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Blood, 1 September 2008, Vol. 112, No. 5, pp. 1904-1911.
Prepublished online as a Blood First Edition Paper on June 24, 2008; DOI 10.1182/blood-2007-11-126045.
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Submitted November 27, 2007
Accepted June 4, 2008
Dll4 activation of Notch signaling reduces tumor vascularity and inhibits tumor growth
Marta Segarra*, Cassin Kimmel Williams, Maria de la Luz Sierra, Marcelino Bernardo, Peter J McCormick, Dragan Maric, Celeste Regino, Peter Choyke, and Giovanna Tosato
Laboratory of Cellular Oncology, Center for Cancer Reserach, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States
Laboratory Animal Science Program, SAIC-Frederick, National Cancer Institute, Frederick, MD, United States
Flow Cytometry Core Facility, National Institutes of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, United States
Molecular Imaging Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, United States
* Corresponding author; email: segarram{at}mail.nih.gov.
Gene targeting experiments have shown that Delta-like 4 (Dll4) is a vascular-specific Notch ligand critical to normal vascular development. Recent studies have demonstrated that inhibition of Dll4/Notch signaling in tumor bearing mice resulted in excessive, yet non-productive tumor neovascularization and unexpectedly reduced tumor growth. Since non-functional blood vessels have the potential to normalize, we explored the alternative approach of stimulating Notch signaling in the tumor vasculature to inhibit tumor growth. Here we show that retrovirus-induced over-expression of Dll4 in tumor cells activates Notch signaling in co-cultured endothelial cells and limits vascular endothelial growth factor (VEGF)-induced endothelial cell growth. Tumors produced in mice by injection of human and murine tumor cells transduced with Dll4 were significantly smaller, less vascularized and more hypoxic than controls, and displayed evidence of Notch activation. Also, tumor blood perfusion was reduced as documented by vascular imaging. These results demonstrate that Notch activation in the tumor microenvironment reduces tumor neovascularization and blood perfusion, and suggest that Dll4-induced Notch activation may represent an effective therapeutic approach for the treatment of solid tumors.

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