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19 Cards in this Set

  • Front
  • Back
markers for endothelial cells
1. factor 8 related antigen
2. HLA-DR
3. Von Willebrand factor
4. lectin Ulex europaeus agglutinin 1
two monoclonal abs in KS
EN4 and PAL E

implies KS derived from endothelium of lymphatic origin
KS spindle cells +
CD34 ag
Ulex europaeus agglutinin 1

CD34 is a glycoprotein expresed by endotheial cells of small bv (not of lymphatic origin)
sensitive marker of KS
VEGFR-3

partial lymphatic endothelial differentiation

does not distinguis KS from other angiosacrcomas
evaluate problematic vascular proliferations wtih immunohistochemistry?
LANA (latency-associated nuclear ag) expression

not HHV-8 PCR
AIDS-KS progressive regression
spindle cell proliferation
expression of HHV-8 latency genes LNA-1 and cyclin-D1
HHV-8 latency genes
LNA-1
Cyclin-D1
AIDS-KS regression
reduction or loss of dermal spindle cells
decrease latent nuclear antigen-1 (LNA-1) and cyclin-D1 immunoreactivity

NO CHANGE IN BCL-2 EXPRESSION
VEGFR-3
tyrosine kinase receptor expressed almost exclusively by lymphatic endothelial cells in adults
tx KS
1. surgery
2. Laser
3. Radiotx (electron good only to dermis)
4. chemo intralesional or systemic(vinblastine and bleomycin)
vinblastine
vinca alkaloid from flowering plant periwinkle vinca rosea

leukopenia and immunosupression

tx KS
intralesional
IV with IM bleomycin
bleomycin
glycopeptide antibiotic produced by bacterium strepomyces verticillus

KS tx with doxorubicin and vincristine or vinblastine
vincristine
leurocristine
vinca alkaloid

KS tx with vinblastine or doxorubicin adn bleomycin
sirolimus
VEGF inhibitor

tx and possible prevention of KS

new immunosupressive agent
transplant pts inhibit KS progression
matrix metalloproteinase-2 inhibitors
tetracycline analogues without antibiotic activity
chemically modified tetracycline
green tea flavonids
IL-12 and IL4 receptor directed cytotoxin
cartilage extracts

KS tx for endothelin-1 receptors, KSHV G-protein coupled recetpros, and angiopoietin-2 tx targets?
iatrogenic KS tx
DC immunosupressive
cs and cytotoxic drugs dc partial or complete regression of KS
VEGF type 2 receptor inhibitor (SU5416)
synthetic low mocecular weight compound
KS tx?
hCG tx ks?
intralesional or systemic
limited side effects
men > wome
female hormone protective KS?
thalidomide KS?
inhibits agniogenesis and development of new blood vessels in KS

toxicity drowsiness and depression