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PDGFRalpha/beta expression correlates with the metastatic behavior of human colorectal cancer: a possible rationale
Thomas C Wehler1, Kirsten Frerichs, Claudine Graf
1Third Department of Internal Medicine, Johannes Gutenberg University of Mainz, 55101 Mainz, Germany.
Abstract:
As new multi-target tyrosine kinase inhibitors are emerging in the therapy of various malignancies, our aim was to define the co-expression pattern of receptor-tyrosine-kinase platelet-derived growth factor receptors alpha and beta (PDGFRalpha/beta) in human colorectal cancer. The co-expression pattern of PDGFRalpha/beta was analyzed by RT-PCR in 99 histologically confirmed human colorectal carcinomas and five colorectal cancer cell lines. In addition, immunohistochemical (IHC) staining was applied for confirmation of expression and analysis of receptor tyrosine kinase (RTK) localisation. The colorectal cancer cell lines that were analysed revealed varying expression intensities of PDGFRalpha and PDGFRbeta. The majority of human colorectal cancer specimens revealed a PDGFRalpha (83%) or PDGFRbeta (60%) expression. While PDGFRalpha showed a predominantly cytoplasmic staining in tumor cells as well as in stromal pericytes, PDGFRbeta was restricted to stromal pericytes only. Furthermore, PDGFRalpha expression significantly correlated with lymph node metastasis (P=0.0082) and advanced UICC stages III/IV (P=0.018) in older patients (P=0.043). PDGFRbeta expression only revealed a trend towards lymphatic dissemination (P=0.099). Co-expression of PDGFRalpha/beta occurred in 57% of the colorectal cancer samples, whereas another 29% of the samples depicted mono-expression of PDGFRalpha or PDGFRbeta. Notably, PDGFRalpha/beta expression significantly correlated with lymphatic metastasis (P=0.007) and advanced UICC stages III/IV (P=0.017) in older patients (P=0.03). In summary, our results revealed that PDGFRalpha/beta expression significantly correlates with lymphatic dissemination and therefore encourages application of PDGFRalpha/beta RTK-inhibitors within a combination therapy.
Insights
Platelet-derived growth factor receptors alpha and beta (PDGFRalpha/beta) are frequently expressed in colorectal cancer. Their co-expression correlates with lymph node metastasis and advanced disease stages, supporting targeted therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Emerging multi-target tyrosine kinase inhibitors offer new therapeutic avenues for malignancies.
- Understanding receptor tyrosine kinase (RTK) co-expression is crucial for optimizing cancer treatment strategies.
Purpose of the Study:
- To investigate the co-expression patterns of platelet-derived growth factor receptors alpha and beta (PDGFRalpha/beta) in human colorectal cancer.
- To correlate PDGFRalpha/beta expression with clinicopathological features and patient outcomes.
Main Methods:
- Analysis of PDGFRalpha/beta expression using RT-PCR in 99 colorectal carcinomas and 5 cell lines.
- Immunohistochemical (IHC) staining for confirmation of expression and RTK localization.
- Statistical analysis to determine correlations with metastasis and disease stage.
Main Results:
- PDGFRalpha was expressed in 83% and PDGFRbeta in 60% of colorectal cancer specimens.
- PDGFRalpha showed cytoplasmic staining in tumor cells and stromal pericytes; PDGFRbeta was restricted to stromal pericytes.
- PDGFRalpha/beta co-expression (57%) and mono-expression (29%) were observed. Co-expression significantly correlated with lymph node metastasis and advanced UICC stages in older patients.
Conclusions:
- PDGFRalpha/beta expression is common in colorectal cancer and significantly associated with lymphatic dissemination and advanced disease.
- Findings support the potential application of PDGFRalpha/beta RTK-inhibitors in combination therapy for colorectal cancer.
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