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Role of Growth Factors in Tumor Growth and Progression of Gynecological Tumors

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Modification of Radiation Response

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

The use of biologically-based prognostic factors to determine patient outcome and response to treatment has traditionally used immunohisto chemical techniques for proteins expressed in archival fixed tissue. The increasing use of powerful genomic and proteomic techniques including array technology will increase our understanding of tumor behavior and specific therapeutic targets that maybe exploited to individualize therapy and optimize treatment with radiation and chemotherapy. The development of biologically targeted therapy includes several recent successes including the development of HER2-neu targeting in breast cancer and the bcr-abl/c-kit antagonists in chronic myelogenous leukemia (CML) and gastrointestinal stromal tumors (GIST).

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References

  • Akerman GS, Tolleson WH, Brown KL et al (2001) Human papillomavirus type 16 E6 and E7 cooperate to increase epidermal growth factor receptor (EGFR) mRNA levels, overcoming mechanisms by which excessive EGFR signaling shortens the life span of normal human keratinocytes. Cancer Res 61:3837–3843

    PubMed  CAS  Google Scholar 

  • Albini A, Iwamoto Y, Kleinman HK et al (1987) A rapid in vitro assay for quantitating the invasive potential of tumor cells. Cancer Res 47:3239–3245

    PubMed  CAS  Google Scholar 

  • Alper O, Bergmann-Leitner ES, Bennet TA et al (2001) Epidermal growth factor receptor signaling and the invasive phenotype of ovarian carcinoma cells. J Natl Cancer Inst 93:1375–1384

    Article  PubMed  CAS  Google Scholar 

  • Altavilla G, Castellan L, Wabersich J et al (1996) Prognostic significance of epidermal growth factor receptor (EGFR) and c-erbB-2 protein overexpression in adenocarcinoma of the uterine cervix. Eur J Gynaecol Oncol 17:267–270

    PubMed  CAS  Google Scholar 

  • Aquino-Parsons C, Green A, Minchinton AI (2000) Oxygen tension in primary gynaecological tumours: the influence of carbon dioxide concentration. Radiother Oncol 57:45–51

    Article  PubMed  CAS  Google Scholar 

  • Arteaga CL (2001) The epidermal growth factor receptor: from mutant oncogene in nonhuman cancers to therapeutic target in human neoplasia. J Clin Oncol 19 [Suppl]: 32S–40S

    PubMed  CAS  Google Scholar 

  • Baselga J (2001) Targeting the epidermal growth factor receptor: a clinical reality. J Clin Oncol 19 [Suppl]:41S–44S

    Google Scholar 

  • Berchuck A, Rodriguez GC, Kamel A et al (1991) Epidermal growth factor receptor expression in normal ovarian epithelium and ovarian cancer. I. Correlation of receptor expression with prognostic factors in patients with ovarian cancer. Am J Obstet Gynecol 164:669–674

    PubMed  CAS  Google Scholar 

  • Berchuck A, Rodriguez G, Kinney RB et al (1991) Overexpression of HER-2/neu in endometrial cancer is associated with advanced stage disease. Am J Obstet Gynecol 164:15–21

    PubMed  CAS  Google Scholar 

  • Bianco C, Bianco R, Tortora G et al (2000) Antitumor activity of combined treatment of human cancer cells with ionizing radiation and anti-epidermal growth factor receptor monoclonal antibody C225 plus type I protein kinase A antisense oligonucleotide. Clin Cancer Res 6:4343–4350

    PubMed  CAS  Google Scholar 

  • Birner P, Schindl M, Obermair A et al (2000) Overexpression of hypoxia-inducible factor 1alpha is a marker for an unfavorable prognosis in early-stage invasive cervical cancer. Cancer Res 60:4693–4696

    PubMed  CAS  Google Scholar 

  • Bonner JA, Raisch KP, Trummell HQ et al (2000) Enhanced apoptosis with combination C225/radiation treatment serves as the impetus for clinical investigation in head and neck cancers. J Clin Oncol 18 [Suppl]:47S–53S

