Epicardial VEGFC/D signaling is essential for coronary lymphangiogenesis

Ester de la Cruz1, Vanessa Cadenas1,2, Susana Temiño1,2

  • 1Cardiovascular Regeneration Program, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, 28029, Spain.

EMBO Reports
|March 25, 2025
PubMed

Insights

The epicardium is crucial for heart lymphatic vessel development, expressing key growth factors. This study reveals the epicardium

Area of Science:

  • Cardiovascular Biology
  • Developmental Biology
  • Lymphatic Research

Background:

  • Coronary circulation is vital for heart function, supplying oxygen and nutrients.
  • The heart's lymphatic vasculature plays roles in immunity, fluid balance, and injury response.
  • The developmental origins of coronary lymphatics are known, but the signaling cues remain unclear.

Purpose of the Study:

  • To investigate the signaling mechanisms governing coronary lymphangiogenesis.
  • To identify the cellular origins and signaling niches involved in heart lymphatic development.

Main Methods:

  • Conditional gene deletion in epicardial cells.
  • Analysis of coronary lymphatic vasculature development in mouse models.
  • Investigating the roles of Vascular Endothelial Growth Factor C (VEGFC) and VEGFD.

Main Results:

  • Coronary lymphatic vasculature develops in close association with the epicardium.
  • Epicardial expression of VEGFC is essential for coronary lymphatic development.
  • VEGFD, also expressed by the epicardium, cooperates with VEGFC in lymphangiogenesis, exhibiting a female-specific role.
  • Epicardium/subepicardium identified as a critical signaling niche.

Conclusions:

  • The epicardium is a key signaling center regulating coronary lymphangiogenesis.
  • VEGFC and VEGFD are essential mediators of epicardial signaling in heart lymphatic development.
  • A novel sex-specific function of VEGFD in female coronary lymphangiogenesis was uncovered.