Endoglin is a transforming growth factor-beta (TCF-beta) binding protein ex
pressed on the surface of endothelial cells. Loss-of-function mutations in
the human endoglin gene ENG cause hereditary hemorrhagic telangiectasia (HH
T1), a disease characterized by vascular malformations. Here it is shown th
at by gestational day 11.5, mice lacking endoglin die from defective vascul
ar development. However, in contrast to mice lacking TGF-beta, vasculogenes
is was unaffected. Loss of endoglin caused poor vascular smooth muscle deve
lopment and arrested endothelial remodeling. These results demonstrate that
endoglin is essential for angiogenesis and suggest a pathogenic mechanism
for HHT1.