Angiogenesis is fundamental to tumorigenesis and an attractive target for therapeutic intervention against cancer. We have recently demonstrated that CD13 (aminopeptidase N) expressed by nonmalignant host cells of unspecified types regulate tumor blood vessel development. Here, we compare CD13 wild-type and null bone marrow-transplanted tumor-bearing mice to show that host CD13 + bone marrow-derived cells promote cancer progression via their effect on angiogenesis. Furthermore, we have identified CD11b + CD13 + myeloid cells as the immune subpopulation directly regulating tumor blood vessel development. Finally, we show that these cells are specifically localized within the tumor microenvironment and produce proangiogenic soluble factors. Thus, CD11b + CD13 + myeloid cells constitute a population of bone marrow-derived cells that promote tumor progression and metastasis and are potential candidates for the development of targeted antiangiogenic drugs. A ngiogenesis is a rate-limiting step in the development of many solid tumors, making it an attractive target for therapeutic intervention (1). Although pharmacologic modulation of angiogenesis has shown some clinical success, negative factors such as treatment-related plasticity, drug resistance, and tumor diversity have underscored the need for a better understanding of tumor-associated blood vessel formation at a mechanistic level (2). Tumor angiogenesis is a multifactorial process involving several different cell subtypes, especially tumor stromal endothelial cells, pericytes, carcinoma-associated fibroblasts (CAFs), and bone marrow-derived cells (BMDCs) (3, 4). A variety of immune cells directly support angiogenesis, including mast cells, tumor-associated macrophages (TAMs), and Tie2-expressing macrophages (TEMs) (5-7). Endothelial cells recruit inflammatory cells to the extravascular tissue by the expression of different leukocyte adhesion molecules. In turn, immune cells produce soluble factors, such as chemokines, cytokines, and proteases, that influence endothelial cell function and angiogenesis in a paracrine fashion (5). Other studies have shown that BMDCs have the ability to differentiate into endothelial cells, possibly by conversion first to endothelial progenitors (8-10).Proteases activate growth factors and inhibit suppressive factors within tumors and are central to the angiogenic process within the tumor microenvironment (11). Studies on the involvement of aminopeptidases in tumor progression and angiogenesis have revealed a role for aminopeptidase N (CD13) expressed by stromal cells (12). Originally identified as a surface marker on myeloid cells (13), CD13 is a widely expressed membrane-bound metalloprotease involved in pleiotropic functions, including enzymatic cleavage of peptides, antigen presentation, and signal transduction that ultimately mediate downstream biological phenomena such as cell adhesion, proliferation, and motility (14). Diverse cell subpopulations (e.g., fibroblasts, pericytes, epithelial cells, tumor-initiating cells, and st...