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Blood, Vol. 92 No. 12 (December 15), 1998: pp. 4730-4741

Multiple Forms of Angiostatin Induce Apoptosis in Endothelial Cells

R. Lucas, L. Holmgren, I. Garcia, B. Jimenez, S.J. Mandriota, F. Borlat, B.K.L. Sim, Z. Wu, G.E. Grau, Y. Shing, G.A. Soff, N. Bouck, and M.S. Pepper

From the Laboratory of Immunopathology and Laboratory of Intensive Care, Department of Anesthesiology, Pharmacology, and Surgical Intensive Care, and Department of Internal Medicine, Geneva University Hospital, Geneva, Switzerland; the Center for Genomics Research, Karolinska Institute, Stockholm, Sweden; the Departments of Pathology and of Morphology, University Medical Center, Geneva, Switzerland; the Department of Microbiology-Immunology, Division of Hematology-Oncology, and R.H. Lurie Cancer Center, Northwestern University Medical School, Chicago, IL; the Serono Pharmaceutical Research Institute S.A., Geneva, Switzerland; EntreMed Inc, Rockville, MD; and the Department of Surgical Research, Children's Hospital, Harvard Medical School, Boston, MA.

Angiostatin is a circulating inhibitor of angiogenesis generated by proteolytic cleavage of plasminogen. In this study we have used recombinant human and murine angiostatins (kringles 1-4) as well as native human angiostatin (prepared by elastase digestion of plasminogen [kringles 1-3] or by plasmin autocatalysis in the presence of a free sulfhydryl donor [kringles 1-4]). We report that angiostatin reduces endothelial cell number in a 4-day proliferation assay without affecting cell cycle progression into S-phase (as determined by bromodeoxyuridine labeling). This suggested that the reduction in cell number in the proliferation assay might in part be due to cytotoxicity. This was confirmed by the observation that ethidium homodimer incorporation (a measure of plasma membrane integrity) into endothelial cells was increased by angiostatin in a manner similar to that seen with tumor necrosis factor-alpha (TNF-alpha ) and transforming growth factor-beta 1 (TGF-beta 1), both of which induce apoptosis in endothelial cells. In contrast to TNF-alpha and TGF-beta 1, angiostatin did not induce cytotoxicity in human MRC-5 fibroblast, rat smooth muscle, canine MDCK epithelial, or murine B16-F10 melanoma cell lines. Angiostatin-induced apoptosis was confirmed by endothelial cell nuclear acridine orange incorporation as well as by annexin V and TUNEL staining. These in vitro findings point to endothelial cell apoptosis as a mechanism for the antiangiogenic effect of angiostatin in vivo.


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