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      Lymphatic endothelium stimulates melanoma metastasis and invasion via MMP14-dependent Notch3 and β1-integrin activation

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          Abstract

          Lymphatic invasion and lymph node metastasis correlate with poor clinical outcome in melanoma. However, the mechanisms of lymphatic dissemination in distant metastasis remain incompletely understood. We show here that exposure of expansively growing human WM852 melanoma cells, but not singly invasive Bowes cells, to lymphatic endothelial cells (LEC) in 3D co-culture facilitates melanoma distant organ metastasis in mice. To dissect the underlying molecular mechanisms, we established LEC co-cultures with different melanoma cells originating from primary tumors or metastases. Notably, the expansively growing metastatic melanoma cells adopted an invasively sprouting phenotype in 3D matrix that was dependent on MMP14, Notch3 and β1-integrin. Unexpectedly, MMP14 was necessary for LEC-induced Notch3 induction and coincident β1-integrin activation. Moreover, MMP14 and Notch3 were required for LEC-mediated metastasis of zebrafish xenografts. This study uncovers a unique mechanism whereby LEC contact promotes melanoma metastasis by inducing a reversible switch from 3D growth to invasively sprouting cell phenotype.

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          The death rates for many types of cancer have dropped, but melanoma remains a serious concern. This type of skin cancer is especially aggressive because it can spread to distant organs. Melanoma often spreads via the lymphatic system, a network of vessels that extends throughout the body to drain fluid from the body’s tissues. The lymphatic system also includes structures – called lymph nodes – that filter bacteria from this fluid; this helps to defend against infection.

          When melanoma spreads to lymph nodes and distant organs, clinicians diagnose it as Stage IV melanoma. For patients at this stage, the outcome is often poor. It is clear that melanoma exploits lymph vessels to spread throughout the body. But researchers also suspect that vessel cells interact with the cancer cells, helping the melanoma invade distant organs. Understanding exactly how lymph vessels promote the spread of melanoma will lead to better options for treating this aggressive cancer.

          Pekkonen, Alve et al. investigated whether exposing human melanoma cells to cells from the walls of human lymph vessels would make the cancer cells more aggressive. Indeed, after growing the two cell types together in the laboratory, the melanoma cells became more invasive. When transplanted into mice, these cancer cells spread to and invaded the rodents’ distant organs.

          Pekkonen, Alve et al. conducted a series of experiments to identify specific proteins in the melanoma cellsthat were responsible for making the cancer more invasive after it interacted with the lymph vessel cells. These experiments identified proteins called MMP14, Notch3, and β1-integrin as critical to the invasive spread of melanoma cells. When melanoma cells with less MMP14 or Notch3 were implanted into zebrafish, the cancer cells spread less efficiently. These findings may represent new leads that clinicians can test to see if they are markers of cancers that are most likely to spread and that the pharmaceutical industry can pursue to treat melanoma patients.

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          Most cited references29

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          Autologous chemotaxis as a mechanism of tumor cell homing to lymphatics via interstitial flow and autocrine CCR7 signaling.

          CCR7 is implicated in lymph node metastasis of cancer, but its role is obscure. We report a mechanism explaining how interstitial flow caused by lymphatic drainage directs tumor cell migration by autocrine CCR7 signaling. Under static conditions, lymphatic endothelium induced CCR7-dependent chemotaxis of tumor cells through 3D matrices. However, interstitial flow induced strong increases in tumor cell migration that were also CCR7 dependent, but lymphatic independent. This autologous chemotaxis correlated with metastatic potential in four cell lines and was verified by visualizing directional polarization of cells in the flow direction. Computational modeling revealed that transcellular gradients of CCR7 ligand were created under flow to drive this response. This illustrates how tumor cells may be guided to lymphatics during metastasis.
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            Integration of Endothelial Cells in Multicellular Spheroids Prevents Apoptosis and Induces Differentiation

            Single endothelial cells (EC) seeded in suspension culture rapidly undergo apoptosis. Addition of survival factors, such as VEGF and FGF-2, does not prevent apoptosis of suspended EC. However, when cells are allowed to establish cell–cell contacts, they become responsive to the activities of survival factors. These observations have led to the development of a three-dimensional spheroid model of EC differentiation. EC spheroids remodel over time to establish a differentiated surface layer of EC and a center of unorganized EC that subsequently undergo apoptosis. Surface EC become quiescent, establish firm cell–cell contacts, and can be induced to express differentiation antigens (e.g., induction of CD34 expression by VEGF). In contrast, the unorganized center spheroid cells undergo apoptosis if they are not rescued by survival factors. The responsiveness to the survival factor activities of VEGF and FGF-2 was not dependent on cell shape changes since it was retained after cytochalasin D treatment. Taken together, these findings characterize survival factor requirements of unorganized EC and indicate that polarized surface EC differentiate to become independent of exogenous survival factors. Furthermore, they demonstrate that spheroid cell culture systems are useful not just for the study of tumor cells and embryonic stem cells but also for the analysis of differentiated functions of nontransformed cells.
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              Interaction of tumor cells and lymphatic vessels in cancer progression.

