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Blood, Vol. 93 No. 8 (April 15), 1999: pp. 2627-2636

Human Erythropoietin Induces a Pro-Angiogenic Phenotype in Cultured Endothelial Cells and Stimulates Neovascularization In Vivo

Domenico Ribatti, Marco Presta, Angelo Vacca, Roberto Ria, Roberta Giuliani, Patrizia Dell'Era, Beatrice Nico, Luisa Roncali, and Franco Dammacco

From the Institute of Human Anatomy, Histology and Embryology, and the Department of Biomedical Sciences and Human Oncology, University of Bari School of Medicine, Bari, Italy; and the Unit of General Pathology and Immunology, Department of Biomedical Sciences and Biotechnology, University of Brescia School of Medicine, Brescia, Italy.

Hematopoietic and endothelial cell lineages share common progenitors. Accordingly, cytokines formerly thought to be specific for the hematopoietic system have been shown to affect several functions in endothelial cells, including angiogenesis. In this study, we investigated the angiogenic potential of erythropoietin (Epo), the main hormone regulating proliferation, differentiation, and survival of erythroid cells. Epo receptors (EpoRs) have been identified in the human EA.hy926 endothelial cell line by Western blot analysis. Also, recombinant human Epo (rHuEpo) stimulates Janus Kinase-2 (JAK-2) phosphorylation, cell proliferation, and matrix metalloproteinase-2 (MMP-2) production in EA.hy926 cells and significantly enhances their differentiation into vascular structures when seeded on Matrigel. In vivo, rHuEpo induces a potent angiogenic response in the chick embryo chorioallantoic membrane (CAM). Accordingly, endothelial cells of the CAM vasculature express EpoRs, as shown by immunostaining with an anti-EpoR antibody. The angiogenic response of CAM blood vessels to rHuEpo was comparable to that elicited by the prototypic angiogenic cytokine basic fibroblast growth factor (FGF2), it occurred in the absence of a significant mononuclear cell infiltrate, and it was not mimicked by endothelin-1 (ET-1) treatment. Taken together, these data demonstrate the ability of Epo to interact directly with endothelial cells and to elicit an angiogenic response in vitro and in vivo and thus act as a bona fide direct angiogenic factor.


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Oncologist, December 1, 2003; 8(90003): 18 - 29.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
H. E. Turner, A. L. Harris, S. Melmed, and J. A. H. Wass
Angiogenesis in Endocrine Tumors
Endocr. Rev., October 1, 2003; 24(5): 600 - 632.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
K. L. Blackwell, J. P. Kirkpatrick, S. A. Snyder, G. Broadwater, F. Farrell, L. Jolliffe, D. M. Brizel, and M. W. Dewhirst
Human Recombinant Erythropoietin Significantly Improves Tumor Oxygenation Independent of Its Effects on Hemoglobin
Cancer Res., October 1, 2003; 63(19): 6162 - 6165.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
Z. A. Haroon, K. Amin, X. Jiang, and M. O. Arcasoy
A Novel Role for Erythropoietin During Fibrin-Induced Wound-Healing Response
Am. J. Pathol., September 1, 2003; 163(3): 993 - 1000.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
K. J Smith, A. J Bleyer, W. C Little, and D. C Sane
The cardiovascular effects of erythropoietin
Cardiovasc Res, September 1, 2003; 59(3): 538 - 548.
[Abstract] [Full Text] [PDF]


