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Lymphatic regulator PROX1 determines Schlemm’s canal integrity and identity

Open access
Park, Dae-Young, Lee, Junyeop, Park, Intae, Choi, Dongwon, Lee, Sunju, Song, Sukhyun, Hwang, Yoonha, Hong, Ki Yong, Nakaoka, Yoshikazu, Makinen, Taija, Kim, Pilhan, Alitalo, Kari, Hong, Young-Kwon, Koh, Gou Young·2014·Journal of Clinical Investigation

Abstract

Schlemm's canal (SC) is a specialized vascular structure in the eye that functions to drain aqueous humor from the intraocular chamber into systemic circulation. Dysfunction of SC has been proposed to underlie increased aqueous humor outflow (AHO) resistance, which leads to elevated ocular pressure, a factor for glaucoma development in humans. Here, using lymphatic and blood vasculature reporter mice, we determined that SC, which originates from blood vessels during the postnatal period, acquires lymphatic identity through upregulation of prospero homeobox protein 1 (PROX1), the master regulator of lymphatic development. SC expressed lymphatic valve markers FOXC2 and integrin α9 and exhibited continuous vascular endothelial-cadherin (VE-cadherin) junctions and basement membrane, similar to collecting lymphatics. SC notably lacked luminal valves and expression of the lymphatic endothelial cell markers podoplanin and lymphatic vessel endothelial hyaluronan receptor 1 (LYVE-1). Using an ocular puncture model, we determined that reduced AHO altered the fate of SC both during development and under pathologic conditions; however, alteration of VEGF-C/VEGFR3 signaling did not modulate SC integrity and identity. Intriguingly, PROX1 expression levels linearly correlated with SC functionality. For example, PROX1 expression was reduced or undetectable under pathogenic conditions and in deteriorated SCs. Collectively, our data indicate that PROX1 is an accurate and reliable biosensor of SC integrity and identity.

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Metadata

Authors
Park, D.-Y., Lee, J., Park, I., Choi, D., Lee, S., Song, S., Hwang, Y., Hong, K. Y., Nakaoka, Y., Makinen, T., Kim, P., Alitalo, K., Hong, Y.-K., & Koh, G. Y.
Venue
Journal of Clinical Investigation
Published
2014-07-25
Volume
124
Issue
9
Pages
3960-3974
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2107467757
Cited by
174
References
5
FWCI
7.90
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Lymphatic regulator PROX1 determines Schlemm’s canal integrity and identity. https://app.cochat.ai/papers/10.1172/jci75392
The paper
Park, D.-Y., Lee, J., Park, I., Choi, D., Lee, S., Song, S., Hwang, Y., Hong, K. Y., Nakaoka, Y., Makinen, T., Kim, P., Alitalo, K., Hong, Y.-K., & Koh, G. Y. (2014). Lymphatic regulator PROX1 determines Schlemm’s canal integrity and identity. Journal of Clinical Investigation. https://doi.org/10.1172/jci75392

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.