Characterization of blood vessels in bone marrow from patients with chronic myeloid leukemia and polycythemia vera

Scand J Clin Lab Invest. 2004;64(7):641-7. doi: 10.1080/00365510410002968.

Abstract

Angiogenesis is a feature of hematological malignancies which may provide prognostic information. However, there is, as yet, no established marker for leukemia-associated vessels in bone marrow. In this study, immunohistochemical stainings for von Willebrand factor (vWf), CD34, Tie-2, angiomodulin, glycodelin, cycloxygenase-2 (Cox-2) and endoglin were compared in order to identify the bone marrow vasculature. Chronic myeloid leukemia (CML), a disease displaying intense angiogenesis, and polycythemia vera (PV), a disease with a low microvascular density (MVD), were studied, as well as normal bone marrow. Only vWf, CD34 and Tie-2 stained the bone marrow endothelium. Although more vessels were stained for vWf than for CD34, there was no evidence that vWf stained more disease-associated vessels. In double staining, Tie-2 co-localized with CD34, but vessels staining only for Tie-2 were also found. However, the number of Tie-2-positive vessels did not correlate to either the MVD or the disease. Angiomodulin, glycodelin, Cox-2 and endoglin did not stain vessel-like structures. In conclusion, estimating the MVD by means of CD34 staining appears to be the most reliable method, but none of the tested molecules qualified as a specific marker for leukemia-associated vessels in the bone marrow.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antigens, CD
  • Antigens, CD34 / metabolism
  • Biomarkers, Tumor / blood*
  • Blood Vessels / chemistry
  • Bone Marrow / blood supply*
  • Bone Marrow Cells / chemistry
  • Cyclooxygenase 2
  • Endoglin
  • Female
  • Glycodelin
  • Glycoproteins / metabolism
  • Humans
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive / diagnosis*
  • Male
  • Membrane Proteins
  • Middle Aged
  • Neoplasm Proteins / metabolism
  • Neovascularization, Pathologic / diagnosis*
  • Polycythemia Vera / diagnosis*
  • Pregnancy Proteins / metabolism
  • Prostaglandin-Endoperoxide Synthases / metabolism
  • Receptor, TIE-2 / metabolism
  • Receptors, Cell Surface
  • Vascular Cell Adhesion Molecule-1 / metabolism
  • von Willebrand Factor / metabolism

Substances

  • Antigens, CD
  • Antigens, CD34
  • Biomarkers, Tumor
  • ENG protein, human
  • Endoglin
  • Glycodelin
  • Glycoproteins
  • Membrane Proteins
  • Neoplasm Proteins
  • PAEP protein, human
  • Pregnancy Proteins
  • Receptors, Cell Surface
  • Vascular Cell Adhesion Molecule-1
  • tumor-derived adhesion factor
  • von Willebrand Factor
  • Cyclooxygenase 2
  • PTGS2 protein, human
  • Prostaglandin-Endoperoxide Synthases
  • Receptor, TIE-2