The use of genetic models has greatly assisted investigations of the n
atural history, mechanisms, and potential therapy for human vascular d
isease. In the past, genetic models of vascular disease were obtained
through serendipity and/or selective breeding to obtain inbred lines t
hat express the phenotype of interest. This approach has yielded sever
al valuable models of atherosclerosis and hypertension. In the past se
veral years, the advent of molecular techniques has enabled investigat
ors to produce additional novel genetic models of disease that have fu
rther enhanced the study of vascular biology and medicine. Transgenic
techniques and the techniques of homologous recombination have allowed
researchers to alter the genotype of an animal in a precise manner an
d to study the resultant change in phenotype. More recently, technique
s of in vivo gene transfer have also accelerated and enhanced the deve
lopment of novel models. The application of these methodologies has re
sulted in important breakthroughs in our understanding of the pathogen
esis and treatment of vascular diseases. In this review, we compare an
d contrast these technologies along with examples of their use in the
studies of vascular biology and medicine.