Vascular smooth muscle is derived from multiple embryonic sources including neural crest and lateral plate mesoderm.
1, 2 Notch signaling in vascular smooth muscle precursors is required for smooth muscle differentiation. The Notch ligand, Jagged1, is expressed by endothelium and activates Notch in vascular smooth muscle precursors to initiate the formation of a smooth muscle layer in a maturing blood vessel.
3 Thus, inhibition of Notch signaling in neural crest leads to impaired smooth muscle differentiation and aortic arch artery defects, although neural crest migration is unaffected.
4 In vitro studies suggest that Notch directly regulates smooth muscle α-actin expression in vascular smooth muscle cells.
5, 6The importance of the Notch signaling in the endothelium and vascular smooth muscle is further highlighted by the spectrum of cardiovascular defects associated with mutations of Notch ligands or receptors. Mutations in
NOTCH3, encoding a Notch receptor found in vascular smooth muscle, cause the autosomal dominant disorder CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) syndrome.
7, 8 Notch3 knockout mice, though viable, show diminished expression of some vascular smooth muscle markers in a subset of arteries, indicating that Notch may promote some aspects of smooth muscle differentiation or maturation
in vivo.
9 Mutations in
NOTCH2 or the Notch ligand
JAGGED1 are associated with Alagille syndrome (AGS).
10, 11 AGS is a multifaceted disorder including congenital heart defects and vascular pathologies.
10–12 Mice lacking
Jagged1 die early in development due to defective remodeling of both the embryonic and yolk sac vasculature.
13 Similar vascular defects are observed when
Jagged1 is specifically deleted in the endothelium.
3 Jagged1 is also expressed by smooth muscle, and deletion using SM22-Cre resulted in the absence of intrahepatic bile ducts
14, a feature of Alagille syndrome. Deletion of Jagged1 in murine smooth muscle, again utilizing SM22-Cre, is also associated with early postnatal mortality due to patent ductus arteriosus (PDA), a common human congenital heart defect.
15 Normally, the ductus arteriosus closes at birth, but defective smooth muscle differentiation following Jagged1 deletion prevents proper vessel remodeling.
15Notch is a highly-conserved signaling pathway. In mammals, association of one of four Notch receptors (Notch 1–4) with one of five Notch ligands (Jagged1, Jagged2, Delta-like 1 (Dll1), Delta-like 3 (Dll3) and Delta-like 4 (Dll4)) initiates juxtacrine signaling. Following ligand-receptor association, proteolytic cleavage releases the Notch intracellular domain (NICD) which translocates to the nucleus. NICD then forms an active transcriptional complex with the DNA-binding protein Rbp-J and the coactivator Mastermind-like (MAML) and target genes are transcribed.
16 Classically, Notch signaling has been thought to function through lateral inhibition in which a stochastic decision by one cell prevents adjacent cells from adopting the same cell fate.
16, 17 This asymmetry in cell fate is typically associated with a decrease of Notch ligand expression in neighboring cells imparting a selective advantage to the single differentiating cell.
16, 17 Alternatively, Notch can function as part of a positive feedback loop in which Notch receptor activation promotes Notch ligand expression in surrounding cells thus relaying a signal – a process known as lateral induction.
18Lateral induction of Notch signaling has been documented in diverse physiological systems.
19 In the developing inner ear, for example, over expression of Notch both induces Jagged1 expression and sensory specification from nonsensory epithelium.
20 Additional examples of Notch/Jagged lateral induction can be found both in macrophages and the ocular lens.
21, 22 In studies most relevant to vascular development, endothelial Jagged1 expression activates Notch3 in mural cells resulting in increased
Jagged1 expression, and Jagged1 protein is decreased in retinal blood vessels of Notch3 knockout animals.
23In this report, we demonstrate that smooth muscle precursors derived from neural crest up-regulate Jagged1 mRNA upon Notch activation. We show that Jagged1 is a direct Notch target and we identify a Notch response element in the Jagged1 genomic locus that mediates vascular smooth muscle lateral induction. These results help to explain how a multilayered vascular smooth muscle wall forms around a nascent endothelial tube.