A natural retinoid all-trans retinoic acid ( ATRA) regulates a variety of important cellular functions via retinoic acid receptor ( RAR). ATRA has therapeutically been used against various malignancies including acute promyelocytic leukemia. Recently ATRA has also been recognized to be beneficial against atherosclerotic vascular disorders. However, its effects on angiogenesis remain controversial. We therefore examined ATRA effects on in vitro angiogenesis in terms of capillary-like tube formation using human umbilical vein endothelial cells ( HUVECs)/ normal human dermal fibroblast ( NHDF) coculture. ATRA as well as RAR agonist Am80 significantly induced capillary-like tube formation. The ATRA- induced tube formation was inhibited by coincubation with RAR antagonist LE540/ LE135. HUVEC proliferation, but not its migration, was also induced by ATRA. The ATRA- induced tube formation was completely abolished by coincubation with vascular endothelial growth factor ( VEGF) neutralizing antibody or with VEGF receptor ( VEGFR)- 2 ( KDR) neutralizing antibody, but not VEGFR-1 ( Flt-1) neutralizing antibody. ATRA and Am80 induced VEGF secretion in the coculture as well as VEGF secretion/ mRNA expression in NHDFs. Transcription activity of human VEGF gene promoter in NHDFs was stimulated by ATRA, which was augmented by RAR overexpression. ATRA also induced VDGFR-2/ KDR mRNA expression in HUVECs. Moreover, ATRA- induced secretion of hepatocyte growth factor as well as angiopoietin-2 in the coculture. Taken together, ATRA may have induced angiogenesis via RAR mainly by stimulation of HUVEC proliferation and enhancement of endogenous VEGF signaling and in part by induction of hepatocyte growth factor and angiopoietin-2 production. Retinoids may therefore be potential candidates for therapeutic angiogenesis against ischemic vascular disorders.