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Updated: Nov 14, 2025

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Notch Signaling in Vascular Endothelial Cells, Angiogenesis, and Tumor Progression: An Update and Prospective
Abdellah Akil1, Ana K Gutiérrez-García1, Rachael Guenter1
1Department of Surgery, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
The Notch signaling pathway regulates cell fate, angiogenesis, and tumor growth. Its crosstalk with other pathways drives cancer progression, impacting cancer stem cells and therapeutic resistance.
Area of Science:
- Molecular Biology
- Cancer Biology
- Vascular Biology
Background:
- The Notch signaling pathway is crucial for cell fate determination, vascular development, and arterial differentiation.
- Notch signaling acts as an oncogene or tumor suppressor, influencing tumor growth and survival.
- Crosstalk between Notch and other signaling pathways is vital for tumor progression, including metastasis and cancer stem cell expansion.
Purpose of the Study:
- To review Notch signaling in endothelial cell fate, angiogenesis, and tumor progression.
- To highlight Notch's role in cancer stem cell development and therapeutic resistance.
- To summarize how endothelial signaling crosstalk with Notch impacts tumor angiogenesis and CSCs.
Main Methods:
- Literature review of Notch signaling pathways.
- Analysis of Notch pathway interactions in cancer.
- Synthesis of recent research on Notch and tumor microenvironment.
Main Results:
- Notch signaling is integral to endothelial cell function and angiogenesis.
- Notch pathway dysregulation contributes to tumor growth, metastasis, and CSC expansion.
- Endothelial signaling crosstalk with Notch promotes tumor angiogenesis and therapeutic resistance.
Conclusions:
- Notch signaling is a key regulator in both normal vascular biology and cancer.
- Understanding Notch pathway crosstalk is essential for developing targeted cancer therapies.
- Targeting Notch signaling and its interactions may overcome therapeutic resistance and improve cancer treatment.
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