Merkel cell carcinoma expresses vasculogenic mimicry: demonstration in patients and experimental manipulation in xenografts

Lab Invest. 2014 Oct;94(10):1092-102. doi: 10.1038/labinvest.2014.99. Epub 2014 Aug 11.

Abstract

Merkel cell carcinoma (MCC) is a highly virulent cutaneous neoplasm that, like melanoma, is a frequent cause of patient morbidity and mortality. The cellular mechanisms responsible for the aggressive behavior of MCC remain unknown. Vasculogenic mimicry (VM) is a phenomenon associated with cancer virulence, including in melanoma, whereby anastomosing laminin networks form in association with tumor cells that express certain endothelial genes. To determine whether VM is a factor in MCC, we employed a relevant xenograft model using two independent human MCC lines. Experimentally induced tumors were remarkably similar histologically to patient MCC, and both contained laminin networks associated with vascular endothelial-cadherin (CD144) and vascular endothelial growth factor receptor 1, as well as Nodal expression typical of VM in melanoma. Moreover, two established chemotherapeutic agents utilized for human MCC, etoposide and carboplatin, induced necrosis in xenografts on systemic administration while enriching for laminin networks in apparently resistant viable tumor regions that persisted. These findings for the first time establish VM-like laminin networks as a biomarker in MCC, demonstrate the experimental utility of the MCC xenograft model, and suggest that VM-rich regions of MCC may be refractory to conventional chemotherapeutic agents.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Animals
  • Antineoplastic Agents, Phytogenic / therapeutic use
  • Carboplatin / therapeutic use
  • Carcinoma, Merkel Cell / drug therapy
  • Carcinoma, Merkel Cell / pathology*
  • Cell Line, Tumor
  • Etoposide / therapeutic use
  • Human Umbilical Vein Endothelial Cells
  • Humans
  • Lymph Nodes / pathology*
  • Mice, Knockout
  • Middle Aged
  • Neoplasm Invasiveness
  • Neoplasm Transplantation
  • Neovascularization, Pathologic*
  • Random Allocation
  • Skin / pathology*
  • Skin Neoplasms / drug therapy
  • Skin Neoplasms / pathology*
  • Transplantation, Heterologous

Substances

  • Antineoplastic Agents, Phytogenic
  • Etoposide
  • Carboplatin