Macrophage-Induced Lymphangiogenesis and Metastasis following Paclitaxel Chemotherapy Is Regulated by VEGFR3

  • Dror Alishekevitz
  • , Svetlana Gingis-Velitski
  • , Orit Kaidar-Person
  • , Lilach Gutter-Kapon
  • , Sandra D. Scherer
  • , Ziv Raviv
  • , Emmanuelle Merquiol
  • , Yael Ben-Nun
  • , Valeria Miller
  • , Chen Rachman-Tzemah
  • , Michael Timaner
  • , Yelena Mumblat
  • , Neta Ilan
  • , David Loven
  • , Dov Hershkovitz
  • , Ronit Satchi-Fainaro
  • , Galia Blum
  • , Jonathan P. Sleeman
  • , Israel Vlodavsky
  • , Yuval Shaked*
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

104 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)1344-1356
Number of pages13
JournalCell Reports
Volume17
Issue number5
DOIs
StatePublished - 25 Oct 2016

Bibliographical note

Publisher Copyright:
© 2016 The Author(s)

Keywords

  • chemotherapy
  • host response
  • lymphangiogenesis
  • macrophages
  • metastatis
  • VEGF-C

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