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Updated: May 14, 2026

Directed Differentiation of Hemogenic Endothelial Cells from Human Pluripotent Stem Cells
Published on: March 31, 2021
Endothelial ERK signaling controls lymphatic fate specification
Yong Deng1, Deepak Atri, Anne Eichmann
1Yale Cardiovascular Research Center, Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06510, USA.
Gain-of-function RAF1 mutation in endothelial cells activates ERK signaling, inducing lymphatic vessel formation. This process, linked to Noonan syndrome, highlights ERK
Area of Science:
- Developmental Biology
- Molecular Biology
- Genetics
Background:
- Lymphatic vessel formation is crucial for development and fluid homeostasis.
- The precise molecular triggers for lymphatic endothelial cell (EC) differentiation remain incompletely understood.
- Noonan syndrome and related RASopathies exhibit lymphatic abnormalities, suggesting a genetic basis.
Purpose of the Study:
- To investigate the molecular mechanisms underlying lymphatic vessel development.
- To determine the role of RAF1 signaling in lymphatic EC fate specification.
- To elucidate the link between RAF1 mutations, ERK activation, and lymphatic abnormalities in Noonan syndrome.
Main Methods:
- Generated transgenic mice with endothelial-specific, inducible expression of a gain-of-function RAF1(S259A) mutation.
- Analyzed gene expression changes (SOX18, PROX1) and signaling pathway activation (ERK) in endothelial cells.
- Assessed lymphatic vessel development and morphology, including lymphangiectasia.
- Utilized ERK signaling inhibitors to evaluate rescue of lymphatic phenotypes.
Main Results:
- Endothelial expression of mutant RAF1(S259A) activated ERK signaling.
- Activated ERK led to increased SOX18 and PROX1 expression, promoting lymphatic EC differentiation.
- Excessive lymphatic EC production resulted in lymphangiectasia, mimicking Noonan syndrome phenotypes.
- Inhibition of ERK signaling during development prevented lymphatic abnormalities.
Conclusions:
- ERK activation is a key regulator of lymphatic EC fate specification.
- Gain-of-function RAF1 mutations, through ERK activation, cause lymphatic abnormalities seen in Noonan syndrome and RASopathies.
- Targeting ERK signaling may offer therapeutic potential for lymphatic disorders.
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