3 ECM and GF-induced survival signals involve integrins, a family of transmembrane heterodimeric cell surface proteins that are formed by two noncovalently associated subunits, ␣ and . Integrins exist in two distinct functional states, an inactive nonadhesion-promoting state and a ligand-bound, active, and adhesion-promoting conformation. 4 On ligand binding, integrins are aggregated in transmembrane complexes (focal contacts) that are enriched in cytoskeletal proteins (eg, talin and vinculin) as well as signaling proteins (eg, focal adhesion kinase [FAK]) (reviewed in Refs. 5,6). Integrin ␣ v  3 is key to EC survival because disruption of ␣ v  3 ligation inhibits blood vessel formation and initiates apoptosis 7 and is also found at its highest levels on angiogenic ECs in wounds and tumors.8 GF receptors also collaborate with integrins by partitioning into common complexes within which they become activated and signal more efficiently. 9,10 Sphingosine kinase (SK) is a lipid kinase that catalyzes the phosphorylation of sphingosine to form sphingosine-1-phosphate (S1P) (reviewed in Ref. 11). SK has two isoforms (SK-1 and -2), and although most cells can synthesize S1P, large amounts are present in platelets 12 and recent reports have identified erythrocytes as well as vascular endothelium as major contributors of S1P in circulation.13-15 S1P can act extracellularly through the G protein-coupled S1P receptors (S1P 1-5 ). Mature ECs express S1P receptors S1P 1-3 , and these ligand/receptor interactions promote EC survival, migration, proliferation, adherens junction assembly, increased revascularization, and wound healing both in vitro and in vivo (reviewed