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BloodHome page
C. Heeschen, A. Aicher, R. Lehmann, S. Fichtlscherer, M. Vasa, C. Urbich, C. Mildner-Rihm, H. Martin, A. M. Zeiher, and S. Dimmeler
Erythropoietin is a potent physiologic stimulus for endothelial progenitor cell mobilization
Blood, August 15, 2003; 102(4): 1340 - 1346.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
J. Herget, J. Novotna, J. Bibova, V. Povysilova, M. Vankova, and V. Hampl
Metalloproteinase inhibition by Batimastat attenuates pulmonary hypertension in chronically hypoxic rats
Am J Physiol Lung Cell Mol Physiol, July 1, 2003; 285(1): L199 - L208.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
J. Rossert, B. Fouqueray, and J. J. Boffa
Anemia Management and the Delay of Chronic Renal Failure Progression
J. Am. Soc. Nephrol., July 1, 2003; 14(90002): S173 - 177.
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BloodHome page
J.-M. Liu, F. Lawrence, M. Kovacevic, J. Bignon, E. Papadimitriou, J.-Y. Lallemand, P. Katsoris, P. Potier, Y. Fromes, and J. Wdzieczak-Bakala
The tetrapeptide AcSDKP, an inhibitor of primitive hematopoietic cell proliferation, induces angiogenesis in vitro and in vivo
Blood, April 15, 2003; 101(8): 3014 - 3020.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
C. Guillard, S. Chretien, A.-S. Pelus, F. Porteu, O. Muller, P. Mayeux, and V. Duprez
Activation of the Mitogen-activated Protein Kinases Erk1/2 by Erythropoietin Receptor via a Gi Protein beta gamma -Subunit-initiated Pathway
J. Biol. Chem., March 21, 2003; 278(13): 11050 - 11056.
[Abstract] [Full Text] [PDF]


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DevelopmentHome page
X. Yu, J. J. Shacka, J. B. Eells, C. Suarez-Quian, R. M. Przygodzki, B. Beleslin-Cokic, C.-S. Lin, V. M. Nikodem, B. Hempstead, K. C. Flanders, et al.
Erythropoietin receptor signalling is required for normal brain development
Development, March 3, 2003; 129(2): 505 - 516.
[Abstract] [Full Text] [PDF]


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Exp. Biol. Med.Home page
J. W. Fisher
Erythropoietin: Physiology and Pharmacology Update
Experimental Biology and Medicine, January 1, 2003; 228(1): 1 - 14.
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BloodHome page
N. Suzuki, O. Ohneda, S. Takahashi, M. Higuchi, H. Y. Mukai, T. Nakahata, S. Imagawa, and M. Yamamoto
Erythroid-specific expression of the erythropoietin receptor rescued its null mutant mice from lethality
Blood, September 18, 2002; 100(7): 2279 - 2288.
[Abstract] [Full Text] [PDF]


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IOVSHome page
S. Bocker-Meffert, P. Rosenstiel, C. Rohl, N. Warneke, J. Held-Feindt, J. Sievers, and R. Lucius
Erythropoietin and VEGF Promote Neural Outgrowth from Retinal Explants in Postnatal Rats
Invest. Ophthalmol. Vis. Sci., June 1, 2002; 43(6): 2021 - 2026.
[Abstract] [Full Text] [PDF]


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BloodHome page
S. Burns, M. O. Arcasoy, L. Li, E. Kurian, K. Selander, P. D. Emanuel, and K. W. Harris
Purification and characterization of the yeast-expressed erythropoietin mutant Epo (R103A), a specific inhibitor of human primary hematopoietic cell erythropoiesis
Blood, May 29, 2002; 99(12): 4400 - 4405.
[Abstract] [Full Text] [PDF]


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Mol Hum ReprodHome page
R. Yokomizo, S. Matsuzaki, S. Uehara, T. Murakami, N. Yaegashi, and K. Okamura
Erythropoietin and erythropoietin receptor expression in human endometrium throughout the menstrual cycle
Mol. Hum. Reprod., May 1, 2002; 8(5): 441 - 446.
[Abstract] [Full Text] [PDF]


