Background and Purpose-Endoglin (CD105) is a membrane glycoprotein that is mutated in hereditary hemorrhagic telangiectasia (Osler-Rendu-Weber disease) and shows increased expression in proliferating endothelial cells during angiogenesis. Methods-We investigated the effect of hypoxia on endoglin expression in murine cerebral microvascular endothelial (bEND.3) cells in vitro and the possible involvement of mitogen-activated protein kinase (MAPK) pathways. Results-Hypoxia increased endoglin mRNA and protein expression in bEND.3 cells, which was associated with phosphoactivation of extracellular signal-related kinase (ERK), p38 MAPK, and Jun amino-terminal kinase (JNK).Inhibitors of p38 decreased hypoxic induction of endoglin expression, as did dominant negative MAPK kinase 3 (MKK3), which activates p38. In contrast, constitutively active MKK3 or JNK1 potentiated the hypoxic induction of endoglin. Conclusions-These results indicate that hypoxia induces the expression of endoglin at both the mRNA and protein levels and that induction is regulated by the p38 and perhaps also JNK pathways. Key Words: angiogenesis Ⅲ brain Ⅲ endoglin Ⅲ endothelium Ⅲ hypoxia Ⅲ mitogen-activated protein kinases Ⅲ protein kinases H ypoxia-induced angiogenesis increases blood flow and oxygen delivery to ischemic tissues and may contribute to recovery after stroke. 1 Angiogenesis occurs in human brain after stroke, with endothelial cell proliferation after 3 to 4 days, a dense capillary network by 1 week, and neovascular infiltration by 2 to 4 weeks. 2 Within 3 months, microvessel density in the infarct area increases relative to the contralateral side, and extracts of infarcted brain tissue induce angiogenesis in chick chorioallantoic membranes. 3 These alterations may help to restore cerebral blood flow in stroke survivors 4 and protect against recurrent ischemia. Therefore, investigating mechanisms of angiogenesis after cerebral hypoxia or ischemia may provide new insights into stroke pathophysiology and treatment.Endoglin (CD105) is a homodimeric membrane protein that binds transforming growth factor (TGF)-1 and -3. 5 Loss-of-function mutations in the human gene ENG cause hereditary hemorrhagic telangiectasia (Osler-Rendu-Weber disease), 6 which produces capillary and venous telangiectases affecting the skin, mucous membranes, and respiratory, gastrointestinal, and urinary tracts. 7 Endoglin is upregulated in tumor vasculature, and the density of endoglinimmunopositive microvessels correlates inversely with cancer survival. 8,9 Endoglin is also overexpressed in endothelial cells of healing wounds, embryos, psoriatic skin, and rheumatoid synovia, 10 -12 suggesting that it is an endothelial proliferation marker. Vascular smooth muscle development and endothelial remodeling are defective in endoglinknockout mice. 7 Hypoxic regulation of gene expression involves extracellular signal-related kinase (ERK), which is widely associated with cell survival, and p38 mitogen-activated protein kinase (MAPK) and Jun amino-terminal kinase (JNK), whic...