EC Veterinary Science

Research Article Volume 7 Issue 8 - 2022

The Correlation of Intratumoral Flt-4 Positive Lymphatic Vessels with the Expression of iNOS and VEGF-C in Canine Mammary Gland Tumor

Parin Suwannaprapha*, Tawewan Issarakura Na Ayudhada and Panop Wilainam

Department of Preclinic and Applied Animal Science, Faculty of Veterinary Science, Mahidol University, Thailand

*Corresponding Author: Parin Suwannaprapha, Department of Pre-Clinic and Applied Animal Sciences, Faculty of Veterinary Science, Mahidol University, Salaya Campus, Phutthamonthon, Nakhonpathom, Thailand.
Received: June 30, 2022; Published: July 27, 2022



Vascular endothelial growth factor-C (VEGF-C) and iNOS are considered to be a potentially lymphangiogenic and can selectively induce hyperplasia of the lymphatic vasculature. In this study, we aimed to clarify the relation between expression of VEGF-C and iNOS with Flt-4, lymphatic vessel marker, to investigate the intralymphatic tumor growth in canine mammary gland tumor by immunohistochemical method. Using the specific polyclonal antibodies, VEGF-C and iNOS immunolabeled cells were count in benign and malignant canine mammary gland neoplasm. All cases showed some tumor cell positive for VEGF-C and iNOS, and the staining pattern was seen predominantly cytoplasmic. The percentage of VEGF-C and iNOS positive cells ranged from 52.3% to 81.6% and 71.8% to 94.4%, respectively. Lymphatic vessel was investigated by the expression of Flt-4 in lymphatic endothelium and the result shows percentage number of lymph vessel among 15.5% - 37.7%. Although the percentage of Flt-4 positive lymph vessel, VEGF-C and iNOS positive cell in malignant neoplasm were produced in higher amounts than the benign neoplasm, there was highly significant difference (p < 0.05) among neoplastic group. Moreover, the numbers of VEGF-C, iNOS positive cells and tumor lymphatic vessels were positive correlated with each other for both benign and malignant tumor (p < 0.01). This present study suggests that the upregulation of VEGF-C, iNOS in canine mammary gland tumors was interconnected with the intralymphatic tumor growth.

Keywords: VEGF-C; iNOS; Flt-4; Lymphatic Vessel Density; Canine Mammary Gland Tumor