    Google Scholar 

  • Bonner JA, De Los Santos J, Waksal HW et al (2002) Epidermal growth factor receptor as a therapeutic target in head and neck cancer. Semin Radiat Oncol 12 [Suppl 2]:11–20

    Article  Google Scholar 

  • Burns CJ, Harbison MT, Davis DW et al (2000) Epidermal growth factor receptor blockade with C225 plus gemcitabine results in regression of human pancreatic carcinoma growing orthotopically in nude mice by antiangiogenic mechanisms. Clin Cancer Res 6:1936–1948

    Google Scholar 

  • Chan G, Boyle JO, Yang EK, et al (1999) Cyclooxygenase-2 expression is up-regulated in squamous cell carcinoma of the head and neck. Cancer Res 59:991–994

    PubMed  CAS  Google Scholar 

  • Chapman WB, Lorincz AT, Willett GD et al (1992) Epidermal growth factor receptor expression and the presence of human papillomavirus in cervical squamous intraepithelial lesions. Int J Gynecol Pathol 11:221–226

    Article  PubMed  CAS  Google Scholar 

  • Chen CA, Cheng WF, Lee CN et al (1999) Serum vascular endothelial growth factor in epithelial ovarian neoplasms: correlation with patient survival. Gynecol Oncol 74:235–240

    Article  PubMed  CAS  Google Scholar 

  • Chen CA, Cheng WF, Lee CN et al (2001) Cytosol vascular endothelial growth factor in endometrial carcinoma: correlation with disease-free survival. Gynecol Oncol 80:207–212

    Article  PubMed  CAS  Google Scholar 

  • Chen Z, Fadiel A, Feng Y et al (2001) Ovarian epithelial carcinoma tyrosine phosphorylation, cell proliferation, and ezrin translocation are stimulated by interleukin 1alpha and epidermal growth factor. Cancer 92:3068–3075

    Article  PubMed  CAS  Google Scholar 

  • Cheng WF, Chen CA, Lee CN et al (2000) Vascular endothelial growth factor and prognosis of cervical carcinoma. Obstet Gynecol 96:721–726

    Article  PubMed  CAS  Google Scholar 

  • Ciardiello F, Tortora G (2001) A novel approach in the treatment of cancer: targeting the epidermal growth factor receptor. Clin Cancer Res 7:2958–2970

    PubMed  CAS  Google Scholar 

  • Crawford RA, Caldwell C, Iles RK et al (1998) Prognostic significance of the bcl-2 apoptotic family of proteins in primary and recurrent cervical cancer. Br J Cancer 78:210–214

    Article  PubMed  CAS  Google Scholar 

  • Doraiswamy V, Parrott JA, Skinner MK (2000) Expression and action of transforming growth factor alpha in normal ovarian surface epithelium and ovarian cancer. Biol Reprod 63:789–796

    Article  PubMed  CAS  Google Scholar 

  • Fine BA, Valente PT, Feinstein GI, Dey T (2000) VEGF, flt-1, and KDR/flk-1 as prognostic indicators in endometrial carcinoma. Gynecol Oncol 76:33–39

    Article  PubMed  CAS  Google Scholar 

  • Fyles AW, Milosevic M, Pintilie M et al (2000) Anemia, hypoxia and transfusion in patients with cervix cancer: a review. Radiother Oncol 57:13–19

    Article  PubMed  CAS  Google Scholar 

  • Fyles AW, Milosevic M, Hedley D et al (2002) Tumor hypoxia has independent predictor impact only in patients with node-negative cervix cancer. J Clin Oncol 20:680–687

    Article  PubMed  CAS  Google Scholar 

  • Gadducci A, Ferdeghini M, Fanucchi A et al (1999) Serum preoperative vascular endothelial growth factor (VEGF) in epithelial ovarian cancer: relationship with prognostic variables and clinical outcome. Anticancer Res 19:1401–1405

