Thymidine phosphorylase (TP) has strong angiogenic activity and is overexpr
essed in a wide variety of malignant tumors. To elucidate the role of TP in
human astrocytic tumors, we immunohistochemically investigated the express
ion of TP in 62 astrocytic tumors (12 astrocytomas, 12 anaplastic astrocyto
mas and 38 glioblastomas). Fifty-five astrocytic tumors (88.7%) were immuno
positive for TP. The level of TP-expression was significantly correlated wi
th the malignancy grade of astrocytic tumors; most of malignant gliomas hig
hly expressed TP, while a small number of cells were positive in low grade
astrocytomas (p < 0.001). Using double-immunostaining, we clarified that TP
-expression was predominantly detectable in macrophages. There was no signi
ficant correlation between MIB-1 labeling index and TP-expression. However,
TP-expression and the microvessel density were well correlated. These sugg
est that TP, mainly produced by the infiltrated macrophages, may play an im
portant role in the progression of astrocytic tumors via neovascularization
. Inhibitor of TP may represent a therapeutic modality for treating maligna
nt gliomas.