Evidence map›Paper›PMID 31415243›Full record

ArticleThe Journal of clinical investigation2019

Lymphatic mimicry in maternal endothelial cells promotes placental spiral artery remodeling.

John B Pawlak, László Bálint, Lillian Lim, Wanshu Ma, Reema B Davis, Zoltán Benyó, Michael J Soares, Guillermo Oliver, Mark L Kahn, Zoltán Jakus and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 57 citations in OpenAlex.

  1. Review
  2. Article
  3. Single-Cell-Resolution Fate Mapping Reveals Embryonic Venous Origins of Fenestrated Hindbrain Choroid Plexus Vasculature.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Penile cavernous sinusoids are Prox1-positive hybrid vessels.Vascular biology (Bristol, England) · 2024
    Article
  11. Review
  12. Article
  13. Endometrial TGFβ signaling fosters early pregnancy development by remodeling the fetomaternal interface.American journal of reproductive immunology (New York, N.Y. : 1989) · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
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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

11 authors at 5 institutions in 2 countries.

John B PawlakDepartment of Cell Biology and Physiology, University of North Carolina, Chapel Hill, North Carolina, USA.
László BálintDepartment of Physiology, Semmelweis University School of Medicine, Budapest, Hungary.
Lillian LimDepartment of Medicine and Cardiovascular Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Wanshu MaNorthwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Reema B DavisDepartment of Cell Biology and Physiology, University of North Carolina, Chapel Hill, North Carolina, USA.
Zoltán BenyóInstitute of Clinical Experimental Research, Semmelweis University, Budapest, Hungary.
Michael J SoaresDepartment of Pathology and Laboratory Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Guillermo OliverNorthwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Mark L KahnDepartment of Medicine and Cardiovascular Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Zoltán JakusDepartment of Physiology, Semmelweis University School of Medicine, Budapest, Hungary.
Kathleen M CaronDepartment of Cell Biology and Physiology, University of North Carolina, Chapel Hill, North Carolina, USA.
Semmelweis University · HUUniversity of North Carolina at Chapel Hill · USNorthwestern University · USUniversity of Pennsylvania · USUniversity of Kansas Medical Center · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
TROPHOBLAST DIFFERENTIATIONR01HD020676 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MICHAEL J SOARES · 1986 to 2026
$10.1M
Pre-doctoral Training Program in Integrative Vascular BiologyT32HL069768 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Christopher P. Mack · 2002 to 2026
$9.7M
Prox1 in Mammalian LymphangiogenesisR01HL073402 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI OLIVER, GUILLERMO C · 2003 to 2020
$7.3M
Stem Cells and Epigenetics of Trophoblast Lineage DevelopmentP01HD079363 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI RUMI, MOHAMMAD A.K. · 2014 to 2018
$5.7M
Adrenomedullin Signaling at the Maternal-Fetal InterfaceR01HD060860 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Kathleen M Caron · 2009 to 2026
$4.8M
Environmental Exposures, AHR Activation, and Placental Origins of DevelopmentR01ES029280 · NIEHS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GRUNDBERG, ELIN, SOARES, MICHAEL J · 2018 to 2022
$2.6M
Anti-Coagulation Factors and PlacentationR01HD099638 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SOARES, MICHAEL J · 2019 to 2023
$2.5M
Genetic Investigation of pulmonary lymphatic development and functionR01HL120872 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KAHN, MARK L · 2014 to 2018
$2.0M
Northwestern University Molecular and Translational Cardiovascular Training ProgramT32HL134633 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MCNALLY, ELIZABETH M · 2017 to 2021
$1.6M
Lymphatic Expression in Placental Spiral Artery RemodelingF31HD095585 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PAWLAK, JOHN B · 2018 to 2019
$57k
NHLBI NIH HHS R01 HL073402NHLBI NIH HHS R01 HL120872NHLBI NIH HHS T32 HL069768NHLBI NIH HHS T32 HL134633NICHD NIH HHS F31 HD095585NICHD NIH HHS P01 HD079363NICHD NIH HHS R01 HD020676NICHD NIH HHS R01 HD060860NICHD NIH HHS R01 HD099638NIEHS NIH HHS P30 ES010126NIEHS NIH HHS R01 ES029280
6 · The paper itself

Abstract

Molecular heterogeneity of endothelial cells underlies their highly specialized functions during changing physiological conditions within diverse vascular beds. For example, placental spiral arteries (SAs) undergo remarkable remodeling to meet the ever-growing demands of the fetus - a process which is deficient in preeclampsia. The extent to which maternal endothelial cells coordinate with immune cells and pregnancy hormones to promote SA remodeling remains largely unknown. Here we found that remodeled SAs expressed the lymphatic markers PROX1, LYVE1, and VEGFR3, mimicking lymphatic identity. Uterine natural killer (uNK) cells, which are required for SA remodeling and secrete VEGFC, were both sufficient and necessary for VEGFR3 activation in vitro and in mice lacking uNK cells, respectively. Using Flt4Chy/+ mice with kinase inactive VEGFR3 and Vegfcfl/fl Vav1-Cre mice, we demonstrated that SA remodeling required VEGFR3 signaling, and that disrupted maternal VEGFR3 signaling contributed to late-gestation fetal growth restriction. Collectively, we identified a novel instance of lymphatic mimicry by which maternal endothelial cells promote SA remodeling, furthering our understanding of the vascular heterogeneity employed for the mitigation of pregnancy complications such as fetal growth restriction and preeclampsia.

Indexed as

Molecular MimicryAnimalsAntigens, DifferentiationArteriesEndothelium, LymphaticFemaleFetal Growth RetardationHumansMicePlacentaPre-EclampsiaPregnancyUterusVascular RemodelingAntigens, DifferentiationLymphMouse modelsReproductive biochemistryReproductive BiologyVascular Biology

Identifiers

PMID31415243
PMCPMC6819089
OpenAlexW2967444508

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.