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Kahlert, C.* ; Fiala, M.* ; Musso, G.* ; Halama, N.* ; Keim, S.* ; Mazzone, M.* ; Lasitschka, F.* ; Pecqueux, M.* ; Klupp, F.* ; Schmidt, T.* ; Rahbari, N.N.* ; Schölch, S.* ; Pilarsky, C.* ; Ulrich, A.* ; Schneider, M.* ; Weitz, J.* ; Koch, M.*

Prognostic impact of a compartment-specific angiogenic marker profile in patients with pancreatic cancer.

Oncotarget 5, 12978-12989 (2014)
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Pancreatic cancer consists of a heterogenous bulk of tumor cells and stroma cells which contribute to tumor progression by releasing angiogenic factors. Those factors can be detected as circulating serum factors. We performed a compartment-specific analysis of tumor-derived and stroma-derived angiogenic factors to identify biomarkers and molecular targets for the treatment of pancreatic cancer. Kryo-frozen tissue from primary ductal adenocarcinomas (n = 51) was laser-microdissected to isolate tumor and stroma tissue. Expression of 17 angiogenic factors (angiopoietin-2, follistatin, GCSF, HGF, interleukin-8, leptin, PDGF-BB, PECAM-1, VEGF, matrix metalloproteinase -1, -2, -3, -7, -9, -10, -12, and -13) was analyzed using a multiplex elisa assay for tissue-derived proteins and corresponding serum. Our study reveals a compartment-specific expression profile for several angiogenic factors and matrix metalloproteinases. ROC analysis of corresponding serum samples reveals MMP-7 and MMP-12 as strong classifiers for the diagnosis of patients with pancreatic cancer vs. healthy control donors. High expression of tumor-derived PDGF-BB and MMP-1 correlates with prolonged survival in univariate and multivariate analysis. In conclusion, a distinct expression patterns for angiogenic cytokines and MMPs in pancreatic cancer and surrounding stroma may implicate them as novel targets for cancer treatment. Tumor-derived PDGF-BB and MMP-1 are significant and independent prognostic markers for poor survival.
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Publication type Article: Journal article
Document type Scientific Article
ISSN (print) / ISBN 1949-2553
e-ISSN 1949-2553
Journal OncoTarget
Quellenangaben Volume: 5, Issue: 24, Pages: 12978-12989 Article Number: , Supplement: ,
Publisher Impact Journals LLC
Reviewing status Peer reviewed
Institute(s) Institute for Pancreatic Beta Cell Research (IPI)