Tumor-associated myeloid cells are believed to promote
tumor development by stimulating
tumor growth, angiogenesis, invasion, and
metastasis.
Tumor-associated myeloid cells that coexpress endothelial and myeloid markers represent a proangiogenic subpopulation known as vascular leukocytes. Recently, we and others had shown that
tumor-derived TNFα promotes local
tumor growth and vascularity. Our data suggested that
tumor growth is in part due to TNFα-mediated increased numbers of
tumor-associated vascular leukocytes (i.e., myeloid-endothelial biphenotypic cells). The work detailed herein explored the mechanism by which TNFα mediates endothelial differentiation of myeloid cells. Our studies showed that
fibronectin is a robust facilitator of endothelial differentiation of blood mononuclear cells in vitro. We have found that TNFα treatment of monocytes significantly increased expression of α(5)β(1)
integrin, a major
fibronectin receptor enriched on endothelial cells, leading to a consequent fourfold increase in
fibronectin adhesion. Furthermore, TNFα-treated monocytes upregulated expression of endothelial markers, flk-1(VEGFR2/KDR) and
VE-cadherin.
Integrin α(5) subunit inhibitory
antibodies blocked adhesion to
fibronectin as well as consequent upregulation of flk-1 and
VE-cadherin transcripts, implying a role for outside-in signaling by the α(5)β(1)
integrin after binding
fibronectin. Finally, treatment of mouse
tumors with anti-α(5)
antibodies reduced accumulation of
tumor vascular leukocytes in vivo. Our studies suggest that
tumor cell-derived TNFα constitutes a tumor microenvironment signal that promotes differentiation of
tumor-associated monocytes toward a proangiogenic/provasculogenic myeloid-endothelial phenotype via upregulation of the
fibronectin receptor α(5)β(1).