The results of this study have shown that U937 and THP1 leukemic cells were potential producers of VEGF, MMP-2 and MMP-9. Accordingly, U937 cells have produced a great amount of VEGF without any stimulus and LPS has not shown any significant effect on VEGF production by U937 cells. Whereas THP1 cells have produced an evident amount of VEGF without stimulation and LPS has significantly increased VEGF secretion in this cell line. Therefore our results have shown that there are various patterns of VEGF production in leukemic cells and LPS had different effect on VEGF production in different leukemic cells. Consequently sensitivity of various leukemic cells to LPS-induced VEGF secretion is different. Diverse patterns of VEGF expression in tumorous and normal tissues have been revealed and different cancers exhibit different profiles of VEGF secretion (
22-
24). VEGF has a key role in tumor expansion and metastasis (
25,
26) and is an important biomarker of tumor (
27). Thus VEGF might be a good prognostic and diagnostic marker (
28-
31). Similar to our findings, the presence of VEGF-C protein in supernatants of PMA-differentiated HL-60 leukemic cells after LPS stimulation has shown (
32). Also increase of VEGF production by LPS in peripheral blood mononuclear cells has been revealed in vitro (
16). Moreover LPS treatment of murine skin wounds with topical LPS has increased the secretion of some growth factors including VEGF at the wound site (
33). Furthermore induction of angiogenesis by LPS has been shown (
13-
15). In addition VEGF has a key role in angiogenesis (
5,
7). So the induction of angiogenesis by LPS might be in part due to its stimulatory effect on VEGF production. Currently the anti- leukemic effects of VEGF inhibitors has been reported (
34,
35). So inhibition of LPS might have potential implication in treatment of leukemia.
According to the results of this study, LPS increased MMP-2/MMP-9 activity in U937 leukemic cells, and induced MMP-2/MMP-9 in THP1 leukemic cells. Consequently pattern of MMP-activity in U937 and THP1 cells was somewhat different. Similar to our findings, diverse profiles of MMPs expression in various tumor cells have been reported (
36,
37). MMPs had an important role in angiogenesis (
6,
11). The induction of angiogenesis by LPS has been also shown (
13-
15). Thus the stimulation of angiogenesis by LPS might be partially due to its stimulatory effect on MMP-2/MMP-9 activities. In addition the effects of LPS in leukemiogenesis and in vitro activation of leukemic cells have been reported (
17,
18). Therefore inhibition of LPS-induced MMP activity might be a novel possible approach in leukemia therapy. Furthermore preclusion of apoptosis in neutrophils by LPS has been shown (
38). Also production of Tumor necrosis factor-alpha (TNF-α) by LPS- stimulated THP-1 cells has been revealed (
39). Most important topic would be that LPS had an essential role in induction of tumor metastasis (
40). Both VEGF and MMPs had important role in cancer metastasis (
41). Increase of VEGF expression by LPS in several cells including rat lung periocytes and PBMCs has been shown (
16,
42,
43). So the role of LPS in metastasis might partly due to its stimulatory effect on VEGF production and MMP-2/MMP-9 activities. The correlation between angiogenesis and development of leukemia particularly CLL has been reported by several studies (
44-
46). The induction of angiogenesis by LPS has been also shown (
13-
15). Thus LPS might have noticeable effect in leukemia progression through stimulation of pathologic angiogenesis.
As a whole avoidance/treatment of bacterial infections especially their LPS could be essential in management of tumors such as leukemia in which pathologic angiogenesis has played considerable role. In addition according to the results of this study, LPS-stimulated U937 and THP1 leukemic cells could be precious screening tools for VEGF/MMP inhibitors and subsequently planning the novel drugs for treatment of refractory leukemias. Also other studies about LPS effects on VEGF/ MMP expression in other malignant cells as well as in vivo models have been warranted.
LPS-stimulated U937 and THP1 leukemic cells could be useful tools for screening of VEGF/MMPs modulators and therefore setting up of novel drugs for treatment of leukemia and other related cancers.