Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Manuscript
  • Published:

Recombinant human erythropoietin induces intussusceptive microvascular growth in vivo

Abstract

The role of erythropoietin (Epo) in angiogenesis has not been completely clarified. Epo induces endothelial cell proliferation and migration and stimulates angiogenesis on rat aortic rings in vitro and in vivo in the chick embryo chorioallantoic membrane (CAM) assay. The aim of the present study was to evaluate the ultrastructural aspects of angiogenesis in the CAM vasculature after recombinant human Epo (rHuEpo) exposure. The results demonstrated that after rHuEpo stimulation, the generation of new blood vessels occurred more frequently following an intussusceptive microvascular growth (IMG) mechanism. We have performed our experiments between days 8 and 12 of incubation, that is, when in the normal condition the capillary network expands mainly by IMG, and because it is generally accepted that implants made from days 8 to 10 are strongly angiogenic. This response is peculiar of rHuEpo, because it is abolished when an Epo-blocking antibody was coadministered with Epo.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7

Similar content being viewed by others

References

  1. Folkman J . Angiogenesis in cancer, vascular, rheumatoid and other disease. Nat Med 1995; 1: 27–31.

    Article  CAS  Google Scholar 

  2. Risau W . Mechanisms of angiogenesis. Nature 1997; 386: 671–674.

    Article  CAS  Google Scholar 

  3. Burri PH, Djonov V . Intussusceptive angiogenesis – the alternative to capillary sprouting. Mol Aspects Med 2002; 23: S1–S27.

    Article  Google Scholar 

  4. Burri PH, Tarek MR . A novel mechanism of capillary growth in the rat pulmonary microcirculation. Anat Rec 1990; 228: 33–45.

    Article  Google Scholar 

  5. Van Groningen JP, Wemink ACG, Testers LHM . Myocardial capillaries: increase in number by splitting of existing vessels. Anat Embryol 1991; 184: 65–70.

    Article  CAS  Google Scholar 

  6. Patan S, Haenni B, Burri PH . Evidence for intussusceptive capillary growth in the chicken chorio-allantoic membrane (CAM). Anat Enbryol 1993; 187: 121–130.

    CAS  Google Scholar 

  7. Patan S, Alvarez MJ, Schittny JC, Haenni B, Burri PH . Intussussceptive microvascular growth: a common alternative to capillary sprouting. Arch Histol Cytol 1992; 55: 65–75.

    Article  Google Scholar 

  8. Patan S, Munn LL, Jain RK . Intussusceptive microvascular growth in a human colon adenocarcinoma xenograft: a novel mechanism of tumor angiogenesis. Microvasc Res 1996; 51: 260–272.

    Article  CAS  Google Scholar 

  9. Crivellato E, Nico B, Vacca A, Ribatti D . B-cell non-Hodgkin's lymphomas express heterogeneous patterns of neovascularization. Haematologica 2003; 88: 671–678.

    PubMed  Google Scholar 

  10. Ribatti D, Vacca A, Roccaro AM, Crivellato E, Presta M . Erythropoietin as an angiogenic factor. Eur J Clin Invest 2003; 33: 891–896.

    Article  CAS  Google Scholar 

  11. Anagnostou A, Liu Z, Steiner M, Chin K, Lee ES, Kesseimian N, Naguchi CT . Erythropoietin receptor mRNA expression in human endothelial cells. Proc Natl Acad Sci USA 1994; 91: 3974–3978.

    Article  CAS  Google Scholar 

  12. Anagnostou A, Lee ES, Kessimian N, Levinson R, Steiner M . Erythropoietin has a mitogen and positive chemotactic effect on endothelial cells. Proc Natl Acad Sci USA 1990; 87: 5978–5982.

    Article  CAS  Google Scholar 

  13. Ribatti D, Presta M, Vacca A, Ria R, Giuliani R, Dell'Era P, Nico B, Roncali L, Dammacco F . Human erythropoietin induces a pro-angiogenic phenotype in cultured endothelial cells and stimulates neovascularization in vivo. Blood 1999; 93: 2627–2636.

    CAS  Google Scholar 

  14. Ashley RA, Dubuque SH, Dvorak B, Woodward SS, Williams SK, Kling PJ . Erythropoietin stimulates vasculogenesis in neonatal rat mesenteric microvascular endothelial cells. Pediatr Res 2002; 51: 472–478.

    Article  CAS  Google Scholar 

  15. Carlini RG, Reyes AA, Rothstein A . Recombinant human erythropoietin stimulates angiogenesis in vitro. Kidney Int 1995; 47: 740–748.

