Induction of angiogenesis by normal and malignant plasma cells

被引:103
作者
Hose, Dirk [1 ,2 ]
Moreaux, Jerome [3 ,4 ]
Meissner, Tobias [1 ]
Seckinger, Anja [1 ]
Goldschmidt, Hartmut [1 ,2 ]
Benner, Axel [5 ]
Mahtouk, Karene [3 ,4 ]
Hillengass, Jens [1 ,6 ]
Reme, Thierry [3 ,4 ]
De Vos, John [3 ,4 ]
Hundemer, Michael [1 ]
Condomines, Maud [3 ,4 ]
Bertsch, Uta [1 ]
Rossi, Jean-Francois [3 ,4 ]
Jauch, Anna [7 ]
Klein, Bernard [3 ,4 ]
Moehler, Thomas [1 ,2 ]
机构
[1] Univ Klinikum Heidelberg, Med Klin V, D-69120 Heidelberg, Germany
[2] Natl Ctr Tumorerkrankungen, Heidelberg, Germany
[3] Hop St Eloi, CHU Montpellier, Inst Res Biotherapy, Montpellier, France
[4] INSERM, U847, Montpellier, France
[5] Deutsch Krebsforschungszentrum, Biostat Abt, D-6900 Heidelberg, Germany
[6] Deutsch Krebsforschungszentrum, Abt Radiol, D-6900 Heidelberg, Germany
[7] Univ Klinikum Heidelberg, Inst Humangenet, D-69120 Heidelberg, Germany
关键词
BONE-MARROW ANGIOGENESIS; HEPATOCYTE GROWTH-FACTOR; MULTIPLE-MYELOMA; PROGNOSTIC-FACTOR; STAGING SYSTEM; STEM-CELL; SURVIVAL; EXPRESSION; MODEL; THALIDOMIDE;
D O I
10.1182/blood-2008-10-184226
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Abundant bone marrow angiogenesis is present in almost all myeloma patients requiring therapy and correlated to treatment response and survival. We assessed the expression of 402 angiogenesis-associated genes by Affymetrix DNA microarrays in 466 samples, including CD138-purified myeloma cells (MMCs) from 300 previously untreated patients, in vivo microcirculation by dynamic contrast-enhanced magnetic resonance imaging, and in vitro angiogenesis (AngioKit-assay). Normal bone marrow plasma cells (BMPCs) express a median of 39 proangiogenic (eg, VEGFA, ADM, IGF-1) and 28 antiangiogenic genes (eg, TIMP1, TIMP2). Supernatants of BMPCs unlike those of memory B cells induce angiogenesis in vitro. MMCs do not show a significantly higher median number of expressed proangiogenic (45) or antiangiogenic (31) genes, but 97% of MMC samples aberrantly express at least one of the angiogenic factors HGF, IL-15, ANG, APRIL, CTGF, or TGFA. Supernatants of MMCs and human myeloma cell lines induce significantly higher in vitro angiogenesis compared with BMPCs. In conclusion, BMPCs express a surplus of proangiogenic over antiangiogenic genes transmitting to the ability to induce in vitro angiogenesis. Aberrant expression of proangiogenic and down-regulation of antiangiogenic genes by MMCs further increases the angiogenic stimulus, together leading to bone marrow angiogenesis at various degrees in all myeloma patients. ( Blood. 2009; 114:128-143)
引用
收藏
页码:128 / 143
页数:16
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