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Blood, 15 September 2004, Vol. 104, No. 6, pp. 1601-1605.
Prepublished online as a Blood First Edition Paper on May 27, 2004; DOI 10.1182/blood-2004-02-0433.


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Submitted February 5, 2004
Accepted May 7, 2004

Do anti-angiogenic protein fragments have amyloid properties?

Martijn F Gebbink*, Emile E Voest, and Arie Reijerkerk

Haematology, University Medical Center Utrecht, Utrecht, The Netherlands
Medical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands

* Corresponding author; email: m.gebbink{at}azu.nl.

Tumor growth requires proteolytic activity. As a consequence, protein breakdown products are present in the circulation of cancer patients. Within the past decade a large number of proteolytic fragments have been identified that inhibit angiogenesis and tumor growth. The mechanism(s) of action of these inhibitors is still poorly understood. We recently found that the effects of the angiogenesis inhibitor endostatin on endothelial cells is critically dependent on the presence of cross-{beta} structure, a structure also present in amyloidogenic polypeptides in plaques of patients with amyloidosis, such as Alzheimer's disease. We also showed that cross-{beta} structure containing endostatin is a ligand for tissue-type plasminogen activator (tPA). We noted that many angiogenesis inhibitors stimulate tPA-mediated plasminogen activation. Since the presence of cross-{beta} structure is the common denominator in tPA-binding ligands, we hypothesize that these endogenous anti-angiogenic proteolytic fragments share features with amyloidogenic polypeptides. We postulate that the cross-{beta} structural fold, is present in these anti-angiogenic polypeptide fragments and that this structure mediates the inhibitory effects. The hypothesis provides new insights in the potential mechanisms of these angiogenesis inhibitors and offers opportunities to improve their use.


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