2012
DOI: 10.1007/s00018-012-1110-6
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Flow control in our vessels: vascular valves make sure there is no way back

Abstract: The efficient transport of blood and lymph relies on competent intraluminal valves that ensure unidirectional fluid flow through the vessels. In the lymphatic vessels, lack of luminal valves causes reflux of lymph and can lead to lymphedema, while dysfunction of venous valves is associated with venous hypertension, varicose veins, and thrombosis that can lead to edema and ulcerations. Despite their clinical importance, the mechanisms that regulate valve formation are poorly understood and have only recently be… Show more

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Cited by 114 publications
(113 citation statements)
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“…23 Four different stages of valve development have been previously defined. 7,8 Figure 3A illustrates these valve maturation stages on the basis of Prox1 and CD31 costaining. Stage I is marked by the appearance of cell clusters expressing high levels of the transcription factor Prox1 at sites of developing valves.…”
Section: Bmp9 Is Required For Lymphatic Valve Formation In Mesentericmentioning
confidence: 99%
See 2 more Smart Citations
“…23 Four different stages of valve development have been previously defined. 7,8 Figure 3A illustrates these valve maturation stages on the basis of Prox1 and CD31 costaining. Stage I is marked by the appearance of cell clusters expressing high levels of the transcription factor Prox1 at sites of developing valves.…”
Section: Bmp9 Is Required For Lymphatic Valve Formation In Mesentericmentioning
confidence: 99%
“…Foxc2 cooperates with Prox1 to control Connexin37 (Cx37) expression and to activate NFATc1/ Calcineurin signaling. 7,8 Other molecular regulators such as EphrinB2, integrin a9, Connexin43 (Cx43), Semaphorin3a, and Neuropilin1 (Nrp-1) have been reported to be important for either lymphatic valve formation, elongation of lymphatic valve leaflets, or valve maturation. 5,[8][9][10][11][12] However, still not much is known concerning the extracellular factors that govern valve development.…”
mentioning
confidence: 99%
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“…Lymphatic valves are composed of 2 intraluminal leaflets, each of which is formed by 2 layers of lymphatic ECs (LECs) separated by an extracellular matrix-rich core (5). The genetic and molecular program that underlies lymphatic valve formation has been recently revealed by studies of humans with primary lymphedema syndromes and mutant mice (6)(7)(8).…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, lymph fluid within the large caliber lymphatic vessels can move in a retrograde manner. To prevent backflow of lymph, large caliber lymphatic vessels have lymphatic valves alongside the lymphatic wall, similar to the valves found in the large veins (Bazigou and Makinen, 2013). Excessive interstitial fluid is returned to blood circulation= îá~= subclavian veins and thoracic ducts which complete the lymphatic circulation.…”
Section: Lymphatic System: a Brief Overviewmentioning
confidence: 95%