    PubMed  CAS  Google Scholar 

  • Gaffney DK, Holden J, Davis M et al (2001) Elevated cyclooxygenase-2 expression correlates with diminished survival in carcinoma of the cervix treated with radiotherapy. Int J Radiat Oncol Biol Phys 49:1213–1217

    Article  PubMed  CAS  Google Scholar 

  • Goff BA, Shy K, Greer BE et al (1996) Overexpression and relationships of HER-2/neu, epidermal growth factor receptor, p53, Ki-67, and tumor necrosis factor alpha in epithelial ovarian cancer. Eur J Gynaecol Oncol 17:487–492

    PubMed  CAS  Google Scholar 

  • Gorski DH, Beckett MA, Jaskowiak NT et al (1999) Blockage of the vascular endothelial growth factor stress response increases the antitumor effects of ionizing radiation. Cancer Res 59:3374–3378

    PubMed  CAS  Google Scholar 

  • Grandis JR, Zeng Q, Drenning SD, Tweardy DJ (1998) Normalization of EGFR mRNA levels following restoration of wild-type p53 in a head and neck squamous cell carcinoma cell line. Int J Oncol 13:375–378

    PubMed  CAS  Google Scholar 

  • Hale RJ, Buckley CH, Gullick WJ et al (1993) Prognostic value of epidermal growth factor receptor expression in cervical carcinoma. J Clin Pathol 46:149–153

    Article  PubMed  CAS  Google Scholar 

  • Harima Y, Harima K, Shikata N et al (1998) Bax and Bcl-2 expressions predict response to radiotherapy in human cervical cancer. J Cancer Res Clin Oncol 124:503–510

    Article  PubMed  CAS  Google Scholar 

  • Harima Y, Nagata K, Harima K et al (2000) Bax and Bcl-2 protein expression following radiation therapy versus radiation plus thermoradiotherapy in stage IIIB cervical carcinoma. Cancer 88:132–138

    Article  PubMed  CAS  Google Scholar 

  • Haugland HK, Vukovic V, Pintillie M et al (2002) Expression of hypoxia-inducible factor-1alpha in cervical carcinomas: correlation with tumor oxygenation. Int J Radiat Oncol Biol Phys 53:854–861

    Article  PubMed  CAS  Google Scholar 

  • Hetzel DJ, Wilson TO, Keeney GL et al (1992) HER-2/neu expression: a major prognostic factor in endometrial cancer. Gynecol Oncol 47:179–185

    Article  PubMed  CAS  Google Scholar 

  • Higashi Y, Kanekura T, Kanzaki T (2000) Enhanced expression of cyclooxygenase (COX)-2 in human skin epidermal cancer cells: evidence for growth suppression by inhibiting COX-2 expression. Int J Cancer 86:667–671

    Article  PubMed  CAS  Google Scholar 

  • Hiwasa T, Hirono M, Suzuki M, Tanaka T (1992) Expression and localization of epidermal growth factor receptors and ras oncogene products in gynecologic tumors. Eur J Gynaecol Oncol 13:241–245

    PubMed  CAS  Google Scholar 

  • Hockel M, Vorndran B, Schlenger K et al (1993) Tumor oxygenation: a new predictive parameter in locally advanced cancer of the uterine cervix. Gynecol Oncol 51:141–149

    Article  PubMed  CAS  Google Scholar 

  • Hockel M, Schlenger K, Aral B et al (1996) Association between tumor hypoxia and malignant progression in advanced cancer of the uterine cervix. Cancer Res 56:4509–4515

    PubMed  CAS  Google Scholar 

  • Ishikawa H, Mitsuhashi N, Sakurai H et al (2001) The effects of p53 status and human papillomavirus infection on the clinical outcome of patients with stage IIIB cervical carcinoma treated with radiation therapy alone. Cancer 91:80–89

    Article  PubMed  CAS  Google Scholar 

  • Johnson GA, Mannel R, Khalifa M et al (1997) Epidermal growth factor receptor in vulvar malignancies and its relationship to metastasis and patient survival. Gynecol Oncol 65:425–429

