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Mutations in the VEGFR3 Signaling Pathway Explain 36% of Familial Lymphedema

Identifieur interne : 000155 ( France/Analysis ); précédent : 000154; suivant : 000156

Mutations in the VEGFR3 Signaling Pathway Explain 36% of Familial Lymphedema

Auteurs : A. Mendola [Belgique] ; M. J. Schlögel [Belgique] ; A. Ghalamkarpour [Belgique] ; A. Irrthum [Belgique] ; H. L. Nguyen [Belgique] ; E. Fastré [Belgique] ; A. Bygum [Danemark] ; C. Van Der Vleuten [Pays-Bas] ; C. Fagerberg [Danemark] ; E. Baselga [Espagne] ; I. Quere [France] ; J. B. Mulliken [États-Unis] ; L. M. Boon [Belgique] ; P. Brouillard [Belgique] ; M. Vikkula [Belgique]

Source :

RBID : PMC:3776465

Abstract

Lymphedema is caused by dysfunction of lymphatic vessels, leading to disabling swelling that occurs mostly on the extremities. Lymphedema can be either primary (congenital) or secondary (acquired). Familial primary lymphedema commonly segregates in an autosomal dominant or recessive manner. It can also occur in combination with other clinical features. Nine mutated genes have been identified in different isolated or syndromic forms of lymphedema. However, the prevalence of primary lymphedema that can be explained by these genetic alterations is unknown. In this study, we investigated 7 of these putative genes. We screened 78 index patients from families with inherited lymphedema for mutations in FLT4, GJC2, FOXC2, SOX18, GATA2, CCBE1, and PTPN14. Altogether, we discovered 28 mutations explaining 36% of the cases. Additionally, 149 patients with sporadic primary lymphedema were screened for FLT4, FOXC2, SOX18,CCBE1, and PTPN14. Twelve mutations were found that explain 8% of the cases. Still unidentified is the genetic cause of primary lymphedema in 64% of patients with a family history and 92% of sporadic cases. Identification of those genes is important for understanding of etiopathogenesis, stratification of treatments and generation of disease models. Interestingly, most of the proteins that are encoded by the genes mutated in primary lymphedema seem to act in a single functional pathway involving VEGFR3 signaling. This underscores the important role this pathway plays in lymphatic development and function and suggests that the unknown genes also have a role.


