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Anti-Inflammatory Pharmacotherapy with Ketoprofen Ameliorates Experimental Lymphatic Vascular Insufficiency in Mice

Identifieur interne : 006397 ( Main/Exploration ); précédent : 006396; suivant : 006398

Anti-Inflammatory Pharmacotherapy with Ketoprofen Ameliorates Experimental Lymphatic Vascular Insufficiency in Mice

Auteurs : Kenta Nakamura ; Kavita Radhakrishnan ; Yat Man Wong ; Stanley G. Rockson

Source :

RBID : PMC:2791214

Descripteurs français

English descriptors

Abstract

Background

Disruption of the lymphatic vasculature causes edema, inflammation, and end-tissue destruction. To assess the therapeutic efficacy of systemic anti-inflammatory therapy in this disease, we examined the impact of a nonsteroidal anti-inflammatory drug (NSAID), ketoprofen, and of a soluble TNF-α receptor (sTNF-R1) upon tumor necrosis factor (TNF)-α activity in a mouse model of acquired lymphedema.

Methods and Findings

Lymphedema was induced by microsurgical ablation of major lymphatic conduits in the murine tail. Untreated control mice with lymphedema developed significant edema and extensive histopathological inflammation compared to sham surgical controls. Short-term ketoprofen treatment reduced tail edema and normalized the histopathology while paradoxically increasing TNF-α gene expression and cytokine levels. Conversely, sTNF-R1 treatment increased tail volume, exacerbated the histopathology, and decreased TNF-α gene expression. Expression of vascular endothelial growth factor-C (VEGF-C), which stimulates lymphangiogenesis, closely correlated with TNF-α expression.

Conclusions

Ketoprofen therapy reduces experimental post-surgical lymphedema, yet direct TNF-α inhibition does not. Reducing inflammation while preserving TNF-α activity appears to optimize the repair response. It is possible that the observed favorable responses, at least in part, are mediated through enhanced VEGF-C signaling.


Url:
DOI: 10.1371/journal.pone.0008380
PubMed: 20027220
PubMed Central: 2791214


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Cytokines (metabolism)</term>
<term>Gene Expression Regulation (drug effects)</term>
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<term>Ketoprofen (therapeutic use)</term>
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<term>Lymphedema (genetics)</term>
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<term>Organ Specificity</term>
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<term>Animaux</term>
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<term>Cytokines (métabolisme)</term>
<term>Kétoprofène (pharmacologie)</term>
<term>Kétoprofène (usage thérapeutique)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (génétique)</term>
<term>Lymphoedème (traitement médicamenteux)</term>
<term>Modèles immunologiques</term>
<term>Médiateurs de l'inflammation (métabolisme)</term>
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<term>Récepteur au facteur de nécrose tumorale de type I (pharmacologie)</term>
<term>Régulation de l'expression des gènes ()</term>
<term>Solubilité ()</term>
<term>Souris</term>
<term>Spécificité d'organe</term>
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<term>Inflammation Mediators</term>
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<term>Ketoprofen</term>
<term>Receptors, Tumor Necrosis Factor, Type I</term>
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<term>Anti-Inflammatory Agents, Non-Steroidal</term>
<term>Ketoprofen</term>
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<term>Gene Expression Regulation</term>
<term>Lymphatic Vessels</term>
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<term>Lymphedema</term>
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<title>Background</title>
<p>Disruption of the lymphatic vasculature causes edema, inflammation, and end-tissue destruction. To assess the therapeutic efficacy of systemic anti-inflammatory therapy in this disease, we examined the impact of a nonsteroidal anti-inflammatory drug (NSAID), ketoprofen, and of a soluble TNF-α receptor (sTNF-R1) upon tumor necrosis factor (TNF)-α activity in a mouse model of acquired lymphedema.</p>
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<title>Methods and Findings</title>
<p>Lymphedema was induced by microsurgical ablation of major lymphatic conduits in the murine tail. Untreated control mice with lymphedema developed significant edema and extensive histopathological inflammation compared to sham surgical controls. Short-term ketoprofen treatment reduced tail edema and normalized the histopathology while paradoxically increasing TNF-α gene expression and cytokine levels. Conversely, sTNF-R1 treatment increased tail volume, exacerbated the histopathology, and decreased TNF-α gene expression. Expression of vascular endothelial growth factor-C (VEGF-C), which stimulates lymphangiogenesis, closely correlated with TNF-α expression.</p>
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<p>Ketoprofen therapy reduces experimental post-surgical lymphedema, yet direct TNF-α inhibition does not. Reducing inflammation while preserving TNF-α activity appears to optimize the repair response. It is possible that the observed favorable responses, at least in part, are mediated through enhanced VEGF-C signaling.</p>
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