Skip to main content
Top
Published in: BMC Medicine 1/2004

Open Access 01-12-2004 | Research article

Morphological evidence for an invasion-independent metastasis pathway exists in multiple human cancers

Authors: Takashi Sugino, Tomiko Yamaguchi, Go Ogura, Atsuko Saito, Takeaki Hashimoto, Nobuo Hoshi, Sayaka Yoshida, Steve Goodison, Toshimitsu Suzuki

Published in: BMC Medicine | Issue 1/2004

Login to get access

Abstract

Background

We have previously described an alternative invasion-independent pathway of cancer metastasis in a murine mammary tumor model. This pathway is initiated by intravasation of tumor nests enveloped by endothelial cells of sinusoidal vasculature within the tumor. In this study, we examined whether evidence for the invasion-independent pathway of metastasis is present in human cancers.

Methods

Archival specimens of 10 common types of human cancers were examined for the presence of sinusoidal vasculature enveloping tumor nests and subsequently generated endothelial-covered tumor emboli in efferent veins.

Results

A percentage of tumor emboli in all cancers was found to be enveloped by endothelial cells, but these structures were particularly prevalent in renal cell carcinomas, hepatocellular carcinomas and follicular thyroid carcinomas. A common feature of the vasculature in these tumors was the presence of dilated sinusoid-like structures surrounding tumor nests. A high mean vascular area within tumors, an indication of sinusoidal vascular development, was significantly related to the presence of endothelial-covered tumor emboli.

