Objective-Deposits that accumulate beneath retinal pigment epithelium, called drusen, are early signs of age-related macular degeneration (AMD). We have shown that amyloid  (A) is present in drusen, and A may be involved in AMD development. We have also shown that endothelial progenitor cells (EPCs) may contribute to the development of choroidal neovascularization (CNV). Thus, the purpose of this study was to investigate the role played by CX3CR1, a chemokine receptor, in EPC migration and CNV formation. Methods and Results-EPCs collected from human umbilical cords were found to express higher levels of CX3CR1 than human umbilical vein endothelial cells, and exposure of EPCs to A caused further upregulation of CX3CR1. This upregulation was decreased by blocking fractalkine, a ligand of CX3CR1. Exposure of EPCs to fractalkine increased their migration, but pretreatment with A enhanced the migration. The fractalkine-induced EPC migration was more inhibited by EPCs derived from CX3CR1 Ϫ/Ϫ mice than wild-type mice. The area of laser-induced CNV was significantly smaller in wild-type mice that received bone marrow transplantation from CX3CR1 Ϫ/Ϫ mice than in those that received transplantation from wild-type mice. Conclusion-These data suggest that A enhances EPC migration through the upregulation of CX3CR1. This upregulation might play a role in development of CNV. (Arterioscler Thromb Vasc Biol. 2011;31:e11-e18.)Key Words: angiogenesis Ⅲ cell physiology Ⅲ vascular biology Ⅲ age-related macular degeneration Ⅲ endothelial progenitor cells A ge-related macular degeneration (AMD) is the leading cause of irreversible vision decrease in the elderly worldwide. [1][2][3][4] The decrease of vision results from geographical atrophy or choroidal neovascularization (CNV) in the macula of the eye. During the development of CNV, new vessels develop from the choroidal vessels and penetrate the thick matrix of the Bruch membrane and pass into the avascular subretinal space.Among the earliest signs of AMD are subretinal extracellular deposits, known as drusen, which accumulate beneath the retinal pigment epithelium (RPE). 5 Epidemiological studies have shown that the presence of many discrete or confluent drusen significantly increases the risk of developing CNV. 6,7 We have found that amyloid  (A) peptides are present in drusen, and we have suggested that their presence is the primary stimulus for the development of AMD. 8 The A peptides vary in length from 39 to 43 amino acid residues and are produced by the sequential proteolytic processing of precursors of amyloid proteins. 9 Interestingly, A is the main component of the senile plaques found in the brains of Alzheimer's patients. 9 -11 The results of our study on senescent neprilysin gene-disrupted mice that lack the A-degrading enzyme showed that there was a significant increase in the deposition of A in the subretinal space. 8 This is relevant to this study because these mice developed several characteristics of human eyes at the early stage AMD, although they...