Increased ratio of vascular endothelial growth factor to semaphorin3A is a negative prognostic factor in human

Valeria Barresi1, Giovanni Tuccari1

  • 1Department of Human Pathology, University of Messina, Messina, Italy.

Insights

The balance between vascular endothelial growth factor (VEGF) and Semaphorin3A (SEMA3A) impacts meningioma growth and recurrence. Targeting these factors may prevent tumor recurrence.

Area of Science:

  • Oncology
  • Molecular Biology
  • Tumor Angiogenesis

Background:

  • Semaphorin3A (SEMA3A) is an anti-angiogenic factor found in human meningiomas, inversely correlating with microvessel density (MVD).
  • Vascular endothelial growth factor (VEGF) and SEMA3A compete for the receptor neuropilin-1 (NRP-1).
  • The ratio of VEGF to SEMA3A influences tumor neo-angiogenesis, proliferation, and progression.

Purpose of the Study:

  • To investigate the immunohistochemical expression of SEMA3A, VEGF, and NRP-1 in meningiomas.
  • To correlate these protein expressions with microvessel density (MVD), histological grade, and recurrence rates.
  • To elucidate the role of the VEGF/SEMA3A balance in meningioma pathogenesis.

Main Methods:

  • Immunohistochemical analysis of SEMA3A, VEGF, and NRP-1 expression in 48 meningioma cases.
  • Assessment of microvessel density (MVD) using standard histological techniques.
  • Statistical correlation analysis between protein expression, MVD, histological grade, and recurrence.

Main Results:

  • SEMA3A expression negatively correlated with MVD, while VEGF expression positively correlated with MVD.
  • A high VEGF/SEMA3A ratio was significantly associated with higher histological grade, proliferation index, MVD, and increased recurrence rates.
  • NRP-1 was detected in tumor vessels and neoplastic cells in a majority of cases.

Conclusions:

  • The balance between VEGF and SEMA3A is crucial in regulating neo-angiogenesis and proliferation in meningiomas.
  • The VEGF/SEMA3A ratio serves as a potential predictor of meningioma recurrence.
  • Targeting VEGF, SEMA3A, and NRP-1 may offer novel therapeutic strategies for preventing meningioma recurrence.