Padera Timothy P, Kuo Angera H, Hoshida Tohru, Liao Shan, Lobo Jennifer, Kozak Kevin R, Fukumura Dai, Jain Rakesh K
Edwin L. Steele Laboratory for Tumor Biology, Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, 100 Blossom Street, Boston, MA 02114, USA.
Mol Cancer Ther. 2008 Aug;7(8):2272-9. doi: 10.1158/1535-7163.MCT-08-0182. Epub 2008 Aug 6.
Blood vessels are required for a tumor to grow and functional lymphatic vessels are required for it to disseminate to lymph nodes. In an attempt to eradicate both the primary tumor and its lymphatic metastasis, we targeted both blood and lymphatic vessels using two different tyrosine kinase inhibitors (TKIs): cediranib and vandetanib, which block vascular endothelial growth factor receptor (VEGFR)-2 and -3 in enzymatic assays. We found that although both cediranib and vandetanib slowed the growth rate of primary tumors and reduced blood vessel density, neither agent was able to prevent lymphatic metastasis when given after tumor cells had seeded the lymph node. However, when given during tumor growth, cediranib reduced the diameters of the draining lymphatic vessels, the number of tumor cells arriving in the draining lymph node, and the incidence of lymphatic metastasis. On the other hand, vandetanib had minimal effect on any of these variables, suggesting that vandetanib did not effectively block VEGFR-3 on lymphatic endothelial cells in our animal model. Collectively, these data indicate that the response of lymphatic vessels to a TKI can determine the incidence of lymphatic metastasis, independent of the effect of the TKI on blood vessels.
肿瘤生长需要血管,而扩散至淋巴结则需要功能性淋巴管。为了根除原发性肿瘤及其淋巴转移,我们使用两种不同的酪氨酸激酶抑制剂(TKIs)——西地尼布和凡德他尼,来靶向血管和淋巴管。在酶分析中,这两种抑制剂可阻断血管内皮生长因子受体(VEGFR)-2和-3。我们发现,虽然西地尼布和凡德他尼都减缓了原发性肿瘤的生长速度并降低了血管密度,但在肿瘤细胞已植入淋巴结后给予这两种药物,均无法预防淋巴转移。然而,在肿瘤生长期间给予西地尼布,可减小引流淋巴管的直径、减少到达引流淋巴结的肿瘤细胞数量以及降低淋巴转移的发生率。另一方面,凡德他尼对这些变量中的任何一个影响极小,这表明在我们的动物模型中,凡德他尼未能有效阻断淋巴管内皮细胞上的VEGFR-3。总体而言,这些数据表明,淋巴管对TKI的反应可决定淋巴转移的发生率,而与TKI对血管的作用无关。