The anticoagulant serpin antithrombin acquires a potent antiangiogenic activity upon undergoing conformational alterations to cleaved or latent forms. Here we show that antithrombin antiangiogenic activity is mediated at least in part through the ability of the conformationally altered serpin to block the proangiogenic growth factors fibroblast growth factor (FGF)-2 and vascular endothelial growth factor (VEGF) from forming signaling competent ternary complexes with their protein receptors and heparan sulfate co-receptors on endothelial cells.
Cleaved and latent but not native forms of antithrombin blocked the formation of FGF-2-FGF receptor-1 ectodomain-heparin ternary complexes, and the dimerization of these complexes in solution and similarly inhibited the formation of FGF-2-heparin binary complexes and their dimerization. Only antiangiogenic forms of antithrombin likewise inhibited125 I-FGF-2 binding to its low affinity heparan sulfate co-receptor and blocked FGF receptor-1 autophosphorylation and p42/44 MAP kinase phosphorylation in cultured human umbilical vein endothelial cells (HUVECs). Moreover, treatment of HUVECs with heparinase III to specifically eliminate the FGF-2 heparan sulfate co-receptor suppressed the ability of antiangiogenic antithrombin to inhibit growth factor-stimulated proliferation. Antiangiogenic antithrombin inhibited full-length VEGF 165 stimulation of HUVEC proliferation but did not affect the stimulation of cells by the heparin-binding domain-deleted VEGF 121 . Taken together, these results demonstrate that antiangiogenic forms of antithrombin block the proangiogenic effects of FGF-2 and VEGF on endothelial cells by competing with the growth factors for binding the heparan sulfate co-receptor, which mediates growth factor-receptor interactions. Moreover, the inability of native antithrombin to bind this co-receptor implies that native and conformationally altered forms of antithrombin differentially bind proangiogenic heparan sulfate domains.Angiogenesis, the growth of new capillaries from pre-existing vessels, is a key physiologic process whose dysregulation underlies many diseases (1). It is particularly important for the transition of tumors from a dormant state to a malignant state, because new vessels supply oxygen, essential nutrients, and growth factors that allow the tumor mass to expand. This expectation has led to the idea that angiogenesis inhibitors may be useful antitumor drugs (2). A number of naturally occurring angiogenesis inhibitors have been identified as potential antitumor therapeutic agents that are derived by modification of endogenous proteins, e.g. angiostatin is a fragment of plasminogen (3), endostatin is a fragment produced by proteolytic cleavage of collagen XVIII (4), and the serpin antithrombin acquires antiangiogenic activity upon undergoing conformational alterations induced by mild heating or protease cleavage (5).Interestingly, whereas a number of serpins, such as maspin, pigment epithelium-derived factor, and kallistatin, have been shown to pos...