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Spatio-Temporal Changes of Lymphatic Contractility and Drainage Patterns following Lymphadenectomy in Mice

Identifieur interne : 006A46 ( Ncbi/Checkpoint ); précédent : 006A45; suivant : 006A47

Spatio-Temporal Changes of Lymphatic Contractility and Drainage Patterns following Lymphadenectomy in Mice

Auteurs : Sunkuk Kwon [États-Unis] ; Germaine D. Agollah [États-Unis] ; Grace Wu [États-Unis] ; Eva M. Sevick-Muraca [États-Unis]

Source :

RBID : PMC:4149501

Descripteurs français

English descriptors

Abstract

Objective

To investigate the redirection of lymphatic drainage post-lymphadenectomy using non-invasive near-infrared fluorescence (NIRF) imaging, and to subsequently assess impact on metastasis.

Background

Cancer-acquired lymphedema arises from dysfunctional fluid transport after lymphadenectomy performed for staging and to disrupt drainage pathways for regional control of disease. However, little is known about the normal regenerative processes of the lymphatics in response to lymphadenectomy and how these responses can be accelerated, delayed, or can impact metastasis.

Methods

Changes in lymphatic “pumping” function and drainage patterns were non-invasively and longitudinally imaged using NIRF lymphatic imaging after popliteal lymphadenectomy in mice. In a cohort of mice, B16F10 melanoma was inoculated on the dorsal aspect of the paw 27 days after lymphadenectomy to assess how drainage patterns affect metastasis.

Results

NIRF imaging demonstrates that, although lymphatic function and drainage patterns change significantly in early response to popliteal lymph node (PLN) removal in mice, these changes are transient and regress dramatically due to a high regenerative capacity of the lymphatics and co-opting of collateral lymphatic pathways around the site of obstruction. Metastases followed the pattern of collateral pathways and could be detected proximal to the site of lymphadenectomy.

Conclusions

Both lymphatic vessel regeneration and co-opting of contralateral vessels occur following lymphadenectomy, with contractile function restored within 13 days, providing a basis for preclinical and clinical investigations to hasten lymphatic repair and restore contractile lymphatic function after surgery to prevent cancer-acquired lymphedema. Patterns of cancer metastasis after lymphadenectomy were altered, consistent with patterns of re-directed lymphatic drainage.


Url:
DOI: 10.1371/journal.pone.0106034
PubMed: 25170770
PubMed Central: 4149501


Affiliations:


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PMC:4149501

Le document en format XML

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<term>Animals</term>
<term>Cell Line, Tumor</term>
<term>Diagnostic Imaging</term>
<term>Female</term>
<term>Fluorescent Dyes (chemistry)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymph Nodes (physiopathology)</term>
<term>Lymphatic Metastasis</term>
<term>Lymphatic System (pathology)</term>
<term>Lymphatic System (physiopathology)</term>
<term>Lymphatic Vessels (pathology)</term>
<term>Lymphatic Vessels (physiopathology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Melanoma, Experimental (pathology)</term>
<term>Melanoma, Experimental (physiopathology)</term>
<term>Mice, Inbred C57BL</term>
<term>Regeneration</term>
<term>Skin Neoplasms (pathology)</term>
<term>Skin Neoplasms (physiopathology)</term>
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<term>Animaux</term>
<term>Colorants fluorescents ()</term>
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<term>Femelle</term>
<term>Lignée cellulaire tumorale</term>
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<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (physiopathologie)</term>
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<term>Noeuds lymphatiques (physiopathologie)</term>
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<term>Souris de lignée C57BL</term>
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<term>Mélanome expérimental</term>
<term>Noeuds lymphatiques</term>
<term>Système lymphatique</term>
<term>Tumeurs cutanées</term>
<term>Vaisseaux lymphatiques</term>
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<term>Lymph Node Excision</term>
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<term>Lymph Nodes</term>
<term>Lymphatic System</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Melanoma, Experimental</term>
<term>Skin Neoplasms</term>
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<term>Mélanome expérimental</term>
<term>Noeuds lymphatiques</term>
<term>Système lymphatique</term>
<term>Tumeurs cutanées</term>
<term>Vaisseaux lymphatiques</term>
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<term>Lymphatic System</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Melanoma, Experimental</term>
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<div type="abstract" xml:lang="en">
<sec>
<title>Objective</title>
<p>To investigate the redirection of lymphatic drainage post-lymphadenectomy using non-invasive near-infrared fluorescence (NIRF) imaging, and to subsequently assess impact on metastasis.</p>
</sec>
<sec>
<title>Background</title>
<p>Cancer-acquired lymphedema arises from dysfunctional fluid transport after lymphadenectomy performed for staging and to disrupt drainage pathways for regional control of disease. However, little is known about the normal regenerative processes of the lymphatics in response to lymphadenectomy and how these responses can be accelerated, delayed, or can impact metastasis.</p>
</sec>
<sec>
<title>Methods</title>
<p>Changes in lymphatic “pumping” function and drainage patterns were non-invasively and longitudinally imaged using NIRF lymphatic imaging after popliteal lymphadenectomy in mice. In a cohort of mice, B16F10 melanoma was inoculated on the dorsal aspect of the paw 27 days after lymphadenectomy to assess how drainage patterns affect metastasis.</p>
</sec>
<sec>
<title>Results</title>
<p>NIRF imaging demonstrates that, although lymphatic function and drainage patterns change significantly in early response to popliteal lymph node (PLN) removal in mice, these changes are transient and regress dramatically due to a high regenerative capacity of the lymphatics and co-opting of collateral lymphatic pathways around the site of obstruction. Metastases followed the pattern of collateral pathways and could be detected proximal to the site of lymphadenectomy.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Both lymphatic vessel regeneration and co-opting of contralateral vessels occur following lymphadenectomy, with contractile function restored within 13 days, providing a basis for preclinical and clinical investigations to hasten lymphatic repair and restore contractile lymphatic function after surgery to prevent cancer-acquired lymphedema. Patterns of cancer metastasis after lymphadenectomy were altered, consistent with patterns of re-directed lymphatic drainage.</p>
</sec>
</div>
</front>
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