Tumorigenesis and Neoplastic Progression Distinct Roles of Vascular Endothelial Growth Factor-D in Lymphangiogenesis and Metastasis
Tumorigenesis and Neoplastic Progression Distinct Roles of Vascular Endothelial Growth Factor-D in Lymphangiogenesis and Metastasis
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In human carcinomas, expression of the lymphangiogenic factor vascular endothelial growth factor-D (VEGF-D) correlates with up-regulated lymphangiogenesis and regional lymph node metastasis. Here, we have used the Rip1Tag2 transgenic mouse model of pancreatic (cid:1) -cell carcinogenesis to investigate the functional role of VEGF-D in the induction of lymphangiogenesis and tumor progression. Expression of VEGF-D in (cid:1) cells of single-transgenic Rip1VEGF-D mice resulted in the formation of peri-insular lymphatic lacunae, often containing leukocyte accumulations and blood hemorrhages. When these mice were crossed to Rip1Tag2 mice, VEGF-D-expressing tumors also exhibited peritumoral lymphangiogenesis with lymphocyte accumulations and hemorrhages, and they frequently developed lymph node and lung metastases. Notably, tumor outgrowth and blood microvessel density were significantly reduced in VEGF-D-expressing tumors. Our results dem-onstrate that VEGF-D induces lymphangiogenesis, promotes metastasis to lymph nodes and lungs,