Vascular endothelial growth factor is an autocrine growth factor in human malignant mesothelioma

J Pathol. 2001 Apr;193(4):468-75. doi: 10.1002/path.824.


Vascular endothelial growth factor (VEGF), a potent mitogen for vascular endothelium, is expressed in malignant pleural mesothelioma (MM). The present report examines the effect of VEGF on MM growth. Four MM cell lines produced significantly higher VEGF levels than normal mesothelial cells (1946+/-14 pg/ml vs. 180+/-17 pg/ml; p<0.001). In addition, MM cells expressed the tyrosine kinase-related VEGF receptors Flt-1 and KDR. Recombinant human VEGF phosphorylated both Flt-1 and KDR and increased proliferation of all four MM cell lines in a dose-dependent fashion. Neutralizing antibodies against either VEGF, Flt-1 or KDR significantly reduced MM cellular proliferation. In addition, expression of VEGF, Flt-1, and KDR was observed in MM biopsies. Moreover, higher VEGF levels were found in the pleural effusions of MM patients than in the effusions of patients with non-malignant pleural disease (1885.7+/-894.9 pg/ml vs. 266.9+/-180.5 pg/ml; p<0.001). Linear regression analysis showed a significant inverse correlation between serum VEGF levels and MM patient survival (r=0.72; p<0.01). No correlation was found between tumour vessel density and either serum (r=0.26; p=0.42) or pleural effusion (r=0.35; p=0.26) VEGF levels. These results indicate that VEGF, via activation of its tyrosine kinase receptors, may be a key regulator of MM growth. In addition, VEGF production could have an impact on patient survival, not only by promoting tumour angiogenesis but also by directly stimulating tumour growth.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Autocrine Communication / physiology*
  • Biomarkers, Tumor / metabolism*
  • Cell Division / drug effects
  • Dose-Response Relationship, Drug
  • Endothelial Growth Factors / metabolism*
  • Endothelial Growth Factors / pharmacology
  • Extracellular Matrix Proteins / metabolism
  • Female
  • Humans
  • Lymphokines / metabolism*
  • Lymphokines / pharmacology
  • Male
  • Mesothelioma / blood supply
  • Mesothelioma / metabolism*
  • Middle Aged
  • Neovascularization, Pathologic / pathology
  • Phosphorylation / drug effects
  • Pleural Effusion, Malignant / metabolism
  • Pleural Neoplasms / blood supply
  • Pleural Neoplasms / metabolism*
  • Receptor Protein-Tyrosine Kinases / metabolism
  • Receptors, Growth Factor / metabolism
  • Receptors, Vascular Endothelial Growth Factor
  • Recombinant Proteins / pharmacology
  • Retrospective Studies
  • Survival Rate
  • Tumor Cells, Cultured
  • Vascular Endothelial Growth Factor A
  • Vascular Endothelial Growth Factor Receptor-1
  • Vascular Endothelial Growth Factors


  • Biomarkers, Tumor
  • Endothelial Growth Factors
  • Extracellular Matrix Proteins
  • Lymphokines
  • Receptors, Growth Factor
  • Recombinant Proteins
  • Vascular Endothelial Growth Factor A
  • Vascular Endothelial Growth Factors
  • FLT1 protein, human
  • Receptor Protein-Tyrosine Kinases
  • Receptors, Vascular Endothelial Growth Factor
  • Vascular Endothelial Growth Factor Receptor-1