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Blood, 15 March 2004, Vol. 103, No. 6, pp. 2105-2113.
Prepublished online as a Blood First Edition Paper on November 20, 2003; DOI 10.1182/blood-2003-07-2483.

Submitted July 24, 2003
Accepted October 31, 2003
Aggretin, a snake venom-derived endothelial integrin 2 1 agonist, induces angiogenesis via expression of vascular endothelial growth factor
Ching-Hu Chung, Wen-Bin Wu, and Tur-Fu Huang*
Department of Pharmacology, National Taiwan University College of Medicine, Taipei, Taiwan
* Corresponding author; email: turfu{at}ccms.ntu.edu.tw..
Aggretin, a collagen-like 2 1 agonist purified from Calloselasma rhodostoma venom, was shown to increase human umbilical vein endothelial cell (HUVEC) proliferation and HUVECs migration toward immobilized aggretin was also increased. These effects were blocked by A2-IIE10, an antibody raised against integrin 2. Aggretin bound to HUVEC in a dose-dependent and saturable manner, which was specifically inhibited by A2-IIE10, as examined by flow cytometry. Aggretin elicited significant angiogenic effects both in vivo and in vitro angiogenesis assays, and incubation of HUVECs with aggretin activated phosphatidylinositol 3-kinase (PI3K), Akt and extracellular regulated kinase (ERK1/2), these effects were blocked by A2-IIE10 or vascular endothelial growth factor (VEGF) mAb. The angiogenic effect induced by aggretin may be via the production of VEGF, since VEGF level was elevated and VEGF mAb pretreatment was able to inhibit Akt/ERK1/2 activation as well as the in vivo angiogenesis induced by aggretin. The VEGF production induced by aggretin can be blocked by AII-2E10 mAb pretreatment. In conclusion, aggretin induces endothelial cell proliferation, migration and angiogenesis by interacting with integrin 2 1, leading to activation of PI3K, Akt and ERK1/2 pathways, and the increased expression of VEGF may be responsible for its angiogenic activity.

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