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Prepublished online as a Blood First Edition Paper on July 5, 2002; DOI 10.1182/blood-2002-01-0185.
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Blood, 1 November 2002, Vol. 100, No. 9, pp. 3245-3252
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Kallistatin is a new inhibitor of angiogenesis and tumor
growth
Robert Q. Miao,
Jun Agata,
Lee Chao, and
Julie Chao
From the Department of Biochemistry and Molecular
Biology, Medical University of South Carolina, Charleston.
Kallistatin is a unique serine proteinase inhibitor (serpin) and a
heparin-binding protein. It has been localized in vascular smooth
muscle cells and endothelial cells of human blood vessels, suggesting
that kallistatin may be involved in the regulation of vascular
function. Our previous study showed that kallistatin plays a role in
neointima hyperplasia. In this study, we investigated the potential
role of kallistatin in angiogenesis in vitro and in vivo. Purified
human kallistatin significantly inhibited vascular endothelial growth
factor (VEGF)- or basic fibroblast growth factor (bFGF)-induced
proliferation, migration, and adhesion of cultured endothelial cells.
Kallistatin attenuated VEGF- or bFGF-induced capillary density and
hemoglobin content in subcutaneously implanted Matrigel plugs in mice.
To further investigate the role of kallistatin in angiogenesis, we
prepared adenovirus carrying the human kallistatin cDNA (Ad.HKBP) and
evaluated the effect of kallistatin gene delivery on spontaneous
angiogenesis in a rat model of hind-limb ischemia. Local kallistatin
gene delivery significantly reduced capillary formation and regional
blood perfusion recovery in the ischemic hind limb after removal of the
femoral artery. Furthermore, a single intratumoral injection of Ad.HKBP
into pre-established human breast tumor xenografts grown in athymic
mice resulted in significant inhibition of tumor growth. CD31
immunostaining of tumor sections showed a decreased number of blood
vessels in the kallistatin-treated group as compared to the control.
These results demonstrate a novel role of kallistatin in the inhibition
of angiogenesis and tumor growth.

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