University of Nice Sophia Antipolis, Institute for research on cancer and aging of Nice, CNRS UMR 7284; INSERM U1081, Centre Antoine Lacassagne, France.
Centre Scientifique de Monaco, Biomedical Department, 8 Quai Antoine Ier, MC-98000 Monaco, Principality of Monaco.
Theranostics. 2019 Jan 21;9(3):661-675. doi: 10.7150/thno.27794. eCollection 2019.
Hypoxic zones are common features of metastatic tumors. Due to inactivation of the von Hippel-Lindau gene (), renal cell carcinomas (RCC) show constitutive stabilization of the alpha subunit of the hypoxia-inducible factor (HIF). Thus, RCC represents a model of chronic hypoxia. Development of the lymphatic network is dependent on vascular endothelial growth factor C (VEGFC) and lies at the front line of metastatic spreading. Here, we addressed the role of VEGFC in RCC aggressiveness and the regulation of its expression in hypoxia. Transcriptional and post transcriptional regulation of VEGFC expression was evaluated by qPCR and with reporter genes. The involvement of HIF was evaluated using a siRNA approach. Experimental RCC were performed with immuno-competent/deficient mice using human and mouse cells knocked-out for the gene by a CRISPR/Cas9 method. The VEGFC axis was analyzed with an online available data base (TCGA) and using an independent cohort of patients. Hypoxia induced VEGFC protein expression but down-regulated gene transcription and mRNA stability. Increased proliferation, migration, over-activation of the AKT signaling pathway and enhanced expression of mesenchymal markers characterized cells. cells did not form tumors in immuno-deficient mice but developed aggressive tumors in immuno-competent mice. These tumors showed down-regulation of markers of activated lymphocytes and M1 macrophages, and up-regulation of M2 macrophages markers and programmed death ligand 1 (PDL1). Over-expression of lymphangiogenic genes including VEGFC was linked to increased disease-free and overall survival in patients with non-metastatic tumors, whereas its over-expression correlated with decreased progression-free and overall survival of metastatic patients. Our study revisited the admitted dogma linking VEGFC to tumor aggressiveness. We conclude that targeting VEGFC for therapy must be considered with caution.
缺氧区是转移瘤的常见特征。由于 von Hippel-Lindau 基因 () 的失活,肾细胞癌 (RCC) 表现出缺氧诱导因子 (HIF) 的α亚基的组成性稳定。因此,RCC 代表慢性缺氧的模型。淋巴管网络的发育依赖于血管内皮生长因子 C (VEGFC),并且处于转移扩散的前沿。在这里,我们研究了 VEGFC 在 RCC 侵袭性中的作用及其在缺氧条件下表达的调节。通过 qPCR 和报告基因评估 VEGFC 表达的转录和转录后调节。使用 siRNA 方法评估 HIF 的参与。使用免疫功能正常/缺陷小鼠进行实验性 RCC,并使用 CRISPR/Cas9 方法敲除人类和小鼠细胞中的 基因。使用在线可用数据库 (TCGA) 和独立的患者队列分析 VEGFC 轴。缺氧诱导 VEGFC 蛋白表达,但下调 基因转录和 mRNA 稳定性。增加的增殖、迁移、AKT 信号通路的过度激活和间充质标志物的表达特征化 细胞。 细胞在免疫缺陷小鼠中不能形成肿瘤,但在免疫功能正常的小鼠中发展为侵袭性肿瘤。这些肿瘤表现出激活的淋巴细胞和 M1 巨噬细胞标志物的下调,以及 M2 巨噬细胞标志物和程序性死亡配体 1 (PDL1) 的上调。包括 VEGFC 在内的淋巴管生成基因的过表达与非转移性肿瘤患者无病和总生存期的增加有关,而其过表达与转移性患者无进展生存期和总生存期的降低相关。我们的研究重新审视了将 VEGFC 与肿瘤侵袭性联系起来的公认教条。我们得出结论,必须谨慎考虑针对 VEGFC 的治疗。
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