Vascular endothelial growth factor receptor-1 mediates migration of human colorectal carcinoma cells by activation of Src family kinases

Vascular endothelial growth factor (VEGF) is the predominant pro-angiogenic cytokine in human malignancy, and its expression correlates with disease recurrence and poor outcomes in patients with colorectal cancer. Recently, expression of vascular endothelial growth factor receptors (VEGFRs) has been observed on tumours of epithelial origin, including those arising in the colon, but the molecular mechanisms governing potential VEGF-driven biologic functioning in these tumours are not well characterised. In this report, we investigated the role of Src family kinases (SFKs) in VEGF-mediated signalling in human colorectal carcinoma (CRC) cell lines. Vascular endothelial growth factor specifically activated SFKs in HT29 and KM12L4 CRC cell lines. Further, VEGF stimulation resulted in enhanced cellular migration, which was effectively blocked by pharmacologic inhibition of VEGFR-1 or Src kinase. Correspondingly, migration studies using siRNA clones with reduced Src expression confirmed the requirement for Src in VEGF-induced migration in these cells. Furthermore, VEGF treatment enhanced VEGFR-1/SFK complex formation and increased tyrosine phosphorylation of focal adhesion kinase, p130 cas and paxillin. Finally, we demonstrate that VEGF-induced migration is not due, at least in part, to VEGF acting as a mitogen. These results suggest that VEGFR-1 promotes migration of tumour cells through a Src-dependent pathway linked to activation of focal adhesion components that regulate this process.

Three distinct receptor tyrosine kinases bind vascular endothelial growth factor (VEGF): vascular endothelial growth factor receptor (VEGFR)-1 (Flt-1), VEGFR-2 (Flk-1/KDR) and . Vascular endothelial growth factor receptor 1 and VEGFR-2 are expressed primarily on vascular endothelial cells, while VEGFR-3 is expressed primarily on lymphatic endothelial cells and regulates lymphangiogenesis (Irrthum et al, 2000). Vascular endothelial growth factor receptor 2 is believed to be the major mediator of angiogenesis in human malignancy, as it regulates activation of downstream effector molecules such as phosphoinositide 3-kinase and AKT, and potentiates endothelial differentiation, DNA synthesis and proliferation (Waltenberger et al, 1994;Meyer and Rahimi, 2003). Vascular endothelial growth factor receptor 1 appears to function as a VEGF 'sink' during developmental vasculogenesis, but may contribute to angiogenesis in pathologic states such as ischaemia or malignancy (Hiratsuka et al, 1998(Hiratsuka et al, , 2001Carmeliet et al, 2001;Hayashibara et al, 2001).
In addition to their expression on endothelial cells, VEGFRs are also expressed on cells of haematopoietic origin and have recently been demonstrated on a variety of tumour types, including prostate, ovarian, melanoma, non-small-cell lung, pancreatic and colon (Decaussin et al, 1999;Ferrer et al, 1999;Masood et al, 2001). While the functions of VEGFRs on tumour cells are not completely understood, the concomitant production of VEGF and VEGFR expression by tumour cells suggests the possibility that these receptors mediate biologic functions in tumour cells. Indeed, in cancers of the breast and skin (melanoma) and in some leukaemias, VEGF/VEGFR autocrine signalling loops have been identified (Bellamy et al, 1999;Dias et al, 2000Dias et al, , 2001Lacal et al, 2000), but the elucidation of the contribution of individual VEGF/ VEGFR family members to biologic functions mediated by individual receptors is only beginning to emerge. In a recent work, Wang et al (2004) demonstrated differential regulation of lymphoma xenografts utilising species-specific receptor antibodies to VEGFR-1 and VEGFR-2. In that study, targeting tumourassociated VEGFR-1 (human xenografted cells) increased apoptosis and diminished tumour growth, while targeting host (i.e. murine) VEGFR-2 diminished microvascular density . Also, inhibition of VEGFRs with a synthetic binding antagonist inhibited growth in xenograft models of colon and other tumours (Ueda et al, 2005). Individual receptor ligands may elicit different biologic responses as well. In PlGFÀ/À mice, VEGF-B (another VEGFR-1 ligand) failed to rescue vascular development, suggesting that differential responses occur depending on which ligand binds the receptor in vivo (Carmeliet et al, 2001).
Signalling pathways mediated by VEGFRs in both endothelial and tumour cells are now being delineated. In endothelial cells, the Src family kinases (SFKs), Src and Yes are required for VEGFinduced vascular permeability and survival (Eliceiri et al, 1999). Likewise, VEGF-induced Src activation and signalling has been reported in Kaposi's sarcoma cells (Munshi et al, 2000). However, the possibility that VEGFRs require SFKs to mediate their biologic effects in other tumours has not been established.
When bound to receptor protein tyrosine kinases, SFKs become activated. Activation of SFKs has been implicated in progression and metastasis of a variety of solid tumours (reviewed by Summy and Gallick, 2003). Experiments in colorectal cancer have demonstrated increasing Src kinase activity with progression from adenoma to dysplasia to carcinoma and, finally, to metastatic disease (Talamonti et al, 1993), suggesting a role for Src in regulating colon tumour progression. Additionally, Src kinase activity and VEGF have both been associated with poor prognosis in patients with advanced colorectal cancer (Takahashi et al, 1997;Werther et al, 2000;Allgayer et al, 2002). Thus, the potential of VEGFRs to signal through SFKs in colorectal cancer may be of clinical significance.
The purpose of this study was to determine whether SFKs must be activated in order for VEGFRs to mediate biologic effects. We tested the effects of VEGFR signalling through SFKs on cellular migration and proliferation in human colorectal cancer cells. We found that migration, but not proliferation, was significantly increased, suggesting the potential role of VEGFR-1 expression in tumour progression in these cells.

