Tsanou E, Ioachim E, Stefaniotou M, Gorezis S, Charalabopoulos K, Bagli H, Peschos D, Psilas K, Agnantis N J
Department of Pathology-Cytology, Medical School, University of Ioannina, Ioannina, Greece.
Int J Clin Pract. 2005 Oct;59(10):1157-61. doi: 10.1111/j.1368-5031.2005.00573.x.
Formation of epiretinal membranes (ERMs) is a serious complication of retinal diseases, the most important being proliferative diabetic retinopathy (PDR) and proliferative vitreoretinopathy (PVR). In this study, our goal was to (i) calculate the microvessel density (MVD), (ii) evaluate vascular endothelial growth factor (VEGF) expression and (iii) correlate angiogenesis with the proliferative activity as expressed by the expression of Ki67 marker, in both membrane types. We performed immunohistochemistry in 14 PVR and eight PDR membranes, using antibodies against CD34, VEGF, Ki67 and glial fibrillary acidic protein. PDR membranes presented higher average count of microvessels compared with PVR membranes (p = 0.0015). No differences were observed concerning VEGF expression (p = 0.1). The expression of Ki67 was not correlated with microvessel number or VEGF expression. Our study confirms the presence of vascularisation in PDR membranes, as well as the presence of VEGF even in avascular PVR membranes, suggesting that immunoreactivity for VEGF may not be accompanied by angiogenesis.
视网膜前膜(ERM)的形成是视网膜疾病的一种严重并发症,其中最重要的是增殖性糖尿病视网膜病变(PDR)和增殖性玻璃体视网膜病变(PVR)。在本研究中,我们的目标是:(i)计算微血管密度(MVD);(ii)评估血管内皮生长因子(VEGF)的表达;(iii)在两种膜类型中,将血管生成与由Ki67标记物表达所体现的增殖活性相关联。我们使用抗CD34、VEGF、Ki67和胶质纤维酸性蛋白的抗体,对14例PVR膜和8例PDR膜进行了免疫组织化学检测。与PVR膜相比,PDR膜的微血管平均计数更高(p = 0.0015)。在VEGF表达方面未观察到差异(p = 0.1)。Ki67的表达与微血管数量或VEGF表达均无相关性。我们的研究证实了PDR膜中存在血管化,以及即使在无血管的PVR膜中也存在VEGF,这表明VEGF的免疫反应性可能并不伴随着血管生成。