The LKB1 tumor suppressor gene, mutated in Peutz-Jeghers syndrome, encodes
a serine/threonine kinase of unknown function. Here we show that mice with
a targeted disruption of Lkb1 die at midgestation, with the embryos showing
neural tube defects, mesenchymal cell death, and vascular abnormalities. E
xtraembryonic development was also severely affected; the mutant placentas
exhibited defective labyrinth layer development and the fetal vessels faile
d to invade the placenta. These phenotypes were associated,with tissue-spec
ific deregulation of vascular endothelial growth factor (VEGF) expression,
including a marked increase in the amount of VEGF messenger RNA. Moreover,
VEGF production in cultured Lkb1(-/-) fibroblasts was elevated in both norm
oxic and hypoxic conditions. These findings place Lkb1 in the VEGF signalin
g pathway and suggest that the vascular defects accompanying Lkb1 loss are
mediated at least in part by VEGF.