MATERIALS AND METHODS
Cell culture HT29 cells derived from a human colon adenocarcinoma were maintained as a subconfluent monolayer in Dulbecco's modified Eagle's medium (DMEM/F12) with Earle's salts and 2 mM glutamine (Life Technologies, Inc., Grand Island, NY, USA) supplemented with 10% foetal bovine serum (Hyclone Laboratories, Logan, UT, USA) without antibiotics and incubated in 5% CO 2 /95% air at 371C. Highly metastatic KM12L4 human colorectal carcinoma (CRC) cells were kindly provided by IJ Fidler, PhD, DVM (The University of Texas MD Anderson Cancer Center, Houston, TX, USA). Cells were cultured and maintained in minimal essential medium (MEM) supplemented with 10% foetal bovine serum (Hyclone Laboratories), 2 U ml À1 of a penicillinstreptomycin mixture (Flow Laboratories, Rockville, MD, USA), vitamins (Life Technologies, Inc., Grand Island, NY, USA), 1 mM sodium pyruvate, 2 mM L-glutamine and nonessential amino acids, and incubated in 5% CO 2 /95% air at 371C.

Creation of siRNA expression plasmids silencing Src gene expression
SiRNA expression plasmids were created using the Ambion pSilencer 1.0-U6 (Austin, TX, USA) according to the manufacturer's directions. c-Src specific target sequences were designed using the Ambion siRNA web design tool. The two target sequences utilised were (52 -71 bp) 5 0 -AACAAGAG CAAGCC CAAGGAT-3 0 and (226 -244 bp) 5 0 -AAGCTGTTCGGAGGCTT CAAC-3 0 . Oligonucleotides corresponding to these sequences with flanking Apa1 (5 0 ) and EcoR1 (3 0 ) ends were purchased from Invitrogen/Life Technology (Carlsbad, CA, USA) and ligated into the expression plasmid at compatible sites. Constructs were confirmed by DNA sequencing. HT29 cells were then transfected with 500 ng of each siRNA plasmid and 100 ng of pcDNA G418 resistance promoter-less plasmid for selection of transfectants. Cells were then grown in selective media containing G418 as described previously (Ahmad et al, 2001). Negative controls were transfected with empty vector target sequences and pcDNA plasmids at identical concentrations. Total c-Src expression levels in siRNA clones were determined by Western blot analysis.

