Comparison of lymphatic vessel density and expression of VEGF-C and VEGF-D lymphangiogenic factors in Warthin's tumours and oncocytic adenomas

Objectives: To compare the density of lymphatic vessels and VEGF-C and VEGF-D expression in Warthin's tumours (WTs) and oncocytic adenomas (OCAs). Methods: Twenty three WTs and 13 OCAs of the parotid gland were analyzed. Lymphatic vessels were detected using the D2-40 antibody. For evaluation o...

Full description

Bibliographic Details
Main Authors: Jiri Hoza, Richard Salzman, Tomas Bakaj, Ladislava Kucerova, Ivo Starek
Format: Article
Language:English
Published: Palacký University Olomouc, Faculty of Medicine and Dentistry 2018-03-01
Series:Biomedical Papers
Subjects:
Online Access:https://biomed.papers.upol.cz/artkey/bio-201801-0009_Comparison_of_lymphatic_vessel_density_and_expression_of_VEGF-C_and_VEGF-D_lymphangiogenic_factors_in_Warthin_s.php
_version_ 1818970137520242688
author Jiri Hoza
Richard Salzman
Tomas Bakaj
Ladislava Kucerova
Ivo Starek
author_facet Jiri Hoza
Richard Salzman
Tomas Bakaj
Ladislava Kucerova
Ivo Starek
author_sort Jiri Hoza
collection DOAJ
description Objectives: To compare the density of lymphatic vessels and VEGF-C and VEGF-D expression in Warthin's tumours (WTs) and oncocytic adenomas (OCAs). Methods: Twenty three WTs and 13 OCAs of the parotid gland were analyzed. Lymphatic vessels were detected using the D2-40 antibody. For evaluation of the intratumour and peritumour lymphatic vessel density (iLVD and pLVD, respectively) the area of greatest vascularisation (hot spots) was chosen, using a ×40 field, and the number of vessels per square millimeter was counted in a ×200 field. The staining intensity for VEGF-C and VEGF-D immunoreaction in the tumour cells was graded from 0 to 3. Results: The mean iLVD and pLVD values in WTs was 4.7 (range 1-8) and 6.9 (range 3-10), those in the OCAs 1.0 (range 0-3) and 5.8 (range 2-8), respectively. The differences in the iLVD, but not pLVD between the two tumour groups were statistically significant. In both entities, the pLVD markedly outnumbered the iLVD. The intratumour vessels in the WTs were present exclusively in the lymphoid stroma. In the group of 23 WTs, 13 (56.6%), 17 (73.9%) and 10 (43.4%) samples revealed positive VEGF-C, VEGF-D and both immunoreactions, respectively. 10 of 13 (77%) cases revealed VEGF-D immunoreaction and in none of them was the VEGF-C reaction present. Conclusion: The tumours had a comparable high density of peritumorous lymphatic network. However, WTs markedly differed from OCAs in the number of the intratumorous vessels. These were abundant solely in the stroma of WT, while practically lacking in the neoplastic epithelium of the WT and relatively rare in OCAs. We suggest that homeostasis in both entities is mediated mainly by peritumorous lymphatics. The lymphatic drainage in WTs is also fostered exclusively by stromal lymphatics, whereas in stroma poor OCAs by the vessels present in their neoplastic epithelium. We also believe that WTs stimulate proliferation of pre-existing lymphatic capillaries by means of the paracrine secretion of VEGF-C and VEGF-D in the neoplastic as well as reactive stromal cells, while in the OCAs only the latter factor takes part in their lymphangiogenesis.
first_indexed 2024-12-20T14:31:42Z
format Article
id doaj.art-530d93c0f8284a04a0c43f1801802d23
institution Directory Open Access Journal
issn 1213-8118
1804-7521
language English
last_indexed 2024-12-20T14:31:42Z
publishDate 2018-03-01
publisher Palacký University Olomouc, Faculty of Medicine and Dentistry
record_format Article
series Biomedical Papers
spelling doaj.art-530d93c0f8284a04a0c43f1801802d232022-12-21T19:37:36ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212018-03-011621475310.5507/bp.2017.048bio-201801-0009Comparison of lymphatic vessel density and expression of VEGF-C and VEGF-D lymphangiogenic factors in Warthin's tumours and oncocytic adenomasJiri Hoza0Richard Salzman1Tomas Bakaj2Ladislava Kucerova3Ivo Starek4Department of Otorhinolaryngology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech RepublicDepartment of Otorhinolaryngology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech RepublicDepartment of Otorhinolaryngology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech RepublicDepartment of Molecular Pathology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech RepublicDepartment of Otorhinolaryngology, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech RepublicObjectives: To compare the