As normal cells progress toward malignancy, they must switch to an ang
iogenic phenotype to attract the nourishing vasculature that they depe
nd on for their growth. In cultured fibroblasts from Li-Fraumeni patie
nts, this switch was found to coincide with loss of the wild-type alle
le of the p53 tumor suppressor gene and to be the result of reduced ex
pression of thrombospondin-1 (TSP-1), a potent inhibitor of angiogenes
is. Transfection assays revealed that p53 can stimulate the endogenous
TSP-1 gene and positively regulate TSP-1 promoter sequences. These da
ta indicate that, in fibroblasts, wild-type p53 inhibits angiogenesis
through regulation of TSP-1 synthesis.