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Macrophage-Induced Lymphangiogenesis and Metastasis following Paclitaxel Chemotherapy Is Regulated by VEGFR3
Author(s) -
Dror Alishekevitz,
Svetlana GingisVelitski,
Orit KaidarPerson,
Lilach Gutter-Kapon,
Sandra D. Scherer,
Ziv Raviv,
Emmanuelle Merquiol,
Yael BenNun,
Valeria Miller,
Chen Rachman-Tzemah,
Michael Timaner,
Yelena Mumblat,
Neta Ilan,
David Loven,
Dov Hershkovitz,
Ronit SatchiFainaro,
Galia Blum,
Jonathan P. Sleeman,
Israël Vlodavsky,
Yuval Shaked
Publication year - 2016
Publication title -
cell reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.264
H-Index - 154
eISSN - 2639-1856
pISSN - 2211-1247
DOI - 10.1016/j.celrep.2016.09.083
Subject(s) - lymphangiogenesis , chemotherapy , cancer research , paclitaxel , heparanase , lymphatic system , metastasis , medicine , macrophage , downregulation and upregulation , vascular endothelial growth factor c , vascular endothelial growth factor , cancer , pathology , biology , vascular endothelial growth factor a , vegf receptors , in vitro , biochemistry , gene
While chemotherapy strongly restricts or reverses tumor growth, the response of host tissue to therapy can counteract its anti-tumor activity by promoting tumor re-growth and/or metastases, thus limiting therapeutic efficacy. Here, we show that vascular endothelial growth factor receptor 3 (VEGFR3)-expressing macrophages infiltrating chemotherapy-treated tumors play a significant role in metastasis. They do so in part by inducing lymphangiogenesis as a result of cathepsin release, leading to VEGF-C upregulation by heparanase. We found that macrophages from chemotherapy-treated mice are sufficient to trigger lymphatic vessel activity and structure in naive tumors in a VEGFR3-dependent manner. Blocking VEGF-C/VEGFR3 axis inhibits the activity of chemotherapy-educated macrophages, leading to reduced lymphangiogenesis in treated tumors. Overall, our results suggest that disrupting the VEGF-C/VEGFR3 axis not only directly inhibits lymphangiogenesis but also blocks the pro-metastatic activity of macrophages in chemotherapy-treated mice.

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