Abstract
Ever since it was discovered that endothelial cells line lymphatic vessels, investigators have been working on unraveling the mechanisms that control the growth of this distinctive endothelium and its role in normal physiology and human disease. Recent technological advances have ushered in a new era of “omics” research on the lymphatic system. Research on the genome, transcriptome, proteome, and metabolome of lymphatics has increased our understanding of the biology of the lymphatic vasculature. Here, we introduce the context—lymphatic “systemomics,” then briefly review some of the latest advances in research on tumor-associated lymphatic vessels highlighting several “omic” studies that have shed light on mechanisms controlling the growth and function of tumor-associated lymphatic vessels. We conclude by returning, with unanswered questions, to the larger context of cancer and the lymphatic system as a vasculature, circulation, route of entry and transport, and control center of the immune network.
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Witte MH, Way DL, Witte CL, Bernas M (1997) Lymphangiogenesis: mechanisms, significance and clinical implications. In: Goldberg ID, Rosen EM (eds) Regulation of angiogenesis. Birkhäuser Verlag, Basel, pp 65–112
Witte MH, Bernas M, Martin C, Witte CL (2001) Lymphangiogenesis and lymphangiodysplasias: from molecular to clinical lymphology. In: Wilting J (guest ed) The biology of lymphangiogenesis. Microsc Res Tech 55(2):122–145
Casley-Smith JR, Florey HW (1961) The structure of normal small lymphatics. Q J Exp Physiol 46:101–106
Kinmonth JB (ed) (1972) The lymphatics: diseases, lymphography and surgery. Edward Arnold, London
Morton DL, Thompson JF, Cochran AJ, Mozzillo N, Elashoff R, Essner R et al (2006) Sentinel-node biopsy or nodal observation in melanoma. N Engl J Med 355(13):1307–1317
Witte MH, Dumont AE, Cole WR, Witte CL, Kintner K (1969) Lymph circulation in hepatic cirrhosis: effect of portacaval shunt. Ann Int Med 70(2):303–310
Witte MH, Dumont AE, Clauss RH, Rader B, Levine N, Breed E (1969) Lymph circulation in congestive heart failure: effect of external thoracic duct drainage. Circulation 39(6):723–733
Triolo VA (1965) Nineteenth century foundations of cancer research: advances in tumor pathology, nomenclature, and theories of oncogenesis. Cancer Res 25(2):76–106
Mandal A (2013) History of breast cancer. News Medical Life Sciences. https://www.news-medical.net/health/History-of-Breast-Cancer.aspx
Fisher B, Fisher ER (1968) Role of lymphatic system in dissemination of tumor. In: Mayerson HS (ed) Lymph and the lymphatic system. CC Thomas, New York, pp 324–347
Folkman J (2002) Role of angiogenesis in tumor growth and metastasis. Semin Oncol 29(6 Suppl 16):15–18
Bowman C, Witte MH, Witte CL, Way D, Nagle R, Copeland J, Daschbach C (1984) Cystic hygroma reconsidered: hamartoma or neoplasm? Primary culture of an endothelial cell line from a massive cervicomediastinal cystic hygroma with bony lymphangiomatosis. Lymphology 17(1):15–22
Witte MH, Witte CL (1986) Lymphangiogenesis and lymphologic syndromes. Lymphology 19(1):21–28
Witte MH, Witte CL (1997) On tumor (and other) lymphangiogenesis. Lymphology 30(1):1–2
Van Netten JP, Cann SA, Van der Wethuizen NG (1996) Angiogenesis and tumor growth. N Engl J Med 334(26):920–921
Ferrara N, Henzel WJ (1989) Pituitary follicular cells secrete a novel heparin-binding growth factor specific for vascular endothelial cells. Biochem Biophys Res Commun 161(2):851–858
Dvorak HF (2006) Discovery of vascular permeability factor (VPF). Exp Cell Res 312(5):522–526
Joukov V, Pajusola K, Kaipainen A, Chilov D, Lahtinen I, Kukk E et al (1996) A novel vascular endothelial growth factor, VEGF-C, is a ligand for the Flt4 (VEGFR-3) and KDR (VEGFR-2) receptor tyrosine kinases. EMBO 15(2):290–298
Achen MG, Jeltsch M, Kukk E, Mäkinen T, Vitali A, Wilks AF, Alitalo K et al (1998) Vascular endothelial growth factor D (VEGF-D) is a ligand for the tyrosine kinases VEGF receptor 2 (Flk1) and VEGFR3 (Flt4). Proc Natl Acad Sci USA 95(2):548–553
Brouillard P, Boon L, Vikkulla M (2014) Genetics of lymphatic abnormalities. J Clin Investig 124(3):898–904
