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Pregnancy Promotes Melanoma Metastasis through Enhanced Lymphangiogenesis

Identifieur interne : 006807 ( Main/Exploration ); précédent : 006806; suivant : 006808

Pregnancy Promotes Melanoma Metastasis through Enhanced Lymphangiogenesis

Auteurs : Kiarash Khosrotehrani [France, Australie] ; SAU NGUYEN HUU [France] ; Aurélie Prignon [France] ; Marie-Françoise Avril [France] ; Françoise Boitier [France] ; Michèle Oster [France] ; Laurent Mortier [France] ; Marie-Aleth Richard [France] ; Eve Maubec [France] ; Delphine Kerob [France] ; Sandrine Mansard [France] ; Charbel Merheb [France] ; Philippe Moguelet [France] ; Dany Nassar [France] ; Sarah Guegan [France] ; Selim Aractingi [France]

Source :

RBID : Pascal:11-0197587

Descripteurs français

English descriptors

Abstract

The relationships of pregnancy and melanoma have been debatable. Our aim was to assess the influence of gestation on the course of melanoma in a classic murine model of tumor progression and in women. B16 mouse melanoma cells were injected in nonpregnant or pregnant mice on day 5 of gestation. Animals were evaluated for tumor progression, metastases, and survival. Tumor sections were analyzed for lymphatic and blood vessel number and relative surface and expression of angiogenic growth factors. Finally, primary melanomas from pregnant and nonpregnant women, matched for age and tumor thickness, were also considered. Tumor growth, metastasis, and mortality were increased in B16-injected pregnant mice. Tumors displayed an increase in intratumoral lymph-angiogenesis during gestation. This increased lymphatic angiogenesis was not observed in normal skin during gestation, showing its specificity to the tumor. An analysis of melanoma from pregnant and matched nonpregnant women showed a similar increase in lymphatic vessels. Tumors from pregnant mice had increased expression of vascular endothelial growth factor A at the RNA and protein levels. The increased vascular endothelial growth factor A production by melanoma cells could be reproduced in culture using pregnant mouse serum. In conclusion, pregnancy results in increased lymphangiogenesis and subsequent metastasis. Caution should be applied in the management of patients with advanced-stage melanoma during gestation.

