Evidence map›Paper›PMID 39874106›Full record

ArticleJCI insight2025

A single-cell atlas of normal and KRASG12D-malformed lymphatic vessels.

Lorenzo M Fernandes, Danielle Griswold-Wheeler, Jeffrey D Tresemer, Angelica Vallejo, Neda Vishlaghi, Benjamin Levi, Abigail Shapiro, Joshua P Scallan, Michael T Dellinger

Abstract read
In one paragraph

Article in JCI insight, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. VEGF-D-induced intraosseous lymphangiogenesis drives site-specific heterotopic bone resorption.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Article
  6. Article
  7. Normal cardiac lymphatics and their mimics.American journal of physiology. Heart and circulatory physiology · 2026
    Article
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

9 authors.

Lorenzo M FernandesHamon Center for Therapeutic Oncology Research, and.
Danielle Griswold-WheelerHamon Center for Therapeutic Oncology Research, and.
Jeffrey D TresemerHamon Center for Therapeutic Oncology Research, and.
Angelica VallejoHamon Center for Therapeutic Oncology Research, and.
Neda VishlaghiDepartment of Surgery, UT Southwestern Medical Center, Dallas, Texas, USA.
Benjamin LeviDepartment of Surgery, UT Southwestern Medical Center, Dallas, Texas, USA.
Abigail ShapiroDepartment of Molecular Pharmacology and Physiology, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.
Joshua P ScallanDepartment of Molecular Pharmacology and Physiology, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.
Michael T DellingerHamon Center for Therapeutic Oncology Research, and.

Funding

“Two-hit” model for lymphatic malformations.R01HL176788 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Michael Thomas Dellinger · 2025 to 2026
$1.0M
NHLBI NIH HHS R01 HL176788
6 · The paper itself

Abstract

Somatic activating mutations in KRAS can cause complex lymphatic anomalies (CLAs). However, the specific processes that drive KRAS-mediated CLAs have yet to be fully elucidated. Here, we used single-cell RNA sequencing to construct an atlas of normal and KrasG12D-malformed lymphatic vessels. We identified 6 subtypes of lymphatic endothelial cells (LECs) in the lungs of adult wild-type mice (Ptx3, capillary, collecting, valve, mixed, and proliferating). To determine when the LEC subtypes were specified during development, we integrated our data with data from 4 stages of development. We found that proliferating and Ptx3 LECs were prevalent during early lymphatic development and that collecting and valve LECs emerged later in development. Additionally, we discovered that the proportion of Ptx3 LECs decreased as the lymphatic network matured but remained high in KrasG12D mice. We also observed that the proportion of collecting and valve LECs was lower in KrasG12D mice than in wild-type mice. Last, we found that immature lymphatic vessels in young mice were more sensitive to the pathologic effects of KrasG12D than mature lymphatic vessels in older mice. Together, our results expand the current model for the development of the lymphatic system and suggest that KRAS mutations impair the maturation of lymphatic vessels.

Indexed as

Lymphatic AbnormalitiesLymphatic VesselsProto-Oncogene Proteins p21(ras)AnimalsEndothelial CellsFemaleLungLymphangiogenesisMiceMutationSingle-Cell AnalysisHras protein, mouseProto-Oncogene Proteins p21(ras)AngiogenesisDevelopmentEndothelial cellsVascular biology

Identifiers

PMID39874106
PMCPMC11949019

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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.