RASA1 regulates the function of lymphatic vessel valves in mice
Open accessAbstract
Capillary malformation-arteriovenous malformation (CM-AVM) is a blood and lymphatic vessel (LV) disorder that is caused by inherited inactivating mutations of the RASA1 gene, which encodes p120 RasGAP (RASA1), a negative regulator of the Ras small GTP-binding protein. How RASA1 mutations lead to the LV leakage defects that occur in CM-AVM is not understood. Here, we report that disruption of the Rasa1 gene in adult mice resulted in loss of LV endothelial cells (LECs) specifically from the leaflets of intraluminal valves in collecting LVs. As a result, valves were unable to prevent fluid backflow and the vessels were ineffective pumps. Furthermore, disruption of Rasa1 in midgestation resulted in LEC apoptosis in developing LV valves and consequently failed LV valvulogenesis. Similar phenotypes were observed in induced RASA1-deficient adult mice and embryos expressing a catalytically inactive RASA1R780Q mutation. Thus, RASA1 catalytic activity is essential for the function and development of LV valves. These data provide a partial explanation for LV leakage defects and potentially other LV abnormalities observed in CM-AVM.
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Valve defects lead to increased back leak and an increased ΔP required for closure, even to the point where they are unable to close under supraphysiological pressure gradients.
“Valve defects lead to increased back leak and an increased ΔP required for closure, even to the point where they are unable to close under supraphysiological pressure gradients (42).”
From Transport and Immune Functions of the Lymphatic System. (2025) · cites this paper as [42]
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Sabine, A., Agalarov, Y., Maby-El Hajjami, H., Jaquet, M., Hägerling, R., Pollmann, C., Bebber, D., Pfenniger, A., Miura, N., Dormond, O., et al. (2012) · Developmental Cell · doi:10.1016/j.devcel.2011.12.020 · Cited by 411 · see citing works
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- Eerola I, et al. Capillary malformation-arteriove- nous malformation, a new clinical and genetic disorder caused by RASA1 mutations. Am J Hum Genet. 2003;73(6):1240-1249.
- Revencu N, et al. RASA1 mutations and associ- ated phenotypes in 68 families with capillary malformation-arteriovenous malformation. Hum Mutat. 2013;34(12):1632-1641.
- Revencu N, et al. Parkes Weber syndrome, vein of Galen aneurysmal malformation, and other fast- flow vascular anomalies are caused by RASA1 mutations. Hum Mutat. 2008;29(7):959-965.
- Burrows PE, et al. Lymphatic abnormalities are associated with RASA1 gene mutations in mouse and man. Proc Natl Acad Sci USA. 2013;110(21):8621-8626.
- Macmurdo CF, et al. RASA1 somatic mutation and variable expressivity in capillary malformation/ arteriovenous malformation (CM/AVM) syn- drome. Am J Med Genet A. 2016;170(6):1450-1454.
- de Wijn RS, Oduber CE, Breugem CC, Alders M, Hennekam RC, van der Horst CM. Phenotypic variability in a family with capillary malforma- tions caused by a mutation in the RASA1 gene. Eur J Med Genet. 2012;55(3):191-195.
- Kulkarni SV, Gish G, van der Geer P, Henkemeyer M, Pawson T. Role of p120 Ras-GAP in directed cell movement. J Cell Biol. 2000;149(2):457-470.
- Conti E, Izaurralde E. Nonsense-mediated mRNA decay: molecular insights and mechanis- tic variations across species. Curr Opin Cell Biol. 2005;17(3):316-325.
- Henkemeyer M, et al. Vascular system defects and neuronal apoptosis in mice lack- ing ras GTPase-activating protein. Nature. 1995;377(6551):695-701.
- Lapinski PE, et al. RASA1 maintains the lymphat- ic vasculature in a quiescent functional state in mice. J Clin Invest. 2012;122(2):733-747.
- Lubeck BA, et al. Blood vascular abnormalities in Rasa1(R780Q) knockin mice: implications for the pathogenesis of capillary malforma- tion-arteriovenous malformation. Am J Pathol. 2014;184(12):3163-3169.
- Bazigou E, Makinen T. Flow control in our ves- sels: vascular valves make sure there is no way back. Cell Mol Life Sci. 2013;70(6):1055-1066.
- Bazigou E, Wilson JT, Moore JE. Primary and sec- ondary lymphatic valve development: molecular, functional and mechanical insights. Microvasc Res. 2014;96:38-45.
- Bazigou E, et al. Integrin-alpha9 is required for fibronectin matrix assembly during lymphatic valve morphogenesis. Dev Cell. 2009;17(2):175-186.
- Sabine A, Petrova TV. Interplay of mechanotrans- duction, FOXC2, connexins, and calcineurin signaling in lymphatic valve formation. Adv Anat Embryol Cell Biol. 2014;214:67-80.
- Tatin F, et al. Planar cell polarity protein Celsr1 regulates endothelial adherens junctions and directed cell rearrangements during valve mor- phogenesis. Dev Cell. 2013;26(1):31-44.
- Danussi C, et al. EMILIN1/α9β1 integrin interaction is crucial in lymphatic valve formation and mainte- nance. Mol Cell Biol. 2013;33(22):4381-4394.
