Evidence map›Paper›PMID 40243510›Full record

ArticleInternational journal of molecular sciences2025

Lymphangiogenesis in the Deepest Invasive Areas of Human Early-Stage Colorectal Cancer.

Masaharu Tanaka, Qian Zhou, Minako Ohnishi, Miho Kandori, Ami Itou, Yuki Kitadai, Hidehiko Takigawa, Shiro Oka, Akiko Kimoto, Fumio Shimamoto and 1 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Masaharu TanakaDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima 734-8558, Japan.
Qian ZhouDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima 734-8558, Japan.ORCID 0000-0002-4811-2509
Minako OhnishiDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima 734-8558, Japan.
Miho KandoriDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima 734-8558, Japan.
Ami ItouDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima 734-8558, Japan.ORCID 0000-0002-8743-3815
Yuki KitadaiGraduate School Biomedical and Health Science, Hiroshima University, Hiroshima 734-8551, Japan.
Hidehiko TakigawaGraduate School Biomedical and Health Science, Hiroshima University, Hiroshima 734-8551, Japan.ORCID 0000-0001-6369-0641
Shiro OkaGraduate School Biomedical and Health Science, Hiroshima University, Hiroshima 734-8551, Japan.
Akiko KimotoDepartment of Gastroenterology, Hiroshima University Hospital, Hiroshima 734-8551, Japan.
Fumio ShimamotoFaculty of Health Sciences, Hiroshima Cosmopolitan University, Hiroshima 734-0014, Japan.
Yasuhiko KitadaiDepartment of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima 734-8558, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor-associated macrophages (TAMs) are known to induce epithelial-mesenchymal transition (EMT) and angiogenesis in areas with a high density of accumulation in the submucosal (SM) layer. However, lymphatic vessels, which are important routes for lymph node metastasis, have rarely been analyzed, and their relationship to TAM accumulation is unknown. In this study, paraffin-embedded sections from 11 cases of human early-stage colorectal cancer (SM invasive carcinoma) were stained with CD34 antibody for vascular endothelium and podoplanin antibody for lymphatic endothelium at the deepest, central, and marginal sites of tumor invasion. Tumor blood vessels increased in the deepest invasive areas, and a positive correlation was observed between the number of TAMs and tumor blood vessels. Interestingly, lymphatic vessels with CD34-positive endothelial cells (CD34-positive lymphatic vessels) were observed within the tumor. The number of CD34-positive lymphatic vessels was significantly higher in the metastasis-positive group. These results suggest that abnormalities in the vascular and lymphatic systems are observed from the early stage of colorectal cancer development and that VEGF-A derived from TAMs is important for tumor angiogenesis. In addition, CD34-positive lymphatic vessels observed in the deepest areas of tumor invasion have not been reported in Japan, with initial reports indicating that they are neoplastic lymphatic vessels.

Indexed as

Colorectal NeoplasmsLymphangiogenesisAgedAntigens, CD34FemaleHumansLymphatic MetastasisLymphatic VesselsMaleMiddle AgedNeoplasm InvasivenessNeoplasm StagingNeovascularization, PathologicPodoplaninTumor-Associated MacrophagesVascular Endothelial Growth Factor AAntigens, CD34PDPN protein, humanPodoplaninVascular Endothelial Growth Factor Aangiogenesiscolorectal cancerlymphatic vesselsTAMstumor

Identifiers

PMID40243510
PMCPMC11988755

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.