Immunohistochemical Assessment of Microvessel Density in OSCC: Spatial Heterogeneity of Angiogenesis and Its Impact on Survival

Mamilos, Andreas and Lein, Alexander and Winter, Lina and Haas, Markus and Reichert, Torsten E. and Ettl, Tobias and Kuenzel, Julian and Spanier, Gerrit and Brochhausen, Christoph (2023) Immunohistochemical Assessment of Microvessel Density in OSCC: Spatial Heterogeneity of Angiogenesis and Its Impact on Survival. BIOMEDICINES, 11 (10): 2724. ISSN , 2227-9059

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Abstract

(1) Background Oral squamous cell carcinomas (OSCC) are a common malignancy of the oral cavity and are often diagnosed when they have already spread to the regional lymph nodes. Advanced stages of cancer are characterized by the development of distant metastases. Angiogenesis, a hallmark of cancer, is known to contribute to cancer progression and metastasis. High microvessel density (MVD) has been linked to poor clinical outcomes in various types of cancer. (2) Methods: In this study, we aimed to investigate the spatial heterogeneity of blood vessels by comparing the tumor center and invasion front and to evaluate its prognostic value in OSCC. A total of 71 OSCC patient specimens were collected. The tissue was immunohistochemically stained using CD31 antibody to assess the MVD in the tumor center and the invasion front. Furthermore, the associations between the histopathological parameters, including MVD, disease-free survival (DFS), and overall survival (OS) were computed. (3) Results: In our study, we found a significantly higher presence of blood vessels at the invasion front of OSCCs compared to the tumor center. However, we did not observe any significant differences in MVD between different tumor stages. High intratumoral MVD was shown to be a positive prognostic factor for DFS (p = 0.047). (4) Conclusions: To the best of our knowledge, we were the first to analyze MVD as a prognostic factor by considering its spatial heterogeneity in OSCC. However, further studies are warranted to further elucidate the complexity of microvascular spatial heterogeneity and its influence on prognosis.

Item Type: Article
Uncontrolled Keywords: SQUAMOUS-CELL CARCINOMA; TUMOR ANGIOGENESIS; PROGNOSTIC-FACTOR; VEGF EXPRESSION; BLOOD-VESSELS; CANCER; METASTASIS; VASCULARITY; MECHANISMS; STAGE; angiogenesis; oral squamous cell carcinoma; microvessel density; spatial heterogeneity; survival; immunohistochemistry
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie
Medicine > Lehrstuhl für Pathologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 09 Mar 2024 12:04
Last Modified: 09 Mar 2024 12:04
URI: https://pred.uni-regensburg.de/id/eprint/59332

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