Impact of Hemostasis on the Lymphatic System in Development and Disease

Lymphatic vessels form a systemic network that maintains interstitial fluid homeostasis and regulates immune responses and is strictly separated from the circulatory system. During embryonic development, lymphatic endothelial cells originate from blood vascular endothelial cells in the cardinal veins and form lymph sacs. Platelets are critical for separating lymph sacs from the cardinal veins through interactions between CLEC-2 (C-type lectin-like receptor-2) and PDPN (podoplanin) in lymphatic endothelial cells. Therefore, deficiencies of these genes cause blood-filled lymphatic vessels, leading to abnormal lymphatic vessel maturation. The junction between the thoracic duct and the subclavian vein has valves and forms physiological thrombi dependent on CLEC-2/PDPN signaling to prevent blood backflow into the thoracic duct. In addition, platelets regulate lymphangiogenesis and maintain blood/lymphatic separation in pathological conditions, such as wound healing and inflammatory diseases. More recently, it was reported that the entire hemostatic system is involved in lymphangiogenesis. Thus, the hemostatic system plays a crucial role in the establishment, maintenance, and rearrangement of lymphatic networks and contributes to body fluid homeostasis, which suggests that the hemostatic system is a potential target for treating lymphatic disorders. This review comprehensively summarizes the role of the hemostatic system in lymphangiogenesis and lymphatic vessel function and discusses challenges and future perspectives.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Arteriosclerosis, thrombosis, and vascular biology - 43(2023), 10 vom: 03. Okt., Seite 1747-1754

Sprache:

Englisch

Beteiligte Personen:

Tsukiji, Nagaharu [VerfasserIn]
Suzuki-Inoue, Katsue [VerfasserIn]

Links:

Volltext

Themen:

CLEC-2/PDPN signaling
Endothelial cells
Hemostasis
Hemostatics
Journal Article
Lectins, C-Type
Lymphangiogenesis
Lymphatic vessels
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 26.10.2023

Date Revised 03.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1161/ATVBAHA.123.318824

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360342124