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Cell and Tumor Biology |
1 Vascular Biology Program, Department of Surgery, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts and 2 Division of Human Nutrition, Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas
Requests for reprints: Kashi Javaherian, Vascular Biology Program, Department of Surgery, Children's Hospital Boston, Karp Family Research Laboratories, Room 11.213, One Blackfan Circle, Boston, MA 02115. Phone: 617-919-2392; Fax: 617-739-5891; E-mail: kashi.javaherian{at}childrens.harvard.edu.
| Abstract |
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| Introduction |
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5ß1 integrin (7). It also has been shown that cell surface glypicans are low-affinity endostatin receptors (8). Endostatin has been implicated in several signaling pathways, such as down-regulation of c-myc (9), cyclin D1 (10) and RhoA activity (11), blockage of VEGF signaling (12, 13), and inhibition of the wnt-signaling pathway (14). Furthermore, endostatin has been shown to bind and inactivate metalloproteinases (1517) and to regulate a spectrum of genes that suppress angiogenesis (18). The crystal structures of both murine and human endostatin have been elucidated (19, 20) and show a noncovalently held dimer at high concentration required for crystallization (20). The presence of two disulfide bonds results in a highly folded structure. Endostatin binds one atom of zinc (Zn) per monomer via the three histidines in the NH2 terminus of the molecule (histidines 1, 3, and 11) and aspartic acid 76. The heparin-binding property of endostatin is mediated by noncontiguous arginines clustered over the three-dimensional globular surface of the molecule (21).
We have previously shown that oligomeric endostatin (NC1 and dimer) is primarily associated with laminin in the basement membrane (22). This association may be important for some of the biological functions displayed by endostatin. On the other hand, the heparin-binding properties of endostatin manifest themselves in its interaction with the cell surface. It is likely that endostatin has several biological functions mediated by different regions of the protein.
Our goal in this report is to identify and characterize the endostatin region responsible for its antitumor activity. Toward achieving this goal, a series of overlapping peptides corresponding to the complete sequence of endostatin were synthesized. We find that the entire antiangiogenic activity of endostatin is located in a 27-amino-acid peptide that binds Zn. We show that Zn binding is required for antitumor and antimigration activities of endostatin but not its antipermeability property.
| Materials and Methods |
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Recombinant human endostatin was a generous gift from EntreMed Corporation (Rockville, MD) and recombinant human and murine FcEndostatin were prepared as described earlier (24). Human and murine endostatin peptides were synthesized by SynPep Corporation (Dublin, CA). Peptides were resuspended in PBS or 50 mmol/L Tris, 150 mmol/L NaCl (pH 7.5).
PECAM, purified rat anti-mouse CD31, was obtained from BD PharMingen (San Diego, CA) and human recombinant VEGF was obtained from the NIH (Bethesda, MD).
The thrombospondin-1 (TSP-1) type 1 repeats fragment 3TSR, containing amino acid 361 to 530 of TSP-1 (25), was kindly provided by Dr. Jack Lawler (Beth Israel Deaconess Medical Center, Department of Pathology, Boston, MA). TNP-470 was a generous gift from Takeda Chemical Industries Ltd. (Osaka, Japan).
Animal studies. All animal procedures were done in compliance with Boston Children's Hospital guidelines, and protocols were approved by the Institutional Animal Care and Use Committee. Male (24-27 g) immunocompetent C57Bl/6J mice (The Jackson Laboratory, Bar Harbor, ME) and immunocompromised severe combined immunodeficiency (SCID) mice (Massachusetts General Hospital, Boston, MA) were used. Mice were 7 to 9 weeks of age. They were acclimated, caged in groups of five in a barrier care facility, and fed animal chow and water ad libitum. Animals were anesthetized via inhalation of isoflurane (Baxter, Deerfield, IL) before all surgical procedures and observed until fully recovered. Animals were euthanized by a lethal dose of CO2 asphyxiation.
Tumor models. BxPC-3 and LLC cells were grown in 900-cm2 roller bottles. The cell concentration was adjusted to 50 x 106 cells/mL. Mice were shaved and the dorsal skin was cleaned with ethanol before tumor cell injection. A suspension of 5 x 106 tumor cells in 0.1 mL RPMI 1640 (for BxPC-3) or DMEM (for LLC) was injected s.c. into the dorsa of mice at the proximal midline. BxPC-3 cells were implanted in SCID mice and LLC in C57Bl/6J mice as described earlier (2).
