title: Vascular permeability factor/vascular endothelial growth factor (VPF/VEGF) and its receptor flt-1 in microcystic meningiomas.
abstract: We investigated the immunohistochemical expression of vascular permeability factor/vascular endothelial growth factor (VPF/VEGF) and of its endothelial cell receptor flt-1 in relationship to microcyst formation in meningiomas. Expression of VPF/VEGF was studied in 60 meningiomas (6 microcystic, 38 partially microcystic and 16 with no microcystic areas) and 30 meningiomas from these three subgroups were evaluated for flt-1 expression. VPF/VEGF immunoreactivity was mainly observed in vessel endothelium. Positive vessels were present in 75% (33/44) of meningiomas with any amount of microcystic pattern and in 38% (6/16) of the solid meningiomas (P < 0.02). Densities and percentages of both VPF/VEGF-positive and flt-1-positive vessels were higher in meningiomas with microcystic areas than in solid meningiomas (P </= 0.002). The 6 microcystic meningiomas showed the highest densities and percentages of both VPF/VEGF-positive (P </= 0.0002) and flt-1-positive vessels (P </= 0. 01). Vessel expression of VPF/VEGF and flt-1 were positively correlated (r >/= 0.75, P < 0.0001). A strong positive correlation between VPF/VEGF-positive vessel density and proportion of microcystic pattern in all 60 specimens was found (r = 0.75, P < 0. 0001). We conclude that accumulation of flt-1-bound VPF/VEGF on endothelial cells of meningiomas is associated with microcyst formation that leads to the histologic appearance of microcystic meningiomas.
authors.affiliation: Groupe d'Etude et de Recherche sur le Muscle et le Nerf (GERMEN, EA 2347), Université Paris XII - Val de Marne, Créteil, France.
authors.forename: C
authors.initials: C
authors.lastname: Christov
authors.forename: E
authors.initials: E
authors.lastname: Lechapt-Zalcman
authors.forename: H
authors.initials: H
authors.lastname: Adle-Biassette
authors.forename: S
authors.initials: S
authors.lastname: Nachev
authors.forename: R K
authors.initials: RK
authors.lastname: Gherardi
mesh_terms: D016228:Endothelial Growth Factors / Q000378:metabolism*; D004727:Endothelium / Q000166:cytology / Q000378:metabolism; D006801:Humans; D007150:Immunohistochemistry; D008222:Lymphokines / Q000378:metabolism*; D008577:Meningeal Neoplasms / Q000098:blood supply / Q000378:metabolism* / Q000473:pathology; D008579:Meningioma / Q000098:blood supply / Q000378:metabolism* / Q000473:pathology; D009389:Neovascularization, Pathologic; D011518:Proto-Oncogene Proteins / Q000378:metabolism*; D020794:Receptor Protein-Tyrosine Kinases / Q000378:metabolism*; D042461:Vascular Endothelial Growth Factor A; D040281:Vascular Endothelial Growth Factor Receptor-1; D042442:Vascular Endothelial Growth Factors
chemical_list: D016228:Endothelial Growth Factors; D008222:Lymphokines; D011518:Proto-Oncogene Proteins; D042461:Vascular Endothelial Growth Factor A; D042442:Vascular Endothelial Growth Factors; D020794:Receptor Protein-Tyrosine Kinases; D040281:Vascular Endothelial Growth Factor Receptor-1