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Molecular Research on Lymphedema

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (31 December 2020) | Viewed by 5802

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Co-Guest Editor
Laboratory of Cellular Biochemistry and Molecular Biology, Catholic University of the Sacred Heart, 20145 Milan, Italy
Interests: lipid metabolism; neutral lipid storage disease; human genetics; cellular biochemistry; molecular biology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Lymphedema is a dysfunction of the lymphatic system, a disorder characterized by abnormal swelling of one or more extremities due to impaired transport of the lymph. This common and debilitating condition affects millions of people worldwide. Lymphedema can be primary (congenital) or secondary (acquired). The prevalence of primary lymphedema (PL) has been estimated at 1–5 per 10,000 persons. More than 10 Mendelian forms are known, of which three are considered the major forms: Milroy disease, lymphedema-distichiasis, and Meige disease. Mutations in several genes are now recognized to cause PL and have been estimated to account for the etiology of 40% of familial lymphedema. Although the number of patients with genetic diagnosis is increasing, many cases of primary lymphedema remain unexplained, underlining further genetic-locus heterogeneity. To date, lymphedema lacks drug treatments, likely because of the poor understanding of the lymphatic system and of the molecular mechanisms undepinning the disease onset.

This Special Issue on “Molecular Research on Lymphedema” will comprise a selection of original research papers and reviews focusing on, but not limited to, novel findings on the molecular players and mechanisms involved in the pathophysiology of primary lymphedema. This will include experimental studies in animal models and innovative cellular models (e.g., iPSCs), also exposed to specific factors or therapeutic treatments. Novel diagnostic tools and genetic strategies examining new genes involved in the onset of lymphedema are also welcome.

Prof. Dr. Daniela Tavian
Guest Editor

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Keywords

  • lymphatic system
  • animal models and iPSCs
  • functional studies
  • FOXC2
  • FLT4/VEGFR3
  • GJC2
  • SOX18
  • GATA2

Published Papers (2 papers)

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Research

12 pages, 4287 KiB  
Article
TIE1 as a Candidate Gene for Lymphatic Malformations with or without Lymphedema
by Sandro Michelini, Maurizio Ricci, Dominika Veselenyiova, Sercan Kenanoglu, Danjela Kurti, Mirko Baglivo, Alessandro Fiorentino, Syed Hussain Basha, Sasi Priya, Roberta Serrani, Juraj Krajcovic, Munis Dundar, Astrit Dautaj and Matteo Bertelli
Int. J. Mol. Sci. 2020, 21(18), 6780; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms21186780 - 16 Sep 2020
Cited by 12 | Viewed by 2666
Abstract
TIE1 is a cell surface protein expressed in endothelial cells. Involved in angiogenesis and lymphangiogenesis, including morphogenesis of lymphatic valves, TIE1 is important for lymphatic system functional integrity. The main purpose of this study was to identify different variants in the TIE1 gene [...] Read more.
TIE1 is a cell surface protein expressed in endothelial cells. Involved in angiogenesis and lymphangiogenesis, including morphogenesis of lymphatic valves, TIE1 is important for lymphatic system functional integrity. The main purpose of this study was to identify different variants in the TIE1 gene that could be associated with lymphatic malformations or dysfunction and predisposition for lymphedema. In a cohort of 235 Italian lymphedema patients, who tested negative for variants in known lymphedema genes, we performed a further test for new candidate genes, including TIE1. Three probands carried different variants in TIE1. Two of these segregated with lymphedema or lymphatic dysfunction in familial cases. Variants in TIE1 could contribute to the onset of lymphedema. On the basis of our findings, we propose TIE1 as a candidate gene for comprehensive genetic testing of lymphedema. Full article
(This article belongs to the Special Issue Molecular Research on Lymphedema)
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18 pages, 7362 KiB  
Article
FOXC2 Disease Mutations Identified in Lymphedema Distichiasis Patients Impair Transcriptional Activity and Cell Proliferation
by Daniela Tavian, Sara Missaglia, Sandro Michelini, Paolo Enrico Maltese, Elena Manara, Alvaro Mordente and Matteo Bertelli
Int. J. Mol. Sci. 2020, 21(14), 5112; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms21145112 - 20 Jul 2020
Cited by 9 | Viewed by 2540
Abstract
FOXC2 is a member of the human forkhead-box gene family and encodes a regulatory transcription factor. Mutations in FOXC2 have been associated with lymphedema distichiasis (LD), an autosomal dominant disorder that primarily affects the limbs. Most patients also show extra eyelashes, a condition [...] Read more.
FOXC2 is a member of the human forkhead-box gene family and encodes a regulatory transcription factor. Mutations in FOXC2 have been associated with lymphedema distichiasis (LD), an autosomal dominant disorder that primarily affects the limbs. Most patients also show extra eyelashes, a condition known as distichiasis. We previously reported genetic and clinical findings in six unrelated families with LD. Half the patients showed missense mutations, two carried frameshift mutations and a stop mutation was identified in a last patient. Here we analyzed the subcellular localization and transactivation activity of the mutant proteins, showing that all but one (p.Y109*) localized to the nucleus. A significant reduction of transactivation activity was observed in four mutants (p.L80F, p.H199Pfs*264, p.I213Tfs*18, p.Y109*) compared with wild type FOXC2 protein, while only a partial loss of function was associated with p.V228M. The mutant p.I213V showed a very slight increase of transactivation activity. Finally, immunofluorescence analysis revealed that some mutants were sequestered into nuclear aggregates and caused a reduction of cell viability. This study offers new insights into the effect of FOXC2 mutations on protein function and shows the involvement of aberrant aggregation of FOXC2 proteins in cell death. Full article
(This article belongs to the Special Issue Molecular Research on Lymphedema)
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