Almost any growth of tumors is to some extent associated with an inflammato
ry reaction which may be anti-tumorigenic by acting directly on tumor cells
or protumorigenic cells presumably by inducing tumor-associated angiogenes
is. In this study, we have analyzed the angiogenesis-inducing capacity of m
onocyte chemoattractant protein-1 (MCP-1), a key regulatory molecule of mon
ocyte trafficking to sites of inflammation. MCP-1 was found to be potently
angiogenic when implanted into rabbit cornea, exerting potency similar to t
he specific angiogenic vascular endothelial growth factor (VEGF)-A(121). MC
P-1-induced angiogenesis in the cornea is associated with prominent recruit
ment of macrophages, whereas VEGF-A(121)-induced corneal angiogenesis is de
void of inflammatory cell recruitment. Based on these findings, we studied
MCP-1 expression and macrophage recruitment in human invasive ductal mammar
y carcinomas in comparison with the physiological angiogenic processes in b
ovine ovarian corpus luteum, Macrophage recruitment was always associated w
ith MCP-1 expression. High macrophage counts in mammary tumors corresponded
with poor prognosis. In contrast, physiological ovarian angiogenesis was a
ssociated with only minimal inflammatory recruitment of macrophages. Our da
ta show that MCP-1 is an indirect inflammation-associated inducer of angiog
enesis and demonstrate distinct qualitative differences between tumor angio
genesis in human mammary tumors and physiological angiogenesis in the ovary
. Int. J. Cancer 82:765-770, 1999, (C) 1999 Wiley-Liss. Inc.