    Article  PubMed  CAS  Google Scholar 

  • Kersemaekers AM, Fleuren GJ, Kenter GG et al (1999) Oncogene alterations in carcinomas of the uterine cervix: overexpression of the epidermal growth factor receptor is associated with poor prognosis. Clin Cancer Res 5:577–586

    PubMed  CAS  Google Scholar 

  • Khalifa MA, Abdoh AA, Mannel RS et al (1994) Prognostic utility of epidermal growth factor receptor overexpression in endometrial adenocarcinoma. Cancer 73:370–376

    Article  PubMed  CAS  Google Scholar 

  • Kim JW, Kim YT, Kim DK et al (1996) Expression of epidermal growth factor receptor in carcinoma of the cervix. Gynecol Oncol 60:283–287

    Article  PubMed  CAS  Google Scholar 

  • Kimmig R, Pfeiffer D, Landsmann H, Hepp H (1997) Quantitative determination of the epidermal growth factor receptor in cervical cancer and normal cervical epithelium by 2-color flow cytometry: evidence for down-regulation in cervical cancer. Int J Cancer 74:365–373

    Article  PubMed  CAS  Google Scholar 

  • Knocke TH, Weitmann HD, Feldmann HJ et al (1999) Intratumoral pO2-measurements as predictive assay in the treatment of carcinoma of the uterine cervix. Radiother Oncol 53:99–104

    Article  PubMed  CAS  Google Scholar 

  • Komhoff M, Guan Y, Shappell HW et al (2000) Enhanced expression of cyclooxygenase-2 in high-grade human transitional cell bladder carcinomas. Am J Pathol 157:29–35

    Article  PubMed  CAS  Google Scholar 

  • Kristensen GB, Holm R, Abeler VM, Trope CG (1996a) Evaluation of the prognostic significance of cathepsin D, epidermal growth factor receptor, and c-erbB-2 in early cervical squamous cell carcinoma. An immunohistochemical study. Cancer 78:433–440

    Article  PubMed  CAS  Google Scholar 

  • Kristensen GB, Karlsen F, Jenkins A et al (1996b) Human papilloma virus has no prognostic significance in cervical carcinoma. Eur J Cancer 32A:1349–1353

    Article  PubMed  CAS  Google Scholar 

  • Lammering G, Hewit TH, Hawkins WT et al (2001) Epidermal growth factor receptor as a genetic therapy target for carcinoma cell radiosensitization. J Natl Cancer Inst 93: 921–929

    Article  PubMed  CAS  Google Scholar 

  • Loncaster JA, Cooper RA, Longue JP et al (2000) Vascular endothelial growth factor (VEGF) expression is a prognostic factor for radiotherapy outcome in advanced carcinoma of the cervix. Br J Cancer 83:620–625

    Article  PubMed  CAS  Google Scholar 

  • Loncaster JA, Harris AL, Davidson SE et al (2001) Carbonic anhydrase (CA IX) expression, a potential new intrinsic marker of hypoxia: correlations with tumor oxygen measurements and prognosis in locally advanced carcinoma of the cervix. Cancer Res 61:6394–6399

    PubMed  CAS  Google Scholar 

  • Maihle NJ, Baron AT, Barrette BA et al (2002) EGF/ErbB receptor family in ovarian cancer. Cancer Treat Res 107:247–258

    PubMed  CAS  Google Scholar 

  • Masui H, Kawamoto T, Sato JD et al (1984) Growth inhibition of human tumor cells in athymic mice by anti-epidermal growth factor receptor monoclonal antibodies. Cancer Res 44:1002–1007

    PubMed  CAS  Google Scholar 

  • Mathur SPMathur RS, Rust PF, Young RC (2001) Human papilloma virus (HPV)-E6/E7 and epidermal growth factor receptor (EGF-R) protein levels in cervical cancer and cervical intraepithelial neoplasia (CIN). Am J Reprod Immunol 46:280–287