Cell lysis
Cells in log growth phase at 50% confluency were serum starved overnight and exposed to the VEGFR-1 blocking antibody IMC-18F1 (20 mg ml À1 ), or AP23464 (1 mM) was added to culture media for 1 h at 371C. Recombinant VEGF-A or -B or PBS control was then added at the desired concentration, and, at the desired time, cells were rinsed twice with ice-cold PBS and then lysed with RIPA-B lysis buffer (20 mM sodium phosphate, 150 mM NaCl, 5 mM EDTA, 1% Triton X-100, 0.5% sodium deoxycholate) supplemented with one tablet complete mini-EDTA protease inhibitor cocktail (Roche Diagnostic, Manheim, Germany) and 1 mM sodium orthovanadate (pH 7.4). Cells were harvested with the aid of a rubber policeman, clarified by centrifugation at 13 000 g for 15 min at 41C, and prepared for Western blot analysis or immunoprecipitation, as described previously (Windham et al, 2002).

Immunodepletion assay
Cleared cell lysates (250 mg protein) were incubated overnight at 41C with 10 ml anti-VEGFR-1 antibody (Oncogene Research Products, Cambridge, MA, USA) or 10 ml antimouse IgG (Organon Teknika, Durham, NC, USA). Immune complexes were formed by the addition of 50 ml protein A:G agarose beads for 2 h at 41C. The remaining soluble lysates were centrifuged at 13 000 g for 2 min and the supernatants were collected for immunoblotting.

Immunoprecipitation and immune complex kinase assay
Cleared cell lysates (500 mg protein) were incubated overnight at 41C with 10 ml of Src monoclonal antibody 327 (Oncogene Research Products, Cambridge, MA, USA), 10 ml Yes antibody 1B7 (WAKO Biologicals, Richmond, VA, USA) or 6 ml focal adhesion kinase (FAK) antibody (clone 2A7, Upstate Biotechnology, Lake Placid, NY, USA). Immune complex kinase assays were performed as described previously (Windham et al, 2002). Briefly, immune complexes were formed by the addition of 10 ml of rabbit antimouse IgG (Organon Teknika, Durham, NC, USA) for 2 h, followed by 50 ml of 10% (v v À1 ) formalin-fixed Pansorbin (Staphylococcus aureus, Cowan strain; Calbiochem, La Jolla, CA, USA) for 60 min. Pellets were then washed three times in a buffer consisting of 0.1% Triton X-100, 150 mM NaCl and 10 mM sodium phosphate. Reactions were initiated at 221C by the addition of 10 mCi of [g 32 P]ATP, 10 mM Mg 2 þ and 100 mM sodium orthovanadate in 20 mM HEPES buffer to each sample. To analyse phosphorylation of an exogenous substrate, 10 mg of rabbit muscle enolase (Sigma-Aldrich, St Louis, MO, USA) was added to the VEGFR-1-mediated signalling in colorectal cancer DP Lesslie III et al reaction buffer. After 10 min, reactions were terminated by the addition of SDS sample buffer. Proteins were separated by SDS -PAGE on 8% polyacrylamide gels, and radioactive proteins were detected by autoradiography.

Proliferation assay
3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (M2128) (Sigma Chemical Corp., St Louis, MO, USA) was prepared by dissolving 5 mg M2128 in 1 ml PBS. The solution was protected from light and stored at 41C. To determine proliferation, HT29 cells (1.5 Â 10 3 cells) were seeded into 96-well plates in quintuplicate and allowed to adhere overnight in 10% complete DMEM/F12. The medium was then removed and replaced with 0.2 ml of media containing VEGF-A supplemented with solvent control, IMC-18F1 or AP23464 and allowed to incubate at 371C. At the desired time point, 50 ml of prepared MTT solution was added to each well and incubated at 371C for 2 h. The media was removed carefully and the cells were solubilised in 0.2 ml DMSO. Plates were read using spectrophotometric analysis at a wavelength of 570 nm using the TECAN Genios plate reader and Magellan version 4.0 software. Results are representative of three independent experiments.