The mice were weighed and tumors were measured every 3 to 5 days in two diameters with a dial caliper. Volumes were determined using the formula a2 x b x 0.52 (where a is the shortest and b is the longest diameter). Data is represented as volume of treated tumor over control (T/C). At the completion of each experiment, the mice were euthanized with CO2 asphyxiation. Tumors were fixed in 10% buffered formalin (Fisher Scientific, Fair Lawn, NJ) and paraffin embedded.
For treatment of tumor-bearing mice, tumor volumes were allowed to grow to
100 mm3, and mice were randomized. Treatment was done by single bolus s.c. injections. Peptides were given twice a day (every 12 hours). Doses indicated for peptides were corrected for the purity of peptides (
70%). For example, mice given injections of 4 mg/kg/d peptide were actually given 2.8 mg/kg/d after correction. BxPC-3 tumors were treated for 28 days and LLC tumors for 14 days. The unpaired Student t test was used for statistical analysis.
Immunohistochemistry. Tumors were fixed in 10% buffered formalin overnight at 4°C. The next day, tumors were washed thrice in PBS and paraffin embedded. Sections (5 µm) were permeabilized with 40 µg/mL proteinase K (Roche Diagnostics Corp., Indianapolis, IN) in 0.2 mol/L Tris-HCl buffer (pH 7.6) for 25 minutes at 37°C and washed with PBS. PECAM (1:250) was incubated at 4°C overnight. Stainings were amplified using tyramide signal amplification direct and indirect kits (NEN Life Science Products Inc., Boston, MA). Sections were photographed at 200x or 400x magnification using a NIKON TE300 microscope (Melville, NY). Vessel density (average of 10 fields) was determined by IPLab software. The unpaired Student t test was used for statistical analysis.
Endothelial cell migration assay. The motility response of HMVEC-d cells was assayed using a modified Boyden chamber. Cells were plated in T75-cm2 flasks at 0.5 x 106 cells per flask and allowed to grow for 48 hours (
70% confluent) before the migration assay. To facilitate cell adhesion, the upper membrane of a transwell (8-mm pore; Costar, Corning, NY) was coated with fibronectin (10 µg/mL; Becton Dickinson, Bedford, MA) for 1 hour at 37°C. Coated membranes were rinsed with PBS and allowed to air-dry immediately before use. Cells were detached by trypsinization, treated with trypsinization neutralization solution (Clonetics), and resuspended at a final concentration of 1 x 106 cells/mL in serum-free endothelial basal medium (EBM; Clonetics) containing 0.1% bovine serum albumin (BSA). Cells (200,000 in 0.2 mL) were then treated with 0.2 mL of EBM/BSA containing endostatin or peptides at the indicated concentrations. Cells were incubated for 20 minutes at 37°C with occasional shaking. Cells (50,000 in 100 µL) were added to the upper chamber of the transwell. EBM or EBM supplemented with VEGF (5 ng/mL) was added to the lower chamber and cells were allowed to migrate toward the bottom chamber for 4 hours in a humidified incubator containing 5% CO2. Transwell filters were rinsed once with PBS and fixed and stained using a Diff-Quik staining kit (Baxter) following the manufacturer's protocol. Nonmigrated cells were removed from the upper chamber with a cotton swab. Stained filters were cut out of the chamber and mounted onto slides using Permount (Fisher Scientific). The number of migrated cells was measured using microscopy (three fields from each membrane were captured using a 40x objective), and images were captured with a charge-coupled device camera using SPOT software. Total migration per membrane was quantified from the captured images using Scion Image software (NIH). All experiments were run in triplicate. Migration was normalized to percent migration, with migration to VEGF alone representing 100% migration. The data represents an average of five to six separate experiments. High error bars were observed due to the variability inherent in endothelial cell migration assays. A 3-fold increase in VEGF-induced migration over basal levels was considered the minimum criterion for an experiment to be considered valid. The unpaired Student t test was used for statistical analysis.
