Stage-dependent angiopoietin-Tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancer
Abstract Background Angiopoietin-Tie2 and nitric oxide pathway is crucial in tumor angiogenesis and closely correlates with tumor development, growth, and metastasis. This study aimed to investigate the angiopoietin-Tie2 and nitric oxide signaling of the erythrocyte membrane in response to surgical...
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doaj-8bc389afd1f84e5cb8910f7ee791d06d2020-11-25T03:57:23ZengBMCWorld Journal of Surgical Oncology1477-78192020-08-011811810.1186/s12957-020-01991-9Stage-dependent angiopoietin-Tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancerHsiang-Ling Wu0You-Hsiang Chu1Ying-Hsuan Tai2Mei-Yung Tsou3Cheng-Hsien Wu4Wen-Liang Lo5Shyh-Kuan Tai6Chun-Chang Yeh7Chih-Cherng Lu8Department of Anesthesiology, Taipei Veterans General HospitalDepartment of Anesthesiology, Taipei Veterans General HospitalDepartment of Anesthesiology, Taipei Veterans General HospitalDepartment of Anesthesiology, Taipei Veterans General HospitalSchool of Medicine, National Yang-Ming UniversitySchool of Medicine, National Yang-Ming UniversitySchool of Medicine, National Yang-Ming UniversityDepartment of Anesthesiology, Tri-Service General Hospital and National Defense Medical CenterDepartment of Anesthesiology, Taipei Veterans General HospitalAbstract Background Angiopoietin-Tie2 and nitric oxide pathway is crucial in tumor angiogenesis and closely correlates with tumor development, growth, and metastasis. This study aimed to investigate the angiopoietin-Tie2 and nitric oxide signaling of the erythrocyte membrane in response to surgical trauma in head and neck cancer. Methods We prospectively enrolled the patients with histology-proven head and neck squamous cell carcinoma undergoing surgical resection of primary tumors at the medical center between August and November 2019. We measured the preoperative and postoperative levels of angiopoietin-1, angiopoietin-2 in plasma using enzyme-linked immunosorbent assays, nitric oxide in plasma using nitrate/nitrite colorimetric assays, and Tie2 phosphorylation in erythrocyte membrane using Western blotting. Results The plasma angiopoietin-1 was downregulated from the median 971.3 pg/mL (interquartile range [IQR] 532.1–1569.3) to 417.9 (IQR 270.5–597.3) after tumor resection (p = 0.0020). Conversely, the plasma angiopoietin-2 was enhanced from 1173.6 pg/mL (IQR 977.7–1450.2) to 2353.7 (IQR 1352.4–2954.3) after surgery (p = 0.0021), with a concomitant increase in plasma nitric oxide level from 7.73 μM (IQR 5.39–10.06) to 10.50 (IQR 7.65–14.18) after surgical resection (p = 0.0093). Subgroup analyses further showed the angiopoietin-Tie2 and nitric oxide signaling was significant only in stage III and IV cancer. Conclusions The dynamic change of angiopoietin-Tie2 signaling in the erythrocyte membrane along with the enhanced nitric oxide in plasma after tumor resection suggests erythrocytes play a significant role in modulating surgery-induced angiogenesis, which may provide a novel marker for cancer surveillance and control.http://link.springer.com/article/10.1186/s12957-020-01991-9AngiogenesisCarcinomaNitric oxideSurgical resectionSurgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hsiang-Ling Wu You-Hsiang Chu Ying-Hsuan Tai Mei-Yung Tsou Cheng-Hsien Wu Wen-Liang Lo Shyh-Kuan Tai Chun-Chang Yeh Chih-Cherng Lu |
spellingShingle |
Hsiang-Ling Wu You-Hsiang Chu Ying-Hsuan Tai Mei-Yung Tsou Cheng-Hsien Wu Wen-Liang Lo Shyh-Kuan Tai Chun-Chang Yeh Chih-Cherng Lu Stage-dependent angiopoietin-Tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancer World Journal of Surgical Oncology Angiogenesis Carcinoma Nitric oxide Surgical resection Surgery |
author_facet |
Hsiang-Ling Wu You-Hsiang Chu Ying-Hsuan Tai Mei-Yung Tsou Cheng-Hsien Wu Wen-Liang Lo Shyh-Kuan Tai Chun-Chang Yeh Chih-Cherng Lu |
author_sort |
Hsiang-Ling Wu |
title |
Stage-dependent angiopoietin-Tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancer |
title_short |
Stage-dependent angiopoietin-Tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancer |
title_full |
Stage-dependent angiopoietin-Tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancer |
title_fullStr |
Stage-dependent angiopoietin-Tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancer |
title_full_unstemmed |
Stage-dependent angiopoietin-Tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancer |
title_sort |
stage-dependent angiopoietin-tie2 and nitric oxide signaling of erythrocytes in response to surgical trauma in head and neck cancer |
publisher |
BMC |
series |
World Journal of Surgical Oncology |
issn |
1477-7819 |
publishDate |
2020-08-01 |
description |
Abstract Background Angiopoietin-Tie2 and nitric oxide pathway is crucial in tumor angiogenesis and closely correlates with tumor development, growth, and metastasis. This study aimed to investigate the angiopoietin-Tie2 and nitric oxide signaling of the erythrocyte membrane in response to surgical trauma in head and neck cancer. Methods We prospectively enrolled the patients with histology-proven head and neck squamous cell carcinoma undergoing surgical resection of primary tumors at the medical center between August and November 2019. We measured the preoperative and postoperative levels of angiopoietin-1, angiopoietin-2 in plasma using enzyme-linked immunosorbent assays, nitric oxide in plasma using nitrate/nitrite colorimetric assays, and Tie2 phosphorylation in erythrocyte membrane using Western blotting. Results The plasma angiopoietin-1 was downregulated from the median 971.3 pg/mL (interquartile range [IQR] 532.1–1569.3) to 417.9 (IQR 270.5–597.3) after tumor resection (p = 0.0020). Conversely, the plasma angiopoietin-2 was enhanced from 1173.6 pg/mL (IQR 977.7–1450.2) to 2353.7 (IQR 1352.4–2954.3) after surgery (p = 0.0021), with a concomitant increase in plasma nitric oxide level from 7.73 μM (IQR 5.39–10.06) to 10.50 (IQR 7.65–14.18) after surgical resection (p = 0.0093). Subgroup analyses further showed the angiopoietin-Tie2 and nitric oxide signaling was significant only in stage III and IV cancer. Conclusions The dynamic change of angiopoietin-Tie2 signaling in the erythrocyte membrane along with the enhanced nitric oxide in plasma after tumor resection suggests erythrocytes play a significant role in modulating surgery-induced angiogenesis, which may provide a novel marker for cancer surveillance and control. |
topic |
Angiogenesis Carcinoma Nitric oxide Surgical resection Surgery |
url |
http://link.springer.com/article/10.1186/s12957-020-01991-9 |
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