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Le document en format XML

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<title xml:lang="en" level="a">Pregnancy Promotes Melanoma Metastasis through Enhanced Lymphangiogenesis</title>
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<name sortKey="Khosrotehrani, Kiarash" sort="Khosrotehrani, Kiarash" uniqKey="Khosrotehrani K" first="Kiarash" last="Khosrotehrani">Kiarash Khosrotehrani</name>
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<s1>Université Pierre et Marie Curie, University Paris 06</s1>
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<region type="old region">Île-de-France</region>
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<settlement type="city">Paris</settlement>
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<orgName type="university">Université Pierre-et-Marie-Curie</orgName>
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<s1>INSERM UMR_S938, Centre de Recherche Stint Antoine</s1>
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<region type="region">Île-de-France</region>
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<s1>Departments of Dermatology, Assistance Publique Hôpitaux de Paris, Hôpital Tenon</s1>
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<region type="region">Île-de-France</region>
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<s1>Experimental Dermatology Group, University of Queensland Centre for Clinical Research</s1>
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<country>Australie</country>
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<author>
<name sortKey="Sau Nguyen Huu" sort="Sau Nguyen Huu" uniqKey="Sau Nguyen Huu" last="Sau Nguyen Huu">SAU NGUYEN HUU</name>
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<settlement type="city">Paris</settlement>
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<orgName type="university">Université Pierre-et-Marie-Curie</orgName>
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<name sortKey="Prignon, Aurelie" sort="Prignon, Aurelie" uniqKey="Prignon A" first="Aurélie" last="Prignon">Aurélie Prignon</name>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
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<settlement type="city">Paris</settlement>
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<orgName type="university">Université Pierre-et-Marie-Curie</orgName>
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<s1>INSERM UMR_S938, Centre de Recherche Stint Antoine</s1>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
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</author>
<author>
<name sortKey="Avril, Marie Francoise" sort="Avril, Marie Francoise" uniqKey="Avril M" first="Marie-Françoise" last="Avril">Marie-Françoise Avril</name>
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<s1>Department of Dermatology, Assistance Publique Hôpitaux de Paris, Hôpital Tarnier</s1>
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<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
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<author>
<name sortKey="Boitier, Francoise" sort="Boitier, Francoise" uniqKey="Boitier F" first="Françoise" last="Boitier">Françoise Boitier</name>
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<inist:fA14 i1="07">
<s1>Department of Dermatology, Assistance Publique Hôpitaux de Paris, Hôpital Tarnier</s1>
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<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
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<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Oster, Michele" sort="Oster, Michele" uniqKey="Oster M" first="Michèle" last="Oster">Michèle Oster</name>
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<s1>Université Pierre et Marie Curie, University Paris 06</s1>
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<country>France</country>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
<settlement type="city">Paris</settlement>
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<orgName type="university">Université Pierre-et-Marie-Curie</orgName>
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<s1>INSERM UMR_S938, Centre de Recherche Stint Antoine</s1>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
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<name sortKey="Mortier, Laurent" sort="Mortier, Laurent" uniqKey="Mortier L" first="Laurent" last="Mortier">Laurent Mortier</name>
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<s1>Department of DermatologyCHRU Lille, Hôpital Claude Huriez</s1>
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<country>France</country>
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<region type="region">Hauts-de-France</region>
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<name sortKey="Richard, Marie Aleth" sort="Richard, Marie Aleth" uniqKey="Richard M" first="Marie-Aleth" last="Richard">Marie-Aleth Richard</name>
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<s1>Department of Dermatology, Assistance Publique-Hôpitaux de Marseille, CHU Sainte-Marguerite</s1>
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<sZ>8 aut.</sZ>
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<country>France</country>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
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<name sortKey="Maubec, Eve" sort="Maubec, Eve" uniqKey="Maubec E" first="Eve" last="Maubec">Eve Maubec</name>
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<s1>Department of Dermatology, Assistance Publique Hôpitaux de Paris, Hôpital Bichat</s1>
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<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
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<name sortKey="Kerob, Delphine" sort="Kerob, Delphine" uniqKey="Kerob D" first="Delphine" last="Kerob">Delphine Kerob</name>
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<s1>Department of Dermatology, Assistance Publique Hôpitaux de Paris, Hôpital Saint-Louis</s1>
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<sZ>10 aut.</sZ>
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<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
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<name sortKey="Mansard, Sandrine" sort="Mansard, Sandrine" uniqKey="Mansard S" first="Sandrine" last="Mansard">Sandrine Mansard</name>
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<s1>Department of Dernzatology, Université d'Auvergne Clermont-Ferrand 1, CHU Hôtel-Dieu</s1>
