At a Glance

The Research Group for Lymphovascular Medicine and Translational 3D-Histopathology develops innovative approaches for three-dimensional tissue analysis and precision diagnostics. Our work combines cutting-edge imaging technologies with advanced molecular methods, bridging the gap between basic research and clinical applications. Through the integration of 3D-histology, genomics, and AI-powered analysis, we are pioneering new paths in both rare disease research and precision oncology.

Dr. Dr. Rene Hägerling

E-mail:
rene.haegerling[at]charite.de
Address:
Rahel Hirsch Center for Translational Medicine (RHC)

Research Focus

Focus Area 1: Advanced 3D-Histology and 3D-Spatial Biology

We develop and implement novel methods for three-dimensional tissue analysis, enabling unprecedented insights into tissue architecture and disease mechanisms through the integration of spatial information with multi-omics data.

Key Research Areas:

  • Development of tissue clearing and bleaching protocols
  • Light sheet microscopy-based optical sectioning
  • AI-powered 3D tissue analysis
  • Real-time organoid imaging
  • Spatial multi-omics integration
  • Deep tissue phenotyping

Technology Platforms:

  • Nanobody-based Tissue Staining Protocols
  • Light sheet microscopy
  • AI-based image analysis
  • High-throughput screening systems

Focus Area 2: Precision Oncology and Integrative Diagnostics

We leverage our multi-modal diagnostic approach to advance cancer diagnosis and treatment, combining spatial information with molecular profiles.

Key Research Areas:

  • Multi-dimensional tumor analysis
  • Integration of genomics and 3D-histology
  • Development of novel diagnostic workflows
  • AI-driven pattern recognition
  • Liquid biopsy approaches
  • Patient Stratification

Focus Area 3: Next-Generation Nanobody Technology

Key Research Areas:

  • Novel Nanobody Screening Platform
  • Reversible, multiplex Stainings (>20 markers)
  • Diagnostic Imaging Tools
  • Targeted therapeutic approaches

Applications:

  • 3D-Histology and Molecular Imaging
  • Diagnostic Markers
  • Nanobodies for therapeutic interventions

Focus Area 4: Rare Vascular Disease / Vascular Anomalies / Primary Lymphedema

Our group specializes in the diagnosis and treatment of vascular anomalies, developing innovative approaches to improve patient care through comprehensive molecular and imaging diagnostics. We focus on translating research findings into targeted therapeutic strategies for these rare conditions.

Key Research Areas:

  • Genetic basis of vascular anomalies
  • Lymphatic malformation mechanisms
  • Gene therapy approaches
  • Biomarker development
  • Clinical phenotyping
  • Organoid and Mouse models
  • ICG Lymphography
  • Patient Stratification
  • Molecular Diagnostic test development
  • Liquid Biopsies
  • Whole Genome Sequencing

Our specialized clinics serve as central reference centers for patients with rare vascular diseases, providing comprehensive care through (Clinical Integration):

  • Expert consultation for complex cases
  • Advanced diagnostic services
  • Personalized therapy approaches
  • International patient registry
  • Multi-disciplinary treatment strategies

[Translate to englisch:]

    [Translate to englisch:]

      Clinical Activities

      Specialized Clinics

      • Primary Lymphedema Clinic
      • Vascular Anomalies and Segmental Overgrowth

      Translation and Innovation

      • Translation and Innovation

        LIMAA Technologies

        LIMAA Technologies, our Charité spin-off company, revolutionizes tissue analysis through integrated solutions combining advanced clearing protocols, automated sample preparation, and AI-powered analysis. The company provides comprehensive workflow solutions for both research and clinical applications, enabling next-generation tissue diagnostics

      Technologies and Methods

      • Technologies and Methods

        Core Technologies

        • Light sheet microscopy
        • 3D tissue clearing
        • Nanobody development platform
        • AI-powered image analysis
        • Liquid Biopsies
        • Whole Genome Sequencing
        • High-throughput screening

        Method Development

        • Novel tissue clearing protocols
        • Automated sample preparation
        • AI-based analysis pipelines
        • Nanobody modification techniques
        • Integrative data analysis workflows
        • Molecular diagnostic development (liquid Biopsy)

      Funding

      Major Grants

      • ERC Starting Grant PREVENT
      • ERC Proof-of-Concept 3D-SpatiOmics
      • Exist Forschungstransfer
      • Lymphatic Malformation Institute
      • Lipedema Foundation

