Russian Journal of OncologyRussian Journal of OncologyРоссийский онкологический журнал1028-99842412-9119Eco-Vector4040810.18821/1028-9984-2017-22-3-149-152ArticlesСтатьиResearch ArticleTISSUE GROWTH FACTORS OF VEGF FAMILY IN DYNAMICS OF THE DEVELOPMENT OF OVARIAN CANCERТКАНЕВЫЕ ФАКТОРЫ РОСТА СЕМЕЙСТВА VEGF В ДИНАМИКЕ РАЗВИТИЯ РАКА ЯИЧНИКОВKitO. IКитО. ИFrantsiyantsE. MФранциянцЕ. МMoiseenkoT. IМоисеенкоТ. ИVerenikinaE. VВереникинаЕ. ВCheryarinaN. DЧеряринаН. ДKozlovaLarisa S.КозловаЛариса Степановна

MD, PhD, Senior Researcher, Rostov-on-Don, 344037, Russian Federation.

канд. биол. наук, доцент, старший научный сотрудник; 344037, г. Ростов-на-Дону, ул. 14-я линия, д. 63.

super.gormon@ya.ruPogorelovaYu. AПогореловаЮ. АRosenkoL. YaРозенкоЛ. ЯRostov Research Institute of OncologyФГБУ «Ростовский научно-исследовательский онкологический институт» Минздрава России15062017223VOL 22, NO3 (2017)ТОМ 22, №3 (2017)14915222072020Copyright ©; 2017, Eco-VectorCopyright ©; 2017, ООО "Эко-Вектор"2017Eco-VectorООО "Эко-Вектор"https://rjonco.com/1028-9984/article/view/40408

Ovarian carcinoma is the leading cause of death from gynecological cancer. Aim of the study is to reveal the role of VEGF-C comparing to VEGF-А in the progression of ovarian cancer. Material and methods. Tissue samples obtained from 76 patients with epithelial ovarian cancer (serous cystadenocarcinoma: T1N0M0; T2N0M0; T3NxM0; T4Nx-1M0) and 47 patients with cystadenoma were studied. Histological control was performed in all cases. Ovaries of 20 patients obtained during the surgery for uterine myoma were used as the intact tissue. All patients were 50.9 ± 2.9 years old. Levels of the growth factor as VEGF-A and its receptor VEGF-R1, as well VEGF-С and its receptor sVEGF-R3 - were measured by ELISA with the use of standard test systems. Results. VEGF-А levels in cystadenomas and intact tissue were similar, while in cystadenocarcinomas VEGF-А was significantly higher at all stages of the tumor development. sVEGF-R1 receptor in cystadenomas was lower in comparison with the intact tissue, in the contralateral ovary in T1N0M0 and in the tumorous ovary in T4Nx-1M0. VEGF-С level was higher significantly in all tumors, in cystadenocarcinomas it was higher if compared to cystadenomas. Its increase in the contralateral ovary in T1N0M0 differed from other tissue values being average. sVEGF-R3 receptor increased significantly at the later stages of ovarian cancer - T3NxM0 and T4Nx-1M0; its level was low only in the contralateral ovary in T1N0M0, and the values in other tissues were similar to the intact ones. Conclusion. The results show a high rate of lymphatic vessel formation in benign tumors at all stages of the development of the malignant tumor. The significant increase in VEGF-C level in the contralateral (non-tumorous) ovaries, compared to the intact tissue, allows considering VEGF-C, along with VEGF-А, as a pathogenetic factor of ovarian tumor development.

Карцинома яичника является ведущей причиной смерти от гинекологических опухолей. Цель исследования: выяснение роли VEGF-C в сравнительном аспекте с VEGF-А в прогрессировании рака яичников. Материал и методы. Исследовали образцы тканей от 76 больных эпителиальным раком яичников (серозная цистаденокарцинома: T1N0M0; T2N0M0; T3NxM0; T4Nx-1M0) и 47 больных цистаденомой. Гистологический контроль выполняли во всех случаях. В качестве условноинтактной ткани использовали яичники, удаленные во время оперативного вмешательства по поводу миомы матки (n = 20). Возраст больных составлял 50,9 ± 2,9 года. Методом иммуноферментного анализа со стандартными тест-системами определяли уровень ростовых факторов VEGF-A и его рецептора sVEGF-R1, VEGF-C и его рецептора sVEGF-R3. Результаты. Установлено, что по VEGF-А в цистаденомах не было достоверных различий с условноинтактными яичниками, а в ткани цистаденокарциномы его уровень возрастал на порядок на всех стадиях ее развития. Рецептор sVEGF-R1 относительно условноинтактной ткани яичника был снижен в цистаденоме, контралатеральном яичнике при T1N0M0 и пораженном яичнике при T4Nx-1M0. Уровень VEGF-С достоверно повышался в тканях всех новообразований, однако во всех стадиях цистаденокарциномы он был достоверно выше, чем в ткани цистаденомы. В контралатеральном яичнике при T1N0M0 его повышение оказалось на промежуточном уровне, достоверно отличаясь от всех остальных тканей. Растворимый рецептор sVEGF-R3 был достоверно повышен в поздних стадиях рака яичников T3NxM0 и T4Nx-1M0, понижен только в контралатеральном яичнике при T1N0M0, в остальных тканях не отличался от условноинтактных. Заключение. Результаты свидетельствуют о высокой активности образования лимфатических сосудов в доброкачественных опухолях и во всех стадиях развития злокачественных. Достоверное увеличение уровня VEGF-C в контралатеральном, не пораженном опухолью яичнике относительно ткани интактных яичников дает основание рассматривать VEGF-C наряду с VEGF-А в качестве патогенетического фактора развития новообразований яичников.

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