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From the Molecular/Cancer Biology Laboratory and Department of
Pathology,*
Haartman Institute, University of Helsinki, the
Department of Oncology,
Helsinki University
Central Hospital, Helsinki, the Collagen Research Unit, Biocenter,
Department of Medical Biochemistry,
University of Oulu, Oulu, Finland, the Department of
Pathology,§
University Hospital, Nijmegen,
The Netherlands, and the Department of Gene
Expression,¶
GBF, Braunschweig, Germany
Recently, monoclonal antibodies against the human vascular
endothelial growth factor receptor VEGFR-3 were shown to provide a
specific antigenic marker for lymphatic endothelium in various normal
tissues. In this study we have investigated the expression of VEGFR-3
and its ligand VEGF-C in normal breast tissue and in breast tumors by
immunohistochemistry. VEGFR-3 was weakly expressed in capillaries of
normal breast tissue and in fibroadenomas. In intraductal breast
carcinomas, VEGFR-3 was prominent in the "necklace" vessels
adjacent to the basal lamina of the tumor-filled ducts. VEGF receptor 1
and 2 as well as blood vessel endothelial and basal lamina markers were
colocalized with VEGFR-3 in many of these vessels. Antibodies against
smooth muscle
-actin gave a weak staining of the necklace
vessels, suggesting that they were incompletely covered by
pericytes/smooth muscle cells. A highly elevated number of VEGFR-3
positive vessels was found in invasive breast cancer in comparison with
histologically normal breast tissue (P <
0.0001, the Mann-Whitney test). VEGF-C was located in the
cytoplasm of intraductal and invasive cancer cells. The results
demonstrate that the expression of VEGFR-3 becomes up-regulated in the
endothelium of angiogenic blood vessels in breast cancer. The results
also suggest that VEGF-C secreted by the intraductal carcinoma cells
acts predominantly as an angiogenic growth factor for blood
vessels, although this paracrine signaling network between the
cancer cells and the endothelium may also be involved in modifying the
permeabilities of both blood and lymphatic vessels and metastasis
formation.
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