ANGIOGENESIS is required for a wide variety of physiological and patho
logical processes(1). The endothelial cell-specific mitogen vascular e
ndothelial growth factor (VEGF)(2,3) is a major mediator of pathologic
al angiogenesis(4-6). Also, the expression of VEGF and its two recepto
rs, Flt-1 and Flk-1/KDR, is related to the formation of blood vessels
in mouse and rat embryos(7-10). Mice homozygous for mutations that ina
ctivate either receptor die in utero between days 8.5 and 9.5 (refs 11
,12). However, ligand(s) other than VEGF might activate such receptors
(13,14). To assess the role of VEGF directly, we disrupted the VEGF ge
ne in embryonic stem cells. Here we report the unexpected finding that
loss of a single VEGF allele is lethal in the mouse embryo between da
ys 11 and 12. Angiogenesis and blood-island formation were impaired, r
esulting in several developmental anomalies. Furthermore, VEGF-null em
bryonic stem cells exhibit a dramatically reduced ability to form tumo
urs in nude mice.