Does VEGF facilitate local tumor growth and spread into the abdominal cavity by suppressing endothelial cell adhesion, thus increasing vascular peritoneal permeability followed by ascites production in ovarian cancerReport as inadecuate




Does VEGF facilitate local tumor growth and spread into the abdominal cavity by suppressing endothelial cell adhesion, thus increasing vascular peritoneal permeability followed by ascites production in ovarian cancer - Download this document for free, or read online. Document in PDF available to download.

Molecular Cancer

, 15:13

First Online: 12 February 2016Received: 02 May 2015Accepted: 04 February 2016DOI: 10.1186-s12943-016-0497-3

Cite this article as: Bekes, I., Friedl, T.W.P., Köhler, T. et al. Mol Cancer 2016 15: 13. doi:10.1186-s12943-016-0497-3

Abstract

BackgroundOvarian cancer is mostly associated with pathologically regulated permeability of peritoneal vessels, leading to ascites. Here, we investigated the molecular regulation of endothelial permeability by the vascular endothelial growth factor VEGF and both tight and adherens junction proteins VE-cadherin and claudin 5 with regards to the tumor biology of different ovarian cancer types.

MethodsSerum and ascites samples before and after surgery, as well as peritoneal biopsies of 68 ovarian cancer patients and 20 healthy controls were collected. In serum and ascites VEGF protein was measured by ELISA. In peritoneal biopsies co-localization of VE-cadherin and claudin 5 was investigated using immunohistochemical dual staining. In addition, the gene expression of VE-cadherin and claudin 5 was quantified by Real-time PCR. Differences in VEGF levels, VE-cadherin and claudin 5 gene expression were analyzed in relation to various tumor characteristics tumor stage, grading, histological subtypes, resection status after surgery and then compared to controls. Furthermore, human primary ovarian cancer cells were co-cultured with human umbilical vein endothelial cells HUVEC and changes in VE-cadherin and claudin 5 were investigated after VEGF inhibition.

ResultsVEGF was significantly increased in tumor patients in comparison to controls and accumulates in ascites. The highest VEGF levels were found in patients diagnosed with advanced tumor stages, with tumors of poor differentiation, or in the group of solid - cystic-solid tumors. Patients with residual tumor after operation showed significantly higher levels of VEGF both before and after surgery as compared to tumor-free resected patients. Results of an immunohistochemical double-staining experiment indicated co-localization of VE-cadherin and claudin 5 in the peritoneal vasculature. Compared to controls, expression of VE-cadherin and claudin 5 was significantly suppressed in peritoneal vessels of tumor patients, but there were no significant differences regarding VE-cadherin and claudin 5 expression in relation to different tumor characteristics. A significant positive correlation was found between VE-cadherin and claudin 5 expression. VEGF inhibition in vitro was associated with significant increase in VE-cadherin and claudin 5.

ConclusionsOur results indicate that increased peritoneal permeability in ovarian cancer is due to down-regulation of adhesion proteins via tumor derived VEGF. Advanced ovarian cancer with aggressive tumor biology may be associated with early dysregulation of vascular permeability leading to ascites. These patients may benefit from therapeutic VEGF inhibition.

KeywordsOvarian cancer Vascular permeability Ascites VEGF VE-cadherin Claudin 5  Download fulltext PDF



Author: Inga Bekes - Thomas W. P. Friedl - Tanja Köhler - Volker Möbus - Wolfgang Janni - Achim Wöckel - Christine Wulff

Source: https://link.springer.com/



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