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<country>France</country>
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<region type="region">Auvergne-Rhône-Alpes</region>
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<name sortKey="Merheb, Charbel" sort="Merheb, Charbel" uniqKey="Merheb C" first="Charbel" last="Merheb">Charbel Merheb</name>
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<s1>Department of Nuclear Medicine, Assistance Publique Hôpitaux de Paris, Hôpital Tenon</s1>
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<sZ>12 aut.</sZ>
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<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
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<name sortKey="Moguelet, Philippe" sort="Moguelet, Philippe" uniqKey="Moguelet P" first="Philippe" last="Moguelet">Philippe Moguelet</name>
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<s1>Department of Pathology, Assistance Publique Hôpitaux de Paris, Hôpital Tenon</s1>
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<region type="region">Île-de-France</region>
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<name sortKey="Nassar, Dany" sort="Nassar, Dany" uniqKey="Nassar D" first="Dany" last="Nassar">Dany Nassar</name>
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<s1>Université Pierre et Marie Curie, University Paris 06</s1>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
<settlement type="city">Paris</settlement>
</placeName>
<orgName type="university">Université Pierre-et-Marie-Curie</orgName>
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<name sortKey="Guegan, Sarah" sort="Guegan, Sarah" uniqKey="Guegan S" first="Sarah" last="Guegan">Sarah Guegan</name>
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<s1>Université Pierre et Marie Curie, University Paris 06</s1>
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<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
<settlement type="city">Paris</settlement>
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<orgName type="university">Université Pierre-et-Marie-Curie</orgName>
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<s1>INSERM UMR_S938, Centre de Recherche Stint Antoine</s1>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
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<s1>Departments of Dermatology, Assistance Publique Hôpitaux de Paris, Hôpital Tenon</s1>
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<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
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</author>
<author>
<name sortKey="Aractingi, Selim" sort="Aractingi, Selim" uniqKey="Aractingi S" first="Selim" last="Aractingi">Selim Aractingi</name>
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<s1>Université Pierre et Marie Curie, University Paris 06</s1>
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<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
<settlement type="city">Paris</settlement>
</placeName>
<orgName type="university">Université Pierre-et-Marie-Curie</orgName>
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<s1>INSERM UMR_S938, Centre de Recherche Stint Antoine</s1>
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<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="03">
<s1>Departments of Dermatology, Assistance Publique Hôpitaux de Paris, Hôpital Tenon</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">The American journal of pathology</title>
<title level="j" type="abbreviated">Am. j. pathol.</title>
<idno type="ISSN">0002-9440</idno>
<imprint>
<date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">The American journal of pathology</title>
<title level="j" type="abbreviated">Am. j. pathol.</title>
<idno type="ISSN">0002-9440</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Anatomic pathology</term>
<term>Female</term>
<term>Lymphangiogenesis</term>
<term>Malignant melanoma</term>
<term>Metastasis</term>
<term>Pregnancy</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Mélanome malin</term>
<term>Gestation</term>
<term>Femelle</term>
<term>Métastase</term>
<term>Anatomopathologie</term>
<term>Lymphangiogenèse</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">The relationships of pregnancy and melanoma have been debatable. Our aim was to assess the influence of gestation on the course of melanoma in a classic murine model of tumor progression and in women. B16 mouse melanoma cells were injected in nonpregnant or pregnant mice on day 5 of gestation. Animals were evaluated for tumor progression, metastases, and survival. Tumor sections were analyzed for lymphatic and blood vessel number and relative surface and expression of angiogenic growth factors. Finally, primary melanomas from pregnant and nonpregnant women, matched for age and tumor thickness, were also considered. Tumor growth, metastasis, and mortality were increased in B16-injected pregnant mice. Tumors displayed an increase in intratumoral lymph-angiogenesis during gestation. This increased lymphatic angiogenesis was not observed in normal skin during gestation, showing its specificity to the tumor. An analysis of melanoma from pregnant and matched nonpregnant women showed a similar increase in lymphatic vessels. Tumors from pregnant mice had increased expression of vascular endothelial growth factor A at the RNA and protein levels. The increased vascular endothelial growth factor A production by melanoma cells could be reproduced in culture using pregnant mouse serum. In conclusion, pregnancy results in increased lymphangiogenesis and subsequent metastasis. Caution should be applied in the management of patients with advanced-stage melanoma during gestation.</div>
</front>
</TEI>
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<li>Australie</li>
<li>France</li>
</country>
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<li>Auvergne (région administrative)</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
<li>Provence-Alpes-Côte d'Azur</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Clermont-Ferrand</li>
<li>Lille</li>
<li>Marseille</li>
<li>Paris</li>
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<li>Université Pierre-et-Marie-Curie</li>
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<name sortKey="Khosrotehrani, Kiarash" sort="Khosrotehrani, Kiarash" uniqKey="Khosrotehrani K" first="Kiarash" last="Khosrotehrani">Kiarash Khosrotehrani</name>
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