Kaposi's sarcoma is a highly vascularized multifocal tumor which frequ
ently appears as a complication of HIV infection. It has been suggeste
d that a disorder in the cytokine network may contribute to the develo
pment of the disease. We examined the expression of several cytokines
in human sporadic Kaposi's-sarcoma specimens, as well as in spindle ce
lls cultured from human lesions, and consistently found high levels of
expression of hepatocyte growth factor (HGF). In addition, human lesi
on-derived spindle cells synthesize and secrete biologically active he
patocyte growth factor and express the hepatocyte-growth-factor recept
or (c-MET). Moreover, elevated levels of transforming growth factor be
ta 1 (TGF beta 1) mRNA were found in lesions of human sporadic Kaposi'
s sarcoma and in lesion-derived spindle cells which also over-express
urokinase. Since HGF, TGF beta 1 and urokinase are all involved in cap
illary-vessel organization, dysregulation of these interacting agents
may play a role in the initiation and/or progression of Kaposi's sarco
ma, stimulating the growth of spindle cells and recruiting endothelial
cells into the lesion. (C) 1996 Wiley-Liss, Inc.