Mohammed RA, Martin SG, Gill S et al (2007) Improved methods of detection of lymphovascular invasion demonstrate that it is the predominant method of vascular invasion in breast cancer and has important clinical consequences. Am J Surg Pathol 3:825–833
Arnaout-Alkarain A, Kahn HL, Narod SA et al (2007) Significance of lymph vessel invasion identified by the endothelial lymphatic marker D2-40 in node negative breast cancer. Mod Pathol 20:83–89
Azalli G (2006) On the transendothelial passage of tumor cell from extravasal matrix into the lumen of absorbing lymphatic vessel. Microvasc Res 72:74–85
Burn J, Watne A, Moore G (1962) The role of the thoracic duct lymph in cancer dissemination. Br J Cancer 16:608–615
Klingen T, Chen Y, Stefansson IM, Knutsvik G, Collet K, Abrahamsen AL et al (2017) Tumour cell invasion into blood vessels is significantly related to breast cancer subtypes and decreased survival. J Clin Pathol 70:313–319
Skobe M, Hawighorst T, Jackson DG, Prevo R, Janes L, Velasco P et al (2001) Induction of tumor lymphangiogenesis by VEGF-C promotes breast cancer metastasis. Nat Med 7(2):192–198
Mandriota SJ, Jussila L, Jeltsch M, Compagni A, Baetens D, Prevo R et al (2001) Vascular endothelial growth factor-C-mediated lymphangiogenesis promotes tumour metastasis. EMBO J 20(4):672–682
Stacker SA, Caesar C, Baldwin ME, Thornton GE, Williams RA, Prevo R et al (2001) VEGF-D promotes the metastatic spread of tumor cells via the lymphatics. Nat Med 7(2):186–191
Karpanen T, Alitalo K (2008) Molecular biology and pathology of lymphangiogenesis. Annu Rev Pathol 3:367–397
He Y, Kozaki K, Karpanen T, Koshikawa K, Yla-Herttuala S, Takahashi T et al (2002) Suppression of tumor lymphangiogenesis and lymph node metastasis by blocking vascular endothelial growth factor receptor 3 signaling. J Natl Cancer Inst 94(11):819–825
Alitalo A, Detmar M (2012) Interaction of tumor cells and lymphatic vessels in cancer progression. Oncogene 31(42):4499–4508
Bo C, Xiaopeng D, Chuanliang P, Xiaogang Z (2009) Expression of vascular endothelial growth factors C and D correlates with lymphangiogenesis and lymph node metastasis in lung adenocarcinoma. Thorac Cardiovasc Surg 57(5):291–294
Feng Y, Wang W, Hu J, Ma J, Zhang Y, Zhang J (2010) Expression of VEGF-C and VEGF-D as significant markers for assessment of lymphangiogenesis and lymph node metastasis in non-small cell lung cancer. Anat Rec 293(5):802–812
Kadota K, Huang CL, Liu D, Ueno M, Kushida Y, Haba R et al (2008) The clinical significance of lymphangiogenesis and angiogenesis in non-small cell lung cancer patients. Eur J Cancer 44(7):1057–1067
Sun JG, Wang Y, Chen ZT, Zhuo WL, Zhu B, Liao RX et al (2009) Detection of lymphangiogenesis in non-small cell lung cancer and its prognostic value. J Exp Clin Cancer Res 28(1):21
Adachi Y, Nakamura H, Kitamura Y, Taniguchi Y, Araki K, Shomori K et al (2007) Lymphatic vessel density in pulmonary adenocarcinoma immunohistochemically evaluated with anti-podoplanin or anti-D2-40 antibody is correlated with lymphatic invasion or lymph node metastases. Pathol Int 57(4):171–177
Kajita T, Ohta Y, Kimura K, Tamura M, Tanaka Y, Tsunezuka Y et al (2001) The expression of vascular endothelial growth factor C and its receptors in non-small cell lung cancer. Br J Cancer 85(2):255–260
Thiele W, Sleeman JP (2006) Tumor-induced lymphangiogenesis: a target for cancer therapy? J Biotechnol 124(1):224–241
Gabor S, Renner H, Popper H, Anegg U, Sankin O, Matzi V et al (2004) Invasion of blood vessels as significant prognostic factor in radically resected T1-3N0M0 non-small-cell lung cancer. Eur J Cardiothorac Surg 25:439–442
Kessler R, Gasser B, Massard G, Roeslin N, Meyer P, Wihlm JM et al (1996) Blood vessel invasion is a major prognostic factor in resected non-small cell lung cancer. Ann Thorac Surg (62):1489–1493
Wang J, Chen J, Chen X, Wang B, Li K, Bi J (2011) Blood vessel invasion as a strong independent prognostic indicator in non-small cell lung cancer: a systematic review and meta-analysis. PLoS One 6(12):e28844
Wyckoff JB, Wang Y, Lin EY, Li J, Goswami S, Stanley ER et al (2007) Direct visualization of macrophage-assisted tumor cell intravasation in mammary tumors. Cancer Res 67(6):2649–2656
