The broad role of the transforming growth factor beta (TGFβ) signaling pathway in vascular development, homeostasis, and repair is well appreciated. Endoglin is emerging as a novel, complex, and poorly understood regulatory component of the TGFβ receptor complex, whose importance is underscored by its recognition as the site of mutations causing hereditary hemorrhagic telangiectasia (HHT) [McAllister et al., 1994]. Extensive analyses of endoglin function in normal developmental mouse models [Bourdeau et al., 1999;Li et al., 1999;Arthur et al., 2000] and in HHT animal models [Bourdeau et al., 2000;Torsney et al., 2003] exemplify the importance of understanding endoglin's biochemical functions. However, novel mechanisms underlying the regulation of these pathways continue to emerge. These mechanisms include modification of TGFβ receptor signaling at the ligand and receptor activation level, direct effects of endoglin on cell adhesion and migration, and emerging roles for endoglin in the determination of stem cell fate and tissue patterning. The purpose of this review is to highlight the cellular and molecular studies that underscore the central role of endoglin in vascular development and disease. Keywords endoglin; transforming growth factor-beta receptors; hereditary hemorrhagic telangiectasia; vascular pathology; vascular endothelium; vascular smooth muscle The canonical transforming growth factor beta (TGFβ) signaling pathway comprises seven type I and five type II TGFβ receptors [Manning etal.,2002]. The TGFβ type I receptors are serine and threonine kinases, which include activin-like kinase 1 (ALK1) and TβRI, also known as ALK5. ALK1 and ALK5 associate with, and are activated via ligand-dependent phosphorylation [Vivien and Wrana, 1995] by the type II TGFβ receptor, TβRII [Wrana et al., 1992]. The activated type I receptor propagates canonical or Smad-dependent signals by phosphorylating Smad proteins [Shi and Massague, 2003;Feng and Derynck, 2005]. Another component of the TGFβ system is endoglin. Endoglin is a transmembrane protein [Gougos and Letarte, 1990] that acts as an auxiliary receptor for TGFβ [Cheifetz et al., 1992;Barbara et al., 1999]. Of note, mutations in endoglin (ENG) [McAllister et al., 1994] and ALK1 [Johnson et al., 1996] genes cause the vascular dysplasia hereditary hemorrhagic telangiectasia (HHT), termed HHT1 and HHT2, respectively.