      Team members

      • Team members

        Group Leader

        Dr. Dr. René Hägerling, MD PhD

        • Board-certified Human Geneticist
        • President, Deutsche Gesellschaft für Lymphologie
        • Spokesman Section Lymphology, Deutsche Gesellschaft für Phlebologie und Lymphologie
        • Founding Member, International Lipedema Association
        • Co-Founder LIMAA Technologies GmbH

        Clinical Team ‘Lymphovascular Medicine’

        • Sarina Schwartzmann, Registrar Human Genetics, MD
        • Magdalena Danyel, board-certified Human Geneticist, Clinician Scientist MD
        • Charlotte Kemper, Registrar Human Genetics, MD

        BIH Research Group

        • Rose Behncke, M.Sc., PhD Student
        • Dr. Nils Hansmeier, Postdoc
        • Abhimanyu Singh, M.Sc., PhD student
        • Sascha Ulferts, Bio-technician
        • Lea Amina Kalayci, M.Sc., PhD Student
        • Valentin Fabricius, M.Sc., MD student
        • Eva-Maria Funk, MD student
        • Ina Büschlen, MD student
        • Ines Grigorova, MD student
        • Lea Rissmann, MD student

      Publications

      • Publications

        Huang X, Henck J, Qiu C, Sreenivasan VKA, Balachandran S, Amarie OV, Hrabě de Angelis M, Behncke RY, Chan WL, Despang A, Dickel DE, Duran M, Feuchtinger A, Fuchs H, Gailus-Durner V, Haag N, Hägerling R, Hansmeier N, Hennig F, Marshall C, Rajderkar S, Ringel A, Robson M, Saunders LM, da Silva-Buttkus P, Spielmann N, Srivatsan SR, Ulferts S, Wittler L, Zhu Y, Kalscheuer VM, Ibrahim DM, Kurth I, Kornak U, Visel A, Pennacchio LA, Beier DR, Trapnell C, Cao J, Shendure J, Spielmann M. Single-cell, whole-embryo phenotyping of mammalian developmental disorders. Nature. 2023 Nov;623(7988):772-781. doi: 10.1038/s41586-023-06548-w. Epub 2023 Nov 15. PMID: 37968388; PMCID: PMC10665194.

        Heron C, Dumesnil A, Houssari M, Renet S, Lemarcis T, Lebon A, Godefroy D, Schapman D, Henri O, Riou G, Nicol L, Henry JP, Valet M, Pieronne-Deperrois M, Ouvrard-Pascaud A, Hagerling R, Chiavelli H, Michel JB, Mulder P, Fraineau S, Richard V, Tardif V, Brakenhielm E. Regulation and impact of cardiac lymphangiogenesis in pressure-overload-induced heart failure. Cardiovasc Res. 2023 Mar 31;119(2):492-505. doi: 10.1093/cvr/cvac086. PMID: 35689481; PMCID: PMC10064842.

        Hägerling R, Van Zanten M, Behncke RY, Ulferts S, Hansmeier NR, Märkl B, Witzel C, Ho B, Keeley V, Riches K, Mansour S, Gordon K, Ostergaard P, Mortimer PS. Erythematous capillary-lymphatic malformations mimicking blood vascular anomalies. JCI Insight. 2023 Oct 23;8(20):e172179. doi: 10.1172/jci.insight.172179. PMID: 37698920; PMCID: PMC10619487.

        Cornely M, Hägerling R. Lymphologie und Dermatologie : Warum sollten diese beiden Fachbereiche der Medizin in einem Leitthemenheft gewürdigt werden? [Lymphology and dermatology : Why should these two medical specialties be honored in a special issue?]. Dermatologie (Heidelb). 2023 Aug;74(8):563-565. German. doi: 10.1007/s00105-023-05190-x. Epub 2023 Jul 24. PMID: 37486384.

        Hägerling R. Genetik, Diagnostik und Klinik des primären Lymphödems [Genetics, diagnostics and clinical presentation of primary lymphoedema]. Dermatologie (Heidelb). 2023 Aug;74(8):594-604. German. doi: 10.1007/s00105-023-05183-w. Epub 2023 Jul 4. PMID: 37402871.

        Hramyka D, Sczakiel HL, Zhao MX, Stolpe O, Nieminen M, Adam R, Danyel M, Einicke L, Hägerling R, Knaus A, Mundlos S, Schwartzmann S, Seelow D, Ehmke N, Mensah MA, Boschann F, Beule D, Holtgrewe M. REEV: review, evaluate and explain variants. Nucleic Acids Res. 2024 Jul 5;52(W1):W148-W158. doi: 10.1093/nar/gkae366. PMID: 38769069; PMCID: PMC11223839.

