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Blood, 19 March 2009, Vol. 113, No. 12, pp. 2835-2842.
Prepublished online as a Blood First Edition Paper on November 25, 2008; DOI 10.1182/blood-2008-06-159541.


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Submitted June 2, 2008
Accepted October 14, 2008

Platelets actively sequester angiogenesis regulators

Giannoula Lakka Klement*, Tai-Tung Yip, Flavia Cassiola, Lena Kikuchi, David Cervi, Vladimir Podust, Joseph E Italiano, Erin Wheatley, Abdo Abou-Slaybi, Elise Bender, Nava Almog, Mark Kieran, and Judah Folkman

Children's Hospital, Boston, MA, United States
Ciphergen Biosystems Inc., Fremont, CA, United States
Brigham and Women's Hospital, Boston, MA, United States
Dana-Farber Cancer Institute, Boston, MA, United States

* Corresponding author; email: giannoula_klement{at}dfci.harvard.edu.

Clinical trials with antiangiogenic agents have not been able to validate plasma or serum levels of angiogenesis regulators as reliable markers of cancer presence or therapeutic response. We recently reported that platelets contain numerous proteins that regulate angiogenesis. We now show that accumulation of angiogenesis regulators in platelets of animals bearing malignant tumors exceeds significantly their concentration in plasma or serum, as well as their levels in platelets from non-tumor bearing animals. This process is selective, as platelets do not take up a proportional amount of other plasma proteins (e.g. albumin), even though these may be present at higher concentrations. We also find that VEGF-enriched Matrigel pellets implanted subcutaneously into mice or the minute quantities of VEGF secreted by microscopic subcutaneous tumors (0.5-1 mm3) result in an elevation of VEGF levels in platelets, without any changes in its plasma levels. The profile of other angiogenesis regulatory proteins (e.g. PDGF, bFGF) sequestered by platelets also reflects the presence of tumors in vivo before they can be macroscopically evident. The ability of platelets to selectively take up angiogenesis regulators in cancer bearing hosts may have implications for the diagnosis and management many angiogenesis-related diseases, and provide a guide for antiangiogenic therapies.


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