Robinson BD, Sica GL, Liu YF, Rohan TE, Gertler FB, Condeelis JS, Jones JG (2009) Tumor microenvironment of metastasis in human breast carcinoma: a potential prognostic marker linked to hematogenous dissemination. Clin Cancer Res 15(7):2433–2441
Regan E, Sibley RC, Cenik BK, Silva A, Girard L, Minna JD et al (2016) Identification of gene expression differences between lymphangiogenic and non-lymphangiogenic non-small cell lung cancer cell lines. PLoS One 11(3):e0150963
Hirakawa S, Kodama S, Kunstfeld R, Kajiya K, Brown LF, Detmar M (2005) VEGF-A induces tumor and sentinel lymph node lymphangiogenesis and promotes lymphatic metastasis. J Exp Med 201(7):1089–1099
Hirakawa S, Brown LF, Kodama S, Paavonen K, Alitalo K, Detmar M (2007) VEGF-C-induced lymphangiogenesis in sentinel lymph nodes promotes tumor metastasis to distant sites. Blood 109(3):1010–1017
Olmeda D, Cerezo-Wallis D, Riveiro-Falkenbach E, Pennacchi PC, Contreras-Alcalde M, Ibarz N et al (2017) Whole-body imaging of lymphovascular niches identifies pre-metastatic roles of midkine. Nature 546(7660):676–680
Morton DL (2012) Overview and update of the phase III Multicenter Selective Lymphadenectomy Trials (MSLT-I and MSLT-II) in melanoma. Clin Exp Metastasis 29(7):699–706
McFadden DG, Papagiannakopoulos T, Taylor-Weiner A, Stewart C, Carter SL, Cibulskis K et al (2014) Genetic and clonal dissection of murine small cell lung carcinoma progression by genome sequencing. Cell 156(6):1298–1311
Pereira ER, Kedrin D, Seano G, Gautier O, Meijer EFJ, Jones D et al (2018) Lymph node metastases can invade local blood vessels, exit the node, and colonize distant organs in mice. Science 359:1403–1407
Brown M, Assen FP, Leithner A, Abe J, Schachner H, Asfour G et al (2018) Lymph node blood vessels provide exit routes for metastatic tumor cell dissemination in mice. Science 359:1408–1411
Girard J, Moussion C, Forster R (2012) HEVs, lymphatics and homeostatic immune cell trafficking in lymph nodes. Nat Rev Immunol 12:762–773
Maisel K, Sasso MS, Potin L, Swartz MA (2017) Exploiting lymphatic vessels for immunomodulation: rationale, opportunities, and challenges. Adv Drug Deliv Rev 114:43–59
Lund AW, Duraes FV, Hirosue S, Raghavan VR, Nembrini C, Thomas SN et al (2012) VEGF-C promotes immune tolerance in B16 melanomas and cross-presentation of tumor antigen by lymph node lymphatics. Cell Rep 1(3):191–199
Hirosue S, Vokali E, Raghavan VR, Rincon-Restrepo M, Lund AW, Corthesy-Henrioud P et al (2014) Steady-state antigen scavenging, cross-presentation, and CD8 + T cell priming: a new role for lymphatic endothelial cells. J Immunol 192(11):5002–5011
Dieterich LC, Ikenberg K, Cetintas T, Kapaklikaya K, Hutmacher C, Detmar M (2017) Tumor-associated lymphatic vessels upregulate PDL1 to inhibit T-cell activation. Front Immunol 8:66
Tewalt EF, Cohen JN, Rouhani SJ, Guidi CJ, Qiao H, Fahl SP et al (2012) Lymphatic endothelial cells induce tolerance via PD-L1 and lack of costimulation leading to high-level PD-1 expression on CD8 T cells. Blood 120(24):4772–4782
Fankhauser M, Broggi MAS, Potin L, Bordry N, Jeanbart L, Lund AW et al (2017) Tumor lymphangiogenesis promotes T cell infiltration and potentiates immunotherapy in melanoma. Sci Transl Med 9(407):eaal4712
Hendrix MJ, Seftor EA, Seftor RE, Chao J, Chu Y (2016) Tumor cell vascular mimicry: novel targeting opportunity in melanoma. Pharmacol Ther 159:83–92
Lederberg J, McCray AT (2001) ‘Ome, sweet ‘omics—a genealogical treasury of words. Scientist 15(7):8–9
Greene J, Localzo J (2017) Putting the patient back together—social medicine, network medicine and the limits of reductionism. N Engl J Med 377(25):2493–2495
Bhat R, Bissell MJ (2014) Of plasticity and specificity: dialectics of the microenvironment and macroenvironment and the organ phenotype. Wiley Interdiscip Rev Dev Biol 3(2):147–163
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Dellinger, M.T., Witte, M.H. Lymphangiogenesis, lymphatic systemomics, and cancer: context, advances and unanswered questions. Clin Exp Metastasis 35, 419–424 (2018). https://doi.org/10.1007/s10585-018-9907-9
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DOI: https://doi.org/10.1007/s10585-018-9907-9