Abstract
Vascularization of solid tumors is thought to occur by sprouting or intussusceptive angiogenesis, co-option of existing vessels, and vasculogenic mimicry after the onset of tumor hypoxia, when the tumor radius exceeds the oxygen diffusion distance. In contrast, here we show that individual endothelial cells that are incorporated into pre-hypoxic tumors give rise to tumor blood vessels via vasculogenesis. Small metastatic lung tumor sections obtained after tail-vein injection of a syngeneic breast cancer cell line in the nude mice were labeled with antibodies against endothelial cell markers. Immunofluorescence showed the incorporation and mixed growth of CD31-, Tie-2-, and CD105-positive endothelial cells in tumors with radii less than oxygen diffusion distance and subsequent development of blood vessels from these early-incorporated endothelial cells. This observation lays the foundation of a novel vasculogenic paradigm of tumor vascularization, where incorporation of endothelial cells and their growth among tumor cells occur before the onset of core hypoxia in lung metastatic tumors.
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References
Olive PL, Vikse C, Trotter MJ (1992) Measurement of oxygen diffusion distance in tumor cubes using a fluorescent hypoxia probe. Int J Radiat Oncol Biol Phys 22(3):397–402
Angiogenesis FJ (2006) Annu Rev Med 57:1–18. doi:10.1146/annurev.med.57.121304.131306
Folkman J, Merler E, Abernathy C et al (1971) Isolation of a tumor factor responsible for angiogenesis. J Exp Med 133(2):275–288. doi:10.1084/jem.133.2.275
Pandya NM, Dhalla NS, Santani DD (2006) Angiogenesis–a new target for future therapy. Vascul Pharmacol 44(5):265–274. doi:10.1016/j.vph.2006.01.005
Eichhorn ME, Kleespies A, Angele MK et al (2007) Angiogenesis in cancer: molecular mechanisms, clinical impact. Langenbecks Arch Surg 392(3):371–379. doi:10.1007/s00423-007-0150-0
Leenders WP, Kusters B, de Waal RM (2002) Vessel co-option: how tumors obtain blood supply in the absence of sprouting angiogenesis. Endothelium 9(2):83–87. doi:10.1080/10623320212006
de Waal RM, Leenders WP (2005) Sprouting angiogenesis versus co-option in tumor angiogenesis. EXS 2005(94):65–76
Folberg R, Maniotis AJ (2004) Vasculogenic mimicry. APMIS 112(7–8):508–525. doi:10.1111/j.1600-0463.2004.apm11207-0810.x
Fox SB (2006) Quantitative angiogenesis in breast cancer. Methods Mol Med 120:161–187
Ribatti D, Vacca A, Dammacco F (2003) New non-angiogenesis dependent pathways for tumour growth. Eur J Cancer 39(13):1835–1841. doi:10.1016/S0959-8049(03)00267-3
Hillen F, Griffioen AW (2007) Tumour vascularization: sprouting angiogenesis and beyond. Cancer Metastasis Rev 26(3–4):489–502
Al-Mehdi AB, Patel M, Haroon A et al (2006) Increased depth of cellular imaging in the intact lung using far-red and near-infrared fluorescent probes. Int J Biomed Imaging 2006:1–7. doi:10.1155/IJBI/2006/37470
Wong CW, Song C, Grimes MM et al (2002) Intravascular location of breast cancer cells after spontaneous metastasis to the lung. Am J Pathol 161(3):749–753
Al-Mehdi AB, Tozawa K, Fisher AB et al (2000) Intravascular origin of metastasis from the proliferation of endothelium-attached tumor cells: a new model for metastasis. Nat Med 6(1):100–102. doi:10.1038/71429
Haroon AT, Patel M, Al-Mehdi AB (2007) Lung metastatic load limitation with hyperbaric oxygen. Undersea Hyperb Med 34(2):83–90
Elzarrad MK, Haroon A, Willecke K et al (2008) Connexin-43 upregulation in micrometastases and tumor vasculature and its role in tumor cell attachment to pulmonary endothelium. BMC Medicine 6:20. doi:10.1186/1741-7015-6-20
Drake CJ (2003) Embryonic and adult vasculogenesis. Birth defects research. Part C, Embryo Today 69(1):73–82. doi:10.1002/bdrc.10003
Rajantie I, Ilmonen M, Alminaite A et al (2004) Adult bone marrow-derived cells recruited during angiogenesis comprise precursors for periendothelial vascular mural cells. Blood 104(7):2084–2086. doi:10.1182/blood-2004-01-0336
Zengin E, Chalajour F, Gehling UM et al (2006) Vascular wall resident progenitor cells: a source for postnatal vasculogenesis. Development 133(8):1543–1551. doi:10.1242/dev.02315
Ergun S, Hohn HP, Kilic N et al (2008) Endothelial and hematopoietic progenitor cells (EPCs and HPCs): hand in hand fate determining partners for cancer cells. Stem Cell Rev 4(3):169–177. doi:10.1007/s12015-008-9028-y
