Evidence map›Paper›PMID 30006544›Full record

ArticleNature communications2018

HHEX is a transcriptional regulator of the VEGFC/FLT4/PROX1 signaling axis during vascular development.

Sébastien Gauvrit, Alethia Villasenor, Boris Strilic, Philip Kitchen, Michelle M Collins, Rubén Marín-Juez, Stefan Guenther, Hans-Martin Maischein, Nana Fukuda, Maurice A Canham and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
4.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 90 citations in OpenAlex.

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  9. Regulation of VEGFR3 signaling in lymphatic endothelial cells.Frontiers in cell and developmental biology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 4 countries.

Sébastien GauvritDepartment of Developmental Genetics, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany. sebastien.gauvrit@mpi-bn.mpg.de.ORCID http://orcid.org/0000-0003-3116-8220
Alethia VillasenorDepartment of Developmental Genetics, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany.
Boris StrilicDepartment of Pharmacology, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany.
Philip KitchenInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, B15 2TT, UK.
Michelle M CollinsDepartment of Developmental Genetics, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany.
Rubén Marín-JuezDepartment of Developmental Genetics, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany.
Stefan GuentherECCPS Bioinformatics and Deep Sequencing Platform, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany.
Hans-Martin MaischeinDepartment of Developmental Genetics, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany.
Nana FukudaDepartment of Developmental Genetics, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany.
Maurice A CanhamSchool of Biological Sciences, Institute for Stem Cell Research, MRC Centre for Regenerative Medicine, Edinburgh, EH16 4UU, UK.
Joshua M BrickmanNovo Nordisk Foundation Centre for Stem Cell Biology (DanStem), University of Copenhagen, Copenhagen, DK-2200, Denmark.
Clifford W BogueDepartment of Pediatrics, Yale University School of Medicine, New Haven, 06510, CT, USA.ORCID http://orcid.org/0000-0002-2688-687X
Padma-Sheela JayaramanInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, B15 2TT, UK.
Didier Y R StainierDepartment of Developmental Genetics, Max Planck Institute for Heart and Lung Research, Bad Nauheim, 61231, Germany. didier.stainier@mpi-bn.mpg.de.ORCID http://orcid.org/0000-0002-0382-0026
Max Planck Institute for Heart and Lung Research · DEUniversity of Birmingham · GBMRC Centre for Regenerative Medicine · GBUniversity of Copenhagen · DKYale University · US

Funding

Medical Research Council MR/N012615/1
6 · The paper itself

Abstract

Formation of the lymphatic system requires the coordinated expression of several key regulators: vascular endothelial growth factor C (VEGFC), its receptor FLT4, and a key transcriptional effector, PROX1. Yet, how expression of these signaling components is regulated remains poorly understood. Here, using a combination of genetic and molecular approaches, we identify the transcription factor hematopoietically expressed homeobox (HHEX) as an upstream regulator of VEGFC, FLT4, and PROX1 during angiogenic sprouting and lymphatic formation in vertebrates. By analyzing zebrafish mutants, we found that hhex is necessary for sprouting angiogenesis from the posterior cardinal vein, a process required for lymphangiogenesis. Furthermore, studies of mammalian HHEX using tissue-specific genetic deletions in mouse and knockdowns in cultured human endothelial cells reveal its highly conserved function during vascular and lymphatic development. Our findings that HHEX is essential for the regulation of the VEGFC/FLT4/PROX1 axis provide insights into the molecular regulation of lymphangiogenesis.

Indexed as

Gene Expression Regulation, DevelopmentalAnimalsAnimals, Genetically ModifiedBase SequenceBlood VesselsCell LineEmbryo, MammalianEmbryo, NonmammalianEndothelial CellsHomeodomain ProteinsHumansLymphangiogenesisLymphatic VesselsMiceNeovascularization, PhysiologicProspero-Related Homeobox 1 ProteinHhex protein, zebrafishHomeodomain ProteinsProspero-Related Homeobox 1 ProteinRepressor ProteinsTumor Suppressor ProteinsVascular Endothelial Growth Factor Cvascular endothelial growth factor C, zebrafishVascular Endothelial Growth Factor Receptor-3Zebrafish Proteins

Identifiers

PMID30006544
PMCPMC6045644
OpenAlexW2844942161

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.