病気ではリンパ管が骨へ侵入する一方、健常状態と再生過程では存在しないことを発見(Lymphatic Vessels Invade Bone in Disease but Absent in Health and Regeneration)

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2026-08-24 中国科学院(CAS)

中国科学院分子细胞科学卓越创新中心(上海生化细胞所)とドイツ・マックス・プランク分子生物医学研究所の研究チームは、骨におけるリンパ管の存在と病態時の侵入過程を解明した。二重組換酵素による高精度な遺伝系譜追跡法を開発した結果、正常状態ではリンパ管内皮細胞(LEC)は骨膜や周辺結合組織に限定され、皮質骨、海綿骨、骨髄には存在しないことを確認した。骨折後の再生過程でもリンパ管は骨内部へ侵入しなかった。一方、PIK3CA変異を持つGLA/GSDモデルでは、骨膜のリンパ管が増殖し、骨膜を突破して皮質骨を侵食し、最終的に骨髄へ侵入する過程を捉えた。これは骨内リンパ管が骨外のリンパ管の病的侵入によって生じることを示すもので、GLA/GSDの病態解明やリンパ管関連疾患研究に新たな手法を提供する。

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リンパ管は疾患時には骨に侵入するが、健康状態や再生時には存在しない Lymphatic vessels invade bone in disease but are absent in health and regeneration

Xinfeng Meng ∙ Kuo Liu ∙ Muxue Tang ∙ … ∙ Kai Kruse ∙ Ralf H. Adams ∙ Bin Zhou
Cell  Published:Published: August 20, 2026
DOI:https://doi.org/10.1016/j.cell.2026.05.039

病気ではリンパ管が骨へ侵入する一方、健常状態と再生過程では存在しないことを発見(Lymphatic Vessels Invade Bone in Disease but Absent in Health and Regeneration)

Highlights

  • Specific genetic tools reveal the absence of LECs in bone during homeostasis
  • Bone regeneration after irradiation does not trigger LEC emergence inside the bone
  • LECs expand within the callus but do not infiltrate the bone after fracture
  • LECs invade bone under pathological conditions in GLA/GSD mouse models

Summary

A recent study reported the existence of lymphatic vessels in normal bone and suggested their involvement in bone regeneration after injury. However, this conclusion was based on approaches that do not allow unequivocal identification of the spatial localization of lymphatic endothelial cells (LECs). Here, we employed a Prox1-based genetic tool and a dual-recombinase-mediated LEC-specific labeling system to trace lymphatic vessels with high specificity. We found that LECs are present in the connective tissues, including the periosteum surrounding the bone. However, they do not reside within the bone itself, nor do they penetrate the periosteum to facilitate bone regeneration after injury. By contrast, hyperplastic LECs on the bone surface breach the periosteum and invade bone tissue in mouse models of generalized lymphatic anomaly and Gorham-Stout disease. These data demonstrate that lymphatic vessels are absent from bone during homeostasis and regeneration after injury but invade bone during disease. This Matters Arising paper is in response to Biswas et al. (2023), published in Cell. See also the response by Yang et al. (2026), published in this issue.

医療・健康
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