Angiostatin was first discovered as a plasminogen fragment with antitumor/antiangiogenic property. One of the angiostatin isoforms, that is, angiostatin 4.5 (AS4.5), consisting of plasminogen kringle 1 to 4 and a most part of kringle 5, is produced by autoproteolysis and present in human plasma. 2-glycoprotein I (2GPI) is proteolytically cleaved by plasmin in its domain V (nicked 2GPI), resulting in binding to plasminogen. Antiangiogenic properties have been recently reported in nicked 2GPI as well as in intact 2GPI at higher concentrations. In the present study, we found significant binding of nicked 2GPI to AS4.5 (K D ؍ 3.27 ؋ 10 6 M ؊1 ). Via this binding, nicked 2GPI attenuates the antiangiogenic functions of AS4.5 in the proliferation of arterial/venous endothelial cells, in the extracellular matrix invasion and the tube formation of venous endothelial cells, and in vivo angiogenesis. In contrast, intact 2GPI does not bind to AS4.5 or inhibit its antiangiogenic activity. Thus, nicked 2GPI exerts dual effects on angiogenesis, that is, nicked 2GPI promotes angiogenesis in the presence of AS4.5, whereas nicked 2GPI inhibits angiogenesis at concentrations high enough to neutralize AS4.5. Our data suggest that plasmin-nicked 2GPI promotes angiogenesis by interacting with plasmin-generated AS4.5 in sites of increased fibrinolysis such as thrombus.
IntroductionAngiogenesis is the formation of a new capillary network from preexisting vessels and is essential in many physiologic and pathologic states, such as reproduction, development, wound healing, tumorigenesis, rheumatoid arthritis, diabetic retinopathy, and thrombosis. 1,2 Angiogenesis is tightly controlled by activators, such as fibroblast growth factors (FGFs) and vascular endothelial growth factor (VEGF), and by inhibitors, such as thrombospondin-1, interferon-␣/, platelet factor-4, and angiostatin. 3 Angiostatin was discovered in urine from mice with low-metastatic Lewis lung carcinoma as a kringle-containing fragment of plasminogen. 4 This first-reported angiostatin consists of 4 kringle domains (K1-K4) and possesses antitumor/antiangiogenic properties. Later, K1 to K3 was revealed to be a more potent inhibitor of angiogenesis. 5 Although several isoforms have been reported, angiostatin 4.5 (AS4.5, also referred to as K1-K5) is the only naturally occurring isoform identified in human plasma that consists of kringles 1 to 4 and approximately 85% of kringle 5. [6][7][8] Plasma concentrations of in vivo-generated AS4.5 were measured in cancer patients who received tissue plasminogen activator and mesna in a clinical trial. 9 In this study, generation of 2 isoforms of AS4.5 in human plasma was observed, namely, Lys-AS4.5 and Glu-AS4.5. Whereas Lys-AS4.5 is the originally reported natural AS4.5, Glu-AS4.5 is a larger form that obtains intact N-terminal domain of the precursor protein. Approximately 20 nM Lys-AS4.5 was detected even in the patients before treatment. After infusion of tissue plasminogen activator with mesna, Lys-AS4.5 levels incre...