Evidence map›Paper›PMID 30676326›Full record

ArticleJCI insight2019

Piezo1 incorporates mechanical force signals into the genetic program that governs lymphatic valve development and maintenance.

Dongwon Choi, Eunkyung Park, Eunson Jung, Boksik Cha, Somin Lee, James Yu, Paul M Kim, Sunju Lee, Yeo Jin Hong, Chester J Koh and 10 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 1 pooled it
12.1field-weighted citation impact, top 1% 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

97 citing papers in PubMed, 1 synthesis or guideline pooled it, 170 citations in OpenAlex.

  1. Pooled it
  2. Angiogenesis in Lung Regeneration and Aging.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Yoda molecules agonize PIEZO2.bioRxiv : the preprint server for biology · 2026
    Article
  9. Pacemaking in the lymphatic system.The Journal of physiology · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. CaAmerican journal of physiology. Cell physiology · 2025
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

37 more citing papers are in PubMed but not listed here.

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

20 authors at 6 institutions in 2 countries.

Dongwon ChoiDepartment of Surgery, and.
Eunkyung ParkDepartment of Surgery, and.
Eunson JungDepartment of Surgery, and.
Boksik ChaCardiovascular Biology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma, USA.
Somin LeeDepartment of Mechanical and Aerospace Engineering, Seoul National University, Seoul, South Korea.
James YuDepartment of Mechanical and Aerospace Engineering, Seoul National University, Seoul, South Korea.
Paul M KimDepartment of Surgery, and.
Sunju LeeDepartment of Surgery, and.
Yeo Jin HongDepartment of Surgery, and.
Chester J KohDivision of Pediatric Urology, Texas Children's Hospital, Baylor Collexge of Medicine, Houston, Texas, USA.
Chang-Won ChoDepartment of Surgery, and.
Yifan WuDepartment of Surgery, and.
Noo Li JeonDepartment of Mechanical and Aerospace Engineering, Seoul National University, Seoul, South Korea.
Alex K WongDepartment of Surgery, and.
Laura ShinDepartment of Surgery, and.
S Ram KumarDepartment of Surgery, and.
Ivan Bermejo-MorenoDepartment of Aerospace and Mechanical Engineering, University of Southern California, Los Angeles, California, USA.
R Sathish SrinivasanCardiovascular Biology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma, USA.
Il-Taeg ChoDepartment of Surgery, and.
Young-Kwon HongDepartment of Surgery, and.
University of California, Los Angeles · USSeoul National University · KROklahoma Medical Research Foundation · USKorea Food Research Institute · KRTexas Children's Hospital · USUniversity of Southern California · US

Funding

Defining the Mechanisms of Lymphatic Vascular Growth and FunctionR01HL131652 · NHLBI · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI SRINIVASAN, RAJANARAYANAN S · 2016 to 2025
$3.9M
Structural and Functional Studies of the Uterine LymphaticsR01HL141857 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Young-Kwon Hong · 2018 to 2026
$3.6M
Prox1 Phosphorylation in Lymphatic Development and FunctionR01DK114645 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HONG, YOUNG-KWON · 2018 to 2022
$2.1M
Molecular Basis of Nuchal EdemaR01HD059762 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HONG, YOUNG-KWON · 2009 to 2013
$1.7M
Retinoic acid signaling in lymphangiogenesisR01HL121036 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HONG, YOUNG-KWON · 2014 to 2017
$1.7M
Role of delta-like ligand-4 signaling in cardiac outflow tract developmentK08HL121191 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SUBRAMANYAN, RAM KUMAR · 2016 to 2020
$843k
Study of CEACAM as Novel KSHV Receptors for Lymphatic Endothelial CellsR21DE027891 · NIDCR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HONG, YOUNG-KWON · 2018 to 2019
$454k
Flow Dependent Development and Maintenance of Schlemm's CanalR21EY026260 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HONG, YOUNG-KWON · 2016 to 2017
$454k
A Lymphatic-specific fluorescent transgenic modelR21HL082643 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HONG, YOUNG-KWON · 2006 to 2007
$441k
NEI NIH HHS R21 EY026260NHLBI NIH HHS K08 HL121191NHLBI NIH HHS R01 HL121036NHLBI NIH HHS R01 HL131652NHLBI NIH HHS R01 HL141857NHLBI NIH HHS R21 HL082643NICHD NIH HHS R01 HD059762NIDCR NIH HHS R21 DE027891NIDDK NIH HHS R01 DK114645
6 · The paper itself

Abstract

The lymphatic system plays crucial roles in tissue homeostasis, lipid absorption, and immune cell trafficking. Although lymphatic valves ensure unidirectional lymph flows, the flow itself controls lymphatic valve formation. Here, we demonstrate that a mechanically activated ion channel Piezo1 senses oscillating shear stress (OSS) and incorporates the signal into the genetic program controlling lymphatic valve development and maintenance. Time-controlled deletion of Piezo1 using a pan-endothelial Cre driver (Cdh5[PAC]-CreERT2) or lymphatic-specific Cre driver (Prox1-CreERT2) equally inhibited lymphatic valve formation in newborn mice. Furthermore, Piezo1 deletion in adult lymphatics caused substantial lymphatic valve degeneration. Piezo1 knockdown in cultured lymphatic endothelial cells (LECs) largely abrogated the OSS-induced upregulation of the lymphatic valve signature genes. Conversely, ectopic Piezo1 overexpression upregulated the lymphatic valve genes in the absence of OSS. Remarkably, activation of Piezo1 using chemical agonist Yoda1 not only accelerated lymphatic valve formation in animals, but also triggered upregulation of some lymphatic valve genes in cultured LECs without exposure to OSS. In summary, our studies together demonstrate that Piezo1 is the force sensor in the mechanotransduction pathway controlling lymphatic valve development and maintenance, and Piezo1 activation is a potentially novel therapeutic strategy for congenital and surgery-associated lymphedema.

Indexed as

TranscriptomeAnimalsAntigens, CDCadherin 5CadherinsEndothelial CellsFemaleGene Expression RegulationHumansIon ChannelsLymphangiogenesisLymphatic VesselsMechanotransduction, CellularMiceMice, KnockoutModels, AnimalAntigens, CDCadherin 5CadherinsIon ChannelsPiezo1 protein, mouseendothelial cellsLymphVascular Biology

Identifiers

PMID30676326
PMCPMC6483520
OpenAlexW2911421449

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.