Related Experiment Video
Updated: May 21, 2026

In Vitro Model of Coronary Angiogenesis
Published on: March 10, 2020
Cellular decisions in cardiac outflow tract and coronary development: an act by VEGF and NOTCH
Nynke M S van den Akker1, Vincenza Caolo, Daniël G M Molin
1Department of Physiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. n.vandenakker@maastrichtuniversity.nl
Insights
Vascular Endothelial Growth Factor (VEGF) and NOTCH signaling pathways are crucial for heart development. Genetic links between these pathways and congenital heart defects highlight their importance in cardiogenesis.
Area of Science:
- Cardiovascular Research
- Developmental Biology
- Genetics
Background:
- Congenital cardiac abnormalities significantly impact quality of life.
- VEGF and NOTCH pathway polymorphisms are linked to cardiovascular outflow tract anomalies and pathologies.
- Animal models confirm the interaction of VEGF and NOTCH in cardiac development.
Purpose of the Study:
- To review the roles of VEGF and NOTCH signaling in cardiogenesis.
- To examine their interplay, focusing on coronary and outflow tract development.
- To discuss human congenital malformations associated with VEGF/NOTCH polymorphisms.
Main Methods:
- Review of human genetic studies on VEGF/NOTCH polymorphisms.
- Analysis of findings from transgenic mouse models.
- Synthesis of molecular and cellular mechanisms underlying cardiac development.
Main Results:
- VEGF and NOTCH signaling are integral to cardiac development.
- Polymorphisms in these pathways correlate with congenital heart defects.
- Interactions between VEGF and NOTCH are critical for outflow tract and coronary development.
Conclusions:
- VEGF and NOTCH signaling pathways are vital for normal heart formation.
- Understanding their interplay offers insights into congenital heart disease.
- Genetic variations in these pathways contribute to cardiovascular malformations.
Abstract:
Congenital cardiac abnormalities are, due to their relatively high frequency and severe impact on quality of life, an important focus in cardiovascular research. Recently, various human studies have revealed a high coincidence of VEGF and NOTCH polymorphisms with cardiovascular outflow tract anomalies, such as bicuspid aortic valves and Tetralogy of Fallot, next to predisposition for cardiovascular pathologies, including atherosclerosis and aortic valve calcification. This genetic association between VEGF/NOTCH mutations and congenital cardiovascular defects in humans has been supported by substantial proof from animal models, revealing interaction of both pathways in cellular processes that are crucial for cardiac development. This review focuses on the role of VEGF and NOTCH signaling and their interplay in cardiogenesis with special interest to coronary and outflow tract development. An overview of the association between congenital malformations and VEGF/NOTCH polymorphisms in humans will be discussed along with their potential mechanisms and processes as revealed by transgenic mouse models. The molecular and cellular interaction of VEGF and subsequent Notch-signaling in these processes will be highlighted.
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