Identification of a Potent Endothelium-Derived Angiogenic Factor

The secretion of angiogenic factors by vascular endothelial cells is one of the key mechanisms of angiogenesis. Here we report on the isolation of a new potent angiogenic factor, diuridine tetraphosphate (Up(4)U) from the secretome of human endothelial cells. The angiogenic effect of the endothelial secretome was partially reduced after incubation with alkaline phosphatase and abolished in the presence of suramin. In one fraction, purified to homogeneity by reversed phase and affinity chromatography, Up(4)U was identified by MALDI-LIFT-fragment-mass-spectrometry, enzymatic cleavage analysis and retention-time comparison. Beside a strong angiogenic effect on the yolk sac membrane and the developing rat embryo itself, Up(4)U increased the proliferation rate of endothelial cells and, in the presence of PDGF, of vascular smooth muscle cells. Up(4)U stimulated the migration rate of endothelial cells via P2Y2-receptors, increased the ability of endothelial cells to form capillary-like tubes and acts as a potent inducer of sprouting angiogenesis originating from gel-embedded EC spheroids. Endothelial cells released Up(4)U after stimulation with shear stress. Mean total plasma Up(4)U concentrations of healthy subjects (N = 6) were sufficient to induce angiogenic and proliferative effects (1.34+/-0.26 nmol L-1). In conclusion, Up(4)U is a novel strong human endothelium-derived angiogenic factor.