Migration assay
The modified Boyden chamber migration assay was used as described previously (Minard et al, 2005). Cells (2.5 Â 10 5 cells) were suspended in the upper well of the migration chamber (control inserts, 8 mm pore size; Becton-Dickinson, Bedford, MA, USA) in 0.5 ml of serum-free media. The lower chamber was filled with 0.75 ml of media with VEGF-A (10 ng ml À1 ) supplemented with DMSO control, IMC-18F1 (20 mg ml À1 ) or AP23464 (1 mM).
After 72 h of incubation, the nonmigratory colon carcinoma cells on the upper filter surface were removed with a cotton swab, and cells that had migrated to the lower filter were fixed and stained with HEMA 3 (Biochemical Sciences, Swedesboro, NJ, USA) according to the manufacturer's instructions. The migratory cells were counted under a microscope at Â 100 magnification. Cell images were obtained using a Sony PXC-990 3CCD colour video camera (Sony of America, New York, NY, USA). Cells were counted in five random fields per insert in triplicate.

Statistical analyses
Statistical differences among groups were examined using the two-tailed Student's t-test. Po0.05 was considered statistically significant.

VEGF induces SFK activation in human CRC cells
A variety of growth factors are known to induce SFK activation in endothelial cells. We examined HT29 and KM12L4 human CRC cells to determine whether Src and Yes, the SFK members principally expressed in these cells (Cartwright et al, 1989;Park et al, 1993), are activated by VEGF-A. As measured by immune complex kinase assay, treatment of HT29 cells with VEGF-A (10 ng ml À1 ) increased both Src and Yes kinase activity in a timedependent manner ( Figure 1A). Maximal activation (B2.5-fold increase) was observed within 15 min, which is consistent with Src activation by a number of ligands. Src expression did not change during the time period analysed, consistent with our postulate that VEGF-A increases specific activity of these SFKs. As shown in Figure 1B, VEGF-A also activates SFKs in a dose-dependent Serum-starved HT29 cells at 50% confluency were untreated (0) or stimulated with VEGF-A for 5, 10 and 15 min. Cell lysates were immunoprecipitated with anti-Src or anti-Yes antibodies and subjected to immune complex kinase assays (top two panels) or Western blotting with the phospho-specific anti-Src Y416 antibody. Western blotting (following immunoprecipitation) with anti-Src antibody demonstrates equivalent total Src expression (bottom panel). (B) Serum-starved HT29 cells at 50% confluency were untreated (0) or stimulated with indicated concentrations of VEGF-A for 15 min. Cell lysates were immunoprecipitated with anti-Src or anti-Yes antibodies and subjected to immune complex kinase assay. (C) KM12L4 cell lysates were prepared and immunoblotted with SrcY416 antibodies and stripped and reprobed with total Src antibodies as described above.
VEGFR-1-mediated signalling in colorectal cancer DP Lesslie III et al manner in HT29 cells, with maximal kinase activation observed at 25 ng ml À1 . Likewise, treatment of KM12L4 human CRC cells with VEGF-A (10 ng ml À1 ) induced a similar increase in SFK activation ( Figure 1C) as that observed in HT29 cells.

