Vascular endothelial growth factor C-induced lymphangiogenesis decreases tumor interstitial fluid pressure and tumor

Matthias Hofmann1, Ralph Pflanzer, Nadja Nicole Zoller

  • 1Department of Dermatology, Venereology and Allergology, Goethe University, Frankfurt/Main, Germany.

Translational Oncology
|August 3, 2013
PubMed

Insights

Elevated tumor interstitial fluid pressure (TIFP) hinders drug delivery. Inducing lymphangiogenesis with vascular endothelial growth factor C (VEGF-C) effectively reduced TIFP and tumor growth in a mouse model.

Area of Science:

  • Oncology
  • Biomedical Engineering
  • Vascular Biology

Background:

  • Solid tumors often display elevated tumor interstitial fluid pressure (TIFP), impeding macromolecular therapeutic uptake.
  • Tumor-associated lymphatic vessel abnormalities are key factors in developing and sustaining high TIFP.
  • Reduced lymphatic drainage contributes to increased TIFP, negatively impacting drug delivery and tumor treatment.

Purpose of the Study:

  • To investigate if enhancing tumor-associated lymphangiogenesis using vascular endothelial growth factor C (VEGF-C) can reduce TIFP.
  • To explore VEGF-C as a novel mechanism for actively lowering TIFP through increased lymphatic drainage.
  • To assess the impact of induced lymphangiogenesis on tumor growth and biomechanical properties.

Main Methods:

  • A xenograft mouse model was established using human A431 epidermoid vulva carcinoma cells in NMRI nu/nu mice.
  • Vascular endothelial growth factor C (VEGF-C) was administered peritumorally to induce lymphangiogenesis.
  • Tumor growth and TIFP were monitored over time in VEGF-C-treated, VEGF-A-treated, and control groups.

Main Results:

  • VEGF-C treatment significantly lowered TIFP compared to control and VEGF-A groups.
  • Tumor growth was significantly reduced in VEGF-C-treated animals over time.
  • Actively induced lymphangiogenesis demonstrated a capacity to lower TIFP in vivo.

Conclusions:

  • This study demonstrates for the first time that induced lymphangiogenesis can effectively lower TIFP in a xenograft tumor model.
  • VEGF-C-mediated lymphangiogenesis presents a novel strategy to modulate tumor biomechanical properties and enhance therapeutic delivery.
  • The developed model offers a new approach for reducing TIFP and potentially improving treatment outcomes in solid tumors.

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