The relationship between basic fibroblast growth factor (bFCF), receptors f
or bFGF and neoangiogenesis was investigated in 51 patients with squamous c
ell carcinoma of the tongue, 26 of whom had metastatic disease in cervical
lymph nodes. Vessels were demonstrated by immunocytochemical labelling for
CD34 and expressed as raw counts and volume-weighted counts. bFGF protein a
nd its receptors FGFR1(flg) and FGFR2(bek), were demonstrated using immunoc
ytochemical labelling. In situ hybridisation for bFGF mRNA was performed us
ing a 250-bp digoxigenin-labelled RNA probe. In normal epithelium, the expr
ession of bFGF protein and mRNA was more intense in the basal layer, while
receptors for bFGF were expressed more strongly in the superficial parts. I
n carcinomas, expression of bFCF was greater in the more poorly-differentia
te cells, but showed no relation to the overall tumour differentiation. The
re was strong bFGF expression in tumour-infiltrating lymphocytes. The expre
ssion of bFGF receptors was variable, with FGFR2 being particularly high in
areas of keratinisation. There were no consistent changes in bFGF or recep
tor expression between primary carcinomas and their lymph node metastases,
and there was no correlation with measures of vascularity or tumour growth
pattern, bFGF is synthesised by all squamous carcinomas and has the potenti
al to modulate angiogenesis. However, these data suggest that changes in th
e expression of bFGF and its receptors are not related to the intensity of
neoangiogenesis in lingual carcinomas or their nodal metastases. (C) 2000 E
lsevier Science Ltd All rights reserved.