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Blood, 1 April 2002, Vol. 99, No. 7, pp. 2397-2407
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Vascular endothelial growth factor receptor Flt-1 negatively
regulates developmental blood vessel formation by modulating
endothelial cell division
Joseph B. Kearney,
Carrie
A. Ambler,
Kelli-Ann Monaco,
Natalie Johnson,
Rebecca G. Rapoport, and
Victoria L. Bautch
From the Program in Genetics and Molecular Biology,
Department of Biology, University of North Carolina at Chapel Hill,
Chapel Hill.
Mice lacking the vascular endothelial growth factor (VEGF) receptor
flt-1 die of vascular overgrowth, and we are interested in how flt-1
normally prevents this outcome. Our results support a model whereby
aberrant endothelial cell division is the cellular mechanism resulting
in vascular overgrowth, and they suggest that VEGF-dependent
endothelial cell division is normally finely modulated by flt-1 to
produce blood vessels. Flt-1 / embryonic
stem cell cultures had a 2-fold increase in endothelial cells by day 8, and the endothelial cell mitotic index was significantly elevated
before day 8. Flt-1 mutant embryos also had an increased endothelial cell mitotic index, indicating that aberrant endothelial cell division occurs in vivo in the absence of flt-1. The
flt-1 mutant vasculature of the cultures was partially
rescued by mitomycin C treatment, consistent with a cell
division defect in the mutant background. Analysis of cultures at
earlier time points showed no significant differences until day 5, when
flt-1 mutant cultures had increased
-galactosidase+ cells, indicating that the expansion of
flt-1 responsive cells occurs after day 4. Mitomycin C treatment
blocked this early expansion, suggesting that aberrant division of
angioblasts and/or endothelial cells is a hallmark of the
flt-1 mutant phenotype throughout vascular development.
Consistent with this model is the finding that expansion of platelet
and endothelial cell adhesion molecule+ and
VE-cadherin+ vascular cells in the
flt-1 mutant background first occurs between day 5 and day
6. Taken together, these data show that flt-1 normally modulates
vascular growth by controlling the rate of endothelial cell division
both in vitro and in vivo.

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