- Kazenwadel J, et al. GATA2 is required for lym- phatic vessel valve development and mainte- nance. J Clin Invest. 2015;125(8):2979-2994.
- Norrmén C, et al. FOXC2 controls formation and maturation of lymphatic collecting vessels through cooperation with NFATc1. J Cell Biol. 2009;185(3):439-457.
- Kanady JD, Dellinger MT, Munger SJ, Witte MH, Simon AM. Connexin37 and Connexin43 deficiencies in mice disrupt lymphatic valve development and result in lymphatic disorders including lymphedema and chylothorax. Dev Biol. 2011;354(2):253-266.
- Sabine A, et al. FOXC2 and fluid shear stress stabilize postnatal lymphatic vasculature. J Clin Invest. 2015;125(10):3861-3877.
- Bazigou E, et al. Genes regulating lymphangiogen- esis control venous valve formation and mainte- nance in mice. J Clin Invest. 2011;121(8):2984-2992.
- Scallan JP, Wolpers JH, Davis MJ. Constriction of isolated collecting lymphatic vessels in response to acute increases in downstream pressure. J Physiol (Lond). 2013;591(2):443-459.
- Scheffzek K, et al. The Ras-RasGAP complex: structural basis for GTPase activation and its loss in oncogenic Ras mutants. Science. 1997;277(5324):333-338.
- Miao W, Eichelberger L, Baker L, Marshall MS. p120 Ras GTPase-activating protein interacts with Ras-GTP through specific conserved resi- dues. J Biol Chem. 1996;271(26):15322-15329.
- Baluk P, et al. Functionally specialized junctions between endothelial cells of lymphatic vessels. J Exp Med. 2007;204(10):2349-2362.
- Dejana E, Tournier-Lasserve E, Weinstein BM. The control of vascular integrity by endothelial cell junctions: molecular basis and pathological implications. Dev Cell. 2009;16(2):209-221.
- Lohela M, Bry M, Tammela T, Alitalo K. VEGFs and receptors involved in angiogenesis ver- sus lymphangiogenesis. Curr Opin Cell Biol. 2009;21(2):154-165.
- Michel JB. Anoikis in the cardiovascular system: known and unknown extracellular mediators. Arte- rioscler Thromb Vasc Biol. 2003;23(12):2146-2154.
- Yang JY, et al. Partial cleavage of RasGAP by caspases is required for cell survival in mild stress conditions. Mol Cell Biol. 2004;24(23):10425-10436.
- Yang JY, Widmann C. Antiapoptotic signaling generated by caspase-induced cleavage of RasGAP. Mol Cell Biol. 2001;21(16):5346-5358.
- Tartaglia M, Zampino G, Gelb BD. Noonan syn- drome: clinical aspects and molecular pathogen- esis. Mol Syndromol. 2010;1(1):2-26.
- Tidyman WE, Rauen KA. The RASopathies: developmental syndromes of Ras/MAPK pathway dysregulation. Curr Opin Genet Dev. 2009;19(3):230-236.
- Sevick-Muraca EM, King PD. Lymphatic vessel abnormalities arising from disorders of Ras signal transduction. Trends Cardiovasc Med. 2014;24(3):121-127.
- Joyce S, et al. The lymphatic phenotype in Noonan and Cardiofaciocutaneous syndrome. Eur J Hum Genet. 2016;24(5):690-696.
- Lapinski PE, Bauler TJ, Brown EJ, Hughes ED, Saunders TL, King PD. Generation of mice with a conditional allele of the p120 Ras GTPase-acti- vating protein. Genesis. 2007;45(12):762-767.
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Transport and Immune Functions of the Lymphatic System.
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Self-citation
- Authors
- Lapinski, P. E., Lubeck, B. A., Chen, D., Doosti, A., Zawieja, S. D., Davis, M. J., & King, P. D.
- Affiliations
- University of Michigan (US)
- University of Missouri (US)
- Corresponding author
- King, Philip D.
- Venue
- Journal of Clinical Investigation
- Published
- 2017-05-22
- Volume
- 127
- Issue
- 7
- Pages
- 2569-2585
- ISSN
- 0021-9738 (ISSN-L)
- 1558-8238
- PMC
- PMC5490778
- OpenAlex
- W2616736391
- Cited by
- 71
- References
- 1
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 7 · 2023: 13 · 2022: 7 · 2021: 12 · 2020: 9 · 2019: 3 · 2018: 5 · 2017: 3
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (HL-120888)
- National Heart, Lung, and Blood Institute (R01HL120867, R01HL120888)
- Topics
- Health Sciences › Medicine › Oncology › Lymphatic System and Diseases
- Health Sciences › Medicine › Surgery › Vascular Malformations and Hemangiomas
- Health Sciences › Medicine › Surgery › Lymphatic Disorders and Treatments
- Keywords
- RASA1, lymphatic endothelial cells, lymphatic leakage, endothelial cell apoptosis
- MeSH terms
- Animals, Mice, Mutant Strains, Apoptosis, Mutation, Missense, p120 GTPase Activating Protein, Lymphatic Vessels, Endothelial Cells, Mice
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