Cell differentiation occurs mostly during a specific developmental time window and is irreversible. The homeobox-containing transcription factor Prox1 is a master regulator of lymphatic endothelial cell differentiation in the embryo. A study by Johnson et al. (pp 3282-3291) published in this issueof Genes & Development now shows that continued expression of Prox1 is required to maintain lymphatic endothelial cell identity even in adult mice. These findings indicate that Prox1 is essential for the differentiation and function of the lymphatic vasculature throughout life.Endothelial cells (ECs) form two highly branched, treelike tubular networks in the vertebrate body, the blood vasculature and the lymphatic vasculature, which have distinct functional roles and morphological features. Blood vessels carry circulating blood through arteries into extensive capillary beds, the sites where gases, nutrients, and waste products are exchanged, and back into veins. In contrast, lymphatic vessels form a blind-ended system that drains protein-rich liquid, the lymph, through a network of distal capillaries (also known as terminal or initial lymphatics), larger collecting ducts and, finally, the thoracic duct into the venous system ( (Fig. 1). The specialization of blood vessels and lymphatic vessels and of the various subdomains within these endothelial networks are reflected by distinct gene expression profiles and signaling pathways (Fig. 2). For example, arterial ECs express a multitude of markers that are largely or entirely excluded from the venous or lymphatic endothelium (Lamont and Childs 2006;Adams and Alitalo 2007). The glycoprotein LYVE-1 is not only restricted to lymphatic ECs (LECs) but is also predominantly confined to the terminal capillaries within the lymphatic tree (Makinen et al. 2005;Baluk and McDonald 2008). Among the molecular markers that can be used to distinguish BECs and LECs, the homeobox-containing transcription factor Prox1 (prospero-related homeobox 1) is of particular importance. Prox1 is present in all nuclei throughout the lymphatic endothelium, and this pattern of expression is actually the earliest sign of lymphatic development when the first few LECs differentiate from BECs within a section of the cardinal vein (Wigle and Oliver 1999;Wigle et al. 2002).
Prox1-master regulator of LEC differentiationLineage tracing experiments have demonstrated that lymphatic ECs in the mouse are derived from venous ECs during embryonic development (Srinivasan et al. 2007). A cluster of ECs in the cardinal vein start to express Prox1, leave the vessel and migrate into the adjacent tissue and form the first primitive lymphatic structures (