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Published on: December 21, 2014
Fibroblast growth factor 2 orchestrates angiogenic networking in non-GIST STS patients
Thomas K Kilvaer1, Andrej Valkov, Sveinung W Sorbye
1Institute of Medical Biology, University of Tromso, PB 9037, Tromso, Norway. Kilvaer@gmail.com
Background:
Non-gastrointestinal stromal tumor soft-tissue sarcomas (non-GIST STSs) constitute a heterogeneous group of tumors with poor prognosis. Fibroblast growth factor 2 (FGF2) and fibroblast growth factor receptor-1 (FGFR-1), in close interplay with platelet-derived growth factor-B (PDGF-B) and vascular endothelial growth factor receptor-3 (VEGFR-3), are strongly involved in angiogenesis. This study investigates the prognostic impact of FGF2 and FGFR-1 and explores the impact of their co-expression with PDGF-B and VEGFR-3 in widely resected tumors from non-GIST STS patients.
Methods:
Tumor samples from 108 non-GIST STS patients were obtained and tissue microarrays were constructed for each specimen. Immunohistochemistry was used to evaluate the expressions of FGF-2, FGFR-1, PDGF-B and VEGFR-3.
Results:
In the multivariate analysis, high expression of FGF2 (P = 0.024, HR = 2.2, 95% CI 1.1-4.4) and the co-expressions of FGF2 & PDGF-B (overall; P = 0.007, intermediate; P = 0.013, HR = 3.6, 95% CI = 1.3-9.7, high; P = 0.002, HR = 6.0, 95% CI = 2.0-18.1) and FGF2 & VEGFR-3 (overall; P = 0.050, intermediate; P = 0.058, HR = 2.0, 95% CI = 0.98-4.1, high; P = 0.028, HR = 2.6, 95% CI = 1.1-6.0) were significant independent prognostic indicators of poor disease-specific survival.
Conclusion:
FGF2, alone or in co-expression with PDGF-B and VEGFR-3, is a significant independent negative prognosticator in widely resected non-GIST STS patients.
Insights
High expression of fibroblast growth factor 2 (FGF2), alone or with PDGF-B and VEGFR-3, indicates poor prognosis in non-gastrointestinal stromal tumor soft-tissue sarcoma (non-GIST STS) patients. This finding aids in predicting survival outcomes for these rare cancers.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Non-gastrointestinal stromal tumor soft-tissue sarcomas (non-GIST STSs) are aggressive and heterogeneous cancers.
- Fibroblast growth factor 2 (FGF2), FGFR-1, PDGF-B, and VEGFR-3 are implicated in tumor angiogenesis.
- Understanding the prognostic markers in non-GIST STSs is crucial for patient outcomes.
Purpose of the Study:
- To investigate the prognostic significance of FGF2 and FGFR-1 in non-GIST STSs.
- To explore the combined prognostic impact of FGF2 with PDGF-B and VEGFR-3.
- To identify reliable biomarkers for predicting disease-specific survival in non-GIST STS patients.
Main Methods:
- Tumor samples from 108 non-GIST STS patients were analyzed.
- Tissue microarrays were constructed for comprehensive analysis.
- Immunohistochemistry was employed to assess the expression levels of FGF2, FGFR-1, PDGF-B, and VEGFR-3.
Main Results:
- High FGF2 expression was a significant independent predictor of poor disease-specific survival (P = 0.024).
- Co-expression of FGF2 with PDGF-B showed a strong association with poor prognosis (overall P = 0.007; high co-expression HR = 6.0).
- Co-expression of FGF2 with VEGFR-3 also indicated poorer survival outcomes (high co-expression P = 0.028, HR = 2.6).
Conclusions:
- FGF2 is a significant negative prognosticator in non-GIST STSs.
- The co-expression patterns of FGF2 with PDGF-B and VEGFR-3 further refine prognostic predictions.
- These findings highlight FGF2-related pathways as potential therapeutic targets in non-GIST STSs.
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