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Updated: Jun 25, 2026

Isolation and Culture Expansion of Tumor-specific Endothelial Cells
Published on: October 14, 2015
Cross-talk between tumor and endothelial cells involving the Notch3-Dll4 interaction marks escape from tumor dormancy
Stefano Indraccolo1, Sonia Minuzzo, Massimo Masiero
1Istituto Oncologico Veneto-IRCCS, Padua, Italy. stefano.indraccolo@unipd.it
Abstract:
The Notch ligand Dll4 has a recognized role during both physiologic and tumor angiogenesis, as it contributes to regulate Notch activity in endothelial cells (EC). The effects of Dll4 on Notch signaling in tumor cells expressing Notch receptors remain, however, largely unknown. Here, we report that escape of human T-cell acute lymphoblastic leukemia (T-ALL) cells or colorectal cancer cells from dormancy is associated with Dll4 expression in the tumor microenvironment and increased Notch3 signaling in tumor cells. Dll4 was expressed at early time points during the angiogenic process, and its expression preceded perfusion of the newly established vessels. Treatment of EC with angiogenic factors induced Dll4 expression and increased Notch3 activation in cocultured T-ALL cells. Neutralization of Dll4 greatly reduced EC-mediated activation of Notch 3 signaling in T-ALL cells and blocked tumorigenesis. Moreover, silencing Notch3 by RNA interference had marked antiproliferative and proapoptotic effects on T-ALL cells in vitro and reduced tumorigenicity in vivo. Our results elucidate a novel mechanism by which a direct interplay between endothelial and tumor cells promotes survival and triggers tumor growth.
Insights
Tumor microenvironment Dll4 expression activates Notch3 signaling in leukemia and colorectal cancer cells, promoting tumor growth. Blocking Dll4 or Notch3 inhibits cancer cell proliferation and survival.
Area of Science:
- Oncology
- Cell Biology
- Cancer Research
Background:
- The Notch ligand Dll4 regulates endothelial cell (EC) activity in angiogenesis.
- The role of Dll4 in Notch signaling within tumor cells is not well understood.
Purpose of the Study:
- To investigate the impact of Dll4 on Notch signaling in tumor cells.
- To elucidate the mechanism linking endothelial and tumor cells in cancer progression.
Main Methods:
- Assessed Dll4 expression in tumor microenvironments.
- Analyzed Notch3 signaling in T-cell acute lymphoblastic leukemia (T-ALL) and colorectal cancer cells.
- Utilized Dll4 neutralization and Notch3 silencing (RNA interference).
- Evaluated effects on tumor cell proliferation, apoptosis, and tumorigenicity in vitro and in vivo.
Main Results:
- Dll4 expression correlated with tumor cell escape from dormancy and increased Notch3 signaling.
- Angiogenic factors induced Dll4 in ECs, enhancing Notch3 activation in cocultured T-ALL cells.
- Dll4 neutralization reduced Notch3 activation and blocked tumorigenesis.
- Notch3 silencing exhibited anti-proliferative and pro-apoptotic effects on T-ALL cells, reducing tumor growth.
Conclusions:
- Dll4 expressed by the tumor microenvironment directly promotes tumor cell survival and growth via Notch3 signaling.
- Targeting the Dll4-Notch3 axis represents a potential therapeutic strategy for T-ALL and colorectal cancer.
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