Angiogenic profile of breast carcinoma determines leukocyte infiltration.

Clin Cancer Res

Angiogenesis Laboratory, Research Institute for Growth and Development, Department of Internal Medicine, University Hospital Maastricht, Maastricht, The Netherlands.

Published: November 2004

AI Article Synopsis

  • * Medullary carcinoma showed a 3.2-fold higher number of infiltrating leukocytes compared to ductal carcinoma, likely due to a significant increase in endothelial ICAM-1 expression in the medullary type.
  • * While ductal carcinomas expressed higher levels of VEGF-C and VEGF-D, the presence of these factors in vitro was found to decrease endothelial ICAM-1 expression, suggesting that angiogenic stimuli could hinder effective leukocyte infiltration in tumors.

Article Abstract

To study the relationship between the angiogenic profile and leukocyte infiltration of tumors, single cell suspensions of archival frozen medullary and ductal breast cancer tissues were analyzed by flow cytometry. The amount of leukocytes and endothelial cells was measured, as well as the expression of intercellular adhesion molecule-1 (ICAM-1) on the endothelial cell fraction. A significantly higher number (3.2-fold) of infiltrating leukocytes was observed in medullary carcinoma. The composition of this infiltrate was similar to that seen in ductal carcinomas. The more intense infiltrate was explained by the approximately 3-fold enhanced endothelial ICAM-1 expression in medullary carcinoma. The angiogenic profile of all tumors was assessed by quantitative real-time reverse transcription-PCR analysis. Vascular endothelial growth factor (VEGF)-C and VEGF-D, but not VEGF-A, basic fibroblast growth factor, placental growth factor, and angiopoietins 1, 2, and 3 showed a relatively higher level of expression in ductal carcinoma than in medullary carcinoma. In vitro, both VEGF-C and VEGF-D were found to decrease endothelial ICAM-1 expression in the presence of basic fibroblast growth factor. These data suggest that in vivo angiogenic stimuli prevent the formation of an effective leukocyte infiltrate in tumors by suppressing endothelial ICAM-1 expression.

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http://dx.doi.org/10.1158/1078-0432.CCR-04-0742DOI Listing

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