Tumor Biology

, Volume 37, Issue 1, pp 1017–1023 | Cite as

Vascular endothelial growth factor polymorphisms and a synchronized examination of plasma and tissue expression in epithelial ovarian cancers

  • J. Bhaskari
  • C. S. Premalata
  • V. Shilpa
  • B. Rahul
  • V. R. Pallavi
  • G. Ramesh
  • Lakshmi Krishnamoorthy
Original Article


In this study, we have analyzed six genetic polymorphisms of the VEGF-A gene and correlated the genetic data with plasma and tissue expression of VEGF-A in epithelial ovarian carcinomas. A total of 130 cases including 95 malignant carcinomas, 17 low malignant potential and 18 benign tumours were studied. rs699947, rs833061, rs1570360, rs2010963, rs1413711 and rs3025039 were studied by polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP). Plasma levels of VEGF-A were estimated by enzyme-linked immunosorbent assay (ELISA) and tissue expression of VEGF-A by immunohistochemistry (IHC). Four polymorphisms of the above excluding rs699947 and rs3025039 showed significant association with malignancy, and we observed the presence of positive correlation between haplotype CCGGCC and increased expression of VEGF-A in both plasma and tissues which also correlated with poor prognosis and recurrence suggesting a probable increase in resistance to treatment in such carriers. Highly upregulated tissue expression of VEGF-A was seen in all epithelial ovarian carcinomas with intensity of expression increasing from benign to malignant cases. ELISA data from our study showed an increase in circulating levels of VEGF-A in malignancies. VEGF-A plasma levels can be employed as a biomarker for high-grade malignancy in epithelial ovarian cancers alongside tissue expression and CA-125 levels. This study is unique due to the fact that a simultaneous analysis of plasma and tissue expression has been demonstrated and is a first such study in epithelial ovarian cancers and representing the Indian population (South-east Asian) synchronized with genetic polymorphism data as well.


VEGF SNPs VEGF Polymorphisms Linkage Haplotypes Plasma levels of VEGF-A Tissue expression of VEGF-A Simultaneous study of plasma levels and tissue expression of VEGF-A 



The work was financially supported by the Indian Council of Medical Research, New Delhi, India. Reference number 5/13/28/2010/NCD-III.

Conflicts of interest


Supplementary material

13277_2015_3891_MOESM1_ESM.doc (44 kb)
Table S1 Demographic details of cases recruited. (DOC 44 kb)
13277_2015_3891_MOESM2_ESM.doc (30 kb)
Table S2 PCR primers and respective annealing temperatures of SNPs (DOC 30 kb)
13277_2015_3891_MOESM3_ESM.doc (34 kb)
Table S3 An analysis of the polymorphisms under the dominant and recessive models. (DOC 34 kb)
13277_2015_3891_MOESM4_ESM.doc (26 kb)
Figure S1 LD plot depicting linkage between studied polymorphisms (DOC 26 kb)


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Copyright information

© International Society of Oncology and BioMarkers (ISOBM) 2015

Authors and Affiliations

  • J. Bhaskari
    • 1
  • C. S. Premalata
    • 2
  • V. Shilpa
    • 1
  • B. Rahul
    • 1
  • V. R. Pallavi
    • 3
  • G. Ramesh
    • 1
  • Lakshmi Krishnamoorthy
    • 1
    • 4
  1. 1.Department of BiochemistryKidwai Memorial Institute of OncologyBangaloreIndia
  2. 2.Department of PathologyKidwai Memorial Institute of OncologyBangaloreIndia
  3. 3.Department of Gynec-OncologyKidwai Memorial Institute of OncologyBangaloreIndia
  4. 4.Department of BiochemistrySri Shankara Cancer Hospital and Research CentreBangaloreIndia

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