Angiogenesis is the term used to describe the formation of new blood v
essels from the existing vasculature. In order to attract new vessels,
a tissue must release an endothelial-cell chemoattractant. 2-Deoxy-D-
ribose is produced in vivo by the catalytic action of thymidine phosph
orylase (TP) on thymidine and has recently been identified as an endot
helial-cell chemoattractant and angiogenesis-inducing factor. TP, prev
iously known only for its role in nucleotide salvage, is now known to
be angiogenic. TP expression is elevated in many solid tumours and in
chronically inflamed tissues, both known areas of active angiogenesis.
There is evidence that TP is also involved in physiological angiogene
sis such as endometrial angiogenesis during the menstrual cycle. The m
ajority of known endothelial-cell chemoattractants are polypeptides th
at bind to endothelial-cell-surface receptors. In contrast, 2-deoxy-D-
ribose appears to lack a cell-surface receptor. Glucose is another sug
ar that acts as an endothelial-cell chemoattractant. The migratory act
ivity of glucose is blocked by ouabain. It is possible that 2-deoxy-D-
ribose and glucose stimulate endothelial-cell migration via a similar
mechanistic pathway.