Angiogenesis during adulthood is limited to a few tissue sites such as the ovary and the uterus (during reproduction) and the skin (during wound healing) [1,2]. However, despite the normal low turnover rate, adult endothelial cells are permanently able to form new blood vessels during pathologic angiogenesis which is involved in a variety of diseases such as tumor formation and metastasis, inflammatory skin and joint diseases [3], and in ocular diseases such as proliferative diabetic retinopathy [4]. These conditions require the transformation of the mature resting endothelial cell to an angiogenic endothelial pheno- Diabetologia (2002) Results. a v -integrin expression started immediately after induction of hypoxia (at postnatal day 12, p12) and persisted only during the initial period of neovascularization (until day p14). Vascular endothelial growth factor (VEGF) expression started at high values immediately after return of the mice into room air, and dropped rapidly to low values beyond day 13. In contrast, basic fibroblast growth factor (bFGF) was predominantly expressed during the phase of maximum angiogenesis which was noted between day p17 and 19. Based on these findings, cyclic penta peptide was administered subcutaneously at varying doses (2±20 mg/kg/day) for 5 days beginning either at day p14 (early intervention) or at day p17 (late intervention). Early secondary intervention showed a dose-dependent reduction of new vessels with maximum inhibition of 57 % (control 68.08 3.21 nuclei/section compared with RGDfVtreated 29.35 2.39 nuclei/section; p < 0.0001), whereas late secondary intervention had no effect. Conclusion/hypothesis. These data indicate that angiogenesis-related a v -integrin expression is VEGFrather than bFGF-dependent, and the efficacy of cyclic penta-peptid (RGDfV)-treatment in proliferative retinopathy is only effective as long as the a v -integrin target is prominently expressed. [Diabetologia (2002) 45: 262±267]