    Article  PubMed  CAS  Google Scholar 

  • Meden H, Marx D, Raab T et al (1995) EGF-R and overexpression of the oncogene c-erbB-2 in ovarian cancer: immunohistochemical findings and prognostic value. J Obstet Gynaecol 21:167–178

    CAS  Google Scholar 

  • Mellinghoff I, Sawyers C (2000) Kinase inhibitor therapy in cancer. Princ Pract Oncol 14:1–11

    Google Scholar 

  • Mendelson J (2000) Blockade of receptors for growth factors: an anticancer therapy — the fourth annual Joseph H Burchenal American Association of Cancer Research Clinical Research Award Lecture. Clin Cancer Res 6:747–753

    Google Scholar 

  • Milas L, Mason K, Hunter N et al (2000) In vivo enhancement of tumor radioresponse by C225 antiepidermal growth factor receptor antibody. Clin Cancer Res 6:701–708

    PubMed  CAS  Google Scholar 

  • Mukherjee G, Freeman A, Moore R et al (2001) Biologic factors and response to radiotherapy in carcinoma of the cervix. Int J Gynecol Cancer 11:187–193

    Article  PubMed  CAS  Google Scholar 

  • Nagai N, Oshita T, Fujii T et al (2001) Are DNA ploidy and epidermal growth factor receptor prognostic factors for untreated ovarian cancer? A prospective study. Am J Clin Oncol 24:215–221

    Article  PubMed  CAS  Google Scholar 

  • Nakano T, Oka K, Ishikawa A, Morita S (1997) Correlation of cervical carcinoma c-erb B-2 oncogene with cell proliferation parameters in patients treated with radiation therapy for cervical carcinoma. Cancer 79:513–520

    Article  PubMed  CAS  Google Scholar 

  • Nakano T, Oka K, Taniguchi N (1996) Manganese superoxide dismutase expression correlates with p53 status and local recurrence of cervical carcinoma treated with radiation therapy. Cancer Res 56:2771–2775

    PubMed  CAS  Google Scholar 

  • Nasu S, Ang KK, Fan Z, Milas L (2001) C225 antiepidermal growth factor receptor antibody enhances tumor radiocurability. Int J Radiat Oncol Biol Phys 51:474–477

    Article  PubMed  CAS  Google Scholar 

  • Nishioka T, West CM, Gupta N et al (1999) Prognostic significance of c-erbB-2 protein expression in carcinoma of the cervix treated with radiotherapy. J Cancer Res Clin Oncol 125:96–100

    Article  PubMed  CAS  Google Scholar 

  • Nuyts S, Van Mellaert L, Theys J et al (2002) Clostridium spores for tumor-specific drug delivery. Anticancer Drugs 13:115–125

    Article  PubMed  CAS  Google Scholar 

  • Oehler MK, Caffier H (2000) Prognostic relevance of serum vascular endothelial growth factor in ovarian cancer. Anticancer Res 20:5109–5112

    PubMed  CAS  Google Scholar 

  • Ohno T, Nakano T, Niibe Y, Tsujii H, Oka K (1998) Bax protein expression correlates with radiation-induced apoptosis in radiation therapy for cervical carcinoma. Cancer 83: 103–110

    Article  PubMed  CAS  Google Scholar 

  • Olive PL, Aquino-Parsons C, MacPhail SH et al (2001) Carbonic anhydrase 9 as an endogenous marker for hypoxic cells in cervical cancer. Cancer Res 61:8924–8929

    PubMed  CAS  Google Scholar 

  • Owens OJ, Stewart C, Leake RE, McNicol AM (1992) A comparison of biochemical and immunohistochemical assessment of EGFR expression in ovarian cancer. Anticancer Res 12:1455–1458

    PubMed  CAS  Google Scholar 

  • Patterson AV, Williams KJ, Cowen RL et al (2002) Oxygen-sensitive enzyme-prodrug gene therapy for the eradication of radiation-resistant solid tumours. Gene Ther 9:946–954

    Article  PubMed  CAS  Google Scholar 

  • Peng D (2001) Epidermal growth factor: a potential target for cancer therapy. Fellow Reporter 6:31–34