VEGF-induced SFK activation occurs through VEGFR-1 in HT29 cells
As reported previously, HT29 cells express VEGFR-1 but not VEGFR-2 or VEGFR-3 (Fan et al, 2005). To demonstrate VEGFR-1 activation and specificity of the monoclonal VEGFR-1 blocking antibody, IMC-18F1, tyrosine phosphorylation of VEGFR-1 was determined by Western blotting. As presented in Figure 2A, VEGF-A treatment resulted in marked increase in tyrosine phosphorylation of a 180 kDa cellular protein, which was effectively blocked by pretreatment with IMC-18F1, confirming the ability of IMC-18F1 to inhibit VEGFR-1 activation without altering VEGFR-1 expression levels. Next, to determine whether activation of SFKs was mediated by VEGFR-1, SFK activity with VEGF-A (ligand for both VEGFR-1 and -2) and the VEGFR-1 specific ligand VEGF-B was examined in the presence or absence of IMC-18F1. As shown in Figure 2B and C, VEGF-A and -B induced similar SFK activation at the doses indicated; however, pre-incubation of HT29 cells with IMC-18F1 (20 mg ml À1 ) abrogated Src and Yes activation by both VEGF-A and -B, demonstrating that functional VEGFR-1 is required for VEGF-mediated SFK activation. Increased activity of SFKs usually results from direct association with the cognate receptor. To determine whether VEGF induces SFK/VEGFR-1 complexes, co-immunoprecipitation experiments were performed with VEGF stimulation in the presence or absence of VEGFR-1 blocking antibody. As demonstrated in Figure 2D, VEGF greatly enhanced SFK/VEGFR-1 complex formation, and this association was effectively blocked by pretreatment with IMC-18F1. Immune complexes were not detectable when using an irrelevant IgG antibody (data not shown). Taken together, these results suggest that increased SFK activity may result from direct interaction with VEGFR-1, though other mechanisms might account for increased Src activity as well.

VEGF induces migration of human CRC cells
Src family members have been implicated in numerous biologic activities, including proliferation and migration (reviewed by Brown and Cooper, 1996;Thomas and Brugge, 1997). To identify the potential biologic effects mediated by VEGFR-1 expression, we first assessed cellular migration in response to VEGF-A, utilising a modified Boyden chamber as described in Materials and Methods ( Figure 3). As demonstrated in Figures 3B and D, VEGF-A treatment of HT29 and KM12L4 human CRC cells resulted in a five-and three-fold increases in cellular migration, respectively, over nontreated control cells (Po0.001). Pharmacologic blockade of VEGFR-1 with IMC-18F1 or Src kinase inhibition with AP23464 or PP2 completely inhibited VEGF-induced migration in both cell lines (Po0.001), again demonstrating the requirement of SFK activation through VEGFR-1 in this process.

Effects of Src-targeted siRNA on VEGF-induced migration of CRC
To independently confirm the requirement for Src in mediating VEGF-A-induced migration, the ability of this ligand to affect Lysates from VEGF-treated cells in the presence or absence of the VEGFR-1 blocking antibody, IMC-18F1, following immunodepletion with anti-VEGFR-1 antibody (first lane) or nonspecific IgG (second and third lanes) were prepared, and the resultant supernatants were subjected to Western blotting with anti-phosphotyrosine antibody or anti-VEGFR-1 antibody. (B, C) Serum-starved HT29 cells at 50% confluency were pretreated with IMC-18F1 or PBS control for 1 h and were untreated (0) or stimulated with VEGF-A or VEGF-B for 10, 15 and 30 min. Cell lysates were immunoprecipitated with anti-Src or anti-Yes antibodies and subjected to immune complex kinase assay or subjected to Western blotting with anti-Src, anti-Yes or anti-VEGFR-1 antibodies to demonstrate the lack of effect on expression of these proteins. (D) Lysates from VEGF-A-treated cells in the presence or absence or IMC-18F1 were immunoprecipitated with anti-VEGFR-1 antibody. The resultant immunoprecipitates were run on SDS -PAGE and subjected to Western blotting with antibodies to Src, Yes or VEGFR-1. migration in HT29 clones reduced in Src by stable expression of an antisense expression vector was determined. As shown in Figure 4A, two independent clones (siRNA cl.18 and 23) were reduced by more than 80% in Src expression. These cells were considerably reduced in their migratory abilities ( Figure 4B), consistent with Src being important in cellular migration, and addition of VEGF-A did not increase migratory capability of these cells ( Figure 4C), providing further evidence that VEGF mediates migration through Src activation. Basal proliferation of these cells as determined by MTT assay did not differ significantly from nontransfected parental cells (data not shown).

