Lymphatic vessels control fluid homeostasis and immune cell circulation in all body tissues, and lipid absorption in the small intestine. Their dysfunction is implicated in cardiovascular, metabolic and neurodegenerative disease. Normal lymphatic function requires a division of labor between terminal lymphatic capillaries that uptake lymph via open button junctions, and collectors that transport lymph to the veins, which have tighter zipper junctions. We here address the role of LEC button and zipper junctions in health and disease, with the hypothesis that LEC junction manipulation offers novel opportunities in clinical settings. We have shown that zippering of intestinal lacteals prevents chylomicron absorption and renders mice resistant to diet-induced obesity, prompting us to investigate molecular mechanisms inducing formation of buttons and zippers and test their implication in lipid uptake, obesity and inflammation. Collectively, the proposed studies will elucidate an as yet understudied aspect of endothelial biology and identify molecular mechanisms and novel approaches based on this knowledge that could be useful to reduce obesity via zipper formation and may be effective in diseases associated with lymphatic dysfunction via buttons.

Public Health Relevance

Lymphatic vessels control fluid homeostasis and immune cell circulation in all body tissues, and lipid absorption in the small intestine via open button junctions. We have identified a growth factor receptor system that zippers (closes) lymphatic junctions, thereby preventing lacteal chylomicron uptake and inducing resistance to diet-induced obesity. We propose to investigate the cellular and molecular mechanisms underlying lymphatic junction modulation and its biological consequences that could be translatable to prevent dietary lipid uptake and manage obesity.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
1R01DK120373-01A1
Application #
9839139
Study Section
Vascular Cell and Molecular Biology Study Section (VCMB)
Program Officer
Greenwel, Patricia
Project Start
2019-07-01
Project End
2023-04-30
Budget Start
2019-07-01
Budget End
2020-04-30
Support Year
1
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Yale University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520