Abstract-Vascular endothelial growth factor (VEGF) has been implicated in angiogenesis associated with coronary heart disease, vascular complications in diabetes, inflammatory vascular diseases, and tumor metastasis. The mechanism of VEGF-driven angiogenesis involving glycosphingolipids such as lactosylceramide (LacCer), however, is not known. To demonstrate the involvement of LacCer in VEGF-induced angiogenesis, we used small interfering RNA (siRNA)-mediated silencing of LacCer synthase expression (GalT-V) in human umbilical vein endothelial cells. This gene silencing markedly inhibited VEGF-induced platelet endothelial cell adhesion molecule-1 (PECAM-1) expression and angiogenesis. Second, we used D-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol (D-PDMP), an inhibitor of LacCer synthase and glucosylceramide synthase, that significantly mitigated VEGF-induced PECAM-1 expression and angiogenesis. Interestingly, these phenotypic changes were reversed by LacCer but not by structurally related compounds such as glucosylceramide, digalactosylceramide, and ceramide. In a human mesothelioma cell line (REN) that lacks the endogenous expression of PECAM-1, VEGF/LacCer failed to stimulate PECAM-1 expression and tube formation/angiogenesis. In REN cells expressing human PECAM-1 gene/protein, however, both VEGF and LacCerinduced PECAM-1 protein expression and tube formation /angiogenesis. In fact, VEGF-induced but not LacCerinduced angiogenesis was mitigated by SU-1498, a VEGF receptor tyrosine kinase inhibitor. Also, VEGF/LacCerinduced PECAM-1 expression and angiogenesis was mitigated by protein kinase C and phospholipase A 2 inhibitors. These results indicate that LacCer generated in VEGF-treated endothelial cells may serve as an important signaling molecule for PECAM-1 expression and in angiogenesis. This finding and the reagents developed in our report may be useful as anti-angiogenic drugs for further studies in vitro and in vivo. Key Words: vascular endothelial growth factor Ⅲ lactosylceramide Ⅲ platelet endothelial cell adhesion molecule-1 Ⅲ angiogenesis V ascular endothelial growth factor (VEGF) has been implicated in the process of vasculogenesis and angiogenesis. 1,2 Aberrant expression of VEGF has been reported in several vascular pathologies such as inflammation, complications of diabetes mellitus, cardiovascular diseases, and tumor metastasis. 3 VEGF binds to its receptors KDR/Flk-1 to mediate its effect on angiogenesis in physiological conditions and in human atherosclerosis. 4 -6 Platelet endothelial cell adhesion molecule-1 (PECAM-1)/ CD31 is a constitutively expressed integral protein in endothelial cells. 7 In addition, PECAM-1 is expressed in platelets, monocytes, neutrophils, and a certain subset of T cells. 8 Recent studies implicate PECAM-1 in angiogenesis and in vitro endothelial cell migration. 9,10 For example, human mesothelioma cell line (REN) that is deficient in PECAM-1 10 and cells from PECAM-1 deficient mice 11 did not form tubes in vitro (angiogenesis). In contrast, REN cells overe...