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Blood, 15 June 2005, Vol. 105, No. 12, pp. 4642-4648.
Prepublished online as a Blood First Edition Paper on March 3, 2005; DOI 10.1182/blood-2004-08-3327.


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Submitted August 27, 2004
Accepted January 25, 2005

Angiopoietin-1 promotes lymphatic sprouting and hyperplasia

Tuomas Tammela, Anne Saaristo, Marja Lohela, Tohru Morisada, Jenny Tornberg, Camilla Norrmen, Yuichi Oike, Katri Pajusola, Gavin Thurston, Toshio Suda, Seppo Yla-Herttuala, and Kari Alitalo*

Molecular/Cancer Biology Laboratory and Ludwig Institute for Cancer Research, Biomedicum Helsinki and Helsinki University Central Hospital, University of Helsinki, Helsinki, Finland
Department of Cell Differentiation, The Sakaguchi Laboratory, School of Medicine, Keio University, Tokyo, Japan
Regeneron Pharmaceuticals Inc., Tarrytown, NY, USA
A. I. Virtanen Institute and Department of Medicine, University of Kuopio, Kuopio, Finland

* Corresponding author; email: kari.alitalo{at}helsinki.fi.

Angiopoietin (Ang) 1, a ligand for the receptor tyrosine kinase Tie2, regulates the formation and stabilization of the blood vessel network during embryogenesis. In adults, Ang1 is associated with blood vessel stabilization and recruitment of perivascular cells, whereas Ang2 acts to counter these actions. Recent results from gene-targeted mice have shown that Ang2 is also essential for the proper patterning of lymphatic vessels and that Ang1 can be substituted for this function. In order to characterize the effects of the angiopoietins on lymphatic vessels, we employed viral vectors for overexpression of Ang1 in adult mouse tissues. We found that Ang1 activated lymphatic vessel endothelial proliferation, vessel enlargement and generation of long endothelial cell filopodia that eventually fused, leading to new sprouts and vessel development. Cutaneous lymphatic hyperplasia was also detected in transgenic mice expressing Ang1 in the basal epidermal cells. Tie2 was expressed in the lymphatic endothelial cells and Ang1 stimulation of these cells resulted in upregulation of vascular endothelial growth factor receptor (VEGFR)-3. Furthermore, a soluble form of VEGFR-3 inhibited the observed lymphatic sprouting. Our results reinforce the concept that Ang1 therapy may be useful in settings of tissue edema.


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