Evidence map›Paper›PMID 32876734›Full record

ArticleSurgery today2021

A novel method for isolating lymphatic endothelial cells from lymphatic malformations and detecting PIK3CA somatic mutation in these isolated cells.

Hidehito Usui, Yoshinori Tsurusaki, Hiroko Shimbo, Hirotomo Saitsu, Noriaki Harada, Norihiko Kitagawa, Kyoko Mochizuki, Munetaka Masuda, Kenji Kurosawa, Masato Shinkai

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Article in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Understanding the Lymphatic System: Tissue-on-Chip Modeling.Annual review of biomedical engineering · 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

10 authors at 3 institutions in 1 country.

Hidehito UsuiDepartment of Surgery, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, Japan. usui9282@yahoo.co.jp.ORCID http://orcid.org/0000-0002-3308-9959
Yoshinori TsurusakiClinical Research Institute, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, Japan.
Hiroko ShimboClinical Research Institute, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, Japan.
Hirotomo SaitsuDepartment of Biochemistry, Hamamatsu University School of Medicine, 1-20-1, Hanndayama, Higashi-ku, Hamamatsu, Japan.
Noriaki HaradaDepartment of Clinical Laboratory, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, Japan.
Norihiko KitagawaDepartment of Surgery, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, Japan.
Kyoko MochizukiDepartment of Surgery, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, Japan.
Munetaka MasudaDepartment of Surgery, Yokohama City University, 3-9, Fukuura, Kanazawa-ku, Yokohama, Japan.
Kenji KurosawaDepartment of Medical Genetics, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, Japan.
Masato ShinkaiDepartment of Surgery, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa, Minami-ku, Yokohama, Japan.
Kanagawa Children's Medical Center · JPHamamatsu University School of Medicine · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTissue disaggregation and the cell sorting technique by surface markers has played an important role in isolating lymphatic endothelial cells (LECs) from lymphatic malformation (LM). However, this technique may have the drawback of impurities or result in isolation failure because it is dependent on surface marker expressions, the heterogeneity of which has been found in the lymphatic system. We developed a novel method for isolating LM-LECs without using whole tissue disaggregation.

methodsSeven LM surgical specimens were collected from seven patients with LMs. LM-LECs were detached from the LM cyst wall by "lumen digestion" and irrigating the cystic cavity with trypsin, and maintained in culture.

resultsThe cells formed a monolayer with a cobblestone-like appearance. Immunohistochemistry and quantitative RT-PCR of these cells revealed high expression of lymphatic-specific genes, confirming their identity as LM-LECs. The whole-exome sequencing and PIK3CA sequencing of these cells revealed somatic mutations in PIK3CA in all cases.

conclusionsWe established a novel technique for isolating LM-LECs from LM tissue by "lumen digestion" without whole-tissue disaggregation. The limited incorporation of non-LM LECs in the isolate in our method could make it an important tool for investigating the heterogeneity of gene expression as well as mutations in LM-LECs.

Indexed as

Endothelial CellsMutationAdolescentCell SeparationChildClass I Phosphatidylinositol 3-KinasesFemaleGene ExpressionGenetic HeterogeneityHumansInfantLymphatic AbnormalitiesLymphatic SystemMaleClass I Phosphatidylinositol 3-KinasesPIK3CA protein, humanLymphangiomaLymphatic endothelial cellLymphatic malformationsPIK3CA

Identifiers

PMID32876734
OpenAlexW3081594301

What OpenQuestion holds

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Registered trials

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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.