Preferential Attachment of Peritoneal Tumor Metastases to Omental Immune Aggregates and Possible Role of a Unique Vascular Microenvironment in Metastatic Survival and Growth

Controlling metastases remains a critical problem in cancer biology. Within the peritoneal cavity, omental tissue is a common site for metastatic disease arising from intraperitoneal tumors; however, it is unknown why this tissue is so favorable for metastatic tumor growth. Using five different tumo...

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Veröffentlicht in:The American journal of pathology 2006-11, Vol.169 (5), p.1739-1752
Hauptverfasser: Gerber, Scott A., Rybalko, Viktoriya Y., Bigelow, Chad E., Lugade, Amit A., Foster, Thomas H., Frelinger, John G., Lord, Edith M.
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container_end_page 1752
container_issue 5
container_start_page 1739
container_title The American journal of pathology
container_volume 169
creator Gerber, Scott A.
Rybalko, Viktoriya Y.
Bigelow, Chad E.
Lugade, Amit A.
Foster, Thomas H.
Frelinger, John G.
Lord, Edith M.
description Controlling metastases remains a critical problem in cancer biology. Within the peritoneal cavity, omental tissue is a common site for metastatic disease arising from intraperitoneal tumors; however, it is unknown why this tissue is so favorable for metastatic tumor growth. Using five different tumor cell lines in three different strains of mice, we found that the omentum was a major site of metastases growth for intraperitoneal tumors. Furthermore, initial attachment and subsequent growth were limited to specific sites within the omentum, consisting of organized aggregates of immune cells. These immune aggregates contained a complex network of capillaries exhibiting a high vascular density, which appear to contribute to the survival of metastatic cells. We found that the vasculature within these aggregates contained CD105 + vessels and vascular sprouts, both indicators of active angiogenesis. A subset of mesothelial cells situated atop the immune aggregates was found to be hypoxic, and a similar proportion was observed to secrete vascular endothelial growth factor-A. These data provide a physiological mechanism by which metastatic tumor cells preferentially grow at sites rich in proangiogenic vessels, apparently stimulated by angiogenic factors produced by mesothelial cells. These sites provide metastatic cells with a microenvironment highly conducive to survival and subsequent growth.
doi_str_mv 10.2353/ajpath.2006.051222
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source MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Animals
Antigen-Antibody Complex - immunology
Biological and medical sciences
Cell Hypoxia
Cell Line, Tumor
Epithelium - pathology
Investigative techniques, diagnostic techniques (general aspects)
Macrophages - immunology
Medical sciences
Mice
Mice, Inbred BALB C
Mice, Inbred C57BL
Models, Immunological
Neoplasm Metastasis
Omentum - blood supply
Omentum - cytology
Omentum - immunology
Omentum - pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Peritoneal Cavity - cytology
Peritoneal Cavity - pathology
Peritoneal Neoplasms - blood supply
Peritoneal Neoplasms - pathology
Phenotype
Regular
Vascular Cell Adhesion Molecule-1 - metabolism
Vascular Endothelial Growth Factor A - biosynthesis
title Preferential Attachment of Peritoneal Tumor Metastases to Omental Immune Aggregates and Possible Role of a Unique Vascular Microenvironment in Metastatic Survival and Growth
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