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Blood, 1 June 2007, Vol. 109, No. 11, pp. 4753-4760.
Prepublished online as a Blood First Edition Paper on February 20, 2007; DOI 10.1182/blood-2006-12-063933.
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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Inhibition of Dll4-mediated signaling induces proliferation of immature vessels and results in poor tissue perfusion
Jeffrey S. Scehnet1,
Weidong Jiang2,
S. Ram Kumar1,3,
Valery Krasnoperov2,
Alexandre Trindade4,5,
Rui Benedito4,5,
Dusan Djokovic4,5,
Cristina Borges4,5,
Eric J. Ley6,
Antonio Duarte4,5, and
Parkash S. Gill1,7
1 Department of Pathology, University of Southern California Keck School of Medicine, Los Angeles;
2 Vasgene Therapeutics, Los Angeles, CA;
3 Department of Surgery, University of Southern California Keck School of Medicine, Los Angeles;
4 Centro de Informatica do Instituto Superior de Agronomia (CIISA), Faculdade de Medicina Veterinaria, Technical University of Lisbon, Portugal;
5 Instituto Gulbenkian de Ciência, Oeiras, Portugal;
6 Department of Colorectal Surgery, University of Southern California Keck School of Medicine, Los Angeles;
7 Department of Medicine, University of Southern California Keck School of Medicine, Los Angeles
Vascular development is dependent on various growth factors and certain modifiers critical for providing arterial or venous identity, interaction with the surrounding stroma and tissues, hierarchic network formation, and recruitment of pericytes. Notch receptors and ligands (Jagged and Delta-like) play a critical role in this process in addition to VEGF. Dll4 is one of the Notch ligands that regulates arterial specification and maturation events. In the current study, we have shown that loss of function by either targeted allele deletion or use of a soluble form of Dll4 extracellular domain leads to inhibition of Notch signaling, resulting in increased vascular proliferation but defective maturation. Newly forming vessels have thin caliber, a markedly reduced vessel lumen, markedly reduced pericyte recruitment, and deficient vascular perfusion. sDll4 similarly induced defective vascular response in tumor implants leading to reduced tumor growth. Interference with Dll4-Notch signaling may be particularly desirable in tumors that have highly induced Dll4-Notch pathway.

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