S. Marchio et al., Vascular endothelial growth factor-C stimulates the migration and proliferation of Kaposi's sarcoma cells, J BIOL CHEM, 274(39), 1999, pp. 27617-27622
Recent evidence suggesting vascular endothelial growth factor-C (VEGF-C), w
hich is a regulator of lymphatic and vascular endothelial development, rais
ed the question whether this molecule could be involved in Kaposi's sarcoma
(KS), a strongly angiogenic and inflammatory tumor often associated with i
nfection by human immunodeficiency virus-1. This disease is characterized b
y the presence of a core constituted of three main populations of "spindle"
cells, having the features of lymphatic/vascular endothelial cells, macrop
hagic/ dendritic cells, and of a mixed macrophage endothelial phenotype.
In this study we evaluated the biological response of KS cells to VEGF-C, u
sing an immortal cell line derived from a KS lesion (KS IMM), which retains
most features of the parental tumor and can induce KS-like sarcomas when i
njected subcutaneously in nude mice. We show that VEGFR-3, the specific rec
eptor for VEGF-C, is expressed by KS IMM cells grown in vitro and in vivo.
In vitro, VEGF-C induces the tyrosine phosphorylation of VEGFR-2, a recepto
r also for VEGF-A, as well as that of VEGFR-3. The activation of these two
receptors in KS IMM cells is followed by a dose-responsive mitogenic and mo
togenic response. The stimulation of KS IMM cells with a mutant VEGF-C unab
le to bind and activate VEFGR-2 resulted in no proliferative response and i
n a weak motogenic stimulation, suggesting that VEGFR-2 is essential in tra
nsducing a proliferative signal and cooperates with VEGFR-3 in inducing cel
l migration.
Our data add new insights on the pathogenesis of KS, suggesting that the in
volvement of endothelial growth factors may not only determine KS-associate
d angiogenesis, but also play a critical role in controlling KS cell growth
and/or migration and invasion.