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Lars Johan Nissen, Renhai Cao, Eva-Maria Hedlund, Zongwei Wang, Xing Zhao, Daniel Wetterskog, Keiko Funa, Ebba Bråkenhielm, Yihai Cao
Published in Volume 117, Issue 10
J Clin Invest. 2007; 117(10):2766–2777 doi:10.1172/JCI32479
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Figure 9
Schematic representation of reciprocal interplay between FGF2 and PDGF-BB in promoting tumor angiogenesis and metastasis.

FGF2 induces expression of PDGFR-α and -β in ECs, which are activated by PDGF-BB. Activation of PDGFRs leads to enhanced EC migration, which would synergistically coordinate with FGF2-induced EC proliferation. Both proliferation and migration of ECs are essential steps of tumor angiogenesis and are manifested in vivo as angiogenic synergism, which promotes metastasis. Conversely, PDGF-BB upregulates FGFR1 expression in VSMCs, which mediates proliferation signals triggered by FGF2. The FGF2-induced VSMC proliferation synergistically cooperates with PDGF-BB–induced VSMC proliferation and migration to crosstalk to nascent vasculature for remodeling. The coordination between synergistic angiogenesis and synergistic vascular remodeling in facilitating a functional vasculature remains unknown. In the tumor environment, it appears that FGF2/PDGF-BB–induced synergistic angiogenesis is not well coordinated with the angiogenic effects of FGF2 and PDGF-BB vascular remodeling. As a consequence, these 2 factors induce disorganized vasculatures and promote cancer metastasis.