Lohela Marja, Heloterä Hanna, Haiko Paula, Dumont Daniel J, Alitalo Kari
Molecular/Cancer Biology Laboratory, Biomedicum Helsinki, University of Helsinki, Finland.
Am J Pathol. 2008 Dec;173(6):1891-901. doi: 10.2353/ajpath.2008.080378. Epub 2008 Nov 6.
Vascular endothelial growth factor-C (VEGF-C) is the quintessential lymphangiogenic growth factor that is required for the development of the lymphatic system and is capable of stimulating lymphangiogenesis in adults by activating its receptor, VEGFR-3. Although VEGF-C is a major candidate molecule for the development of prolymphangiogenic therapy for defective lymphatic vessels in lymphedema, the stability of lymph vessels generated by exogenous VEGF-C administration is not currently known. We studied VEGF-C-stimulated lymphangiogenesis in inducible transgenic mouse models in which growth factor expression can be spatially and temporally controlled without side effects, such as inflammation. VEGF-C induction in adult mouse skin for 1 to 2 weeks caused robust lymphatic hyperplasia that persisted for at least 6 months. VEGF-C induced lymphangiogenesis in numerous tissues and organs when expressed in the vascular endothelium in either neonates or adult mice. Very few or no effects were observed in either blood vessels or collecting lymph vessels. Additionally, VEGF-C stimulated lymphangiogenesis in embryos after the onset of lymphatic vessel development. Strikingly, a strong angiogenic effect was observed after VEGF-C induction in vascular endothelium at any point before embryonic day 16.5. Our results indicate that blood vessels can undergo VEGF-C-induced angiogenesis even after down-regulation of VEGFR-3 in embryos; however, transient VEGF-C expression in adults can induce long-lasting lymphatic hyperplasia with no obvious side effects on the blood vasculature.
血管内皮生长因子C(VEGF-C)是典型的淋巴管生成生长因子,是淋巴系统发育所必需的,并且能够通过激活其受体VEGFR-3在成体中刺激淋巴管生成。尽管VEGF-C是用于开发针对淋巴水肿中缺陷淋巴管的促淋巴管生成疗法的主要候选分子,但目前尚不清楚外源性给予VEGF-C所生成的淋巴管的稳定性。我们在可诱导的转基因小鼠模型中研究了VEGF-C刺激的淋巴管生成,在该模型中生长因子的表达可以在空间和时间上受到控制而无炎症等副作用。在成年小鼠皮肤中诱导VEGF-C表达1至2周会导致强烈的淋巴增生,这种增生持续至少6个月。当在新生小鼠或成年小鼠的血管内皮中表达时,VEGF-C可在许多组织和器官中诱导淋巴管生成。在血管或集合淋巴管中观察到的影响非常小或没有影响。此外,在淋巴管发育开始后,VEGF-C可刺激胚胎中的淋巴管生成。令人惊讶的是,在胚胎第16.5天之前的任何时间点,在血管内皮中诱导VEGF-C表达后都观察到强烈的血管生成作用。我们的结果表明,即使在胚胎中VEGFR-3下调后,血管也可发生VEGF-C诱导的血管生成;然而,在成体中短暂表达VEGF-C可诱导持久的淋巴增生,而对血管系统无明显副作用。