Miles vascular permeability assay. SCID mice (n = 12) were given s.c. injections of human endostatin (EntreMed; 100 mg/kg/d), murine FcEndostatin (20 mg/kg/d), peptides (either 14 or 2.8 mg/kg/d), and saline (200 µL) for 5 days before performing the Miles assay (26). Briefly, Evan's blue dye (100 µL of a 1% solution in PBS) was injected i.v. into mice. After 10 minutes, 50 µL of human recombinant VEGF (1 ng/µL) or PBS were injected intradermally into the preshaved back skin. After 20 minutes, the animals were euthanized and an area of skin that included the blue spot resulting from leakage of the dye was removed. Evan's blue dye was extracted from the skin by incubation with formamide for 5 days at room temperature, and the absorbance of extracted dye was measured at 620 nm with a spectrophotometer. The unpaired Student t test was used for statistical analysis.
Statistical methods. Data are expressed as mean ± SD. Statistical significance was assessed using the Student t test. For all statistical comparisons, treated groups were compared with PBS-treated controls or VEGF alone (in migration assays). P < 0.05 was considered statistically significant.
| Results |
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2.5 mg/mL). In addition, all peptides were
70% pure. However, no difference in tumor inhibition was observed when peptides of more than 95% purity were used (data not shown).
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50%), whereas the remaining peptides and PBS had no effect. These results suggest that mP1 can inhibit LLC tumor growth by reducing vessel density in similar manner to full-length endostatin. Histidine residues at position 1 and 3 of endostatin are critical for zinc binding. The crystal structure of endostatin reveals a highly folded molecule (ref. 20; Fig. 2D). However, the NH2-terminal region resembles a random coil structure consistent with our analysis that a synthetic peptide corresponding to this domain can mimic the native molecule (Fig. 2D). There is an atom of Zn associated with each molecule of endostatin (20). Based on our crystal structure analysis, three histidines at positions 1, 3, and 11, plus aspartic acid at position 76, form the four coordinates for this Zn atom (20). Initially, it was found that trypsin digestion of human endostatin resulted in cleavage of four amino acids (HSHR) from the NH2 terminus, which lacked Zn binding (20). Because mP1 contains the three histidine residues mentioned above, it raised the possibility that this peptide was able to bind Zn by having a molecule of water occupying the fourth coordinate (Fig. 3 A, left). Previously, our group has shown that site-directed mutagenesis of histidine residues 1 and 3 of endostatin to alanines resulted in the loss of its antitumor property (28). Furthermore, it was shown that deleting the first three amino acids HTH of murine endostatin disrupted Zn binding (28). Therefore, a mutant of peptide mP1 was synthesized and the histidines at positions 1 and 3 were mutated to alanines. This mutant peptide was called mP1-H1/3A. To determine the Zn-binding capacity of mP1 and mP1-H1/3A, flame atomic absorption was done. Each peptide was dissolved in 20 mmol/L Tris (pH 8.0) mixed with excess Zn chloride and extensively dialyzed against the above buffer. These data yielded Zn ratios of 0.1 per molecule of mP1-H1/3A and 0.9 for mP1 (Fig. 3B). Therefore, mutating the histidines at positions 1 and 3 to alanines abolished Zn binding (Fig. 3A, right).
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The NH2-terminal fragment of endostatin inhibits endothelial cell migration. Endostatin has previously been shown to inhibit endothelial cell migration (2, 29). Therefore, we tested the hP1 peptide and the mutant hP1 peptide (hP1-H1/3A) for antiendothelial cell migration activity. Inhibition of VEGF-induced migration of HMVECs was determined using several doses of endostatin and endostatin peptides (Fig. 4). Human peptides were used because the cells were of human origin. Two sources of full-length endostatin [EntreMed endostatin (EM-ES) and human FcEndostatin (hFcES)] were used in the migration assay, both of which inhibited migration. The inhibition of full-length endostatin was dose responsive between 100 and 200 ng/mL. Interestingly, there was no additional inhibition with 500 ng/mL. Furthermore, we found that hP1 inhibited endothelial cell migration at lower concentrations than full-length endostatin. Maximal inhibition seems to occur with doses between 25 and 200 ng/mL (Fig. 4).
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We also examined two other peptides, hP2 and hP6. As expected, hP2 had no effect on migration at 200 ng/mL (Fig. 4). There was also no inhibition observed at lower concentrations (data not shown). hP6 between 100 and 200 ng/mL had a slight effect on inhibition (only 200 ng/mL is shown). However, lower doses had no effect on inhibiting migration (data not shown).