  1. Anadol E., et al. “Expression of iNOS, COX-2 and VEGF in canine mammary tumours and non-neoplastic mammary glands: Association with clinicopathological features and tumour grade”. Acta Veterinaria Hungarica3 (2017): 382-393.
  2. Burke AJ., et al. “The yin and yang of nitric oxide in cancer progression”. Carcinogenesis3 (2013): 503-512.
  3. Decio A., et al. “Vascular endothelial growth factor c promotes ovarian carcinoma progression through paracrine and autocrine mechanisms”. The American Journal of Pathology 184 (2014): 1050-1061.
  4. Franchi A., et al. “Inducible nitric oxide synthase activity correlates with lymphangiogenesis and vascular endothelial growth factor‐C expression in head and neck squamous cell carcinoma”. The Journal of Pathology: A Journal of the Pathological Society of Great Britain and Ireland3 (2006): 439-445.
  5. Garcia EA., et al. “Lymphatic vessel density and VEGF-C expression are significantly different among benign and malignant thyroid lesions”. Endocrine Pathology2 (2010): 101-107.
  6. Gomes FG., et al. “Tumor angiogenesis and lymphangiogenesis: tumor/endothelial crosstalk and cellular/ microenvironmental signaling mechanisms”. Life Sciences 92 (2013): 101-107.
  7. Hao Yu., et al. “The role of VEGF-C-D and Flt-4 in the lymphatic metastasis of early stage invasive cervical carcinoma”. Journal of Experimental and Clinical Cancer Research 28 (2009): 98.
  8. Karadayı N., et al. “Inducible nitric oxide synthase expression in gastric adenocarcinoma: impact on lymphangiogenesis and lymphatic metastasis”. Diagnostic Pathology1 (2013): 151.
  9. Lahdenranta J., et al. “Endothelial nitric oxide synthase mediates lymphangiogenesis and lymphatic metastasis”. Cancer Research7 (2009): 2801-2808.
  10. Massi D., et al. “Inducible nitric oxide synthase expression in melanoma: implications in lymphangiogenesis”. Modern Pathology1 (2009): 21.
  11. Nakamura Y., et al. “Nitric oxide in breast cancer: induction of vascular endothelial growth factor-C and correlation with metastasis and poor prognosis”. Clinical Cancer Research4 (2006): 1201-1207.
  12. Niu XJ., et al. “Relationship between inducible nitric oxide synthase expression and angiogenesis in primary gallbladder carcinoma tissue”. World Journal of Gastroenterology 10 (2004): 725-728.
  13. Pan Z., et al. “VEGF-C is positively associated with lymphangiogenesis and lymphatic metastasis in rectal cancer”. International Journal of Clinical and Experimental Pathology3 (2018): 1777-1783.
  14. Ranganathan S., et al. “Significance of twist and iNOS expression in human breast carcinoma”. Molecular and Cellular Biochemistry 412 (2016): 41-47.
  15. Raposo‐Ferreira TM., et al. “Evaluation of vascular endothelial growth factor gene and protein expression in canine metastatic mammary carcinomas”. Microscopy Research and Technique11 (2016): 1097-1104.
  16. Rauniyar K., et al. “Biology of vascular endothelial growth factor C in the morphogenesis of lymphatic vessels”. Frontiers in Bioengineering and Biotechnology 6 (2018): 7.
  17. Shigetomi S., et al. “VEGF-C/Flt-4 axis in tumor cells contributes to the progression of oral squamous cell carcinoma via upregulating VEGF-C itself and contactin-1 in an autocrine manner”. American Journal of Cancer Research10 (2018): 2046.
  18. Singh PP., et al. “Intratumoural and peritumoural lymphangiogenesis in canine mammary tumour linked to tumour spread and poor survival”. Current Science7 (2018): 1312.
  19. Singh S and Gupta AK. “Nitric oxide: role in tumour biology and iNOS/NObased anticancer therapies”. Cancer Chemotherapy and Pharmacology6 (2011): 1211-1224.
  20. Sleeckx N. Angiogenesis and lymphangiogenesis in canine mammary tumours (Doctoral dissertation, University of Antwerp) (2013).
  21. Tascene N., et al. “Serum neopterin, sialic acid and nitric oxide levels in dogs with malignant mammary tumours”. Veterinary and Comparative Oncology 10 (2012): 155-159.
  22. Zafirellis K., et al. “Inducible nitric oxide synthase expression and its prognostic significance in colorectal cancer”. Acta Pathologica, Microbiologica, Et Immunologica Scandinavica 118 (2010): 115-124.
  23. Zhang W., et al. “Inducible nitric oxide synthase expression correlates with angiogenesis,lymphangiogenesis, and poor prognosis in gastric cancer patients”. Human Pathology9 (2011): 1275-1282.
  24. Zhao YC., et al. “Peritumoral lymphangiogenesis induced by vascular endothelial growth factor C and D promotes lymph node metastasis in breast cancer patients”. World Journal of Surgical Oncology1 (2012): 165.
  25. Ziche M and Morbidelli L. “Molecular regulation of tumour angiogenesis by nitric oxide”. European Cytokine Network4 (2009): 164-170.

Parin Suwannaprapha., et al. The Correlation of Intratumoral Flt-4 Positive Lymphatic Vessels with the Expression of iNOS and VEGF-C in Canine Mammary Gland Tumor. EC Veterinary Science  7.8 (2022): 09-15.