The Vascular Endothelial Growth Factor’s Expression in Gastric Cancer and Progress in Prognostic Research

Li Hongyan, Zhan Shuli, Hou Jianzhang
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Abstract

Gastric cancer (GC) is not only one of the common gastrointestinal malignancies in clinic, but also the most common cancer in the world. In recent years, its morbidity has increased. The global morbidity and mortality of gastric cancer rank fifth among all malignancies. The morbidity and mortality of gastric cancer in our country ranks second among malignant tumors, which is twice as high as the world average. In rural, the number is 1.6 times of in urban. The early diagnosis of most gastric cancers is rare in majority of patients, and most of them are in intermediate or advanced stage when they are in treatment. The proportion of radical surgery is not high, and it is easy to relapse and metastasize. The 5-year survival rate is about 40%, and the treatment effect is poor, which is severely harmful to people’s health. Although the pathogenesis of gastric cancer is related to many factors, the nosogenesis is vague. The occurrence of tumors is closely related to the formation of new blood vessels. New blood vessels are the internal conditions for tumor cell proliferation and metastasis. The factors that promoting angiogenesis include more than 10 kinds of fibroblast growth factors (FGFs) and vascular endothelial growth factors (VEGF), among which VEGF is the most important regulator that promotes angiogenesis. By promoting the mitosis of vascular endothelial cells, it forms an essential matrix for the growth of vascular endothelial cells, plays a crucial regulatory role in the process of tumor angiogenesis, and participates in the occurrence and development of a variety of tumor cells. This article summarizes the research progress on the vascular endothelial growth factor’s expression in gastric cancer and prognostics follows.
血管内皮生长因子在胃癌中的表达及预后研究进展
胃癌是临床上常见的胃肠道恶性肿瘤之一,也是世界上最常见的恶性肿瘤之一。近年来,其发病率有所上升。胃癌的发病率和死亡率在全球所有恶性肿瘤中排名第五。我国胃癌的发病率和死亡率居恶性肿瘤第二位,是世界平均水平的两倍。在农村,这一数字是城市的1.6倍。胃癌的早期诊断在大多数患者中是罕见的,大多数患者在治疗时已处于中晚期。根治性手术比例不高,易复发、转移。5年生存率约为40%,治疗效果差,严重危害人们的健康。胃癌的发病与多种因素有关,但其致病机制尚不明确。肿瘤的发生与新生血管的形成密切相关。新生血管是肿瘤细胞增殖和转移的内在条件。促进血管生成的因子包括10多种成纤维细胞生长因子(fibroblast growth factors, FGFs)和血管内皮生长因子(vascular endothelial growth factors, VEGF),其中VEGF是促进血管生成最重要的调节因子。它通过促进血管内皮细胞的有丝分裂,形成血管内皮细胞生长必需的基质,在肿瘤血管生成过程中起着至关重要的调节作用,参与多种肿瘤细胞的发生和发展。本文就血管内皮生长因子在胃癌中的表达及其预后的研究进展作一综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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