Intermittent Hypoxia Is Associated With High Hypoxia Inducible Factor-1 alpha but Not High Vascular Endothelial Growth Factor Cell Expression in Tumors of Cutaneous Melanoma Patients

Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Almendros I
- Campos-Rodriguez F
- Riveiro-Falkenbach E
- Rodriguez-Peralto JL
- Nagore E
- Martorell-Calatayud A
- Hernandez Blasco L
- Banuls Roca J
- Chiner Vives E
- Sanchez-de-la-Torre A
- Abad-Capa J
- Montserrat JM
- Perez-Gil A
- Cabriada-Nuno V
- Cano-Pumarega I
- Corral-Penafiel J
- Diaz-Cambriles T
- Mediano O
- Dalmau-Arias J
- Farre R
- Gozal D
- Spanish Sleep Network
Grupos
Abstract
Epidemiological associations linking between obstructive sleep apnea and poorer solid malignant tumor outcomes have recently emerged. Putative pathways proposed to explain that these associations have included enhanced hypoxia inducible factor (HIF)-1 alpha and vascular endothelial growth factor (VEGF) cell expression in the tumor and altered immune functions via intermittent hypoxia (IH). Here, we examined relationships between HIF-1 alpha and VEGF expression and nocturnal IH in cutaneous melanoma (CM) tumor samples. Prospectively recruited patients with CM tumor samples were included and underwent overnight polygraphy. General clinical features, apnea-hypopnea index (AHI), desaturation index (DI4%), and CM characteristics were recorded. Histochemical assessments of VEGF and HIF-1 alpha were performed, and the percentage of positive cells (0, < 25, 25-50, 51-75, > 75%) was blindly tabulated for VEGF expression, and as 0, 0-5.9, 6.0-10.0, > 10.0% for HIF-1 alpha expression, respectively. Cases with HIF-1 alpha expression > 6% (high expression) were compared with those < 6%, and VEGF expression > 75% of cells was compared with those with < 75%. 376 patients were included. High expression of VEGF and HIF-1 alpha were seen in 88.8 and 4.2% of samples, respectively. High expression of VEGF was only associated with increasing age. However, high expression of HIF-1 alpha was significantly associated with age, Breslow index, AHI, and DI4%. Logistic regression showed that DI4% [OR 1.03 (95% CI: 1.01-1.06)] and Breslow index [OR 1.28 (95% CI: 1.18-1.46)], but not AHI, remained independently associated with the presence of high HIF-1 alpha expression. Thus, IH emerges as an independent risk factor for higher HIF-1 alpha expression in CM tumors and is inferentially linked to worse clinical CM prognostic indicators.
Datos de la publicación
- ISSN/ISSNe:
- 1664-2295, 1664-2295
- Tipo:
- Article
- Páginas:
- 272-272
- PubMed:
- 29755400
- Factor de Impacto:
- 1,185 SCImago ℠
- Cuartil:
- Q2 SCImago ℠
Frontiers in neurology FRONTIERS MEDIA SA
Citas Recibidas en Web of Science: 11
Documentos
- No hay documentos
Filiaciones
Keywords
- melanoma; intermittent hypoxia; obstructive sleep apnea; hypoxia-inducible factor; vascular endothelial growth factor
Proyectos y Estudios Clínicos
INTENSIFICACION DR. MIGUEL MARTINEZ GARCIA
Investigador Principal: MIGUEL ÁNGEL MARTÍNEZ GARCÍA
INT11/037 . 2012
ASOCIACION ENTRE TRASTORNOS RESPIRATORIOS DEL SUEÑO Y TASA DE CRECIMIENTO DEL MELANOMA CUTANEO
Investigador Principal: MIGUEL ÁNGEL MARTÍNEZ GARCÍA
PI12/01363 . INSTITUTO DE SALUD CARLOS III . 2013
EFECTO DEL TRATAMIENTO CON CPAP SOBRE LAS CIFRAS TENSIONALES EN PACIENTES CON HIPERTENSION ARTERIAL REFRACTARIA. ESTUDIO MULTICENTRICO Y ALEATORIZADO. ESTUDIO HIPARCO
Investigador Principal: MIGUEL ÁNGEL MARTÍNEZ GARCÍA
PI09/01647 . INSTITUTO DE SALUD CARLOS III; FUNDACIÓN PARA LA INVESTIGACIÓN DEL HOSPITAL UNIVERSITARIO LA FE DE LA COMUNIDAD VALENCIANA . 2010
INTENSIFICACION DR. MIGUEL ANGEL MARTINEZ GARCIA
Investigador Principal: MIGUEL ÁNGEL MARTÍNEZ GARCÍA
INT14/00003 . INSTITUTO DE SALUD CARLOS III . 2015
ASOCIACIÓN ENTRE LOS TRASTORNOS RESPIRATORIOS DEL SUEÑO Y EL PRONÓSTICO DEL MELANOMA. ESTUDIO LONGITUDINAL Y MULTICÉNTRICO EN 443 PACIENTES CON MELANOMA CUTÁNEO MALIGNO.
Investigador Principal: MIGUEL ÁNGEL MARTÍNEZ GARCÍA
PI16/01772 . INSTITUTO DE SALUD CARLOS III . 2017
Cita
Almendros I,MARTINEZ MA,Campos F,Riveiro E,Rodriguez JL,Nagore E,Martorell A,Hernandez L,Banuls J,Chiner E,Sanchez A,Abad J,Montserrat JM,Perez A,Cabriada V,Cano I,Corral J,Diaz T,Mediano O,Dalmau J,Farre R,Gozal D,Spanish N. Intermittent Hypoxia Is Associated With High Hypoxia Inducible Factor-1 alpha but Not High Vascular Endothelial Growth Factor Cell Expression in Tumors of Cutaneous Melanoma Patients. Front. Neurol. 2018. 9. p. 272-272. IF:2,635. (3).