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Haploinsufficiency of delta-like 4 ligand results in embryonic lethality due to major defects in arterial and vascular development.

Vascular development depends on the highly coordinated actions of a variety of angiogenic regulators, most of which apparently act downstream of vascular endothelial growth factor (VEGF). One potential such regulator is delta-like 4 ligand (Dll4), a recently identified partner for the Notch receptors. We generated mice in which the Dll4 gene was replaced with a reporter gene, and found that Dll4 expression is initially restricted to large arteries in the embryo, whereas in adult mice and tumor models, Dll4 is specifically expressed in smaller arteries and microvessels, with a striking break in expression just as capillaries merge into venules. Consistent with these arterial-specific expression patterns, heterozygous deletion of Dll4 resulted in prominent albeit variable defects in arterial development (reminiscent of those in Notch knockouts), including abnormal stenosis and atresia of the aorta, defective arterial branching from the aorta, and even arterial regression, with occasional extension of the defects to the venous circulation; also noted was gross enlargement of the pericardial sac and failure to remodel the yolk sac vasculature. These striking phenotypes resulting from heterozygous deletion of Dll4 indicate that vascular development may be as sensitive to subtle changes in Dll4 dosage as it is to subtle changes in VEGF dosage, because VEGF accounts for the only other example of haploid insufficiency, resulting in obvious vascular abnormalities. In summary, Dll4 appears to be a major trigger of Notch receptor activities previously implicated in arterial and vascular development, and it may represent a new opportunity for pro- and anti-angiogenic therapies.

Pubmed ID: 15520367


  • Gale NW
  • Dominguez MG
  • Noguera I
  • Pan L
  • Hughes V
  • Valenzuela DM
  • Murphy AJ
  • Adams NC
  • Lin HC
  • Holash J
  • Thurston G
  • Yancopoulos GD


Proceedings of the National Academy of Sciences of the United States of America

Publication Data

November 9, 2004

Associated Grants


Mesh Terms

  • Animals
  • Arteries
  • Base Sequence
  • Blood Vessels
  • DNA
  • Female
  • Fetal Death
  • Gene Expression Regulation, Developmental
  • Gene Targeting
  • Genes, Reporter
  • Heterozygote
  • Intracellular Signaling Peptides and Proteins
  • Membrane Proteins
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Placenta
  • Pregnancy
  • Vascular Endothelial Growth Factor A