Alvarez DF, Huang L, King JA et al (2008) Lung microvascular endothelium is enriched with progenitor cells that exhibit vasculogenic capacity. Am J Physiol Lung Cell Mol Physiol 294(3):L419–L430. doi:10.1152/ajplung.00314.2007
Weir EK, Archer SL, Reeves JT (2000) The fetal and neonatal pulmonary circulation. Wiley-Blackwell, Hoboken, NJ, USA
Ribatti D (2004) The involvement of endothelial progenitor cells in tumor angiogenesis. J Cell Mol Med 8(3):294–300. doi:10.1111/j.1582-4934.2004.tb00319.x
Bagley RG, Walter-Yohrling J, Cao X et al (2003) Endothelial precursor cells as a model of tumor endothelium: characterization and comparison with mature endothelial cells. Cancer Res 63(18):5866–5873
De Palma M, Naldini L (2006) Role of haematopoietic cells and endothelial progenitors in tumour angiogenesis. Biochim Biophys Acta 1766(1):159–166
Duda DG, Cohen KS, Kozin SV et al (2006) Evidence for incorporation of bone marrow-derived endothelial cells into perfused blood vessels in tumors. Blood 107(7):2774–2776. doi:10.1182/blood-2005-08-3210
El-Gohary YM, Silverman JF, Olson PR et al (2007) Endoglin (CD105) and vascular endothelial growth factor as prognostic markers in prostatic adenocarcinoma. Am J Clin Pathol 127(4):572–579. doi:10.1309/X6NXYE57DLUE2NQ8
Gebb S, Stevens T (2004) On lung endothelial cell heterogeneity. Microvasc Res 68(1):1–12. doi:10.1016/j.mvr.2004.02.002
Arciniegas E, Neves CY, Carrillo LM et al (2005) Endothelial-mesenchymal transition occurs during embryonic pulmonary artery development. Endothelium 12(4):193–200. doi:10.1080/10623320500227283
Tuder RM, Cool CD, Yeager M et al (2001) The pathobiology of pulmonary hypertension. Endothelium. Clin Chest Med 22(3):405–418. doi:10.1016/S0272-5231(05)70280-X
Trosko JE, Ruch RJ (1998) Cell–cell communication in carcinogenesis. Front Biosci 3:d208–d236
Ruch RJ, Porter S, Koffler LD et al (2001) Defective gap junctional intercellular communication in lung cancer: loss of an important mediator of tissue homeostasis and phenotypic regulation. Exp Lung Res 27(3):231–243. doi:10.1080/019021401300053984
Fukushima M, Hattori Y, Yoshizawa T et al (2007) Combination of non-viral connexin 43 gene therapy and docetaxel inhibits the growth of human prostate cancer in mice. Int J Oncol 30(1):225–231
Jimenez T, Fox WP, Naus CC et al (2006) Connexin over-expression differentially suppresses glioma growth and contributes to the bystander effect following HSV-thymidine kinase gene therapy. Cell Commun Adhes 13(1–2):79–92. doi:10.1080/15419060600631771
Trosko JE, Chang CC (2001) Role of stem cells and gap junctional intercellular communication in human carcinogenesis. Radiat Res 155(1 Pt 2):175–180. doi:10.1667/0033-7587(2001)155[0175:ROSCAG]2.0.CO;2
Ito A, Katoh F, Kataoka TR et al (2000) A role for heterologous gap junctions between melanoma and endothelial cells in metastasis. J Clin Invest 105(9):1189–1197. doi:10.1172/JCI8257
Saunders MM, Seraj MJ, Li Z et al (2001) Breast cancer metastatic potential correlates with a breakdown in homospecific and heterospecific gap junctional intercellular communication. Cancer Res 61(5):1765–1767
Tate AW, Lung T, Radhakrishnan A et al (2006) Changes in gap junctional connexin isoforms during prostate cancer progression. Prostate 66(1):19–31. doi:10.1002/pros.20317
King J, Hamil T, Creighton J et al (2004) Structural and functional characteristics of lung macro- and microvascular endothelial cell phenotypes. Microvasc Res 67(2):139–151. doi:10.1016/j.mvr.2003.11.006
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This work was supported by NIH P50 AT00428-01 Project 3 (ABA).
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MKE carried out the fluorescence imaging, immunofluorescence, experimental metastatic tumor development in the nude mice, and organized the data. ATH generated experimental metastatic tumors in the nude mice. DJR helped with cell culture and imaging. ABA conceived and designed the study and drafted the manuscript. All authors read and approved the manuscript.
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Elzarrad, K., Haroon, A., Reed, D. et al. Early incorporated endothelial cells as origin of metastatic tumor vasculogenesis. Clin Exp Metastasis 26, 589–598 (2009). https://doi.org/10.1007/s10585-009-9257-8
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DOI: https://doi.org/10.1007/s10585-009-9257-8