VEGF activates FAK, p130 cas and paxillin in HT29 cells
In epithelial and fibroblast cells, migration is regulated, in part, by activation of FAK. Recent studies in endothelial cells have implicated FAK as required for VEGFR-1-induced tubulogenesis . Src/FAK activation then leads to phosphorylation of both paxillin and p130 cas . To determine if FAK were activated upon treatment of HT29 cells with VEGF, both FAK immune complex kinase assays and Western blot analysis for specific FAK phosphorylation sites were performed as described in Materials and Methods. As presented in Figure 5A, VEGF treatment of HT29 cells increased both autophosphorylation of FAK and phosphorylation of the exogenous substrate enolase twofold at 30 min. As enolase phosphorylation may also result from Src being immunoprecipitated in the immune complexes, we directly examined phosphorylation of Y861 and Y397 in response to VEGF stimulation of HT29 cells. Phosphorylation of Y861, and to a lesser extent Y397, was increased, and these increases were blocked by prior addition of IMC-18F1. These findings are consistent with previous experimental work in VEGFR-1 overexpressing fibroblasts  and suggest crosstalk between VEGFR-1 and FAK in HT29 cells. As shown in Figure 5B and C, VEGF treatment of HT29 cells also increased tyrosine phosphorylation of both paxillin and p130 cas . Maximal phosphorylation occurred within 15 -30 min, consistent with the kinetics of Src and Yes activation. Pretreatment of HT29 cells with IMC-18F1 effectively blocked FAK, paxillin and p130 cas phosphorylation, confirming the requirement of VEGFR-1 for VEGF-induced activation of these substrates. Together, these results suggest that a VEGFR-1/SFK complex interacts with components of focal adhesions, thus mediating cellular migration in HT29 cells.

VEGF does not induce proliferation in HT29 cells
Finally, to determine if VEGF-induced migration could be accounted for, at least in part, by VEGF acting as a mitogen, we VEGFR-1-mediated signalling in colorectal cancer DP Lesslie III et al examined the effect of VEGF-A stimulation on proliferation of HT29 cells. As shown in Figure 6, exogenous VEGF-A had no effect on HT29 cell proliferation, as determined by MTT assay. Likewise, pretreatment of HT29 cells with IMC-18F1 did not decrease proliferation. Consistent with these findings, VEGF-A treatment of HT29 cells induced minimal to no activation of Erk 1/2 or Akt, as assessed by Western blotting for phosphorylated (active) forms of these signalling enzymes (data not shown).