The endostatin hP1 peptide could inhibit VEGF-induced endothelial cell migration at equimolar concentrations (25 ng/mL) to full-length endostatin (200 ng/mL), whereas hP6 only inhibited at doses of 100 and 200 ng/mL. These results show that the NH2-terminal P1 peptide of endostatin maintains the ability to inhibit VEGF-induced endothelial cell migration and that the Zn-binding site is critical for this activity.
Antipermeability activities of endostatin peptides. Several pathologic diseases, including tumors, have been associated with increased vascular permeability. Endostatin has been shown to suppress VEGF-induced permeability (6). Therefore, the ability of endostatin peptides to inhibit VEGF-induced permeability was also tested using the Miles assay (26). Previously, endostatin has been shown to inhibit VEGF-induced permeability using the Miles assay.3 Immunocompromised SCID mice were treated for 5 days before performing the Miles assay. Interestingly, both mP1 and mP1-H1/3A inhibited VEGF-induced permeability when tested at both 2.8 mg/kg/d (which is at equimolar ratio to full-length endostatin) and 14 mg/kg/d (Fig. 5). This effect on permeability was similar to that with full-length endostatin. These data indicate that two separate mechanisms or separate regions of the P1 peptide may regulate antitumor and antipermeability activities.
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| Discussion |
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The Zn-binding requirement of endostatin for inhibiting tumor formation has been controversial (28, 33, 34). Whereas the earliest report showed that the replacement of histidines 1 and 3 by alanines blocked the inhibitory effect of endostatin in LLC (28), two later publications challenged this finding (33, 34). In one of these reports, a mutant endostatin was prepared by deleting five amino acids in both COOH and NH2 termini (33). This construct elicited antitumor activity, similar to full-length endostatin. However, in the employed renal Rc-9 carcinoma tumor model, the administration of endostatin was initiated when the tumor size was 300 mm3 and lasted for only 4 days, when the tumor size reached 500 mm3. The injection sites were at the periphery of the tumor and the injection dosage was 10 µg/kg/d. In contrast, in our experiments we initiated treatment when LLC tumors reached a size of
100 mm3 and continued until tumors were
6,000 to 7,000 mm3. Furthermore, we treated systemically and did not inject into the periphery of the tumor.
Another publication that dealt with the relevance of Zn binding to antitumor activity of endostatin showed that the removal of four amino acids "HSHR" from the NH2 terminus of human endostatin did not affect its antitumor activity (34). Measurements of Zn binding revealed that this mutant bound 2 atoms of Zn per molecule of endostatin, whereas the wild-type bound 10 atoms of Zn per endostatin molecule. However, in our crystal structure studies of endostatin, we have shown that endostatin contains 1 atom of Zn/endostatin molecule and the removal of the four amino acids HSHR from the NH2 terminus results in loss of Zn binding (20).
Endostatin is generated by proteolytic cleavage of collagen 18 (1, 35, 36). The first amino acid at the NH2 terminus of endostatin is a histidine. The presence of histidine is important for conferring Zn binding to endostatin. Consequently, we are led to conclude that the processing of collagen 18 to endostatin may be highly regulated.
Several groups have shown that peptides derived from endostatin have antiangiogenic effects (29, 3740). An NH2-terminal peptide composed of amino acids 6 to 49 (lacking the Zn-binding histidines) has inhibited endothelial cell proliferation and migration (37, 38). A Matrigel assay using this peptide has resulted in the inhibition of angiogenesis in vivo. However, no antitumor data was presented. In another study, a COOH-terminal peptide (amino acids 135-184) retaining the Cys135Cys165 disulfide bond, has shown antitumor activity (39). However, the peptide was administered at the tumor periphery and not systemically. Cho et al. have shown that the NH2 terminus, which includes the Zn-binding site, and the COOH terminus of endostatin are not required for antitumor activity (40). However, this peptide and full-length endostatin were not tested at equimolar concentrations. Our results differ from these groups in that the P1 peptide systemically inhibited tumor formation, endothelial cell migration, and permeability at equimolar concentrations to full-length endostatin. Furthermore, at higher concentrations (14 mg/kg/d), mP2 inhibited LLC tumor formation as well as mP1 at 2.8 mg/kg/d (data not shown). However, mP1 at 14 mg/kg/d inhibited LLC tumor formation less than at 2.8 mg/kg/d (data not shown). Thus, a U-shaped curve seems to be associated with antitumor activity of endostatin as a function of the protein concentration. Similar results were observed for full-length endostatin using the pancreatic BxPC-3 and ASPC-1 tumor models.4 Therefore, determination of optimum endostatin concentration may be an important factor. In vitro assays have shown a similar biphasic characteristic by endostatin with the use of matrix metalloproteinases (MMP; ref. 16).
