DLL4

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Delta-like ligand 4 (DLL4) is a protein that in humans is encoded by the DLL4 gene. It is a member of the Delta/Serrate/LAG-2 (DSL) family of ligands that activate Notch receptors. DLL4 plays a crucial role in vascular development and angiogenesis, influencing the formation of new blood vessels from pre-existing ones. This process is vital for embryonic development, tissue repair, and tumor growth.

Function[edit | edit source]

DLL4 is best known for its role in the Notch signaling pathway, where it acts as a ligand for Notch receptors. Upon binding to its receptor, DLL4 triggers a series of cellular signaling events that lead to the regulation of gene expression. This signaling is essential for the proper development of blood vessels, a process known as angiogenesis. DLL4-Notch signaling is particularly important in the differentiation of endothelial cells, the cells that line the interior surface of blood vessels. It helps determine the balance between the proliferation of these cells and their maturation into fully formed vessels.

In addition to its role in vascular development, DLL4 signaling has been implicated in the regulation of cancer growth and progression. Tumors often exploit angiogenesis to secure a blood supply necessary for their growth and spread. Therefore, DLL4 has become a target of interest for cancer therapy, with several inhibitors being developed to block its function and thus starve tumors of their blood supply.

Genetics[edit | edit source]

The DLL4 gene is located on chromosome 15 in humans. Mutations in this gene or dysregulation of its expression can lead to vascular anomalies and have been associated with various diseases, including cancer.

Clinical Significance[edit | edit source]

Given its critical role in angiogenesis, DLL4 is a potential therapeutic target in diseases characterized by abnormal blood vessel growth, such as cancer, age-related macular degeneration, and rheumatoid arthritis. Inhibiting DLL4-Notch signaling in tumors can reduce their vascularization, limiting their growth and metastatic potential. However, because angiogenesis is also crucial for normal tissue repair and regeneration, targeting DLL4 poses potential risks, including delayed wound healing and adverse effects on normal vascular homeostasis.

Research Directions[edit | edit source]

Research on DLL4 continues to explore its functions beyond angiogenesis, including its roles in immune system regulation and stem cell maintenance. Understanding the full spectrum of DLL4's activities could open new avenues for therapeutic interventions in various diseases.

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Contributors: Prab R. Tumpati, MD