Angiogenesis in adult tissue is the result of a complex interplay among proangiogenic factors, cell adhesion, and matrix remodeling.
1 Inhibition or disruption of either cell adhesion or matrix-degrading enzymes, many of which belong to the family of matrix metalloproteinases (MMPs), is capable of blocking an angiogenic response.
2 3 4 5 The adhesion receptors and MMPs involved in an angiogenic response have been correlated with the presence of select initiating factor(s).
6 7 8 Induction of angiogenesis by bFGF or TNF-α is associated with the selective upregulation of α
vβ
3 and involvement of MT1-MMP and MMP-2, whereas induction of angiogenesis by VEGF, TGF-β, or PMA, is associated with selective upregulation of α
vβ
5.
6 7 Although these two pathways are well recognized, recent studies suggest that under pathologic conditions the correlation between growth factors and integrin expression is not always maintained. In several instances in which VEGF is present, both α
vβ
3 and α
vβ
5 are expressed, and in at least one study it was shown that the functional significance of α
vβ
3-mediated angiogenesis may reflect the presence of ligand for α
vβ
3.
9 10 11 However, not all aspects of angiogenesis are dependent on expression of α
vβ
3 or α
vβ
5 integrins. Knockout mice for α
v and β
3 integrins appear to undergo extensive vasculogenesis and angiogenesis, although in the α
v null, subtle vascular defects are present, resulting in both embryonic and postnatal death.
5 12 These results suggest that other integrin family members may compensate for the loss of α
v or β
3 integrins or may play a more essential role in the angiogenic response. Other members of the integrin family implicated in mediating an angiogenic response include α
1β
1, α
2β
1, and α
5β
1 integrins, which, like α
v integrins, have also been divided into bFGF-associated (α
5β
1) or VEGF-associated (α
1β
1, α
2β
1) angiogenic events.
13 14 15