    Google Scholar 

  • Pfeiffer D, Stellwag B, Pfeiffer A et al (1989) Clinical implications of the epidermal growth factor receptor in the squamous cell carcinoma of the uterine cervix. Gynecol Oncol 33:146–150

    Article  PubMed  CAS  Google Scholar 

  • Pfeiffer D, Kimmig R, Herrmann J et al (1998) Epidermalgrowth-factor receptor correlates negatively with cell density in cervical squamous epithelium and is down-regulated in cancers of the human uterus. Int J Cancer 79:49–55

    Article  PubMed  CAS  Google Scholar 

  • Robert F, Ezekiel MP, Spencer SA et al (2001) Phase I study of anti-epidermal growth factor receptor antibody cetuximab in combination with radiation therapy in patients with advanced head and neck cancer. J Clin Oncol 19:3234–3243

    PubMed  CAS  Google Scholar 

  • Ross JS, Yang F, Kallakury BV et al (1999) HER-2/neu oncogene amplification by fluorescence in situ hybridization in epithelial tumors of the ovary. See comments. Am J Clin Pathol 111:299–301; 10078102, comment in: Am J Clin Pathol 2000, 113:905-906; 10874893. Am J Clin Pathol 1999, 111:311-316

    Google Scholar 

  • Ryu HS, Chang KH, Yang HW et al (2000) High cyclooxygenase-2 expression in stage IB cervical cancer with lymph node metastasis or parametrial invasion. Gynecol Oncol 76:320–325

    Article  PubMed  CAS  Google Scholar 

  • Saleh MN, Raisch KP, Stackhouse MA et al (1999) Combined modality therapy of A431 human epidermoid cancer using anti-EGFr antibody C225 and radiation. Cancer Biother Radiopharm 14:451–463

    Article  PubMed  CAS  Google Scholar 

  • Salvesen HB, Akslen LA (1999) Significance of tumour-associated macrophages, vascular endothelial growth factor and thrombospondin-1 expression for tumour angiogenesis and prognosis in endometrial carcinomas. Int J Cancer 84:538–543

    Article  PubMed  CAS  Google Scholar 

  • Sartor CI (2000) Biological modifiers as potential radiosensitizers: targeting the epidermal growth factor receptor family. Semin Oncol 27[Suppl 11]:15–20; discussion 92-100

    PubMed  CAS  Google Scholar 

  • Sato JD, Kawamoto T, Le AD et al (1983) Biological effects in vitro of monoclonal antibodies to human epidermal growth factor receptors. Mol Biol Med 1:511–529

    PubMed  CAS  Google Scholar 

  • Scambia G, Ferrandina G, Distefano M et al (1998) Epidermal growth factor receptor (EGFR) is not related to the prognosis of cervical cancer. Cancer Lett 123:135–139

    Article  PubMed  CAS  Google Scholar 

  • Sewell JM, Macleod KG, Ritchie A et al (2002) Targeting the EGF receptor in ovarian cancer with the tyrosine kinase inhibitor ZD 1839 (“Iressa”). Br J Cancer 86:456–462

    Article  PubMed  CAS  Google Scholar 

  • Shen GH, Ghazizadeh M, Kawanami O et al (2000) Prognostic significance of vascular endothelial growth factor expression in human ovarian carcinoma. Br J Cancer 83:196–203

    Article  PubMed  CAS  Google Scholar 

  • Sheridan MT, West CM, Cooper RA et al (2000) Pretreatment apoptosis in carcinoma of the cervix correlates with changes in tumour oxygenation during radiotherapy. Br J Cancer 82:1177–1182

    Article  PubMed  CAS  Google Scholar 

  • Shibata T, Giaccia AJ, Brown JM (2002) Hypoxia-inducible regulation of a prodrug-activating enzyme for tumor-specific gene therapy. Neoplasia 4:40–48

    Article  PubMed  CAS  Google Scholar 

  • Shin DM, Donato NJ, Perez-Soler R et al (2001) Epidermal growth factor receptor-targeted therapy with C225 and cisplatin in patients with head and neck cancer. Clin Cancer Res 7:1204–1213

