“…PROX1, FOXC2, GATA2 and VEGFR3 are expressed at much higher levels in valvular endothelial cells compared to the rest of the lymphatic vasculature (Bazigou et al, 2009;Geng et al, 2016;Kazenwadel et al, 2015;Norrmen et al, 2009). Previous reports, including our own, have shown that PROX1, FOXC2 and GATA2 are necessary for the development of LVs and LVVs (Geng et al, 2016;Kazenwadel et al, 2015;Mahamud et al, 2019;Norrmen et al, 2009;Petrova et al, 2004). However, whether VEGFR3 is necessary for the development of valves has not been demonstrated although superficial venous valve reflex is observed in patients with Milroy's disease, which is characterized by heterozygous inactivating mutations in VEGFR3 (Mellor et al, 2010).…”