Antiangiogenic therapy is nowadays one of the most active fields in cancer research. The first strategies, aimed at inhibiting tumor vascularization, included upregulation of endogenous inhibitors and blocking of the signals delivered by angiogenic factors. But interaction between endothelial cells and their surrounding extracellular matrix also plays a critical role in the modulation of the angiogenic process. This study introduces a new concept to enhance the efficacy of antibody-based antiangiogenic cancer therapy strategies, taking advantage of a key molecular event occurring in the tumor context: the proteolysis of collagen XVIII, which releases the endogenous angiogenesis inhibitor endostatin. By fusing the collagen XVIII NC1 domain to an antiangiogenic singlechain antibody, a multispecific agent was generated, which was efficiently processed by tumor-associated proteinases to produce monomeric endostatin and fully functional trimeric antibody fragments. It was demonstrated that the combined production in the tumor area of complementary antiangiogenic agents from a single molecular entity secreted by gene-modified cells resulted in enhanced antitumor effects. These results indicate that tailoring recombinant antibodies with extracellular matrix-derived scaffolds is an effective approach to convert tumor progression associated processes into molecular clues for improving antibody-based therapies. ' 2006 Wiley-Liss, Inc.Key words: antibody-based cancer therapy; angiogenesis inhibition; cancer; angiogenesis; antibody engineering; multivalent and multispecific angiogenesis inhibitors It is widely accepted that tumors cannot grow or metastasize to another organ without the recruitment of new blood vessels, and a broad array of antiangiogenic strategies interfering at various levels of the angiogenic pathway has been reported. 1 However, preclinical and clinical studies suggest that the use of single-agent antiangiogenic strategies may be associated with a number of limitations. 2 We recently proposed a novel antiangiogenic approach based on the blocking of cell binding sites present in the extracellular matrix, and demonstrated that L36, a single-chain Fv (scFv) antibody against laminin, a major basement membrane (BM) component, inhibits tumor angiogenesis and growth in vivo. 3 Vascular BM, a sheet-like highly organized extracellular matrix, is an important structural component of blood vessels and has been shown to interact with and modulate endothelial cell (EC) behavior during angiogenesis. 4 The epitope recognized by L36 is located in a highly flexible area in the middle part of the triple coiled-coil domain, which interacts with a2b1 integrin on the EC surface, with the disruption of this interaction being responsible for the effect of L36 on capillary morphogenesis. 5,6 During the inductive phase of tumor angiogenesis, the BM undergoes many degradative and structural changes, which expose cryptic protein modules that act as local angiogenesis inhibitors. The best characterized among these is endostatin (...