        Lampejo AO, Ghavimi SAA, Hägerling R, Agarwal S, Murfee WL. Lymphatic/blood vessel plasticity: motivation for a future research area based on present and past observations. Am J Physiol Heart Circ Physiol. 2023 Jan 1;324(1):H109-H121. doi: 10.1152/ajpheart.00612.2022. Epub 2022 Dec 2. PMID: 36459445; PMCID: PMC9829479.

        Freise L, Behncke RY, Allerkamp HH, Sandermann TH, Chu NH, Funk EM, Hondrich LJ, Riedel A, Witzel C, Hansmeier NR, Danyel M, Gellhaus A, Dechend R, Hägerling R. Three-Dimensional Histological Characterization of the Placental Vasculature Using Light Sheet Microscopy. Biomolecules. 2023 Jun 17;13(6):1009. doi: 10.3390/biom13061009. PMID: 37371590; PMCID: PMC10296419.

        Boschann F, Cogulu O, Pehlivan D, Balachandran S, Vallecillo-Garcia P, Grochowski CM, Hansmeier NR, Coban Akdemir ZH, Prada-Medina CA, Aykut A, Fischer-Zirnsak B, Badura S, Durmaz B, Ozkinay F, Hägerling R, Posey JE, Stricker S, Gillessen-Kaesbach G, Spielmann M, Horn D, Brockmann K, Lupski JR, Kornak U, Schmidt J. Biallelic variants in ADAMTS15 cause a novel form of distal arthrogryposis. Genet Med. 2023 May;25(5):100799. doi: 10.1016/j.gim.2023.100799. Epub 2023 Feb 28. Erratum for: Genet Med. 2022 Oct;24(10):2187-2193. doi: 10.1016/j.gim.2022.07.012. PMID: 36853234.

        Boschann F, Cogulu MÖ, Pehlivan D, Balachandran S, Vallecillo-Garcia P, Grochowski CM, Hansmeier NR, Coban Akdemir ZH, Prada-Medina CA, Aykut A, Fischer-Zirnsak B, Badura S, Durmaz B, Ozkinay F, Hägerling R, Posey JE, Stricker S, Gillessen-Kaesbach G, Spielmann M, Horn D, Brockmann K, Lupski JR, Kornak U, Schmidt J. Biallelic variants in ADAMTS15 cause a novel form of distal arthrogryposis. Genet Med. 2022 Oct;24(10):2187-2193. doi: 10.1016/j.gim.2022.07.012. Epub 2022 Aug 13. Erratum in: Genet Med. 2023 May;25(5):100799. doi: 10.1016/j.gim.2023.100799. PMID: 35962790; PMCID: PMC9982667.

        Vallecillo-García P, Kühnlein MN, Orgeur M, Hansmeier NR, Kotsaris G, Meisen ZG, Timmermann B, Giesecke-Thiel C, Hägerling R, Stricker S. Mesenchymal Osr1+ cells regulate embryonic lymphatic vessel formation. Development. 2024 Sep 1;151(17):dev202747. doi: 10.1242/dev.202747. Epub 2024 Sep 2. PMID: 39221968; PMCID: PMC11441984.

        Hansmeier NR, Büschlen IS, Behncke RY, Ulferts S, Bisoendial R, Hägerling R. 3D Visualization of Human Blood Vascular Networks Using Single-Domain Antibodies Directed against Endothelial Cell-Selective Adhesion Molecule (ESAM). Int J Mol Sci. 2022 Apr 15;23(8):4369. doi: 10.3390/ijms23084369. PMID: 35457187; PMCID: PMC9028812.

      Events

      Summer School Lymphology

      Annual international training program focusing on rare lymphatic vessel diseases, combining interdisciplinary approaches with modern teaching methods.

      Open Positions

      We are always looking for motivated scientists and students to join our interdisciplinary team. Our group offers excellent research opportunities in cutting-edge facilities, combining advanced imaging technologies with molecular biology and clinical research.

      Current Opportunities

      We welcome applications for:

      • MD thesis projects
      • Bachelor's and Master's theses
      • PhD positions
      • Postdoctoral positions

      What We Offer:

      • State-of-the-art research environment
      • Interdisciplinary research projects
      • Clinical translation opportunities
      • International collaborations
      • Advanced technology platforms
      • Supportive team atmosphere

      How to Apply? 

      If you are interested in joining our team, please send your application including:

      • CV
      • Brief statement of research interests
      • Academic transcripts

      Contact information for references to: [email protected]