During the course of atherosclerotic vascular disease, the adaptive growth of blood vessels is a naturally occurring process that can partly compensate for the decrease in blood flow after the narrowing or occlusion of a major artery. It includes both the sprouting of new endothelial capillaries (angiogenesis) and the enlargement of pre-existing arteriolar and arterial anastomoses to functional collateral arteries (arteriogenesis).1 During angiogenesis, a drop in tissue oxygen tension results in increased expression of hypoxiainducible transcription factors and cytokines, stimulating endothelial proliferation and sprouting in the ischemic tissue, improving distribution and use of the remaining blood flow. On the other hand, arteriogenesis is characterized by a well-orchestrated inflammatory response that is not restricted to the endothelial cell (EC) layer but facilitated by the perivascular infiltration of bone marrow-derived cell populations, mediating the proliferation of both endothelial and vascular smooth muscle cells. During the past decade, monocytes and macrophages were especially demonstrated to exert an important stimulatory function in the regulation of collateral artery growth.2 Although our knowledge about these contributing cell populations in the different forms of vascular growth steadily increases, our understanding of the basic regulatory principles controlling these processes is still limited. Other than canonical mediators of blood vessel growth, such as growth factors and their receptors, an additional functional group of regulators has recently emerged: microRNAs (miRNAs). These short (17-24 nucleotides), single-stranded regulatory RNA sequences are transcribed as precursor hairpin structures from intergenic or intronic regions of the genome that undergo several nuclear and cytoplasmatic processing steps to the mature miRNA.3 Together with Argonaute proteins, they form the RNA-induced silencing complex and recognize specific sequences mostly located in the 3′ untranslated region of their target mRNA, resulting either in inhibition of translation or degradation of Background-Adaptive neovascularization after arterial occlusion is an important compensatory mechanism in cardiovascular disease and includes both the remodeling of pre-existing vessels to collateral arteries (arteriogenesis) and angiogenic capillary growth. We now aimed to identify regulatory microRNAs involved in the modulation of neovascularization after femoral artery occlusion in mice. Methods and Results-Using microRNA-transcriptome analysis, we identified miR-155 as a downregulated microRNA during hindlimb ischemia. Correspondingly, inhibition of miR-155 in endothelial cells had a stimulatory effect on proliferation and angiogenic tube formation via derepression of its direct target gene angiotensin II type 1 receptor. Surprisingly, miR-155-deficient mice showed an unexpected phenotype in vivo, with a strong reduction of blood flow recovery after femoral artery ligation (arteriogenesis) dependent on the attenuation of leuko...