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Blood, 1 February 2004, Vol. 103, No. 3, pp. 955-962.
Prepublished online as a Blood First Edition Paper on October 2, 2003; DOI 10.1182/blood-2003-07-2214.

Submitted July 7, 2003
Accepted September 22, 2003
Vascular endothelial growth factor (VEGF) induces rapid pro-urokinase (pro-uPA) activation on the surface of endothelial cells
Gerald W Prager, Johannes M Breuss, Stefan Steurer, Judit Mihaly, and Bernd R Binder*
Vascular Biology and Thrombosis Research, University of Vienna, Vienna, Austria
* Corresponding author; email: Bernd.Binder{at}univie.ac.at.
VEGF is the pivotal angiogenic growth factor activating endothelial cells to migrate, proliferate and to form capillary tubes. For an ordered endothelial cell migration, tissue invasion and degradation of the extracellular matrix, a proteolytic machinery is indispensable. Such a machinery, suitable for localized proteolysis, is provided by the pro-urokinase - urokinase plasmin system. Pro-urokinase (uPA), the initial component of this system, is, however, synthesized in its inactive precursor form and as such bound to its cellular receptor uPAR. Here we identify a mechanism via which VEGF165 interacting with its receptor VEGFR-2 rapidly induces pro-urokinase (pro-uPA) activation that is dependent on a change in integrin affinity, activation of MMP-2 and pro-uPA being bound to its surface receptor uPAR. This VEGF-induced pro-uPA activation on endothelial cells is responsible for VEGF dependent local fibrinolytic activity and might be one of the initial steps in the angiogenic process.

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