Venous valves play a crucial role in blood circulation, promoting the one-way movement of blood from superficial and deep veins towards the heart. By preventing retrograde flow, venous valves spare capillaries and venules from being subjected to damaging elevations in pressure, especially during skeletal muscle contraction. Pathologically, valvular incompetence or absence of valves are common features of venous disorders such as chronic venous insufficiency and varicose veins. The underlying causes of these conditions are not well understood, but congenital venous valve aplasia or agenesis may play a role in some cases. Despite progress in the study of cardiac and lymphatic valve morphogenesis, the molecular mechanisms controlling the development and maintenance of venous valves remain poorly understood. Here, we show that in valved veins of the mouse, three gap junction proteins (Connexins, Cxs), Cx37, Cx43, and Cx47, are expressed exclusively in the valves in a highly polarized fashion, with Cx43 on the upstream side of the valve leaflet and Cx37 on the downstream side. Surprisingly, Cx43 expression is strongly induced in the non-valve venous endothelium in superficial veins following wounding of the overlying skin. Moreover, we show that in Cx37-deficient mice, venous valves are entirely absent. Thus, Cx37, a protein involved in cell-cell communication, is one of only a few proteins identified so far as critical for the development or maintenance of venous valves. Because Cxs are necessary for the development of valves in lymphatic vessels as well, our results support the notion of common molecular pathways controlling valve development in veins and lymphatic vessels.

译文

静脉瓣膜在血液循环中起着至关重要的作用,促进血液从浅静脉和深静脉向心脏的单向运动。通过防止逆行血流,静脉瓣膜备用毛细血管和小静脉不会受到破坏性的压力升高,尤其是在骨骼肌收缩期间。从病理上讲,瓣膜功能不全或瓣膜缺失是静脉疾病的常见特征,例如慢性静脉功能不全和静脉曲张。这些疾病的根本原因尚不清楚,但在某些情况下,先天性静脉瓣膜发育不全或发育不全可能起一定作用。尽管心脏和淋巴管瓣膜形态发生的研究取得了进展,但控制静脉瓣膜发育和维持的分子机制仍知之甚少。在这里,我们显示在小鼠的瓣膜静脉中,三种间隙连接蛋白 (Connexins,Cxs) Cx37,Cx43和Cx47仅在瓣膜中以高度极化的方式表达,其中Cx43位于瓣膜的上游侧小叶和Cx37位于下游侧。令人惊讶的是,上覆皮肤受伤后,在浅静脉的非瓣膜静脉内皮中强烈诱导Cx43表达。此外,我们显示在Cx37-deficient小鼠中,静脉瓣膜完全不存在。因此,Cx37是一种参与细胞-细胞通讯的蛋白质,是迄今为止确定的对静脉瓣膜的发育或维持至关重要的少数蛋白质之一。由于Cxs对于淋巴管中瓣膜的发育也是必需的,因此我们的结果支持控制静脉和淋巴管中瓣膜发育的常见分子途径的概念。

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