The lymphatic vasculature preserves tissue fluid balance by absorbing fluid and macromolecules and transporting them to the blood vessels for circulation. The stepwise process leading to the formation of the mammalian lymphatic vasculature starts by the expression of the gene Prox1 in a subpopulation of blood endothelial cells (BECs) on the cardinal vein (CV) at approximately E9.5. These Prox1-expressing lymphatic endothelial cells (LECs) will exit the CV to form lymph sacs, primitive structures from which the entire lymphatic network is derived. Until now, no conclusive information was available regarding the cellular processes by which these LEC progenitors exit the CV without compromising the vein's integrity. We determined that LECs leave the CV by an active budding mechanism. During this process, LEC progenitors are interconnected by VE-cadherin-expressing junctions. Surprisingly, we also found that Prox1-expressing LEC progenitors were present not only in the CV but also in the intersomitic vessels (ISVs). Furthermore, as LEC progenitors bud from the CV and ISVs into the surrounding mesenchyme, they begin expressing the lymphatic marker podoplanin, migrate away from the CV, and form the lymph sacs. Analyzing this process in Prox1-null embryos revealed that Prox1 activity is necessary for LEC progenitors to exit the CV. (Blood. 2012;120(11):2340-2348)
IntroductionOur understanding of the genes and mechanisms controlling the development of the mammalian lymphatic vasculature has greatly advanced in the last decade. The results of targeted inactivation experiments in mice have identified 3 transcription factors (Prox1, Sox18, and COUP-TFII) as crucial regulators of early lymphatic endothelial cell (LEC) differentiation in mammals; their functional inactivation results in a complete lack of LECs and, therefore, of the entire lymphatic vasculature. [1][2][3][4] It is generally accepted that the initiation of Prox1 expression in a subpopulation of venous endothelial cells (VECs) in the wall of the mouse cardinal vein (CV) at around E9.5 is one of the earliest steps during mammalian lymphatic vasculature formation. We have previously shown that the embryonic veins are the unique source of the entire mammalian lymphatic vasculature by showing that Prox1-expressing LECs that exit the CV form the embryonic lymph sacs from which the entire lymphatic vasculature is eventually derived. 2,5 Although it is known that in mammals Vegfc signaling is required for LECs to exit the CV, 6 until now no conclusive data were available regarding the cellular mechanisms involved in this critical process. For instance, how do these endothelial cells (ECs) exit the CV? How is it that LECs leave the CV without disrupting the endothelial barrier? To address some of these important questions, we performed electron microscopy (EM) to visualize Prox1-expressing LEC progenitors leaving the CV. Results from these analyses determined that Prox1-expressing LEC progenitors leave the CV by budding and that the integrity of the CV is not compromi...