Serveur d'exploration sur le lymphœdème

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Therapeutic differentiation and maturation of lymphatic vessels after lymph node dissection and transplantation.

Identifieur interne : 007071 ( Main/Exploration ); précédent : 007070; suivant : 007072

Therapeutic differentiation and maturation of lymphatic vessels after lymph node dissection and transplantation.

Auteurs : Tuomas Tammela [Finlande] ; Anne Saaristo ; Tanja Holopainen ; Johannes Lyytikk ; Anna Kotronen ; Miia Pitkonen ; Usama Abo-Ramadan ; Seppo Yl Herttuala ; Tatiana V. Petrova ; Kari Alitalo [Finlande]

Source :

RBID : pubmed:18059280

Descripteurs français

English descriptors

Abstract

Surgery or radiation therapy of metastatic cancer often damages lymph nodes, leading to secondary lymphedema. Here we show, using a newly established mouse model, that collecting lymphatic vessels can be regenerated and fused to lymph node transplants after lymph node removal. Treatment of lymph node-excised mice with adenovirally delivered vascular endothelial growth factor-C (VEGF-C) or VEGF-D induced robust growth of the lymphatic capillaries, which gradually underwent intrinsic remodeling, differentiation and maturation into functional collecting lymphatic vessels, including the formation of uniform endothelial cell-cell junctions and intraluminal valves. The vessels also reacquired pericyte contacts, which downregulated lymphatic capillary markers during vessel maturation. Growth factor therapy improved the outcome of lymph node transplantation, including functional reconstitution of the immunological barrier against tumor metastasis. These results show that growth factor-induced maturation of lymphatic vessels is possible in adult mice and provide a basis for future therapy of lymphedema.

DOI: 10.1038/nm1689
PubMed: 18059280


Affiliations:


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Le document en format XML

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<term>Intercellular Signaling Peptides and Proteins (metabolism)</term>
<term>Lymph Node Excision</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphatic Vessels (physiology)</term>
<term>Lymphedema (immunology)</term>
<term>Lymphedema (pathology)</term>
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<term>Neoplasm Metastasis</term>
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<term>Facteur de croissance endothéliale vasculaire de type D (métabolisme)</term>
<term>Humains</term>
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<term>Cell Communication</term>
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<div type="abstract" xml:lang="en">Surgery or radiation therapy of metastatic cancer often damages lymph nodes, leading to secondary lymphedema. Here we show, using a newly established mouse model, that collecting lymphatic vessels can be regenerated and fused to lymph node transplants after lymph node removal. Treatment of lymph node-excised mice with adenovirally delivered vascular endothelial growth factor-C (VEGF-C) or VEGF-D induced robust growth of the lymphatic capillaries, which gradually underwent intrinsic remodeling, differentiation and maturation into functional collecting lymphatic vessels, including the formation of uniform endothelial cell-cell junctions and intraluminal valves. The vessels also reacquired pericyte contacts, which downregulated lymphatic capillary markers during vessel maturation. Growth factor therapy improved the outcome of lymph node transplantation, including functional reconstitution of the immunological barrier against tumor metastasis. These results show that growth factor-induced maturation of lymphatic vessels is possible in adult mice and provide a basis for future therapy of lymphedema.</div>
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