Evidence map›Paper›PMID 37462027›Full record

ArticleCirculation research2023

Chylomicrons Regulate Lacteal Permeability and Intestinal Lipid Absorption.

Georgia Zarkada, Xun Chen, Xuetong Zhou, Martin Lange, Lei Zeng, Wenyu Lv, Xuan Zhang, Yunhua Li, Weibin Zhou, Keli Liu and 12 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Circulation research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Quantification of Lacteal Contractility by Live Intravital Imaging.Microcirculation (New York, N.Y. : 1994) · 2026
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  7. Review
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  10. Lung Lymphatics in Edema, Inflammation, and Thrombosis.Arteriosclerosis, thrombosis, and vascular biology · 2025
    Review
  11. Article
  12. Article
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  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Transport functions of intestinal lymphatic vessels.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 9 institutions in 7 countries.

Georgia Zarkada *Cardiovascular Research Center and Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, CT (G.Z., M.L., D.C., N.R., M.S., A.E.).
Xun Chen *State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Xuetong ZhouState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Martin LangeCardiovascular Research Center and Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, CT (G.Z., M.L., D.C., N.R., M.S., A.E.).ORCID 0009-0001-1798-3520
Lei ZengState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Wenyu LvState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).ORCID 0009-0002-2523-448X
Xuan ZhangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Yunhua LiState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Weibin ZhouState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Keli LiuState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Dongying ChenCardiovascular Research Center and Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, CT (G.Z., M.L., D.C., N.R., M.S., A.E.).
Nicolas RicardCardiovascular Research Center and Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, CT (G.Z., M.L., D.C., N.R., M.S., A.E.).ORCID 0000-0002-7572-173X
James LiaoUniversity of Arizona, College of Medicine, Banner University Medical Center, Tucson (J.K.L.).ORCID 0000-0001-9679-4252
Young-Bum KimDivision of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA (Y.-B.K.).ORCID 0000-0001-9471-6330
Rui BeneditoMolecular Genetics of Angiogenesis Group, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain (R.B.).
Lena Claesson-WelshUppsala University, Rudbeck, SciLifeLab and Beijer Laboratories, Department of Immunology, Genetics and Pathology, Sweden (L.C.-W.).ORCID 0000-0003-4275-2000
Kari AlitaloWihuri Research Institute and Translational Cancer Medicine Program, Biomedicum, University of Helsinki, Finland (K.A.).ORCID 0000-0002-7331-0902
Michael SimonsCardiovascular Research Center and Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, CT (G.Z., M.L., D.C., N.R., M.S., A.E.).ORCID 0000-0003-0348-7734
Rong JuState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Xuri LiState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).
Anne EichmannCardiovascular Research Center and Department of Cellular and Molecular Physiology, Yale University School of Medicine, New Haven, CT (G.Z., M.L., D.C., N.R., M.S., A.E.).ORCID 0000-0001-5563-210X
Feng ZhangState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (X.C., X. Zhou, L.Z., W.L., X. Zhang, Y.L., W.Z., K.L., R.J., X.L., F.Z.).ORCID 0000-0002-6103-1498
Sun Yat-sen University · CNYale University · USInserm · FRBanner - University Medical Center Tucson · USBeth Israel Deaconess Medical Center · USScience for Life Laboratory · SESpanish National Centre for Cardiovascular Research · ESUniversity of Connecticut · USWihuri Research Institute · FI

Funding

Novel approached to prevent diet-induced obesity via lacteal junctionsR01DK120373 · NIDDK · YALE UNIVERSITY · PI EICHMANN, ANNE CHRISTINE · 2019 to 2022
$1.5M
NIDDK NIH HHS R01 DK120373
6 · The paper itself

Abstract

backgroundLymphatic vessels are responsible for tissue drainage, and their malfunction is associated with chronic diseases. Lymph uptake occurs via specialized open cell-cell junctions between capillary lymphatic endothelial cells (LECs), whereas closed junctions in collecting LECs prevent lymph leakage. LEC junctions are known to dynamically remodel in development and disease, but how lymphatic permeability is regulated remains poorly understood.

methodsWe used various genetically engineered mouse models in combination with cellular, biochemical, and molecular biology approaches to elucidate the signaling pathways regulating junction morphology and function in lymphatic capillaries.

resultsBy studying the permeability of intestinal lacteal capillaries to lipoprotein particles known as chylomicrons, we show that ROCK (Rho-associated kinase)-dependent cytoskeletal contractility is a fundamental mechanism of LEC permeability regulation. We show that chylomicron-derived lipids trigger neonatal lacteal junction opening via ROCK-dependent contraction of junction-anchored stress fibers. LEC-specific ROCK deletion abolished junction opening and plasma lipid uptake. Chylomicrons additionally inhibited VEGF (vascular endothelial growth factor)-A signaling. We show that VEGF-A antagonizes LEC junction opening via VEGFR (VEGF receptor) 2 and VEGFR3-dependent PI3K (phosphatidylinositol 3-kinase)/AKT (protein kinase B) activation of the small GTPase RAC1 (Rac family small GTPase 1), thereby restricting RhoA (Ras homolog family member A)/ROCK-mediated cytoskeleton contraction.

conclusionsOur results reveal that antagonistic inputs into ROCK-dependent cytoskeleton contractions regulate the interconversion of lymphatic junctions in the intestine and in other tissues, providing a tunable mechanism to control the lymphatic barrier.

Indexed as

Lymphatic VesselsMonomeric GTP-Binding ProteinsAnimalsCapillary PermeabilityChylomicronsEndothelial CellsMicePhosphatidylinositol 3-KinasesVascular Endothelial Growth Factor AChylomicronsMonomeric GTP-Binding ProteinsPhosphatidylinositol 3-KinasesVascular Endothelial Growth Factor Achylomicronsendothelial cellslipidpermeabilityvascular endothelial growth factor A

Identifiers

PMID37462027
PMCPMC10530007
OpenAlexW4384627159

What OpenQuestion holds

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LicenceTDM
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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.