Monocytes/Macrophages promote vascular CXCR4 expression via the ERK pathway in hepatocellular carcinoma.
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ABSTRACT: We recently identified CXCR4 as a novel vascular marker for vessel sprouting in hepatocellular carcinoma (HCC) tissues. Thus, CXCR4+ endothelial cells (ECs) could serve as a potential predictor for patients who may benefit from sorafenib treatment; however, the mechanism that regulates vascular CXCR4 expression in HCC remains largely unknown. Here, we revealed a large number of monocytes/macrophages (Mo/M?) to be selectively enriched in the perivascular areas of CXCR4+ vessels in HCC samples. The depletion of Mo/M? with gadolinium chloride (GdCl3) or zoledronic acid (ZA) treatment significantly reduced vascular CXCR4 expression in HCC tumors. This phenomenon was also confirmed in CCR2-KO mice, which exhibited reduced infiltration of inflammatory Mo/M? in tumor tissues. Mechanistic studies revealed that inflammatory cytokines derived from tumor conditioned Mo/M?, especially TNF-?, could up-regulate CXCR4 expression on ECs. TNF-?-induced activation of the Raf-ERK pathway, but not Notch signaling, was responsible for the expression of CXCR4. Moreover, the combination treatment of sorafenib with ZA was associated with improved anti-tumor efficacy by significantly reducing vascular CXCR4 expression. These findings revealed that Mo/M? could regulate CXCR4 expression in the tumor vasculature. Thus, the inhibition of Mo/M? inflammation might enhance the treatment efficacy of sorafenib in HCC.
SUBMITTER: Meng YM
PROVIDER: S-EPMC5790393 | biostudies-literature | 2018
REPOSITORIES: biostudies-literature
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