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Blood, 1 November 2007, Vol. 110, No. 9, pp. 3158-3167.
Prepublished online as a Blood First Edition Paper on July 11, 2007; DOI 10.1182/blood-2007-01-066811.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

VEGF-A produced by chronically inflamed tissue induces lymphangiogenesis in draining lymph nodes

Cornelia Halin1, Nadja E. Tobler1, Benjamin Vigl1, Lawrence F. Brown2, and Michael Detmar1

1 Institute of Pharmaceutical Sciences, Swiss Federal Institute of Technology, Zurich, Switzerland; and 2 Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

Lymphangiogenesis is involved in tumor cell metastasis and plays a major role in chronic inflammatory disorders. To investigate the role of lymphangiogenesis in inflammation, we induced and maintained delayed-type hypersensitivity (DTH) reactions in the ears of mice and then analyzed the resulting lymphangiogenesis in the inflamed tissue and draining lymph nodes (LNs) by quantitative fluorescence-activated cell sorting (FACS) and by immunofluorescence. Long-lasting inflammation induced a significant increase in the number of lymphatic endothelial cells, not only in the inflamed ears but also in the ear-draining auricular LNs. Inflammation-induced lymphangiogenesis was potently blocked by systemic administration of a vascular endothelial growth factor (VEGF)-A neutralizing antibody. Surprisingly, tissue inflammation specifically induced LN lymphangiogenesis but not LN angiogenesis. These findings were explained by analysis of both VEGF-A protein and mRNA levels, which revealed that VEGF-A was expressed at high mRNA and protein levels in inflamed ears but that expression was increased only at the protein level in activated LNs. Inflammation-induced lymphangiogenesis in LNs was independent of the presence of nodal B lymphocytes, as shown in B cell-deficient mice. Our data reveal that chronic inflammation actively induces lymphangiogenesis in LNs, which is controlled remotely, by lymphangiogenic factors produced at the site of inflammation.


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