DISCUSSION
Our findings of VEGF-induced SFK activation and enhanced cellular migration in human CRC cells demonstrate that functional VEGFR-1 mediates intracellular signalling and biologic behaviour in these cells. Src family kinase activation in response to VEGF has been observed in cells of endothelial origin expressing VEGFRs, and SFK members have been shown to associate with VEGFRs upon activation (Chou et al, 2002). In contrast to work in endothelial cells where Src preferentially associates with VEGFR-2 and Yes and Fyn with VEGFR-1, we observed Src and Yes kinase complex formation with VEGFR-1 upon VEGF stimulation, suggesting that at least in these tumour cells, association of SFKs with VEGFR-1 may be more promiscuous than in normal endothelial cells. The ability of VEGF to mediate particular biologic functions appears to be cell type specific, as does expression of VEGF receptor subtypes. Many cell types exhibiting increased proliferation in response to VEGF express both VEGFR-1 and -2, or are of nonepithelial origin. The significance of aberrant expression of VEGFR-1 alone on tumours of epithelial origin remains unclear, but a recently published work found a similar lack of proliferation in VEGF-stimulated colon cancer cells expressing VEGFR-1 (Fan et al, 2005).
Interestingly, we observed a robust increase in cellular migration and tyrosine phosphorylation of FAK, paxillin and p130 cas in CRC cells with VEGF stimulation, which appears to require VEGFR-1. This is consistent with prior reports suggesting that VEGFR-1 regulates cellular migration, while VEGFR-2 mediates activation of the MAPK pathway and cellular proliferation (Barleon et al, 1996). Further, our finding of VEGF-induced FAK phosphorylation, resulting in its increased activation, is consistent with previous studies on VEGFR-1-overexpressing fibroblasts . This result suggests an interaction between VEGFR-1 and FAK in HT29 cells. Whether this interaction is direct or indirect remains to be determined.
Vascular endothelial growth factor is a pleuripotent cytokine that induces angiogenesis, proliferation, migration, differentiation and vascular permeability in endothelial cells (Leung et al, 1989;Millauer et al, 1993;Neufeld et al, 1999 Figure 5 Effects of VEGF on phosphorylation of FAK, p130 cas and paxillin in CRC. Serum-starved HT29 cells at 50% confluency were pretreated with the VEGFR-1 blocking antibody (IMC-18F1) or PBS control for 1 h and were untreated (0) or stimulated with VEGF-A for 10, 15 and 30 min. Cell lysates were immunoprecipitated with anti-FAK antibody and subjected to immune complex kinase assay with enolase as an exogenous substrate or subjected to Western blotting with anti-phospho-FAK Y861, anti-phospho-FAK Y397 or anti-FAK antibodies as indicated (A), run on SDS -PAGE and subjected to Western blotting with anti-phospho-p130 cas or anti-p130 cas antibodies (B) or subjected to Western blotting with antiphospho-paxillin or anti-paxillin antibodies (C). Western blot for vinculin is included to demonstrate equivalent protein loading. Model by which Src and VEGF contribute to tumour progression and metastasis through activities in both tumour and tumour-associated endothelial cells. In tumour cells (left) Src activation is frequent, resulting from overexpression of growth factor receptors, FAK and deregulated transcription (A). Src activation increases VEGF expression from tumour cells (B), leading to binding of VEGFR-1 (C), association with and further activation of Src (D), and the subsequent autocrine loop contributes to tumour cell migration through FAK activation (E). Vascular endothelial growth factor produced by tumour cells also binds VEGF receptors on endothelial cells (F), leading to association and activation of Src in these cells (G) and leading to increased permeability through VE cadherin phosphorylation affecting tumour cell extravasation (H), a process critical for permeability and tumour cell extravasation (I). Thus, inhibitors of VEGF, VEGFR-1 and Src may have therapeutic efficacy due to their effects in both normal and tumour cells.
the principal mediator of tumour angiogenesis and its expression correlates with both disease recurrence and poor prognosis (Takahashi et al, 1997;Werther et al, 2000). As anti-VEGF therapy has demonstrated efficacy in patients with advanced CRC (Hurwitz et al, 2004), further study of VEGF/VEGFR interactions in endothelial and, perhaps, tumour cells is warranted (Figure 7).
Here we have shown that VEGFR-1 participates in intracellular signal transduction and mediates biologic activity, specifically cellular migration, in human CRC cells. The expression of this receptor protein tyrosine kinase in tumour cells may further amplify signalling pathways already activated in colon tumour cells. Thus, VEGFR-mediated signalling offers novel targets for therapeutic interventions, either by targeting the receptor itself or important downstream mediators, such as Src. As Src activity has been shown to regulate VEGF expression, particularly under hypoxic conditions, in CRC cells (Ellis et al, 1998), the existence of an autocrine signalling loop capable of enhancing tumour survival and progression is intriguing. Delineating the mechanisms by which individual receptor tyrosine kinases mediate biologic activity in tumour cells is crucial for defining tumour-specific targets for optimal therapy. As recent work has demonstrated the presence of VEGFR-1 in multiple colon cancer cell lines and in both primary and metastatic tumour samples (Fan et al, 2005), VEGFR-1 may be a relevant clinical target, not only for its expression in endothelial cells but also for its expression/function in tumour cells.