Lymphatic spread is an important clinical determinant in the prognosis of many human
cancers. The lymphangiogenic factor
vascular endothelial growth factor-D (
VEGF-D) is implicated in the promotion of
lymphatic metastasis through the development of lymphatic vessels in some human
cancers. In this study, we developed an anti-
VEGF-D monoclonal antibody, cVE199, and investigated its in vitro properties, in vivo effects against
tumors and possible target indications to evaluate its potential as a therapeutic antibody. The cVE199 molecule was revealed to have a specific binding reactivity against human
VEGF-D, as well as a specific inhibitory activity against the binding of human
VEGF-D to
VEGFR-3. In addition, cVE199 was found to inhibit the
biological activity of
VEGF-D against lymphatic cells in vitro. Because we determined that a
neuroblastoma cell line, SK-N-DZ, abundantly expressed
VEGF-D, an in vivo efficacy study was performed using a xenograft model of SK-N-DZ. We found that cVE199 significantly decreased
lymphatic metastasis of SK-N-DZ as well as lymphangiogenesis in primary lesions. Finally, we investigated
VEGF-D expression in human
neuroblastoma, finding that the molecule was expressed in 11 of 29 human
neuroblastoma specimens (37.9%). In conclusion, we found that a novel anti-
VEGF-D monoclonal antibody, cVE199, with specific reactivity against human
VEGF-D, prevents
lymphatic metastasis of
neuroblastoma through the inhibition of lymphangiogenesis in an animal model. In addition, our results show that
VEGF-D is expressed in some cases of human
neuroblastomas, which suggests that cVE199 is a potential anti-
metastasis therapeutic antibody in
neuroblastoma treatment.