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Updated: Jan 25, 2026

In Vitro Model of Coronary Angiogenesis
Published on: March 10, 2020
High mitogenic stimulation arrests angiogenesis
Samuel Pontes-Quero1, Macarena Fernández-Chacón1, Wen Luo1
1Molecular Genetics of Angiogenesis Group, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, 28029, Spain.
Abstract:
Appropriate therapeutic modulation of endothelial proliferation and sprouting is essential for the effective inhibition of angiogenesis in cancer or its induction in cardiovascular disease. The current view is that an increase in growth factor concentration, and the resulting mitogenic activity, increases both endothelial proliferation and sprouting. Here, we modulate mitogenic stimuli in different vascular contexts by interfering with the function of the VEGF and Notch signalling pathways at high spatiotemporal resolution in vivo. Contrary to the prevailing view, our results indicate that high mitogenic stimulation induced by VEGF, or Notch inhibition, arrests the proliferation of angiogenic vessels. This is due to the existence of a bell-shaped dose-response to VEGF and MAPK activity that is counteracted by Notch and p21, determining whether endothelial cells sprout, proliferate, or become quiescent. The identified mechanism should be considered to achieve optimal therapeutic modulation of angiogenesis.
Insights
High levels of vascular endothelial growth factor (VEGF) signaling paradoxically arrest, rather than promote, blood vessel growth. This discovery challenges current understanding and offers new therapeutic targets for angiogenesis.
Area of Science:
- Molecular Biology
- Cell Biology
- Vascular Biology
Background:
- Therapeutic modulation of endothelial cell proliferation and sprouting is critical for managing angiogenesis in diseases like cancer and cardiovascular conditions.
- Current understanding suggests increased growth factor concentration directly correlates with enhanced endothelial proliferation and sprouting.
Purpose of the Study:
- To investigate the precise effects of modulating vascular endothelial growth factor (VEGF) and Notch signaling pathways on endothelial cells in vivo.
- To challenge the prevailing view on growth factor concentration and its impact on endothelial proliferation and sprouting.
Main Methods:
- Interference with VEGF and Notch signaling pathways in vivo at high spatiotemporal resolution.
- Analysis of endothelial cell behavior (sprouting, proliferation, quiescence) under varying mitogenic stimuli.
Main Results:
- Contrary to expectations, high mitogenic stimulation via VEGF or Notch inhibition led to the arrest of angiogenic vessel proliferation.
- A bell-shaped dose-response curve was identified for VEGF and MAPK activity, influencing endothelial cell fate.
- Notch and p21 were found to counteract this response, determining whether endothelial cells sprout, proliferate, or enter quiescence.
Conclusions:
- The study reveals a complex, non-linear relationship between mitogenic signaling and angiogenesis.
- A novel mechanism involving a bell-shaped dose-response and counteracting factors (Notch, p21) dictates endothelial cell behavior.
- This mechanism provides a new framework for optimizing therapeutic strategies targeting angiogenesis.
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