Similar to the mP1 endostatin peptide, antiangiogenic peptides from TSP-1 (ABT-510; ref. 41) and tumstatin (42), which is a fragment of collagen IV
3 chain, have been shown to have antitumor activities. Employing the LLC tumor model, we compared the antitumor activities of the mP1 endostatin peptide with the tumstatin T8 peptide and the ABT-510/TSP-1 peptide using equimolar concentrations. The antitumor activity of mP1 and the tumstatin T8 peptide was similar, whereas mP1 was more effective in inhibiting tumor growth than the ABT-510/TSP-1 peptide (data not shown).
The fact that full-length endostatin is not required for its antitumor activity explains the initial inconsistencies of endostatin activity (27). Endostatin has two disulfide bonds. Aggregation of endostatin in E. coli preparations is caused by random intermolecular disulfides after PBS dialysis. Whereas endostatin shows a single protein molecule under reducing conditions, most of the protein in an identical sample does not enter the polyacrylamide gel under nonreducing condition (data not shown). It is probably the degree of nonspecific aggregation that is responsible for the lack of activity in some of the preparations. Endostatin is most likely released from the aggregate in animals over a period of time, resulting in a denatured protein or partial fragments, which are capable of demonstrating antitumor properties due to their NH2-terminal peptide. Presumably, some of the preparations yield larger aggregates, which make such a release inefficient and give rise to a product that is incapable of eliciting an antiangiogenic response in mice.
What is the basis of endostatin's antitumor activity? Several mechanisms have been proposed. Binding of endostatin to integrin
5ß1 has been studied in more detail (7). Based on the findings of these authors, an assembly of several cell surface proteins and components, including
5ß1, is responsible for interactions between endostatin and this integrin (11). However, no antitumor data were presented to confirm the above mechanism. More recently, the same authors have shown that an 11-amino-acid peptide derived from endostatin containing arginines and showing heparin binding is responsible for antiangiogenic activity of endostatin (29). We speculate that the phenomena observed by these investigators reflects some of the properties associated with the heparin-binding characteristic of endostatin and not its antitumor activity. Previously, we reported that disruption of heparin binding of endostatin (accomplished by the mutation of two discontinuous arginines on the protein surface) blocked cell motility (43). Furthermore, our endostatin hP3 peptide (see Table 1), which contains the peptide reported by the authors, failed to inhibit tumor growth.
The peptide P1 resembles the catalytic Zn-binding regions of MMPs. Three separate groups have investigated endostatin binding to MMPs. One group has reported that endostatin forms a complex with MMP-2, inhibiting its enzymatic activity (15). A second group has reported the absence of association between MMP-2 and endostatin (44). Finally, a third group obtained data indicating possible interactions between MMP-2 and endostatin (16). Therefore, we investigated the binding of endostatin to MMP-2 and to determine the effect of enzymatic activity using gel zymography. Both endostatin and the peptides could not inhibit the MMP-2 activity when using recombinant MMP-2 and MMP-2 derived from human umbilical vascular endothelial cells (data not shown). However, there still is a possibility of coparticipation of MMPs and endostatin in biological reactions. It is possible that endostatin may bind to the cellular target of MMPs (i.e., extracellular matrix and cell surface proteins) and block their enzymatic activities. Such specific cellular recipients have been poorly characterized at the present time.
