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The Schlemm's canal is a VEGF-C/VEGFR-3-responsive lymphatic-like vessel
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2014 (English)In: Journal of Clinical Investigation, ISSN 0021-9738, E-ISSN 1558-8238, Vol. 124, no 9, 3975-3986 p.Article in journal (Refereed) Published
Abstract [en]

In glaucoma, aqueous outflow into the Schlemm's canal (SC) is obstructed. Despite striking structural and functional similarities with the lymphatic vascular, system, it is unknown whether the SC is a blood or lymphatic vessel. Here, we demonstrated the expression of lymphatic endothelial cell markers by the SC in murine and zebrafish models as well as in human eye tissue. The initial stages of SC development involved induction of the transcription factor PROX1 and the lymphangiogenic receptor tyrosine kinase VEGFR-3 in venous endothelial cells in postnatal mice. Using gene deletion and function-blocking antibodies in mice, we determined that the lymphangiogenic growth factor VEGF-C and its receptor, VEGFR-3, are essential for SC development. Delivery of VEGF-C into the adult eye resulted in sprouting, proliferation, and growth of SC endothelial cells, whereas VEGF-A obliterated the aqueous outflow system. Furthermore, a single injection of recombinant VEGF-C induced SC growth and was associated with trend toward a sustained decrease in intraocular pressure in adult mice. These results reveal the evolutionary conservation of the lymphatic-like phenotype of the SC, implicate VEGF-C and VEGFR-3 as critical regulators of SC lymphangiogenesis, and provide a basis for further studies on therapeutic manipulation of the SC with VEGF-C in glaucoma treatment.

Place, publisher, year, edition, pages
2014. Vol. 124, no 9, 3975-3986 p.
National Category
Other Clinical Medicine
URN: urn:nbn:se:uu:diva-232994DOI: 10.1172/JCI75395ISI: 000341168100031OAI: oai:DiVA.org:uu-232994DiVA: diva2:755013
Available from: 2014-10-13 Created: 2014-09-29 Last updated: 2014-10-13Bibliographically approved

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Stanczuk, LukasMäkinen, Taija
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Cancer and Vascular Biology
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