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BloodHome page
X. Yu, C.-S. Lin, F. Costantini, and C. T. Noguchi
The human erythropoietin receptor gene rescues erythropoiesis and developmental defects in the erythropoietin receptor null mouse
Blood, July 15, 2001; 98(2): 475 - 477.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
G. Acs, P. Acs, S. M. Beckwith, R. L. Pitts, E. Clements, K. Wong, and A. Verma
Erythropoietin and Erythropoietin Receptor Expression in Human Cancer
Cancer Res., May 1, 2001; 61(9): 3561 - 3565.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
A.-L. Sirén, M. Fratelli, M. Brines, C. Goemans, S. Casagrande, P. Lewczuk, S. Keenan, C. Gleiter, C. Pasquali, A. Capobianco, et al.
Erythropoietin prevents neuronal apoptosis after cerebral ischemia and metabolic stress
PNAS, March 16, 2001; (2001) 51606598.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
V. H. Haase, J. N. Glickman, M. Socolovsky, and R. Jaenisch
Vascular tumors in livers with targeted inactivation of the von Hippel-Lindau tumor suppressor
PNAS, February 13, 2001; 98(4): 1583 - 1588.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
V. Divoky, Z. Liu, T. M. Ryan, J. F. Prchal, T. M. Townes, and J. T. Prchal
Mouse model of congenital polycythemia: Homologous replacement of murine gene by mutant human erythropoietin receptor gene
PNAS, January 30, 2001; 98(3): 986 - 991.
[Abstract] [Full Text] [PDF]


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BloodHome page
G. Bernardini, G. Spinetti, D. Ribatti, G. Camarda, L. Morbidelli, M. Ziche, A. Santoni, M. C. Capogrossi, and M. Napolitano
I-309 binds to and activates endothelial cell functions and acts as an angiogenic molecule in vivo
Blood, December 15, 2000; 96(13): 4039 - 4045.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
D. Salani, G. Taraboletti, L. Rosano, V. Di Castro, P. Borsotti, R. Giavazzi, and A. Bagnato
Endothelin-1 Induces an Angiogenic Phenotype in Cultured Endothelial Cells and Stimulates Neovascularization In Vivo
Am. J. Pathol., November 1, 2000; 157(5): 1703 - 1711.
[Abstract] [Full Text] [PDF]


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PhysiologyHome page
H. H. Marti, M. Bernaudin, E. Petit, and C. Bauer
Neuroprotection and Angiogenesis: Dual Role of Erythropoietin in Brain Ischemia
Physiology, October 1, 2000; 15(5): 225 - 229.
[Abstract] [Full Text] [PDF]


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JCBHome page
J. Y. Pan, W. E. Fieles, A. M. White, M. M. Egerton, and D. S. Silberstein
Ges, a Human Gtpase of the Rad/Gem/Kir Family, Promotes Endothelial Cell Sprouting and Cytoskeleton Reorganization
J. Cell Biol., May 29, 2000; 149(5): 1107 - 1116.
[Abstract] [Full Text] [PDF]


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BloodHome page
A. Vacca, M. Iurlaro, D. Ribatti, M. Minischetti, B. Nico, R. Ria, A. Pellegrino, and F. Dammacco
Antiangiogenesis Is Produced by Nontoxic Doses of Vinblastine
Blood, December 15, 1999; 94(12): 4143 - 4155.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
A. Rivard, L. Berthou-Soulie, N. Principe, M. Kearney, C. Curry, D. Branellec, G. L. Semenza, and J. M. Isner
Age-dependent Defect in Vascular Endothelial Growth Factor Expression Is Associated with Reduced Hypoxia-inducible Factor 1 Activity
J. Biol. Chem., September 15, 2000; 275(38): 29643 - 29647.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Ogilvie, X. Yu, V. Nicolas-Metral, S. M. Pulido, C. Liu, U. T. Ruegg, and C. T. Noguchi
Erythropoietin Stimulates Proliferation and Interferes with Differentiation of Myoblasts
J. Biol. Chem., December 8, 2000; 275(50): 39754 - 39761.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
A.-L. Siren, M. Fratelli, M. Brines, C. Goemans, S. Casagrande, P. Lewczuk, S. Keenan, C. Gleiter, C. Pasquali, A. Capobianco, et al.
Erythropoietin prevents neuronal apoptosis after cerebral ischemia and metabolic stress
PNAS, March 27, 2001; 98(7): 4044 - 4049.
[Abstract] [Full Text] [PDF]



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