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Adrenomedullin Haploinsufficiency Predisposes to Secondary Lymphedema

Identifieur interne : 003904 ( Main/Exploration ); précédent : 003903; suivant : 003905

Adrenomedullin Haploinsufficiency Predisposes to Secondary Lymphedema

Auteurs : Leonid L. Nikitenko [Royaume-Uni] ; Tatsuo Shimosawa [Japon] ; Stephen Henderson [Royaume-Uni] ; Taija M Kinen [Royaume-Uni] ; Hiromi Shimosawa [Japon] ; Uzma Qureshi [Royaume-Uni] ; R Barbara Pedley [Royaume-Uni] ; Margaret C P. Rees [Royaume-Uni] ; Toshiro Fujita [Japon] ; Chris Boshoff [Royaume-Uni]

Source :

RBID : PMC:3682392

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English descriptors

Abstract

Secondary lymphedema is a debilitating condition, and genetic factors predisposing to its development remain largely unknown. Adrenomedullin (AM) is peptide encoded, together with proadrenomedullin N-terminal peptide (PAMP), by the Adm gene (adrenomedullin gene). AM and its putative receptor calcitonin receptor–like receptor (CLR) are implicated in angiogenesis and lymphangiogenesis during embryogenesis and wound healing, suggesting their possible involvement in secondary lymphedema. To investigate whether AM deficiency predisposes to secondary lymphedema, we used heterozygous adult mice with Adm gene-knockin stop mutation, which selectively abrogated AM, but preserved PAMP, expression (AdmAM+/Δ animals). After hind limb skin incision, Adm messenger RNA expression was upregulated in wounded tissue of both AdmAM+/+ and AdmAM+/Δ mice. However, only AdmAM+/Δ animals developed limb swelling and histopathological lymphedematous changes, including epidermal thickening, elevated collagen fiber density, and increased microvessel diameter. Secondary lymphedema was prevented when circulating AM levels in AdmAM+/Δ mice were restored by systemic peptide delivery. In human skin, CLR was expressed in tissue components affected by lymphedema, including epidermis, lymphatics, and blood vessels. Our study identified a previously unrecognized role for endogenous AM as a key factor in secondary lymphedema pathogenesis and provided experimental in vivo evidence of an underlying germ-line genetic predisposition to developing this disorder.


Url:
DOI: 10.1038/jid.2013.47
PubMed: 23364478
PubMed Central: 3682392


Affiliations:


