ABSTRACT

References .......................................................................................................................... 371

The processes underlying formation of new blood vessels have traditionally been divided

into two categories: vasculogenesis and angiogenesis [1]. In vasculogenesis, new vessels

form by the differentiation of mesenchymal cells (angioblasts) into endothelial cells, a process

that occurs in parallel with the formation of blood islands, which are co-derived from

hematopoietic progenitors. Very likely, an earlier precursor (hemangioblast) gives rise to

both populations of cells. In angiogenesis, endothelial cells lining previously formed vessels

proliferate and form sprouts, which give rise to new vascular structures. Whereas there is good

evidence that angiogenesis occurs both during development and after birth, until a few years

ago it was widely accepted that vasculogenesis, in the broader sense of an undifferentiated cell

type giving rise to endothelial cells, took place only in the embryo. Recent findings have

challenged this dogma [2], however. There is now evidence that supports the idea that

circulating vascular progenitors are involved in blood vessel formation after birth, a pro-

cess that has been referred to as neoangiogenesis [3]. Moreover, it has also been newly

recognized that hematopoietic cells contribute to the maintenance and initiation of these

processes, and that co-mobilization of both vascular and hematopoietic elements may be an

essential part of neoangiogenesis [4].