With the aid of IGF2 and VEGF in situ hybridization; tyrosine hydroxylase,
chromogranin A, and Ki67 immunohistochemistry; and TUNEL staining applied t
o a large series of clinical neuroblastomas and to an animal model, we show
here that stroma-poor neuroblastomas show evidence of chromaffin different
iation similar to that of type 1 small intensely fluorescent (SIF) cells an
d that this occurs in a vascular-dependent fashion, indicating a role for l
ocal tumor hypoxia in the differentiation process. Med. Pediatr. Oncol. 36:
149-153, 2001. (C) 2001 Wiley-Liss, Inc.