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Blood, Vol. 92 No. 11 (December 1), 1998:
pp. 4150-4166
Vascular Endothelial Growth Factor Inhibits the Development of
Dendritic Cells and Dramatically Affects the Differentiation of
Multiple Hematopoietic Lineages In Vivo
Dmitry Gabrilovich,
Tadao Ishida,
Tsunehiro Oyama,
Sophia Ran,
Vladimir Kravtsov,
Sorena Nadaf, and
David P. Carbone
From the Department of Medicine and The Vanderbilt Cancer Center,
Vanderbilt University School of Medicine, Nashville, TN; and the Hamon
Center for Therapeutic Oncology Research, University of Texas
Southwestern Medical Center, Dallas.
Defective function of dendritic cells (DC) in cancer has been
recently described and may represent one of the mechanisms of tumor
evasion from immune system control. We have previously shown in vitro
that vascular endothelial growth factor (VEGF), produced by almost all
tumors, is one of the tumor-derived factors responsible for the
defective function of these cells. In this study, we investigated whether in vivo infusion of recombinant VEGF could reproduce the observed DC dysfunction. Continuous VEGF infusion, at rates as low as
50 ng/h (resulting in serum VEGF concentrations of 120 to 160 pg/mL),
resulted in a dramatic inhibition of dendritic cell development,
associated with an increase in the production of B cells and immature
Gr-1+ myeloid cells. Infusion of VEGF was associated with
inhibition of the activity of the transcription factor NF- B in bone
marrow progenitor cells. Experiments in vitro showed that VEGF itself, and not factors released by VEGF-activated endothelial cells, affected
polypotent stem cells resulting in the observed abnormal hematopoiesis.
These data suggest that VEGF, at pathologically relevant concentrations
in vivo, may exert effects on pluripotent stem cells that result in
blocked DC development as well as affect many other hematopoietic
lineages.

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