We have used the avian chorioallantoic membrane (CAM) to study the interact
ion of tumor cells with the lymphatics in vivo. The vascular endothelial gr
owth factor-C (VEGF-C) has been shown to be lymphangiogenic. We have theref
ore grown VEGF-C-expressing human A375 melanoma cells on the CAM. These tum
ors induced numerous lymphatics at the invasive front, and compressed or de
stroyed VEGF receptor (R)-3-positive lymphatics were observed within the so
l id tumors. The lymphatics in the CAM and in the A375 melanomas could also
be demonstrated with an antibody against Prox 1, a highly specific marker
of lymphatic endothelial cells. Proliferation studies revealed a BrdU label
ing index of 11.6% of the lymphatic endothelial cells in the tumors and at
their margins. A great number of melanoma cells invaded the lymphatics. Suc
h interactions were not observed with VEGF-C-negative Malme 3 M melanoma ce
lls. Lymphangiogenesis was inhibited to some extent when A375 melanoma cell
s were transfected with cDNA encoding soluble VEGFR-3 (sflt4), and the BrdU
labeling index of the lymphatics in these tumors was 3.9%. Invasion of lym
phatics and growth of blood vascular capillaries were not inhibited by the
transfection. Therefore, tumor-induced lymphangiogenesis seems to be depend
ent to some extent on VEGF-C/flt4 interactions, but invasion of lymphatics
seems to be a distinct mechanism.