Conclusions

These results suggest that an invasion-independent metastatic pathway is possible in a wide variety of human cancers. Further investigation of this phenomenon may present new therapeutic strategies for the amelioration of cancer metastasis.
Appendix
Available only for authorised users
Literature
1.
go back to reference Fidler IJ, Balch CM: The biology of cancer metastasis and implications for therapy. Curr Probl Surg. 1987, 24: 129-209.CrossRefPubMed Fidler IJ, Balch CM: The biology of cancer metastasis and implications for therapy. Curr Probl Surg. 1987, 24: 129-209.CrossRefPubMed
2.
go back to reference Chambers AF, Groom AC, MacDonald IC: Dissemination and growth of cancer cells in metastatic sites. Nat Rev Cancer. 2002, 2: 563-572. 10.1038/nrc865.CrossRefPubMed Chambers AF, Groom AC, MacDonald IC: Dissemination and growth of cancer cells in metastatic sites. Nat Rev Cancer. 2002, 2: 563-572. 10.1038/nrc865.CrossRefPubMed
3.
go back to reference Sugino T, Kawaguchi T, Suzuki T: Sequential process of blood-borne lung metastases of spontaneous mammary carcinoma in C3H mice. Int J Cancer. 1993, 55: 141-147.CrossRefPubMed Sugino T, Kawaguchi T, Suzuki T: Sequential process of blood-borne lung metastases of spontaneous mammary carcinoma in C3H mice. Int J Cancer. 1993, 55: 141-147.CrossRefPubMed
4.
go back to reference Sugino T, Kusakabe T, Hoshi N, Yamaguchi T, Kawaguchi T, Goodison S, Sekimata M, Homma Y, Suzuki T: An invasion-independent pathway of blood-borne metastasis: a new murine mammary tumor model. Am J Pathol. 2002, 160: 1973-1980.CrossRefPubMedPubMedCentral Sugino T, Kusakabe T, Hoshi N, Yamaguchi T, Kawaguchi T, Goodison S, Sekimata M, Homma Y, Suzuki T: An invasion-independent pathway of blood-borne metastasis: a new murine mammary tumor model. Am J Pathol. 2002, 160: 1973-1980.CrossRefPubMedPubMedCentral
5.
go back to reference Rosai J, Carcangui ML, DeLellis RA: Tumors of the thyroid gland. Atlas of Tumor Pathology. Edited by: Rosai J and Sobin L H. 1992, Washington DC, Armed Forces Institute of Pathology, 49-63. Rosai J, Carcangui ML, DeLellis RA: Tumors of the thyroid gland. Atlas of Tumor Pathology. Edited by: Rosai J and Sobin L H. 1992, Washington DC, Armed Forces Institute of Pathology, 49-63.
6.
go back to reference Thompson LD, Wieneke JA, Paal E, Frommelt RA, Adair CF, Heffess CS: A clinicopathologic study of minimally invasive follicular carcinoma of the thyroid gland with a review of the English literature. Cancer. 2001, 91: 505-524. 10.1002/1097-0142(20010201)91:3<505::AID-CNCR1029>3.0.CO;2-6.CrossRefPubMed Thompson LD, Wieneke JA, Paal E, Frommelt RA, Adair CF, Heffess CS: A clinicopathologic study of minimally invasive follicular carcinoma of the thyroid gland with a review of the English literature. Cancer. 2001, 91: 505-524. 10.1002/1097-0142(20010201)91:3<505::AID-CNCR1029>3.0.CO;2-6.CrossRefPubMed
7.
go back to reference Fox SB: Microscopic assessment of angiogenesis in tumors. Methods in Molecular Medicine: Angiogenesis Protocols. Edited by: Murray J C. 2001, Totowa, NJ, Humana Press, Inc., 46: 29-46. 10.1385/1-59259-143-4:029.CrossRef Fox SB: Microscopic assessment of angiogenesis in tumors. Methods in Molecular Medicine: Angiogenesis Protocols. Edited by: Murray J C. 2001, Totowa, NJ, Humana Press, Inc., 46: 29-46. 10.1385/1-59259-143-4:029.CrossRef
8.
go back to reference Liotta LA, Tryggvason K, Garbisa S, Hart I, Foltz CM, Shafie S: Metastatic potential correlates with enzymatic degradation of basement membrane collagen. Nature. 1980, 284: 67-68.CrossRefPubMed Liotta LA, Tryggvason K, Garbisa S, Hart I, Foltz CM, Shafie S: Metastatic potential correlates with enzymatic degradation of basement membrane collagen. Nature. 1980, 284: 67-68.CrossRefPubMed
9.
go back to reference Egeblad M, Werb Z: New functions for the matrix metalloproteinases in cancer progression. Nat Rev Cancer. 2002, 2: 161-174. 10.1038/nrc745.CrossRefPubMed Egeblad M, Werb Z: New functions for the matrix metalloproteinases in cancer progression. Nat Rev Cancer. 2002, 2: 161-174. 10.1038/nrc745.CrossRefPubMed
10.
go back to reference Franssila KO, Ackerman LV, Brown CL, Hedinger CE: Follicular carcinoma. Semin Diagn Pathol. 1985, 2: 101-122.PubMed Franssila KO, Ackerman LV, Brown CL, Hedinger CE: Follicular carcinoma. Semin Diagn Pathol. 1985, 2: 101-122.PubMed
11.
go back to reference Nakashima T, Kojiro M, Kawano Y, Shirai F, Takemoto N, Tomimatsu Y, Kawasaki H, Okuda K: Histologic growth pattern of hepatocellular carcinoma: relationship to orcein (hepatitis B surface antigen)-positive cells in cancer tissue. Hum Pathol. 1982, 13: 563-568.CrossRefPubMed Nakashima T, Kojiro M, Kawano Y, Shirai F, Takemoto N, Tomimatsu Y, Kawasaki H, Okuda K: Histologic growth pattern of hepatocellular carcinoma: relationship to orcein (hepatitis B surface antigen)-positive cells in cancer tissue. Hum Pathol. 1982, 13: 563-568.CrossRefPubMed
12.
