Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2000-11-27
pubmed:abstractText
Recent observations have underscored the biologic relevance of intratumoral angiogenesis and its potential impact on prognosis. Increased bone marrow angiogenesis has been demonstrated in a variety of hematologic disorders, including multiple myeloma. The extent and prognostic significance of bone marrow angiogenesis in 114 patients with myelofibrosis with myeloid metaplasia (MMM) was investigated. A control group of 44 patients without bone marrow disease, 15 patients with polycythemia vera, and 17 patients with essential thrombocythemia was also studied. Bone marrow microvessel density was assessed by a semiquantitative method, visual microvessel grading, and 2 separate quantitative methods, visual count and computerized image analysis. Angiogenesis estimation by all 3 methods was highly comparable. On visual microvessel grading, a grade 3 or 4 increase in bone marrow angiogenesis was demonstrated in 70% of patients with MMM, 33% of patients with polycythemia vera, 12% of patients with essential thrombocythemia, and 0% of normal controls. In a multivariate analysis, increased angiogenesis in MMM correlated significantly with increased spleen size and was found to be a significant and independent risk factor for overall survival. Increases in marrow angiogenesis correlated with hypercellularity and megakaryocyte clumping. In contrast, these 2 features were inversely proportional to reticulin fibrosis, whereas increases in marrow angiogenesis were independent of reticulin fibrosis. These preliminary findings suggest that neo-angiogenesis is an integral component of the bone marrow stromal reaction in MMM and may provide useful prognostic information and a rationale for the therapeutic investigation of anti-angiogenic agents.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
96
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
3374-80
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:11071630-Adult, pubmed-meshheading:11071630-Aged, pubmed-meshheading:11071630-Aged, 80 and over, pubmed-meshheading:11071630-Bone Marrow, pubmed-meshheading:11071630-Cohort Studies, pubmed-meshheading:11071630-Female, pubmed-meshheading:11071630-Histocytochemistry, pubmed-meshheading:11071630-Humans, pubmed-meshheading:11071630-Male, pubmed-meshheading:11071630-Microcirculation, pubmed-meshheading:11071630-Middle Aged, pubmed-meshheading:11071630-Multivariate Analysis, pubmed-meshheading:11071630-Neovascularization, Pathologic, pubmed-meshheading:11071630-Polycythemia Vera, pubmed-meshheading:11071630-Primary Myelofibrosis, pubmed-meshheading:11071630-Prognosis, pubmed-meshheading:11071630-Prospective Studies, pubmed-meshheading:11071630-Risk Factors, pubmed-meshheading:11071630-Survival Rate, pubmed-meshheading:11071630-Thrombocythemia, Essential
pubmed:year
2000
pubmed:articleTitle
Evaluation and clinical correlations of bone marrow angiogenesis in myelofibrosis with myeloid metaplasia.
pubmed:affiliation
Division of Hematology and Internal Medicine, the Division of Hematopathology, and the Cancer Center Statistics Unit, Mayo Clinic and Mayo Foundation, Rochester, MN, USA.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't