    PubMed  CAS  Google Scholar 

  • Skirnisdottir I, Sorbe B, Seidal T (2001) The growth factor receptors HER-2/neu and EGFR, their relationship, and their effects on the prognosis in early stage (FIGO I-II) epithelial ovarian carcinoma. Int J Gynecol Cancer 11: 119–129

    Article  PubMed  CAS  Google Scholar 

  • Tempfer C, Obermair A, Hefler L et al (1998) Vascular endothelial growth factor serum concentrations in ovarian cancer. Obstet Gynecol 92:360–363

    Article  PubMed  CAS  Google Scholar 

  • Tervahauta A, Syrjanen S, Syrjanen K (1994) Epidermal growth factor receptor, c-erbB-2 proto-oncogene and estrogen receptor expression in human papillomavirus lesions of the uterine cervix. Int J Gynecol Pathol 13:234–240

    Article  PubMed  CAS  Google Scholar 

  • Tjalma WA, Weyler JJ, Bogers JJ et al (2001) The importance of biological factors (bcl-2, bax, p53, PCNA, MI, HPV and angiogenesis) in invasive cervical cancer. Eur J Obstet Gynecol Reprod Biol 97:223–230

    Article  PubMed  CAS  Google Scholar 

  • Tucker ON, Dannenberg AJ, Yang EK et al (1999) Cyclooxygenase-2 expression is up-regulated in human pancreatic cancer. Cancer Res 59:987–990

    PubMed  CAS  Google Scholar 

  • Vukovic V, Haugland HK, Nicklee T et al (2001) Hypoxia-inducible factor-1 alpha is an intrinsic marker for hypoxia in cervical cancer xenografts. Cancer Res 61:7394–7398

    PubMed  CAS  Google Scholar 

  • Walenta S, Wetterling M, Lehrke M et al (2000) High lactate levels predict likelihood of metastases, tumor recurrence, and restricted patient survival in human cervical cancers. Cancer Res 60:916–921

    PubMed  CAS  Google Scholar 

  • Wu X, Xin Y, Yao J et al (2001) Expression of epithelial growth factor receptor and its two ligands, transforming growth factor-alpha and epithelial growth factor, in normal and neoplastic squamous cells in the vulva: an immunohistochemical study. Med Electron Microsc 34: 179–184

    Article  PubMed  CAS  Google Scholar 

  • Xu L, Yoneda J, Herrera C et al (2000) Inhibition of malignant ascites and growth of human ovarian carcinoma by oral administration of a potent inhibitor of the vascular endothelial growth factor receptor tyrosine kinases. Int J Oncol 16:445–454

    PubMed  CAS  Google Scholar 

  • Yarden Y (2001) The EGFR family and its ligands in human cancer. Signalling mechanisms and therapeutic opportunities. Eur J Cancer 37[Suppl 4]:S3–S8

    Article  PubMed  CAS  Google Scholar 

  • Yokoyama Y, Sato S, Futagami M et al (2000) Prognostic significance of vascular endothelial growth factor and its receptors in endometrial carcinoma. Gynecol Oncol 77:413–418

    Article  PubMed  CAS  Google Scholar 

  • Yoshida K, Hosoya Y, Sumi S et al (1997) Studies of the expression of epidermal growth factor receptor in human renal cell carcinoma: a comparison of immunohistochemical method versus ligand binding assay. Oncology 54:220-225

    Google Scholar 

  • Yoshimura R, Sano H, Masuda C et al (2000) Expression of cyclooxygenase-2 in prostate carcinoma. Cancer 89: 589–596

    Article  PubMed  CAS  Google Scholar 

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De Los Santos, J., Bonner, J., Goddard, S., Fyles, A. (2003). Role of Growth Factors in Tumor Growth and Progression of Gynecological Tumors. In: Nieder, C., Milas, L., Ang, K.K. (eds) Modification of Radiation Response. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55613-5_10

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