density of lymphatic vessels and VEGF-C and VEGF-D expression in Warthin's tumours (WTs) and oncocytic adenomas (OCAs). Methods: Twenty three WTs and 13 OCAs of the parotid gland were analyzed. Lymphatic vessels were detected using the D2-40 antibody. For evaluation of the intratumour and peritumour lymphatic vessel density (iLVD and pLVD, respectively) the area of greatest vascularisation (hot spots) was chosen, using a ×40 field, and the number of vessels per square millimeter was counted in a ×200 field. The staining intensity for VEGF-C and VEGF-D immunoreaction in the tumour cells was graded from 0 to 3. Results: The mean iLVD and pLVD values in WTs was 4.7 (range 1-8) and 6.9 (range 3-10), those in the OCAs 1.0 (range 0-3) and 5.8 (range 2-8), respectively. The differences in the iLVD, but not pLVD between the two tumour groups were statistically significant. In both entities, the pLVD markedly outnumbered the iLVD. The intratumour vessels in the WTs were present exclusively in the lymphoid stroma. In the group of 23 WTs, 13 (56.6%), 17 (73.9%) and 10 (43.4%) samples revealed positive VEGF-C, VEGF-D and both immunoreactions, respectively. 10 of 13 (77%) cases revealed VEGF-D immunoreaction and in none of them was the VEGF-C reaction present. Conclusion: The tumours had a comparable high density of peritumorous lymphatic network. However, WTs markedly differed from OCAs in the number of the intratumorous vessels. These were abundant solely in the stroma of WT, while practically lacking in the neoplastic epithelium of the WT and relatively rare in OCAs. We suggest that homeostasis in both entities is mediated mainly by peritumorous lymphatics. The lymphatic drainage in WTs is also fostered exclusively by stromal lymphatics, whereas in stroma poor OCAs by the vessels present in their neoplastic epithelium. We also believe that WTs stimulate proliferation of pre-existing lymphatic capillaries by means of the paracrine secretion of VEGF-C and VEGF-D in the neoplastic as well as reactive stromal cells, while in the OCAs only the latter factor takes part in their lymphangiogenesis.https://biomed.papers.upol.cz/artkey/bio-201801-0009_Comparison_of_lymphatic_vessel_density_and_expression_of_VEGF-C_and_VEGF-D_lymphangiogenic_factors_in_Warthin_s.phplymphatic vessel densityoncocytomawarthin's tumorsalivary gland
spellingShingle Jiri Hoza
Richard Salzman
Tomas Bakaj
Ladislava Kucerova
Ivo Starek
Comparison of lymphatic vessel density and expression of VEGF-C and VEGF-D lymphangiogenic factors in Warthin's tumours and oncocytic adenomas
Biomedical Papers
lymphatic vessel density
oncocytoma
warthin's tumor
salivary gland
title Comparison of lymphatic vessel density and expression of VEGF-C and VEGF-D lymphangiogenic factors in Warthin's tumours and oncocytic adenomas
title_full Comparison of lymphatic vessel density and expression of VEGF-C and VEGF-D lymphangiogenic factors in Warthin's tumours and oncocytic adenomas
title_fullStr Comparison of lymphatic vessel density and expression of VEGF-C and VEGF-D lymphangiogenic factors in Warthin's tumours and oncocytic adenomas
title_full_unstemmed Comparison of lymphatic vessel density and expression of VEGF-C and VEGF-D lymphangiogenic factors in Warthin's tumours and oncocytic adenomas
title_short Comparison of lymphatic vessel density and expression of VEGF-C and VEGF-D lymphangiogenic factors in Warthin's tumours and oncocytic adenomas
title_sort comparison of lymphatic vessel density and expression of vegf c and vegf d lymphangiogenic factors in warthin s tumours and oncocytic adenomas
topic lymphatic vessel density
oncocytoma
warthin's tumor
salivary gland
url https://biomed.papers.upol.cz/artkey/bio-201801-0009_Comparison_of_lymphatic_vessel_density_and_expression_of_VEGF-C_and_VEGF-D_lymphangiogenic_factors_in_Warthin_s.php
work_keys_str_mv AT jirihoza comparisonoflymphaticvesseldensityandexpressionofvegfcandvegfdlymphangiogenicfactorsinwarthinstumoursandoncocyticadenomas
AT richardsalzman comparisonoflymphaticvesseldensityandexpressionofvegfcandvegfdlymphangiogenicfactorsinwarthinstumoursandoncocyticadenomas
AT tomasbakaj comparisonoflymphaticvesseldensityandexpressionofvegfcandvegfdlymphangiogenicfactorsinwarthinstumoursandoncocyticadenomas
AT ladislavakucerova comparisonoflymphaticvesseldensityandexpressionofvegfcandvegfdlymphangiogenicfactorsinwarthinstumoursandoncocyticadenomas
AT ivostarek comparisonoflymphaticvesseldensityandexpressionofvegfcandvegfdlymphangiogenicfactorsinwarthinstumoursandoncocyticadenomas