In highly vascular malignant glioma, glioma cells themselves may express an
giogenie factors and induce angiogenesis. Recent studies have shown that no
vel angiogenie factors, angiopoietin-1 (Ang1) and -2 (Ang2), play important
roles in the modulation of vasculogenesis and angiogenesis. In this study,
we determined Ang2 mRNA expression in cultured human malignant glioma cell
s (U105, U251, and U373 MG) by reverse transcriptase-PCR. Western blot anal
ysis and immunocytochemical analysis with antihuman Ang2 antibody revealed
that Ang2 protein was expressed and secreted by these cells. Furthermore, h
ypoxia increased the Ang2 protein level in cultured glioma cells. Serial se
ctions of 32 human glioma tissues (14 glioblastomas, eight anaplastic astro
cytomas, seven astrocytomas, and three pilocytic astrocytomas) were immunos
tained against Ang2, vascular endothelial growth factor, Tie2, von Willebra
nd factor, and alpha smooth muscle actin. The immunoreactivity of each angi
ogenic factor was higher in malignant gliomas than in low-grade gliomas. An
g2 protein was detected not only in endothelial cells but also in glioma ce
lls, and its expression was prominent in both the area surrounding the necr
osis and the periphery of glioblastomas. In the area surrounding necrosis,
Ang2 was highly expressed and tumor vessels showed regression. In the tumor
periphery, Ang2 was highly expressed and many small vessels stained positi
vely for von Willebrand factor but not for alpha smooth muscle actin, sugge
sting angiogenesis. Statistical analysis revealed that the Ang2 expression
was negatively correlated with vessel maturation in malignant gliomas and t
hat vascular endothelial growth factor expression was positively correlated
with vessel maturation in low-grade gliomas (P < 0.05). These results sugg
est that glioma cells themselves express Ang2 and that expression may be in
duced by hypoxic stimulation and may play a crucial role in the vessel matu
ration, angiogenesis, and vessel regression in malignant glioma.