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Le document en format XML

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<name sortKey="Shimosawa, Hiromi" sort="Shimosawa, Hiromi" uniqKey="Shimosawa H" first="Hiromi" last="Shimosawa">Hiromi Shimosawa</name>
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, Tokyo,
<country>Japan</country>
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<country xml:lang="fr">Japon</country>
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<name sortKey="Qureshi, Uzma" sort="Qureshi, Uzma" uniqKey="Qureshi U" first="Uzma" last="Qureshi">Uzma Qureshi</name>
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<institution>Tumour Biology Group, UCL Cancer Institute, University College London</institution>
, London,
<country>UK</country>
</nlm:aff>
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<name sortKey="Pedley, R Barbara" sort="Pedley, R Barbara" uniqKey="Pedley R" first="R Barbara" last="Pedley">R Barbara Pedley</name>
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<institution>Tumour Biology Group, UCL Cancer Institute, University College London</institution>
, London,
<country>UK</country>
</nlm:aff>
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<name sortKey="Rees, Margaret C P" sort="Rees, Margaret C P" uniqKey="Rees M" first="Margaret C P" last="Rees">Margaret C P. Rees</name>
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, Oxford,
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</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Fujita, Toshiro" sort="Fujita, Toshiro" uniqKey="Fujita T" first="Toshiro" last="Fujita">Toshiro Fujita</name>
<affiliation wicri:level="1">
<nlm:aff id="aff8">
<institution>Research Centre for Advanced Science and Technology, Department of Clinical Epigenetics, The University of Tokyo</institution>
, Tokyo,
<country>Japan</country>
</nlm:aff>
<country xml:lang="fr">Japon</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Boshoff, Chris" sort="Boshoff, Chris" uniqKey="Boshoff C" first="Chris" last="Boshoff">Chris Boshoff</name>
<affiliation wicri:level="1">
<nlm:aff id="aff1">
<institution>Cancer Research UK Viral Oncology Group, UCL Cancer Institute, University College London</institution>
, London,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
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<series>
<title level="j">The Journal of Investigative Dermatology</title>
<idno type="ISSN">0022-202X</idno>
<idno type="eISSN">1523-1747</idno>
<imprint>
<date when="2013">2013</date>
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<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Adrenomedullin (genetics)</term>
<term>Animals</term>
<term>Calcitonin Receptor-Like Protein (metabolism)</term>
<term>Cells, Cultured</term>
<term>Endothelium, Lymphatic (metabolism)</term>
<term>Endothelium, Vascular (metabolism)</term>
<term>Gene Knock-In Techniques</term>
<term>Genetic Predisposition to Disease (genetics)</term>
<term>Haploinsufficiency (genetics)</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Lymphedema (genetics)</term>
<term>Mice</term>
<term>Mice, Inbred C57BL</term>
<term>Mice, Mutant Strains</term>
<term>Mutation (genetics)</term>
<term>Phenotype</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adrénomédulline (génétique)</term>
<term>Animaux</term>
<term>Cellules cultivées</term>
<term>Endothélium lymphatique (métabolisme)</term>
<term>Endothélium vasculaire (métabolisme)</term>
<term>Facteurs de risque</term>
<term>Haploinsuffisance (génétique)</term>
<term>Humains</term>
<term>Hétérozygote</term>
<term>Lymphoedème (génétique)</term>
<term>Mutation (génétique)</term>
<term>Phénotype</term>
<term>Protéine apparentée au récepteur de la calcitonine (métabolisme)</term>
<term>Prédisposition génétique à une maladie (génétique)</term>
<term>Souches mutantes de souris</term>
<term>Souris</term>
<term>Souris de lignée C57BL</term>
<term>Techniques de knock-in de gènes</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en">
<term>Adrenomedullin</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en">
<term>Calcitonin Receptor-Like Protein</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Genetic Predisposition to Disease</term>
<term>Haploinsufficiency</term>
<term>Lymphedema</term>
<term>Mutation</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Adrénomédulline</term>
<term>Haploinsuffisance</term>
<term>Lymphoedème</term>
<term>Mutation</term>
<term>Prédisposition génétique à une maladie</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Endothelium, Lymphatic</term>
<term>Endothelium, Vascular</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr">
<term>Endothélium lymphatique</term>
<term>Endothélium vasculaire</term>
<term>Protéine apparentée au récepteur de la calcitonine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Animals</term>
<term>Cells, Cultured</term>
<term>Gene Knock-In Techniques</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Mice</term>
<term>Mice, Inbred C57BL</term>
<term>Mice, Mutant Strains</term>
<term>Phenotype</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Animaux</term>
<term>Cellules cultivées</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Hétérozygote</term>
<term>Phénotype</term>
<term>Souches mutantes de souris</term>
<term>Souris</term>
<term>Souris de lignée C57BL</term>
<term>Techniques de knock-in de gènes</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">
<p>Secondary lymphedema is a debilitating condition, and genetic factors predisposing to its development remain largely unknown. Adrenomedullin (AM) is peptide encoded, together with proadrenomedullin N-terminal peptide (PAMP), by the
<italic>Adm</italic>
gene (adrenomedullin gene). AM and its putative receptor calcitonin receptor–like receptor (CLR) are implicated in angiogenesis and lymphangiogenesis during embryogenesis and wound healing, suggesting their possible involvement in secondary lymphedema. To investigate whether AM deficiency predisposes to secondary lymphedema, we used heterozygous adult mice with
<italic>Adm</italic>
gene-knockin stop mutation, which selectively abrogated AM, but preserved PAMP, expression (
<italic>Adm</italic>
<sup>
<italic>AM+/Δ</italic>
</sup>
animals). After hind limb skin incision,
<italic>Adm</italic>
messenger RNA expression was upregulated in wounded tissue of both
<italic>Adm</italic>
<sup>
<italic>AM+/+</italic>
</sup>
and
<italic>Adm</italic>
<sup>
<italic>AM+/Δ</italic>
</sup>
mice. However, only
<italic>Adm</italic>
<sup>
<italic>AM+/Δ</italic>
</sup>
animals developed limb swelling and histopathological lymphedematous changes, including epidermal thickening, elevated collagen fiber density, and increased microvessel diameter. Secondary lymphedema was prevented when circulating AM levels in
<italic>Adm</italic>
<sup>
<italic>AM+/Δ</italic>
</sup>
mice were restored by systemic peptide delivery. In human skin, CLR was expressed in tissue components affected by lymphedema, including epidermis, lymphatics, and blood vessels. Our study identified a previously unrecognized role for endogenous AM as a key factor in secondary lymphedema pathogenesis and provided experimental
<italic>in vivo</italic>
evidence of an underlying germ-line genetic predisposition to developing this disorder.</p>
</div>
</front>
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