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Updated: May 2, 2026

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Isolation of Human Lymphatic Endothelial Cells by Multi-parameter Fluorescence-activated Cell Sorting
Published on: May 1, 2015
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Genetics of lymphatic anomalies
The Journal of Clinical Investigation
|March 5, 2014
Summary
Genetic mutations in over 20 genes impact lymphatic vessel development, causing conditions like primary lymphedema. These genetic factors explain over a quarter of inherited lymphedema cases.
Area of Science:
- Vascular biology
- Human genetics
- Developmental biology
Background:
- Lymphatic anomalies encompass diverse defects of lymphatic vessels, including primary and secondary lymphedema, chylothorax, chylous ascites, lymphatic malformations, and overgrowth syndromes.
- Genetic factors are implicated in both sporadic and familial forms of these conditions.
Purpose of the Study:
- To investigate the genetic underpinnings of lymphatic anomalies.
- To identify genes and pathways involved in lymphatic vessel development and function.
Main Methods:
- Germline mutation analysis in patients with lymphatic anomalies.
- Identification of genes encoding proteins in VEGFR-3 signaling and other tyrosine kinase receptor pathways.
- Analysis of RAS/MAPK and PI3K/AKT signaling pathways.
Main Results:
- Mutations in at least 20 genes affecting VEGFR-3 signaling and downstream pathways were identified.
- These mutations account for over 25% of primary lymphedema cases, particularly inherited forms.
- Common forms may involve multigenic effects or post-zygotic mutations.
Conclusions:
- Germline mutations in specific genes are a significant cause of primary lymphedema and related lymphatic anomalies.
- The RAS/MAPK and PI3K/AKT pathways are crucial in the pathogenesis of these conditions.
- Differences in human and murine physiology may influence the manifestation of these genetic defects, as indicated by murine knockout studies.
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