6 Besides the VEGF pathway, the superfamily of fibroblast growth factors (FGFs) is wellknown as potent inducer of neovascularization. In humans and mice, 22 FGF ligands and 4 tyrosine kinase highaffinity FGF receptors (FGFR1-4) have been identified; however, in endothelial cells, FGFR1 is the predominantly expressed FGFR. 7,8 Regarding the cardiovascular system, © 2014 American Heart Association, Inc. Objective-Previously, we have identified bone morphogenetic protein endothelial cell precursor-derived regulator (BMPER) to increase the angiogenic activity of endothelial cells in a concentration-dependent manner. In this project, we now investigate how BMPER acts in concert with key molecules of angiogenesis to promote blood vessel formation. Approach and Results-To assess the effect of BMPER on angiogenesis-related signaling pathways, we performed an angiogenesis antibody array with BMPER-stimulated endothelial cells. We detected increased basic fibroblast growth factor (bFGF/FGF-2) expression after BMPER stimulation and decreased expression of thrombospondin-1. Additionally, FGF receptor-1 expression, phosphorylation, FGF signaling pathway activity, and cell survival were increased. Consistently, silencing of BMPER by small interfering RNA decreased bFGF and FGF receptor-1 expression and increased thrombospondin-1 expression and cell apoptosis. Next, we investigated the interaction of BMPER and the FGF signaling pathway in endothelial cell function. BMPER stimulation increased endothelial cell angiogenic activity in migration, Matrigel, and spheroid assays. To block FGF signaling, an anti-bFGF antibody was used, which effectively inhibited the proangiogenic BMPER effect. Accordingly, BMPER-silenced endothelial cells under bFGF stimulation showed decreased angiogenic activity compared with bFGF control. We confirmed these findings in vivo by subcutaneous Matrigel injections with and without bFGF in C57BL/6_Bmper +/− mice. Aortic ring assays of C57BL/6_Bmper +/− mice confirmed a specific effect for bFGF but not for vascular endothelial growth factor. Conclusions-Taken together, the proangiogenic BMPER effect in endothelial cells is mediated by inhibition of antiangiogenic thrombospondin-1 and enhanced expression and activation of the FGF signaling pathway that is crucial in the promotion of angiogenesis. 7,10,11 In addition to the FGF and VEGF growth factors, other growth factor families, such as the transforming growth factor-β (TGF-β) superfamily comprising the bone morphogenetic proteins (BMPs), contribute to the proper orchestration of blood vessel formation. 12,13 BMPs are extracellular proteins that signal through cell surface complexes of heterodimeric transmembrane serine/ threonine kinase receptors. On activation of the receptor, Smad 1/5 transcription factors become phosphorylated and translocate to the nucleus where they modulate gene expression.14 Besides this Smad-dependent pathway, BMPs also phosphorylate other Smad-independent signaling cascades, such as MAP kinases/Erk and phosphoinositide 3-ki...