go back to reference Sabo E, Boltenko A, Sova Y, Stein A, Kleinhaus S, Resnick MB: Microscopic analysis and significance of vascular architectural complexity in renal cell carcinoma. Clin Cancer Res. 2001, 7: 533-537.PubMed Sabo E, Boltenko A, Sova Y, Stein A, Kleinhaus S, Resnick MB: Microscopic analysis and significance of vascular architectural complexity in renal cell carcinoma. Clin Cancer Res. 2001, 7: 533-537.PubMed
13.
go back to reference Wong NA, Willott J, Kendall MJ, Sheffield EA: Measurement of vascularity as a diagnostic and prognostic tool for well differentiated thyroid tumours: comparison of different methods of assessing vascularity. J Clin Pathol. 1999, 52: 593-597.CrossRefPubMedPubMedCentral Wong NA, Willott J, Kendall MJ, Sheffield EA: Measurement of vascularity as a diagnostic and prognostic tool for well differentiated thyroid tumours: comparison of different methods of assessing vascularity. J Clin Pathol. 1999, 52: 593-597.CrossRefPubMedPubMedCentral
14.
go back to reference Macchiarini P, Fontanini G, Hardin MJ, Squartini F, Angeletti CA: Relation of neovascularisation to metastasis of non-small-cell lung cancer. Lancet. 1992, 340: 145-146. 10.1016/0140-6736(92)93217-B.CrossRefPubMed Macchiarini P, Fontanini G, Hardin MJ, Squartini F, Angeletti CA: Relation of neovascularisation to metastasis of non-small-cell lung cancer. Lancet. 1992, 340: 145-146. 10.1016/0140-6736(92)93217-B.CrossRefPubMed
15.
go back to reference Gasparini G: Prognostic and predictive value of intra-tumoral microvessel density in human solid tumours. Tumour angiogenesis. Edited by: Bicknell R, Lewis C E and Ferrara N. 1997, Oxford, U. K., Oxford Univ. Press, 29-44. Gasparini G: Prognostic and predictive value of intra-tumoral microvessel density in human solid tumours. Tumour angiogenesis. Edited by: Bicknell R, Lewis C E and Ferrara N. 1997, Oxford, U. K., Oxford Univ. Press, 29-44.
16.
go back to reference Weidner N: Tumoral vascularity: What does it tell us about the growth and spread of cancer?. Tumor angiogenesis and microcirculation. Edited by: Voest E E and D'Amore P A. 2001, New York, U. S. A., Marcel Dekker, Inc., 465-486. Weidner N: Tumoral vascularity: What does it tell us about the growth and spread of cancer?. Tumor angiogenesis and microcirculation. Edited by: Voest E E and D'Amore P A. 2001, New York, U. S. A., Marcel Dekker, Inc., 465-486.
17.
go back to reference Weidner N, Folkman J, Pozza F, Bevilacqua P, Allred EN, Moore DH, Meli S, Gasparini G: Tumor angiogenesis: a new significant and independent prognostic indicator in early-stage breast carcinoma. J Natl Cancer Inst. 1992, 84: 1875-1887. 10.1093/jnci/84.24.1875.CrossRefPubMed Weidner N, Folkman J, Pozza F, Bevilacqua P, Allred EN, Moore DH, Meli S, Gasparini G: Tumor angiogenesis: a new significant and independent prognostic indicator in early-stage breast carcinoma. J Natl Cancer Inst. 1992, 84: 1875-1887. 10.1093/jnci/84.24.1875.CrossRefPubMed
18.
go back to reference Bochner BH, Cote RJ, Weidner N, Groshen S, Chen SC, Skinner DG, Nichols PW: Angiogenesis in bladder cancer: relationship between microvessel density and tumor prognosis. J Natl Cancer Inst. 1995, 87: 1603-1612.CrossRefPubMed Bochner BH, Cote RJ, Weidner N, Groshen S, Chen SC, Skinner DG, Nichols PW: Angiogenesis in bladder cancer: relationship between microvessel density and tumor prognosis. J Natl Cancer Inst. 1995, 87: 1603-1612.CrossRefPubMed
19.
go back to reference Pavlopoulos PM, Konstantinidou AE, Agapitos E, Kavantzas N, Nikolopoulou P, Davaris P: A morphometric study of neovascularization in colorectal carcinoma. Cancer. 1998, 83: 2067-2075. 10.1002/(SICI)1097-0142(19981115)83:10<2067::AID-CNCR4>3.3.CO;2-H.CrossRefPubMed Pavlopoulos PM, Konstantinidou AE, Agapitos E, Kavantzas N, Nikolopoulou P, Davaris P: A morphometric study of neovascularization in colorectal carcinoma. Cancer. 1998, 83: 2067-2075. 10.1002/(SICI)1097-0142(19981115)83:10<2067::AID-CNCR4>3.3.CO;2-H.CrossRefPubMed
20.
go back to reference Simpson JF, Ahn C, Battifora H, Esteban JM: Endothelial area as a prognostic indicator for invasive breast carcinoma. Cancer. 1996, 77: 2077-2085. 10.1002/(SICI)1097-0142(19960515)77:10<2077::AID-CNCR17>3.3.CO;2-N.CrossRefPubMed Simpson JF, Ahn C, Battifora H, Esteban JM: Endothelial area as a prognostic indicator for invasive breast carcinoma. Cancer. 1996, 77: 2077-2085. 10.1002/(SICI)1097-0142(19960515)77:10<2077::AID-CNCR17>3.3.CO;2-N.CrossRefPubMed
Metadata
Title
Morphological evidence for an invasion-independent metastasis pathway exists in multiple human cancers
Authors
Takashi Sugino
Tomiko Yamaguchi
Go Ogura
Atsuko Saito
Takeaki Hashimoto
Nobuo Hoshi
Sayaka Yoshida
Steve Goodison
Toshimitsu Suzuki
Publication date
01-12-2004
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2004
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/1741-7015-2-9

Other articles of this Issue 1/2004

BMC Medicine 1/2004 Go to the issue