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Target Discovery and Validation Reviews and Protocols

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In Vivo Assay of Human Angiogenesis 257<br />

To follow the fate of injected HUVECs <strong>and</strong> to relate them to the contribution<br />

of preexisting murine vessels, we double stained tissue sections with<br />

antibodies recognizing either human or mouse CD31, which in both species<br />

is a pan-endothelial cell marker. In another protocol, we detected human ECs<br />

<strong>and</strong> invading smooth muscle cells by means of Ulex lectin staining <strong>and</strong> an<br />

antibody to α-smooth muscle actin, respectively. Thus, specimens excised<br />

1 or 3 d after Matrigel injection revealed single HUVECs uniformly distributed<br />

in the gel (Fig. 1B). After 10 d, we observed single ECs with elongated<br />

cytoplasmic protrusions resembling pseudopods <strong>and</strong> also ECs that were<br />

lining up <strong>and</strong> in contact with other ECs (Fig. 1C), particularly at the border<br />

of the Matrigel plug <strong>and</strong> close to preexisting mouse vessels. After 20 d, we<br />

observed HUVECs forming tubular structures in all areas of the gels <strong>and</strong><br />

50% of the vessels were covered by α-smooth muscle actin-positive cells<br />

(Fig. 1D). Some of the vessel structures observed after 20 d also contained<br />

erythrocytes, indicative of functional vessels. On day 40, nearly all human<br />

vessels were fully mature, containing erythrocytes <strong>and</strong> being surrounded<br />

by α-smooth muscle actin-expressing cells (94.5%) (Fig. 1E,F). Mature<br />

vessels can still be detected in the mice 100 d postinjection, <strong>and</strong> the human<br />

vessels are composed almost exclusively by human ECs <strong>and</strong> α-smooth<br />

muscle actin-expressing cells. To further investigate the maturity <strong>and</strong> functionality<br />

of the vessels, we injected intracardially a water-insoluble dye that<br />

does not leave the vascular circulation (luconyl blue) before termination of<br />

the experiment. Because the dye could be observed in the human vessels<br />

together with the erythrocytes, it nicely demonstrated that the vessels were<br />

circulated at the point of sacrifice (Fig. 1G). Furthermore, no signs of infection<br />

or inflammation could be observed after injection <strong>and</strong> during the experimental<br />

period, as assessed by general histology <strong>and</strong> the finding that the<br />

proinflammatory markers ICAM-1, VCAM-1, <strong>and</strong> E-selectin were negative<br />

at all time-points.<br />

Several tumor-derived, circulating angiogenesis inhibitors generated<br />

in vivo by proteolytic degradation have been recently identified (reviewed<br />

in refs. 20 <strong>and</strong> 21). In particular, a 20-kDa C-terminal proteolytic fragment<br />

of collagen XVIII, termed endostatin, inhibits tumor growth in several<br />

animal models (5,22–26). Thus, it is not only considered a promising anticancer<br />

drug but also has so far failed to reproduce its properties in human<br />

clinical trials (27–29). Although the mechanisms of action are incompletely<br />

understood, endostatin is thought to interact with several endothelial cell<br />

surface receptors that are critically involved in angiogenesis (reviewed in<br />

ref. 30).<br />

In addition to the model itself, we also show how to target adoptively transferred<br />

human endothelial cells by using sustained delivery of the angiogenesis

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