Department of General, Visceral, Vascular and Pediatric Surgery, University of Saarland, D-66421 Homburg/Saar, Germany.
Int J Cancer. 2010 Mar 15;126(6):1302-15. doi: 10.1002/ijc.24956.
Recent studies have shown that the chemokine stromal cell-derived factor (SDF)-1 and its receptor CXCR4 are involved in the metastatic process of colorectal cancer. The impact of SDF-1 on the stimulated metastatic growth during hepatectomy-associated liver regeneration is unknown. With the use of a heterotopic murine colon cancer model, we analyzed whether blockade of SDF-1 inhibits angiogenesis and extrahepatic growth of colorectal cancer after liver resection. Functional neutralization of SDF-1 by 1 mg/kg body weight anti-SDF-1 antibody only slightly delayed the initial tumor cell engraftment but also did not reduce the size of established extrahepatic tumors compared with controls. Tumor cell apoptosis was increased by anti-SDF-1 treatment only during the early 5-9-day period of tumor cell engraftment, but was found significantly decreased during the late phase of tumor growth. The initial delay of tumor cell engraftment was associated with an increase of tumor capillary density and microvascular permeability. This was associated with an increased vascular endothelial growth factor (VEGF) expression and an enhanced tumor cell invasion of the neighboring tissue. In contrast to the neutralization of SDF-1, blockade of the SDF-1 receptors CXCR4 and CXCR7 significantly reduced tumor capillary density and tumor growth. Thus, our study indicates that neutralization of SDF-1 after hepatectomy is not capable of inhibiting angiogenesis and growth of extrahepatic colorectal tumors, because it is counteracted by the compensatory actions through an alternative VEGF-dependent pathway.
最近的研究表明趋化因子基质细胞衍生因子(SDF)-1 及其受体 CXCR4 参与结直肠癌的转移过程。SDF-1 在肝切除相关肝再生期间对刺激转移性生长的影响尚不清楚。我们使用异位鼠结直肠癌模型,分析了阻断 SDF-1 是否抑制肝切除后结直肠癌的血管生成和肝外生长。用 1 毫克/千克体重的抗 SDF-1 抗体对 SDF-1 的功能中和仅略微延迟了初始肿瘤细胞定植,但与对照组相比,也没有减少已建立的肝外肿瘤的大小。抗 SDF-1 治疗仅在肿瘤细胞定植的早期 5-9 天期间增加了肿瘤细胞凋亡,但在肿瘤生长的后期阶段发现明显减少。肿瘤细胞定植的初始延迟与肿瘤毛细血管密度和微血管通透性的增加有关。这与血管内皮生长因子(VEGF)表达的增加和肿瘤细胞对邻近组织的侵袭增强有关。与中和 SDF-1 相反,阻断 SDF-1 受体 CXCR4 和 CXCR7 显著降低了肿瘤毛细血管密度和肿瘤生长。因此,我们的研究表明,肝切除后中和 SDF-1 不足以抑制肝外结直肠癌的血管生成和生长,因为它通过替代的、依赖 VEGF 的途径的代偿作用而被抵消。