    Article  CAS  Google Scholar 

  16. Knighton D, Ausprunk D, Tapper D, Folkman J . Avascular and vascular phases of tumor growth in the chick embryo. Br J Cancer 1977; 35: 347–356.

    Article  CAS  Google Scholar 

  17. Ausprunk DH, Knighton DR, Folkman J . Differentiation of vascular endothelium in the chick chorioallantois: a structural and autoradiographic study. Dev Biol 1974; 38: 237–248.

    Article  CAS  Google Scholar 

  18. Schlatter P, Konig MF, Karlsson LM, Burri PH . Quantitative study of intussusceptive capillary growth in the chorioallantoic membrane (CAM) of the chick embryo. Microvasc Res 1997; 54: 65–73.

    Article  CAS  Google Scholar 

  19. Ribatti D, Gualandris A, Bastaki M, Vacca A, Iurlaro M, Roncali L, Presta M . New model for the study of angiogenesis and antiangiogenesis in the chick embryo chorioallantoic membrane: the gelatin sponge/chorioallantoic membrane assay. J Vasc Res 1997; 34: 455–463.

    Article  CAS  Google Scholar 

  20. Ribatti D, Vacca A, Nico B, Fanelli, Roncali L, Dammacco F . Angiogenesis spectrum in the stroma of B-cell non-Hodgkin's lymphomas. An immunohistochemical and ultrastructural study. Eur J Haematol 1996; 56: 43–53.

    Google Scholar 

  21. Yamaji R, Okada T, Moriya M, Naoito M, Tsurno T, Miyatake K, Nakano Y . Brain capillary endothelial cells express two forms of erythropoietin receptor mRNA. Eur J Biochem 1996; 239: 494–500.

    Article  CAS  Google Scholar 

  22. Jaquet K, Krause S, Tawakol-Khodai M, Geidel S, Kuch KN . Erythropoietin and VEGF exhibit equal angiogenic potential. Microvasc Res 2002; 64: 326–333.

    Article  CAS  Google Scholar 

  23. Djonov V, Schmid M, Tschanz SA, Burri PH . Intussusceptive angiogenesis: its role in embryonic vascular network formation. Circ Res 2000; 86: 286–292.

    Article  CAS  Google Scholar 

  24. Ribatti D, Nico B, Vacca A, Roncali L, Burri PH, Djonov V . Chorioallantoic membrane capillary bed: a useful target for studying angiogenesis and anti-angiogenesis in vivo. Anat Rec 2001; 264: 317–324.

    Article  CAS  Google Scholar 

  25. Kurz H, Ambrosy S, Wilting J, Marme D, Christ B . Proliferation pattern of capillary endothelial cells in choriollantoic membrane development indicates local growth control, which is counteracted by vascular endothelial growth factor application. Dev Dyn 1995; 203: 174–186.

    Article  CAS  Google Scholar 

  26. Ribatti D, Urbinati C, Nico B, Rusnati M, Roncali L, Presta M . Endogenous basic fibroblast growth factor is implicated in the vascularization of the chick embryo chorioallantoic membrane. Dev Biol 1995; 170: 39–49.

    Article  CAS  Google Scholar 

  27. Ribatti D, Bertossi M, Nico B, Vacca A, Ria R, Riva A, Roncali L, Presta M . Role of basic fibroblast growth factor in the formation of the capillary plexus in the chick embryo chorioallantoic membrane. An in situ hybridization, immunohistochemical and ultrastructural study. J Submicrcosc Cytol Pathol 1998; 30: 127–136.

    CAS  Google Scholar 

  28. Ribatti D, Nico B, Morbidelli L, Donnini S, Ziche M, Vacca A, Roncali L, Presta M . Cell-mediated delivery of fibroblast growth factor-2 and vascular endothelial growth factor onto the chick chorioallantoic membrane: endothelial fenestration and angiogenesis. J Vasc Res 2001; 38: 389–397.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was supported in part by a grant ‘Interuniversity Funds for Basic Research’ (FIRB) from Ministero dell'Istruzione, dell'Università e della Ricerca, Rome (Italy) and Fondazione italiana per la Lotta al Neuroblastoma, Genoa, Italy.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D Ribatti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Crivellato, E., Nico, B., Vacca, A. et al. Recombinant human erythropoietin induces intussusceptive microvascular growth in vivo. Leukemia 18, 331–336 (2004). https://doi.org/10.1038/sj.leu.2403246

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.leu.2403246

Keywords

This article is cited by

Search

Quick links