Impaired blood flow in the tumor vascular bed caused by structurally and functionally abnormal blood vessels not only hinders the delivery of chemotherapeutic agents but also aggravates tumor hypoxia, making the tumor cells further resistant to antineoplastic drugs. Therefore, normalization of tumor blood vessels may be an important approach to increase therapeutic efficacy in the treatment of cancer patients. As blood vessels are supplied by sympathetic nerves containing dopamine (DA), and DA regulates functions of normal blood vessels through its receptors present in these vessels, we investigated the effect of DA on tumor vasculature. Here we report loss of sympathetic innervation and endogenous DA in abnormal and immature tumor blood vessels in malignant colon and prostate tumor tissues. In contrast, exogenous administration of DA normalizes the morphology and improves the functions of these vessels by acting on pericytes and endothelial cells, the two major cellular components of blood vessels. DA acts through its D 2 receptors present in these cells to up-regulate directly the expression of angiopoietin 1 (Ang1) in pericytes and the expression of the zinc finger transcriptional factor, Krüppel-like factor-2 (KLF2) in tumor endothelial cells. Importantly, this vessel stabilization by DA also significantly increases the concentration of anticancer drug in tumor tissues. These results show a relationship between vascular stabilization and a neurotransmitter and indicate that DA or its D 2 receptor-specific agonists can be an option for the treatment of cancer and disorders in which normalization of blood vessels may have therapeutic benefits.I t now is well established that tumor blood vessels are structurally and functionally abnormal (1-4). In contrast to normal blood vessels, which are well organized and lined by quiescent adult endothelial cells and supporting mature pericytes, tumor vessels are highly disorganized and made up of active endothelial cells (1-6). Moreover, in these tumor vessels pericytes are lacking or immature pericytes attach loosely to the endothelial cells (1-3). This vascular immaturity in turn causes destabilization of vessel structure, impairment of endothelial barrier function, and decreased blood flow leading to increased hypoxia in tumor tissues (1-3). In addition, the impaired blood flow in abnormal tumor blood vessels not only compromises the delivery of anticancer drugs but also aggravates tumor hypoxia, making tumor cells more resistant to these agents (1-3). Thus, stabilization or normalization of tumor vessels can be an important approach to increase the therapeutic efficacy of anticancer drugs (1, 7). Dopamine (DA) is a monoamine catecholamine neurotransmitter, which acts through its D 1 and D 2 class of receptors present in the target organs (8, 9). In addition to its conventional role in the brain, recent reports indicate that DA also controls several functions in the periphery (8, 9). DA has been shown to regulate behavior, movement, and cardiovascular, renal, endocrine...