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Eur J Cardiothorac Surg 2006;29:639
© 2006 Elsevier Science NL
Letter to the Editor |
Department of Pharmacology, Osaka Medical College, Takatsuki City, Osaka 569-8686, Japan
Received 6 January 2006; accepted 10 January 2006.
* Corresponding author. Tel.: +81 726 84 7292; fax: +81 726 84 6518. (Email: pha010{at}art.osaka-med.ac.jp).
Key Words: Angiogenesis Lung cancer Chymase Mast cells
The fact that mast cells are present in large numbers around cancers is well known; further, mast cells contain many angiogenesis factors. Many reports have indicated the involvement of mast cells in cancer angiogenesis. In our report, we demonstrated that chymase-positive mast cells are involved in angiogenesis around stage-1 non-small cell lung cancers suggesting the possibility that chymase is involved in cancer angiogenesis [1]. However, Ozdemir et al. [2] found that mast cells which were differentiated from bone marrow mononuclear cells inhibited tumor cell growth in vitro and concluded that mast cells have antitumor activities.
Although Ozdemir cited reports that found no tumor suppression in mast cell-deficient mice, many reports, to the contrary, documenting tumor suppression in mast cell-deficient mice have been made. Also, he mentioned reports that, unlike our study, found no correlation between the number of vessels and the concentration of mast cells. These differences in outcome may suggest that the roles of mast cells differ depending on tumor type and progression. We have reported, using animal models, that local chymase injection strongly facilitates angiogenesis [3]. Recently, we documented that there was a strong correlation between the number of vessels and the concentration of chymase-positive cells around stomach cancers and that the postoperative survival rate for patients with high chymase-positive cell concentrations was lower when compared to patients with low chymase-positive cell concentrations [4]. These results strongly suggest the possibility that chymase facilitates angiogenesis, thus subsequently advancing cancer growth.
The functions of mast cells around cancers cannot be ascertained based solely on our results. However, based at least on our past studies, chymase-positive cells are involved in cancer angiogenesis. Yet, as stated by Ozdemir, mast cells contain many substances that facilitate angiogenesis and substances that are toxic to cancer cells. Hence, the roles of mast cells may differ depending on cancer differentiation and progression. Not all mast cells contain chymase, and its expression is seen in only about half the cells. Therefore, we would like to strongly emphasize that whether or not mast cells contain chymase is a very important point. However, clarifying the role of chymase-positive mast cells in angiogenesis and cancer growth will require clinical study using a chymase inhibitor.
References
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