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Updated: Jul 17, 2026

Generation and Expansion of Primary, Malignant Pleural Mesothelioma Tumor Lines
Published on: April 21, 2022
Expression of vascular endothelial growth factor in malignant mesothelioma
Keisuke Aoe1, Akio Hiraki, Takehiro Tanaka
1Department of Medical Oncology, NHO Sanyo National Hospital, Yamaguchi, Japan. keisukeaoe@mtf.biglobe.ne.jp
Abstract:
Malignant mesothelioma is the most common primary pleural neoplasm. Angiogenesis is an important component of a variety of pathological processes, including carcinogenesis and tumor metastases. Vascular endothelial growth factor (VEGF) is the most potent known endothelial, cell specific mitogen. The authors assessed the relation between VEGF expression and clinicopathological variables or overall survival, in malignant mesothelioma. We studied 37 patients with malignant pleural mesothelioma and found that 36 out of 37 (97.3%) malignant mesothelioma samples were stained positively for VEGF. An increased expression of VEGF was observed in the epithelioid type compared with the other histological types of malignant mesothelioma, including the biphasic and sarcomatoid types. No statistically significant association was observed between VEGF expression and gender, age, or clinical stage. Furthermore, the expression of VEGF did not impact on the survival of patients with malignant mesothelioma. Although VEGF expression might be important for tumor development and maintenance, it was not identified as a prognostic factor in malignant mesothelioma.
Insights
Vascular endothelial growth factor (VEGF) is highly expressed in most malignant mesothelioma tumors, particularly the epithelioid type. However, VEGF expression did not correlate with patient survival or other clinicopathological factors in this study.
Area of Science:
- Oncology
- Pathology
- Molecular Biology
Background:
- Malignant mesothelioma is a primary pleural neoplasm.
- Angiogenesis, crucial for tumor growth and metastasis, is often driven by vascular endothelial growth factor (VEGF).
- VEGF is a potent mitogen for endothelial cells.
Purpose of the Study:
- To investigate the relationship between VEGF expression and clinicopathological variables in malignant mesothelioma.
- To determine if VEGF expression is associated with overall survival in patients with malignant mesothelioma.
Main Methods:
- Analysis of VEGF expression in 37 malignant pleural mesothelioma samples.
- Correlation of VEGF expression with histological type, gender, age, and clinical stage.
- Assessment of VEGF expression's impact on patient survival.
Main Results:
- 97.3% of malignant mesothelioma samples showed positive VEGF staining.
- Increased VEGF expression was observed in epithelioid mesothelioma compared to biphasic and sarcomatoid types.
- No significant association was found between VEGF expression and gender, age, clinical stage, or overall survival.
Conclusions:
- VEGF is widely expressed in malignant mesothelioma, with higher levels in the epithelioid subtype.
- VEGF expression is not a prognostic factor for survival in malignant mesothelioma patients.
- While important for tumor development, VEGF's role as a prognostic marker in this cancer requires further investigation.
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