Url:
DOI: 10.1159/000354097
PubMed: 24167460
PubMed Central: 3776465


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PMC:3776465

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<nlm:aff id="aff10">Department of Vascular Medicine, Montpellier University Hospital, Montpellier, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Vascular Medicine, Montpellier University Hospital, Montpellier</wicri:regionArea>
<placeName>
<region type="region">Occitanie (région administrative)</region>
<region type="old region">Languedoc-Roussillon</region>
<settlement type="city">Montpellier</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Mulliken, J B" sort="Mulliken, J B" uniqKey="Mulliken J" first="J. B." last="Mulliken">J. B. Mulliken</name>
<affiliation wicri:level="1">
<nlm:aff id="aff11">Department of Plastic Surgery, Children's Hospital, Harvard Medical School, Boston, Mass., USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Plastic Surgery, Children's Hospital, Harvard Medical School, Boston, Mass.</wicri:regionArea>
<wicri:noRegion>Mass.</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Boon, L M" sort="Boon, L M" uniqKey="Boon L" first="L. M." last="Boon">L. M. Boon</name>
<affiliation wicri:level="3">
<nlm:aff id="aff1">Laboratory of Human Molecular Genetics, de Duve Institute, Centres, Brussels, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Laboratory of Human Molecular Genetics, de Duve Institute, Centres, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:aff id="aff3">Vascular Anomalies, Université catholique de Louvain, Brussels, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Vascular Anomalies, Université catholique de Louvain, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
<settlement type="city">Louvain-la-Neuve</settlement>
</placeName>
<orgName type="university">Université catholique de Louvain</orgName>
</affiliation>
</author>
<author>
<name sortKey="Brouillard, P" sort="Brouillard, P" uniqKey="Brouillard P" first="P." last="Brouillard">P. Brouillard</name>
<affiliation wicri:level="3">
<nlm:aff id="aff1">Laboratory of Human Molecular Genetics, de Duve Institute, Centres, Brussels, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Laboratory of Human Molecular Genetics, de Duve Institute, Centres, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Vikkula, M" sort="Vikkula, M" uniqKey="Vikkula M" first="M." last="Vikkula">M. Vikkula</name>
<affiliation wicri:level="3">
<nlm:aff id="aff1">Laboratory of Human Molecular Genetics, de Duve Institute, Centres, Brussels, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Laboratory of Human Molecular Genetics, de Duve Institute, Centres, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="aff2">Walloon Excellence in Lifesciences and Biotechnology (WELBIO), de Duve Institute, Centres, Brussels, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Walloon Excellence in Lifesciences and Biotechnology (WELBIO), de Duve Institute, Centres, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:aff id="aff3">Vascular Anomalies, Université catholique de Louvain, Brussels, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Vascular Anomalies, Université catholique de Louvain, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
<settlement type="city">Louvain-la-Neuve</settlement>
</placeName>
<orgName type="university">Université catholique de Louvain</orgName>
</affiliation>
<affiliation wicri:level="4">
<nlm:aff id="aff4">Human Genetics, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Human Genetics, Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels</wicri:regionArea>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
<settlement type="city">Louvain-la-Neuve</settlement>
</placeName>
<orgName type="university">Université catholique de Louvain</orgName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Molecular Syndromology</title>
<idno type="ISSN">1661-8769</idno>
<idno type="eISSN">1661-8777</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Lymphedema is caused by dysfunction of lymphatic vessels, leading to disabling swelling that occurs mostly on the extremities. Lymphedema can be either primary (congenital) or secondary (acquired). Familial primary lymphedema commonly segregates in an autosomal dominant or recessive manner. It can also occur in combination with other clinical features. Nine mutated genes have been identified in different isolated or syndromic forms of lymphedema. However, the prevalence of primary lymphedema that can be explained by these genetic alterations is unknown. In this study, we investigated 7 of these putative genes. We screened 78 index patients from families with inherited lymphedema for mutations in
<italic>FLT4, GJC2, FOXC2, SOX18, GATA2, CCBE1</italic>
, and
<italic>PTPN14</italic>
. Altogether, we discovered 28 mutations explaining 36% of the cases. Additionally, 149 patients with sporadic primary lymphedema were screened for
<italic>FLT4, FOXC2, SOX18,</italic>
<italic>CCBE1</italic>
, and
<italic>PTPN14</italic>
. Twelve mutations were found that explain 8% of the cases. Still unidentified is the genetic cause of primary lymphedema in 64% of patients with a family history and 92% of sporadic cases. Identification of those genes is important for understanding of etiopathogenesis, stratification of treatments and generation of disease models. Interestingly, most of the proteins that are encoded by the genes mutated in primary lymphedema seem to act in a single functional pathway involving VEGFR3 signaling. This underscores the important role this pathway plays in lymphatic development and function and suggests that the unknown genes also have a role.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Belgique</li>
<li>Danemark</li>
<li>Espagne</li>
<li>France</li>
<li>Pays-Bas</li>
<li>États-Unis</li>
</country>
<region>
<li>Catalogne</li>
<li>Gueldre</li>
<li>Languedoc-Roussillon</li>
<li>Occitanie (région administrative)</li>
<li>Région de Bruxelles-Capitale</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Bruxelles</li>
<li>Louvain-la-Neuve</li>
<li>Montpellier</li>
<li>Nimègue</li>
</settlement>
<orgName>
<li>Université autonome de Barcelone</li>
<li>Université catholique de Louvain</li>
</orgName>
</list>
<tree>
<country name="Belgique">
<region name="Région de Bruxelles-Capitale">
<name sortKey="Mendola, A" sort="Mendola, A" uniqKey="Mendola A" first="A." last="Mendola">A. Mendola</name>
</region>
<name sortKey="Boon, L M" sort="Boon, L M" uniqKey="Boon L" first="L. M." last="Boon">L. M. Boon</name>
<name sortKey="Boon, L M" sort="Boon, L M" uniqKey="Boon L" first="L. M." last="Boon">L. M. Boon</name>
<name sortKey="Brouillard, P" sort="Brouillard, P" uniqKey="Brouillard P" first="P." last="Brouillard">P. Brouillard</name>
<name sortKey="Fastre, E" sort="Fastre, E" uniqKey="Fastre E" first="E." last="Fastré">E. Fastré</name>
<name sortKey="Ghalamkarpour, A" sort="Ghalamkarpour, A" uniqKey="Ghalamkarpour A" first="A." last="Ghalamkarpour">A. Ghalamkarpour</name>
<name sortKey="Irrthum, A" sort="Irrthum, A" uniqKey="Irrthum A" first="A." last="Irrthum">A. Irrthum</name>
<name sortKey="Irrthum, A" sort="Irrthum, A" uniqKey="Irrthum A" first="A." last="Irrthum">A. Irrthum</name>
<name sortKey="Nguyen, H L" sort="Nguyen, H L" uniqKey="Nguyen H" first="H. L." last="Nguyen">H. L. Nguyen</name>
<name sortKey="Schlogel, M J" sort="Schlogel, M J" uniqKey="Schlogel M" first="M. J." last="Schlögel">M. J. Schlögel</name>
<name sortKey="Vikkula, M" sort="Vikkula, M" uniqKey="Vikkula M" first="M." last="Vikkula">M. Vikkula</name>
<name sortKey="Vikkula, M" sort="Vikkula, M" uniqKey="Vikkula M" first="M." last="Vikkula">M. Vikkula</name>
<name sortKey="Vikkula, M" sort="Vikkula, M" uniqKey="Vikkula M" first="M." last="Vikkula">M. Vikkula</name>
<name sortKey="Vikkula, M" sort="Vikkula, M" uniqKey="Vikkula M" first="M." last="Vikkula">M. Vikkula</name>
</country>
<country name="Danemark">
<noRegion>
<name sortKey="Bygum, A" sort="Bygum, A" uniqKey="Bygum A" first="A." last="Bygum">A. Bygum</name>
</noRegion>
<name sortKey="Fagerberg, C" sort="Fagerberg, C" uniqKey="Fagerberg C" first="C." last="Fagerberg">C. Fagerberg</name>
</country>
<country name="Pays-Bas">
<region name="Gueldre">
<name sortKey="Van Der Vleuten, C" sort="Van Der Vleuten, C" uniqKey="Van Der Vleuten C" first="C." last="Van Der Vleuten">C. Van Der Vleuten</name>
</region>
</country>
<country name="Espagne">
<region name="Catalogne">
<name sortKey="Baselga, E" sort="Baselga, E" uniqKey="Baselga E" first="E." last="Baselga">E. Baselga</name>
</region>
</country>
<country name="France">
<region name="Occitanie (région administrative)">
<name sortKey="Quere, I" sort="Quere, I" uniqKey="Quere I" first="I." last="Quere">I. Quere</name>
</region>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="Mulliken, J B" sort="Mulliken, J B" uniqKey="Mulliken J" first="J. B." last="Mulliken">J. B. Mulliken</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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