Aggretin, a collagen-like ␣ 2  1 agonist purified from Calloselasma rhodostoma venom, was shown to increase human umbilical vein endothelial cell (HUVEC) proliferation and HUVEC migration toward immobilized aggretin was also increased. These effects were blocked by A2-IIE10, an antibody raised against integrin ␣ 2 . Aggretin bound to HUVECs in a dose-dependent and saturable manner, which was specifically inhibited by A2-IIE10, as examined by flow cytometry. Aggretin elicited significant angiogenic effects in both in vivo and in vitro angiogenesis assays, and incubation of HUVECs with aggretin activated phosphatidylinositol 3-kinase (PI3K), Akt, and extracellular-regulated kinase 1/2 (ERK1/2); these effects were blocked by A2-IIE10 or vascular endothelial growth factor (VEGF) monoclonal antibody (mAb). The angiogenic effect induced by aggretin may be via the production of VEGF because the VEGF level was elevated and VEGF mAb pretreatment inhibited Akt/ERK1/2 activation as well as the in vivo angiogenesis induced by aggretin. The VEGF production induced by aggretin can be blocked by A2-IIE10 mAb pretreatment. In conclusion, aggretin induces endothelial cell proliferation, migration, and angiogenesis by interacting with integrin ␣ 2  1 , leading to activation of PI3K, Akt, and ERK1/2 pathways, and the increased expression of VEGF may be responsible for its angiogenic activity. (
IntroductionAngiogenesis, the formation of new capillaries from preexisting blood vessels, plays an important role in physiologic and pathologic processes, such as the embryonic development, wound healing, tumor growth, metastasis, and various inflammatory disorders. 1 All forms of angiogenesis are thought to share certain basic features, including migration and mitogenesis of endothelial cells, lumen formation, connection of new vascular segments with the preexisting circulation, and extensive remodeling of the extracellular matrix (ECM) by proteases. Interactions between endothelial cells and ECMs including fibrinogen, vitronectin, collagen, laminin, and von Willebrand factor (VWF), through cell surface adhesion receptors, are involved in the multiprocesses of neovascularization. 2 Both  1 3-5 and ␣ v integrins 6 have been implicated in angiogenesis. For example, integrin ␣ v  3 is not readily detectable in quiescent vessels but becomes highly expressed in angiogenic vessels. 7 The dependency of angiogenesis on vascular cell adhesion events in vivo is evidenced by the observation that antibody and snake venom proteins antagonizing integrin ␣ v  3 blocked angiogenesis in the chick chorioallantoic membrane (CAM) model. 8,9 On the other hand, Lian et al 10 assumed that endothelial glycoprotein Ib (GPIb) may help to mediate the process of endothelial cell migration during wound repair in vivo, and snake venom protein agkistin, a GPIb antagonist, was reported to block angiogenesis. 11 Although the molecular mechanisms of action responsible for regulating survival of migratory cells are not well established, adhesive proteins present in t...