Modulation of angiogenesis is now a recognized strategy for the prevention
and treatment of pathologies categorized by their reliance on a vascular su
pply. The purpose of this study was to evaluate the effect of 1 alpha,25-di
hydroxyvitamin D-3 [1,25(OH)(2)D-3], the active metabolite of vitamin D-3,
on angiogenesis by using well-charaeterized in vitro and in vivo model syst
ems. 1,25(OH)(2)D-3 (1x10(-9) to 1x10(-7) mol/L) significantly inhibited va
scular endothelial growth factor (VEGF)-induced endothelial cell sprouting
and elongation in vitro in a dose-dependent manner and had a small, but sig
nificant, inhibitory effect on VEGF-induced endothelial cell proliferation.
1,25(OH)(2)D-3 also inhibited the formation of networks of elongated endot
helial cells within 3D collagen gels. The addition of 1,25(OH)(2)D-3 to end
othelial cell cultures containing sprouting elongated cells induced the reg
ression of these cells, in the absence of any effect on cells present in th
e cobblestone monolayer. Analysis of nuclear morphology, DNA integrity, and
enzymatic in situ labeling of apoptosis-induced strand breaks demonstrated
that this regression was due to the induction of apoptosis specifically wi
thin the sprouting cell population. The effect of 1,25(OH)(2)D-3 on angioge
nesis in vivo was investigated by using a model in which MCF-7 breast carci
noma cells, which had been induced to overexpress VEGF, were xenografted su
bcutaneously together with MDA-435S breast carcinoma cells into nude mice.
Treatment with 1,25(OH)(2)D-3 (12.5 pmol/d for 8 weeks) produced tumors tha
t were less well vascularized than tumors formed in mice treated with vehic
le alone. These results highlight the potential use of 1,25(OH)(2)D-3 in bo
th the prevention and regression of conditions characterized by pathologica
l angiogenesis.