Evidence map›Paper›PMID 32182215›Full record

ArticleThe Journal of clinical investigation2020

Atypical cadherin FAT4 orchestrates lymphatic endothelial cell polarity in response to flow.

Kelly L Betterman, Drew L Sutton, Genevieve A Secker, Jan Kazenwadel, Anna Oszmiana, Lillian Lim, Naoyuki Miura, Lydia Sorokin, Benjamin M Hogan, Mark L Kahn and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Mechanisms and treatments of lymphedema.Frontiers in immunology · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Molecular pathophysiology of secondary lymphedema.Frontiers in cell and developmental biology · 2024
    Review
  15. Angiogenesis-An Emerging Role in Organ Fibrosis.International journal of molecular sciences · 2023
    Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
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

12 authors at 5 institutions in 4 countries.

Kelly L BettermanCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, South Australia, Australia.
Drew L SuttonCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, South Australia, Australia.
Genevieve A SeckerCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, South Australia, Australia.
Jan KazenwadelCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, South Australia, Australia.
Anna OszmianaCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, South Australia, Australia.
Lillian LimDepartment of Medicine and Cardiovascular Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Naoyuki MiuraDepartment of Biochemistry, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Lydia SorokinInstitute of Physiological Chemistry and Pathobiochemistry, University of Muenster, Muenster, Germany.
Benjamin M HoganDivision of Genomics of Development and Disease, Institute for Molecular Bioscience, University of Queensland, Saint Lucia, Queensland, Australia.
Mark L KahnDepartment of Medicine and Cardiovascular Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Helen McNeillLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada.
Natasha L HarveyCentre for Cancer Biology, University of South Australia and SA Pathology, Adelaide, South Australia, Australia.
South Australia Pathology · AUUniversity of Pennsylvania · USHamamatsu University School of Medicine · JPMount Sinai Hospital · CAThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The atypical cadherin FAT4 has established roles in the regulation of planar cell polarity and Hippo pathway signaling that are cell context dependent. The recent identification of FAT4 mutations in Hennekam syndrome, features of which include lymphedema, lymphangiectasia, and mental retardation, uncovered an important role for FAT4 in the lymphatic vasculature. Hennekam syndrome is also caused by mutations in collagen and calcium binding EGF domains 1 (CCBE1) and ADAM metallopeptidase with thrombospondin type 1 motif 3 (ADAMTS3), encoding a matrix protein and protease, respectively, that regulate activity of the key prolymphangiogenic VEGF-C/VEGFR3 signaling axis by facilitating the proteolytic cleavage and activation of VEGF-C. The fact that FAT4, CCBE1, and ADAMTS3 mutations underlie Hennekam syndrome suggested that all 3 genes might function in a common pathway. We identified FAT4 as a target gene of GATA-binding protein 2 (GATA2), a key transcriptional regulator of lymphatic vascular development and, in particular, lymphatic vessel valve development. Here, we demonstrate that FAT4 functions in a lymphatic endothelial cell-autonomous manner to control cell polarity in response to flow and is required for lymphatic vessel morphogenesis throughout development. Our data reveal a crucial role for FAT4 in lymphangiogenesis and shed light on the mechanistic basis by which FAT4 mutations underlie a human lymphedema syndrome.

Indexed as

Cell PolarityLymphangiogenesisAnimalsCadherinsEndothelial CellsFemaleGATA2 Transcription FactorHumansLymphatic VesselsLymphedemaMiceMice, TransgenicSyndromeCadherinsFat4 protein, mouseGata2 protein, mouseGATA2 Transcription FactorDevelopmentEmbryonic developmentGenetic diseasesLymphVascular Biology

Identifiers

PMID32182215
PMCPMC7260025
OpenAlexW3011150630

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.