Hemangiomas are the most common type of
tumor in infants. As they are endothelial cell-derived
neoplasias, their growth can be regulated by the autocrine-acting Tie2
ligand angiopoietin 2 (Ang2). Using an experimental model of human
hemangiomas, in which polyoma middle T-transformed brain endothelial (bEnd) cells are grafted subcutaneously into nude mice, we compared
hemangioma growth originating from bEnd cells derived from wild-type, Ang2+/-, and Ang2-/- mice. Surprisingly, Ang2-deficient bEnd cells formed endothelial
tumors that grew rapidly and were devoid of the typical cavernous architecture of slow-growing Ang2-expressing
hemangiomas, while Ang2+/- cells were greatly impaired in their in vivo growth. Gene array analysis identified a strong downregulation of
NADPH oxidase 4 (Nox4) in Ang2+/- cells. Correspondingly, lentiviral silencing of Nox4 in an Ang2-sufficient bEnd cell line decreased Ang2
mRNA levels and greatly impaired
hemangioma growth in vivo. Using a structure-based approach, we identified fulvenes as what we believe to be a novel class of Nox inhibitors. We therefore produced and began the initial characterization of fulvenes as potential Nox inhibitors, finding that
fulvene-5 efficiently inhibited Nox activity in vitro and potently inhibited
hemangioma growth in vivo. In conclusion, the present study establishes Nox4 as a critical regulator of
hemangioma growth and identifies fulvenes as a potential class of candidate inhibitor to therapeutically interfere with Nox function.