TY - JOUR
T1 - Human venous valve disease caused by mutations in FOXC2 and GJC2
AU - Lyons, Oliver
AU - Saha, Prakash
AU - Seet, Christopher
AU - Kuchta, Adam
AU - Arnold, Andrew
AU - Grover, Steven
AU - Rashbrook, Victoria
AU - Sabine, Amélie
AU - Vizcay-Barrena, Gema
AU - Patel, Ash
AU - Ludwinski, Francesca
AU - Padayachee, Soundrie
AU - Kume, Tsutomu
AU - Kwak, Brenda R.
AU - Brice, Glen
AU - Mansour, Sahar
AU - Ostergaard, Pia
AU - Mortimer, Peter
AU - Jeffery, Steve
AU - Brown, Nigel
AU - Makinen, Taija
AU - Petrova, Tatiana V.
AU - Modarai, Bijan
AU - Smith, Alberto
N1 - Publisher Copyright:
© 2017 Lyons et al.
PY - 2017/8/1
Y1 - 2017/8/1
N2 - Venous valves (VVs) prevent venous hypertension and ulceration. We report that FOXC2 and GJC2 mutations are associated with reduced VV number and length. In mice, early VV formation is marked by elongation and reorientation (organization) of Prox1hi endothelial cells by postnatal day 0. The expression of the transcription factors Foxc2 and Nfatc1 and the gap junction proteins Gjc2, Gja1, and Gja4 were temporospatially regulated during this process. Foxc2 and Nfatc1 were coexpressed at P0, and combined Foxc2 deletion with calcineurin-Nfat inhibition disrupted early Prox1hi endothelial organization, suggesting cooperative Foxc2Nfatc1 patterning of these events. Genetic deletion of Gjc2, Gja4, or Gja1 also disrupted early VV Prox1hi endothelial organization at postnatal day 0, and this likely underlies the VV defects seen in patients with GJC2 mutations. Knockout of Gja4 or Gjc2 resulted in reduced proliferation of Prox1hi valve-forming cells. At later stages of blood flow, Foxc2 and calcineurin-Nfat signaling are each required for growth of the valve leaflets, whereas Foxc2 is not required for VV maintenance.
AB - Venous valves (VVs) prevent venous hypertension and ulceration. We report that FOXC2 and GJC2 mutations are associated with reduced VV number and length. In mice, early VV formation is marked by elongation and reorientation (organization) of Prox1hi endothelial cells by postnatal day 0. The expression of the transcription factors Foxc2 and Nfatc1 and the gap junction proteins Gjc2, Gja1, and Gja4 were temporospatially regulated during this process. Foxc2 and Nfatc1 were coexpressed at P0, and combined Foxc2 deletion with calcineurin-Nfat inhibition disrupted early Prox1hi endothelial organization, suggesting cooperative Foxc2Nfatc1 patterning of these events. Genetic deletion of Gjc2, Gja4, or Gja1 also disrupted early VV Prox1hi endothelial organization at postnatal day 0, and this likely underlies the VV defects seen in patients with GJC2 mutations. Knockout of Gja4 or Gjc2 resulted in reduced proliferation of Prox1hi valve-forming cells. At later stages of blood flow, Foxc2 and calcineurin-Nfat signaling are each required for growth of the valve leaflets, whereas Foxc2 is not required for VV maintenance.
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U2 - 10.1084/jem.20160875
DO - 10.1084/jem.20160875
M3 - Article
C2 - 28724617
AN - SCOPUS:85025442229
SN - 0022-1007
VL - 214
SP - 2437
EP - 2452
JO - Journal of Experimental Medicine
JF - Journal of Experimental Medicine
IS - 8
ER -