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Updated: Mar 6, 2026

Blocking Lymph Flow by Suturing Afferent Lymphatic Vessels in Mice
Published on: May 14, 2020
Laminar flow downregulates Notch activity to promote lymphatic sprouting
Fluid flow stimulates lymphatic sprouting through a novel pathway. This involves ORAI1, KLF2, and PROX1, which reduce Notch activity and promote lymphatic vessel growth.
Area of Science:
- Vascular Biology
- Mechanobiology
- Molecular Biology
Background:
- The lymphatic system drains interstitial fluid, and its expansion is triggered by increased fluid flow.
- Lymphatic sprouting, essential for fluid drainage, shares similarities with angiogenesis.
- Understanding the molecular mechanisms of lymphatic sprouting is crucial for related diseases.
Purpose of the Study:
- To identify the mechanotransduction pathway linking laminar flow-induced shear stress to lymphatic sprouting.
- To elucidate the molecular players involved in regulating lymphatic endothelial cell (LEC) responses to shear stress.
Main Methods:
- Investigated the role of ORAI1, KLF2, PROX1, DTX1, and DTX3L in lymphatic sprouting.
- Utilized endothelial-specific knockouts (KO) of Orai1 and Klf2.
- Examined the effects of Dtx3l loss and gain of function on lymphatic sprouting.
- Assessed Notch activity and calcium signaling in LECs under laminar flow.
Main Results:
- Laminar flow activates a pathway in LECs involving ORAI1-mediated calcium influx and calmodulin activation.
- This leads to a PROX1/KLF2 complex that upregulates DTX1 and DTX3L, downregulating NOTCH1 activity.
- Endothelial-specific Orai1 and Klf2 KOs impaired lymphatic sprouting.
- Dtx3l loss of function caused defective sprouting, while its gain of function rescued Orai1 KO phenotypes.
Conclusions:
- A novel mechanotransduction pathway translates laminar flow-induced shear stress into lymphatic sprouting.
- The pathway involves ORAI1, KLF2, PROX1, and the DTX1/DTX3L E3 ligase complex, which collectively downregulate Notch signaling.
- This molecular mechanism is critical for regulating lymphatic development and fluid homeostasis.
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