ADAMTS1 is a metalloprotease previously shown to inhibit angiogenesis in a variety of in vitro and in vivo assays. In the present study, we demonstrate that ADAMTS1 significantly blocks VEGFR2 phosphorylation with consequent suppression of endothelial cell proliferation. The effect on VEGFR2 function was due to direct binding and sequestration of VEGF 165 by ADAMTS1. Binding was confirmed by co-immunoprecipitation and cross-linking analysis. Inhibition of VEGF function was reversible, as active VEGF could be recovered from the complex. The interaction required the heparin-binding domain of the growth factor, because VEGF 121 failed to bind to ADAMTS1. Structure/ function analysis with independent ADAMTS1 domains indicated that binding to VEGF 165 was mediated by the carboxyl-terminal (CT) region. ADAMTS1 and VEGF 165 were also found in association in tumor extracts. These findings provide a mechanism for the anti-angiogenic activity of ADAMTS1 and describe a novel modulator of VEGF bioavailability.Extracellular matrix proteins can significantly modulate growth factor signaling. This occurs to a large extent, but not exclusively, from direct non-covalent interactions that mediate selective anchorage of growth factors to the extracellular milieu (1-3). Several extracellular matrix molecules have been shown to bind and sequester growth factors, as well as to enhance signaling by altering presentation to receptor binding sites (4 -10). Angiogenesis is particularly sensitive to this type of regulation due to the critical role of paracrine growth factors in endothelial cell migration and proliferation.The vascular endothelial growth factor (VEGF) 1 gene produces several splice variants critical for capillary morphogenesis and tumor angiogenesis (11-13). Haploinsufficiency of this gene is incompatible with development due to major vascular abnormalities, as demonstrated by inactivation of the gene through homologous recombination (14, 15). Isoforms of VEGF are secreted by diverse cell types including smooth muscle, fibroblasts, and epithelial cells. These proteins function by activation of two tyrosine kinase receptors, VEGFR1 and VEGFR2, as well as by binding to non-receptor tyrosine kinase coreceptors such as neuropilin 1 and 2 on endothelial cells (16,17). ADAMTS1 was the first member of a growing family of ADAMTS extracellular proteases characterized by the presence of disintegrin-like metalloprotease and a variable number of thrombospondin-like domains (18,19). Once secreted, ADAMTS1 activation requires furin cleavage and removal of the pro-domain. The active protease can undergo a secondary processing event that separates the catalytic subunit from the thrombospondin (TSP) repeats (20,21). These TSP motifs in TSP1 and TSP2 have been shown to block angiogenesis by several, and likely not independent, mechanisms (22)(23)(24).We demonstrated previously that ADAMTS1 is able to suppress capillary growth using multiple in vivo and in vitro assays (18). Interestingly, the ability of ADAMTS1 to inhibit neovascularization...