Induction by fibroblast growth factors of mesoderm during gastrulation
leads to blood-forming tissue, including angioblasts and hemopoietic
cells, that together constitute the blood islands of the yolk sac. The
differentiation of angioblasts from mesoderm and the formation of pri
mitive blood vessels from angioblasts at or near the site of their ori
gin are the two distinct steps during the onset of vascularization tha
t are defined as vasculogenesis. Vascular endothelial growth factor an
d its high-affinity receptor tyrosine kinase flk-1 represent a paracri
ne signaling system crucial for the differentiation of endothelial cel
ls and the development of the vascular system. Specific cell adhesion
molecules such as VE-cadherin and PECAM-1 (CD-31), and transcription f
actors such as ets-1, as well as mechanical forces and vascular regres
sion and remodeling are involved in the subsequent events of endotheli
al cell differentiation, apoptosis, and angiogenesis.