              Metastatic spread of cancer through the lymphatic system affects hundreds of thousands of patients yearly. Growth of new lymphatic vessels, lymphangiogenesis, is activated in cancer and inflammation, but is largely inactive in normal physiology, and therefore offers therapeutic potential. Key mediators of lymphangiogenesis have been identified in developmental studies. During embryonic development, lymphatic endothelial cells derive from the blood vascular endothelium and differentiate under the guidance of lymphatic-specific regulators, such as the prospero homeobox 1 transcription factor. Vascular endothelial growth factor-C (VEGF-C) and VEGF receptor 3 signaling are essential for the further development of lymphatic vessels and therefore they provide a promising target for inhibition of tumor lymphangiogenesis. Lymphangiogenesis is important for the progression of solid tumors as shown for melanoma and breast cancer. Tumor cells may use chemokine gradients as guidance cues and enter lymphatic vessels through intercellular openings between endothelial cell junctions or, possibly, by inducing larger discontinuities in the endothelial cell layer. Tumor-draining sentinel lymph nodes show enhanced lymphangiogenesis even before cancer metastasis and they may function as a permissive 'lymphovascular niche' for the survival of metastatic cells. Although our current knowledge indicates that the development of anti-lymphangiogenic therapies may be beneficial for the treatment of cancer patients, several open questions remain with regard to the frequency, mechanisms and biological importance of lymphatic metastases.
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                Author and article information

                Contributors
                Role: Reviewing Editor
                Journal
                eLife
                Elife
                eLife
                eLife
                eLife Sciences Publications, Ltd
                2050-084X
                01 May 2018
                2018
                : 7
                : e32490
                Affiliations
                [1 ]deptResearch Programs Unit, Translational Cancer Biology University of Helsinki HelsinkiFinland
                [2 ]deptGenome-Scale Biology University of Helsinki HelsinkiFinland
                [3 ]deptTurku Centre for Biotechnology University of Turku TurkuFinland
                [4 ]deptDepartment of Biochemistry University of Turku TurkuFinland
                [5 ]Wihuri Research Institute HelsinkiFinland
                [6 ]deptDepartment of Microbiology Tumor and Cell Biology, Karolinska Institutet StockholmSweden
                [7 ]Foundation for the Finnish Cancer Institute HelsinkiFinland
                [8 ]deptSection of Virology, Division of Infectious Diseases, Department of Medicine Imperial College London LondonUnited Kingdom
                [9]Max Planck Institute of Biochemistry Germany
                [10]Max Planck Institute of Biochemistry Germany
                Author notes
                [†]

                These authors contributed equally to this work.

                Author information
                https://orcid.org/0000-0002-6295-6556
                https://orcid.org/0000-0001-9110-8719
                https://orcid.org/0000-0001-9065-1832
                Article
                32490
                10.7554/eLife.32490
                5929907
                29712618
                259e1de1-7ca0-4f49-9d10-e1742f8d008f
                © 2018, Pekkonen et al

                This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.

                History
                : 03 October 2017
                : 24 March 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100005878, Terveyden Tutkimuksen Toimikunta;
                Award ID: 307366
                Award Recipient :
                Funded by: Finnish Cancer Foundation;
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100006306, Sigrid Juséliuksen Säätiö;
                Award Recipient :
                Funded by: University of Helsinki;
                Award ID: Doctoral program in Biomedicine
                Award Recipient :
                Funded by: University of Helsinki Foundation;
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100008723, Suomen Lääketieteen Säätiö;
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100004756, Emil Aaltosen Säätiö;
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100005878, Terveyden Tutkimuksen Toimikunta;
                Award ID: 309544
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/501100005878, Terveyden Tutkimuksen Toimikunta;
                Award Recipient :
                The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.
                Categories
                Research Article
                Cancer Biology
                Cell Biology
                Custom metadata
                The melanoma cell interaction with lymphatic endothelial cells promotes melanoma metastasis by inducing a reversible switch to invasively sprouting melanoma cells.

                Life sciences
                melanoma,lymphatic endothelial cell,notch,mmp14,integrin,metastasis,human,mouse,zebrafish
                Life sciences
                melanoma, lymphatic endothelial cell, notch, mmp14, integrin, metastasis, human, mouse, zebrafish

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