E4 protein on an apoE deficient background. The results of this study showed that the presence of murine apolipoprotein E (even in subnormal levels in the serum) in irradiated bone marrow replenished mice and in all three (E2, E3 or E4) human apoE transgenic strains was sufficient to prevent the aggregation of sarcoplasmic tubules in the tibialis anterior type II muscle fibres. Similarly apolipoprotein E "knockout" bone marrow replenished mice and all three transgenic strains expressing the different human apolipoprotein E alleles reduced the number of the astrocytic inclusions in the hippocampus to levels not significantly different to those observed in control C57Bl6J animals. The data obtained in this study indicate that neurological and neuromuscular abnormalities found in apoE deficient mice are reversed when apoE protein is replaced in the circulation, either by bone marrow transplantation of normal apoE sufficient marrow, or by gene therapy with the apoE gene, albeit of human origin and irrespective of the allele used.


Subject(s)
Apolipoproteins E/deficiency , Astrocytes/metabolism , Muscle Fibers, Skeletal/metabolism , Muscle, Skeletal/physiopathology , Alzheimer Disease/etiology , Alzheimer Disease/pathology , Alzheimer Disease/physiopathology , Animals , Apolipoproteins E/genetics , Astrocytes/pathology , Astrocytes/ultrastructure , Hippocampus/metabolism , Hippocampus/pathology , Hippocampus/physiopathology , Humans , Mice , Mice, Knockout , Mice, Transgenic , Microscopy, Electron , Muscle Fibers, Skeletal/pathology , Muscle Fibers, Skeletal/ultrastructure , Muscle, Skeletal/metabolism , Muscle, Skeletal/pathology
17.
Growth Factors ; 17(4): 301-12, 2000.
Article in English | MEDLINE | ID: mdl-10801078

ABSTRACT

The aim of this project was to determine if the subretinal delivery of a recombinant adenovirus encoding vascular endothelial growth factor (VEGF) was sufficient to induce changes resembling choroidal neovascularisation (CNV) in a rat model. A recombinant adenovirus was produced encoding vegf164 cDNA (Ad.RSV.VEGF). Transduction of cultured RPE cells confirmed VEGF expression and ensured the absence of Ad.RSV.VEGF-related toxicity. Following subretinal injection into rat eyes, fluorescein angiography indicated that the in vivo delivery of Ad.RSV.VEGF was associated with vascular leakage. Histological analysis demonstrated that changes resembling the early signs of CNV development were also present in the Ad.RSV.VEGF injected eyes. These results suggest that while a transient VEGF expression in the RPE layer is able to induce CNV-related changes, it may be insufficient for the development of a full neovascular membrane. This study demonstrates that virus-mediated gene delivery, in addition to its clinical applications, is a potentially efficient research tool for investigating gene expression-related physiological changes in vitro and in vivo.


Subject(s)
Choroid/blood supply , Choroidal Neovascularization , Endothelial Growth Factors/genetics , Lymphokines/genetics , Pigment Epithelium of Eye/blood supply , Adenoviridae/genetics , Animals , Choroid/anatomy & histology , Disease Models, Animal , Endothelial Growth Factors/metabolism , Fluorescein Angiography , Gene Transfer Techniques , Genetic Vectors , Lymphokines/metabolism , Rats , Rats, Mutant Strains , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Vascular Endothelial Growth Factor A , Vascular Endothelial Growth Factors
19.
J Pathol ; 190(1): 86-92, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10640997

ABSTRACT

It has been proposed that after mesothelial injury, resident cells within the subserosal connective tissue proliferate, differentiate, and migrate to the serosal surface. The aim of this study was to examine the temporal and spatial changes of proliferating cells in a murine model of testicular mesothelial healing and assess the potential of submesothelial cells to reconstitute the damaged mesothelium. Histology and autoradiography were employed to determine the number of cells within the submesothelial connective tissue, as well as the proportion of cells undergoing DNA synthesis on and beneath the injured serosa. Mesothelial cells surrounding the wound demonstrated maximal DNA synthesis 48 h after injury (27. 82+/-5.64% SEM, compared with 0.17+/-0.16% (3)H-TdR labelled cells for resting mesothelium), whereas a significant increase in proliferating submesothelial cells was not seen until day 4 post-injury (7.79+/-3.31% compared with 0.85+/-0.64% (3)H-TdR labelled cells at day 2). Furthermore, this small number of dividing submesothelial cells must include cells other than the proposed mesothelial precursors, indicating a very low proportion of precursor cells in the submesothelial cell population. As large numbers of mesothelial cells were seen at the wound centre by 3-4 days after injury, it is unlikely that submesothelial cells contributed significantly to the repopulation of the injured mesothelium. It is hypothesized that regenerating mesothelium is more likely to originate from the surrounding uninjured mesothelial cell population.


Subject(s)
Regeneration/physiology , Testis/physiology , Wound Healing/physiology , Animals , Autoradiography , Cell Count , Cell Division , DNA/biosynthesis , Epithelium/pathology , Epithelium/physiology , Male , Mice , Mice, Inbred BALB C
20.
Clin Exp Metastasis ; 18(8): 695-702, 2000.
Article in English | MEDLINE | ID: mdl-11827073

ABSTRACT

It is well established that the ability of a neoplasm to induce a blood supply from a pre-existing circulation (angiogenesis) is a major factor in tumour growth, invasion and metastasis. However, the angiogenic potential of metastases and their subsequent growth have not been extensively studied. The question arises: can metastatic clones induce the same level of angiogenesis as in the primary neoplasm they emanated from? In this study it is hypothesised that in the same patient the level of vascularity and angiogenesis is the same in both the primary invasive ductal carcinoma and in the axillary lymph node metastasis at the time of surgery, according to Kerbels theory of clonal-dominance. To directly address the hypothesis, morphological measures of the established blood/lymphatic circulation (vascularity) as well as estimates of angiogenesis (endothelial cell proliferation) were measured in primary tumours and directly compared to the same parameters in the corresponding lymph node metastasis in a case by case basis (n = 17). The results demonstrate varying associations between the level of vascularity and angiogenesis between matched individual tumours and their metastatic lymph nodal deposits. It is possible that either variations in the angiogenic characteristics of the metastasising clone or local or systemic promoters or inhibitors of angiogenesis influence tumour angiogenesis at the different sites.


Subject(s)
Breast Neoplasms/blood supply , Carcinoma, Ductal, Breast/blood supply , Neovascularization, Pathologic/pathology , Breast Neoplasms/pathology , Carcinoma, Ductal, Breast/pathology , Endothelium, Vascular/pathology , Female , Humans , Image Processing, Computer-Assisted , Immunoenzyme Techniques , Lymph Nodes/blood supply , Lymph Nodes/pathology , Lymphatic Metastasis , Neoplasm Invasiveness , Neovascularization, Pathologic/metabolism
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