The mechanism of endostatin action is unknown. Here, we have shown that a 27-amino-acid peptide corresponding to the NH2 terminal of endostatin, which contains a Zn atom, is responsible for the entire antitumor activity of endostatin. The binding of Zn is crucial for this phenomenon. We believe that the work presented in this publication is probably the most detailed investigation of all the peptides reported for endostatin thus far. This finding may enable us to substitute endostatin with mP1 peptide in clinical trials, hence providing a major saving in time and resources. Moreover, because this peptide retains its antipermeability activity, it can be used to treat other hyperpermeability diseases (i.e., retinal diseases, rheumatoid arthritis, and endometriosis). In addition, it may be useful in clinical applications by reducing edema or repairing the vascular leak syndrome, as seen in pulmonary edema, ascites, and inflammation. Moreover, these results shed light on our understanding of the molecular mechanism of endostatin.
| Acknowledgments |
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
We thank Dr. Carmen Barnes for helpful insights and discussions; Dr. Sarah Short for helpful discussions, critical reading of the manuscript, and providing assistance with the migration assay; Drs. Arja Kaipainen and Dipak Panigraphy for assisting us to implant LLC tumors and for their assistance with immunohistochemistry; Drs. Ilhan Celik and Oliver Kisker for assisting us with the BxPC-3 tumor model; Dr. William Fogler from EntreMed for kindly providing human recombinant endostatin; Drs. Stephen Gillies and Kin-Ming Lo from EMD Lexington Research Center for providing us with human and murine FcEndostatin constructs; Rickey Sanchez for technical assistance with preparing immunohistochemistry slides; and Kristin Gullage for photography.
| Footnotes |
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4 Ilhan Celik and Oliver Kisker, personal communication. ![]()
Received 5/25/04. Revised 2/14/05. Accepted 2/16/05.
| References |
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5ß1 and caveolin-1, and activates Src via a tyrosyl phosphatase-dependent pathway in human endothelial cells. Cancer Res 2002;62:55809.
(v)ß(3) integrin and inhibits angiogenesis. J Biol Chem 2001;276:3195968.This article has been cited by other articles:
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H. Shi, Y. Huang, H. Zhou, X. Song, S. Yuan, Y. Fu, and Y. Luo Nucleolin is a receptor that mediates antiangiogenic and antitumor activity of endostatin Blood, October 15, 2007; 110(8): 2899 - 2906. [Abstract] [Full Text] [PDF] |
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C.R. Dass, T.M.N. Tran, and P.F.M. Choong Angiogenesis Inhibitors and the Need for Anti-angiogenic Therapeutics Journal of Dental Research, October 1, 2007; 86(10): 927 - 936. [Abstract] [Full Text] [PDF] |
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C. M. Becker, R. D. Wright, R. Satchi-Fainaro, T. Funakoshi, J. Folkman, A. L. Kung, and R. J. D'Amato A Novel Noninvasive Model of Endometriosis for Monitoring the Efficacy of Antiangiogenic Therapy Am. J. Pathol., June 1, 2006; 168(6): 2074 - 2084. [Abstract] [Full Text] [PDF] |
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I. Celik, O. Surucu, C. Dietz, J. V. Heymach, J. Force, I. Hoschele, C. M. Becker, J. Folkman, and O. Kisker Therapeutic Efficacy of Endostatin Exhibits a Biphasic Dose-Response Curve Cancer Res., December 1, 2005; 65(23): 11044 - 11050. [Abstract] [Full Text] [PDF] |
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K. Ichinose, Y. Maeshima, Y. Yamamoto, H. Kitayama, Y. Takazawa, K. Hirokoshi, H. Sugiyama, Y. Yamasaki, K. Eguchi, and H. Makino Antiangiogenic Endostatin Peptide Ameliorates Renal Alterations in the Early Stage of a Type 1 Diabetic Nephropathy Model Diabetes, October 1, 2005; 54(10): 2891 - 2903. [Abstract] [Full Text] [PDF] |
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X. Zeng, J. Chen, Y. I. Miller, K. Javaherian, and K. S. Moulton Endostatin binds biglycan and LDL and interferes with LDL retention to the subendothelial matrix during atherosclerosis J. Lipid Res., September 1, 2005; 46(9): 1849 - 1859. [Abstract] [Full Text] [PDF] |
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M.A. GRANT and R. KALLUR Structural Basis for the Functions of Endogenous Angiogenesis Inhibitors Cold Spring Harb Symp Quant Biol, January 1, 2005; 70(0): 399 - 417. [Abstract] [PDF] |
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