CHM-1 (2-fluoro-6,7-methylenedioxy-2-phenyl-4-quinolone) has been identified as a potent antitumor agent in human hepatocellular carcinoma; however, its role in tumor angiogenesis is unclear. This study investigated the effects of CHM-1 and the mechanisms by which it exerts its antiangiogenic and vascular disrupting properties. Using a xenograft model antitumor assay, we found that CHM-1 significantly inhibits tumor growth and microvessel formation. Flow cytometry, immunofluorescence microscopy, and cell death enzyme-linked immunosorbent assay kit revealed that CHM-1 inhibits growth of human umbilical vein endothelial cells (HUVEC) by induction of apoptotic cell death in a concentration-dependent manner. CHM-1 also suppresses HUVEC migration and capillary-like tube formation. We were able to correlate CHM-1-induced apoptosis in HUVEC with the cleavage of procaspase-3, -7, and -8, as well as with the cleavage of poly(ADP-ribose) polymerase by Western blotting assay. Such sensitization was achieved through up-regulation of death receptor 5 (DR5) but not DR4 or Fas. CHM-1 was also capable of increasing the expression level of p53, and most importantly, the induction of DR5 by CHM-1 was abolished by p53 small interfering RNA. Taken together, the results of this study indicate that CHM-1 exhibits vascular targeting activity associated with the induction of DR5-mediated endothelial cell apoptosis through p53 up-regulation, which suggests its potential as an antivascular and antitumor therapeutic agent.In neoplasm, malignant angiogenesis and tumor mortality are highly associated with each other. Almost every step of aggressive tumor growth and metastatic dissemination relies on a functional vascular network to provide tumor cells with oxygen and nutrients and to remove waste products associated with tumor metabolism, a crucial hallmark of cancer (1). Nowadays, several antiangiogenic strategies have been developed to inhibit tumor growth and metastasis. In addition to the indirect interference of proangiogenic communication between the tumor and endothelial cell compartments, several recent reports have suggested that the induction of apoptosis in proliferation of endothelial cells may represent a potential therapeutic strategy in the treatment of neovascularization-related diseases (2-4). For instance, numerous natural angiogenic inhibitors, such as endostatin, angiostatin, and thrombospondin-1, act in part through selective triggering apoptosis in endothelial cells, resulting in vascular regression (5, 6). Several antitubulin-binding agents (e.g. CA-4-phosphate, ZD6126, and TZT-1027) and flavonoids (5,6-dimethylxanthenone-4-acetic acid) have demonstrated the ability to induce apoptosis of tumor vascular endothelial cells, leading to the rapid collapse and obstruction of tumor vessels and ultimately causing a tumor vascular shutdown effect (7).Apoptosis is an intracellular suicide program possessing morphologic characteristics and biochemical features, including chromatin condensation, nuclear DNA fragmentation, cell s...