VEGF and VEGF type C play an important role in angiogenesis and lymphangiogenesis in human malignant mesothelioma tumours

Br J Cancer. 1999 Sep;81(1):54-61. doi: 10.1038/sj.bjc.6690650.


The vascular endothelial growth factor (VEGF) family is a novel regulator of endothelial cell proliferation. We assessed the mRNA expression of VEGF, VEGF type C (VEGF-C) and their receptors together with the microvessel density (VD) and microlymphatic vessel density (LVD) in pursuit of their connection and prognostic value in malignant pleural mesothelioma (MPM). We used four human MPM cell lines, 54 MPM tumours and five normal pleural tissues. Expression levels for receptors and ligands were assessed by semiquantitative reverse transcriptase polymerase chain reaction analysis. Microvessels were highlighted by immunohistochemical staining for factor VIII. The discrimination of lymphatics was performed by enzyme-histochemistry for 5'-nucleotidase after adequate inhibition of non-specific activity. The expression levels of VEGF, VEGF-C and VEGFRs were high in all MPM cell lines. The percentages of tumours with higher expression compared to the mean values of normal pleural tissues were 31.5% (17/54) for VEGF, 66.7% (36/54) for VEGF-C, 20.4% (11/54) for fms-like tyrosine kinase (flt)-1, 42.6% (23/54) for kinase insert domain-containing recepter (KDR) and 59.3% (32/54) for flt-4. Significant positive correlations were found between VEGF-C and flt-4, VEGF and KDR, VEGF and flt-1 in tumour tissues. The association between LVD and VEGF-C expression level was especially strong (P< 0.0001, r= 0.63). There were also significant correlations between LVD and flt-4, and VD and VEGF. No correlation, however, was found between LVD and nodal metastasis. VD was a negative prognostic indicator in this study. The associations between VEGFNEGF-C and vessel density suggest that these factors play an important role in angiogenesis and lymphangiogenesis in this tumour, and assessment of vascularity may be a useful prognostic indicator for MPM patients.

Publication types

  • Comparative Study

MeSH terms

  • 5'-Nucleotidase / metabolism
  • Endothelial Growth Factors / biosynthesis
  • Endothelial Growth Factors / physiology*
  • Humans
  • Immunohistochemistry
  • Lymphatic System / metabolism
  • Lymphatic System / physiopathology*
  • Lymphokines / biosynthesis
  • Lymphokines / physiology*
  • Mesothelioma / blood supply*
  • Mesothelioma / metabolism*
  • Mesothelioma / surgery
  • Neovascularization, Pathologic / etiology*
  • Neovascularization, Pathologic / metabolism
  • Pleura / metabolism
  • Pleural Neoplasms / blood supply*
  • Pleural Neoplasms / metabolism*
  • Pleural Neoplasms / surgery
  • Proto-Oncogene Proteins / biosynthesis
  • RNA, Messenger / metabolism
  • Receptor Protein-Tyrosine Kinases / biosynthesis
  • Receptors, Growth Factor / biosynthesis
  • Receptors, Vascular Endothelial Growth Factor
  • Reverse Transcriptase Polymerase Chain Reaction
  • Staining and Labeling / methods
  • Tumor Cells, Cultured
  • Vascular Endothelial Growth Factor A
  • Vascular Endothelial Growth Factor Receptor-1
  • Vascular Endothelial Growth Factors


  • Endothelial Growth Factors
  • Lymphokines
  • Proto-Oncogene Proteins
  • RNA, Messenger
  • Receptors, Growth Factor
  • Vascular Endothelial Growth Factor A
  • Vascular Endothelial Growth Factors
  • Receptor Protein-Tyrosine Kinases
  • Receptors, Vascular Endothelial Growth Factor
  • Vascular Endothelial Growth Factor Receptor-1
  • 5'-Nucleotidase