Pathological changes of adipose tissue in secondary lymphoedema.
Identifieur interne : 000190 ( PubMed/Checkpoint ); précédent : 000189; suivant : 000191Pathological changes of adipose tissue in secondary lymphoedema.
Auteurs : K. Tashiro [Japon] ; J. Feng [Japon] ; S-H Wu [Japon] ; T. Mashiko [Japon] ; K. Kanayama [Japon] ; M. Narushima [Japon] ; H. Uda [Japon] ; S. Miyamoto [Japon] ; I. Koshima [Japon] ; K. Yoshimura [Japon]Source :
- The British journal of dermatology [ 1365-2133 ] ; 2017.
Abstract
The pathophysiology of lymphoedema is poorly understood. Current treatment options include compression therapy, resection, liposuction and lymphatic microsurgery, but determining the optimal treatment approach for each patient remains challenging.
DOI: 10.1111/bjd.15238
PubMed: 28000916
Affiliations:
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Tashiro</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655</wicri:regionArea><wicri:noRegion>113-8655</wicri:noRegion></affiliation></author><author><name sortKey="Feng, J" sort="Feng, J" uniqKey="Feng J" first="J" last="Feng">J. Feng</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655</wicri:regionArea><wicri:noRegion>113-8655</wicri:noRegion></affiliation></author><author><name sortKey="Wu, S H" sort="Wu, S H" uniqKey="Wu S" first="S-H" last="Wu">S-H Wu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655</wicri:regionArea><wicri:noRegion>113-8655</wicri:noRegion></affiliation></author><author><name sortKey="Mashiko, T" sort="Mashiko, T" uniqKey="Mashiko T" first="T" last="Mashiko">T. Mashiko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655</wicri:regionArea><wicri:noRegion>113-8655</wicri:noRegion></affiliation></author><author><name sortKey="Kanayama, K" sort="Kanayama, K" uniqKey="Kanayama K" first="K" last="Kanayama">K. Kanayama</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655</wicri:regionArea><wicri:noRegion>113-8655</wicri:noRegion></affiliation></author><author><name sortKey="Narushima, M" sort="Narushima, M" uniqKey="Narushima M" first="M" last="Narushima">M. Narushima</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655</wicri:regionArea><wicri:noRegion>113-8655</wicri:noRegion></affiliation></author><author><name sortKey="Uda, H" sort="Uda, H" uniqKey="Uda H" first="H" last="Uda">H. Uda</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498</wicri:regionArea><wicri:noRegion>329-0498</wicri:noRegion></affiliation></author><author><name sortKey="Miyamoto, S" sort="Miyamoto, S" uniqKey="Miyamoto S" first="S" last="Miyamoto">S. Miyamoto</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, National Cancer Center, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, National Cancer Center, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045</wicri:regionArea><wicri:noRegion>104-0045</wicri:noRegion></affiliation></author><author><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655</wicri:regionArea><wicri:noRegion>113-8655</wicri:noRegion></affiliation></author><author><name sortKey="Yoshimura, K" sort="Yoshimura, K" uniqKey="Yoshimura K" first="K" last="Yoshimura">K. Yoshimura</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655</wicri:regionArea><wicri:noRegion>113-8655</wicri:noRegion></affiliation></author></analytic><series><title level="j">The British journal of dermatology</title><idno type="eISSN">1365-2133</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The pathophysiology of lymphoedema is poorly understood. Current treatment options include compression therapy, resection, liposuction and lymphatic microsurgery, but determining the optimal treatment approach for each patient remains challenging.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28000916</PMID><DateCreated><Year>2016</Year><Month>12</Month><Day>21</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2133</ISSN><JournalIssue CitedMedium="Internet"><Volume>177</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jul</Month></PubDate></JournalIssue><Title>The British journal of dermatology</Title><ISOAbbreviation>Br. J. Dermatol.</ISOAbbreviation></Journal><ArticleTitle>Pathological changes of adipose tissue in secondary lymphoedema.</ArticleTitle><Pagination><MedlinePgn>158-167</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/bjd.15238</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The pathophysiology of lymphoedema is poorly understood. Current treatment options include compression therapy, resection, liposuction and lymphatic microsurgery, but determining the optimal treatment approach for each patient remains challenging.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">We characterized skin and adipose tissue alterations in the setting of secondary lymphoedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Morphological and histopathological evaluations were conducted for 70 specimens collected from 26 female patients with lower-extremity secondary lymphoedema following surgical intervention for gynaecological cancers. Indocyanine green lymphography was performed for each patient to assess lymphoedema severity.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Macroscopic and ultrasound findings revealed that lymphoedema adipose tissue had larger lobules of adipose tissue, with these lobules surrounded by thick collagen fibres and interstitial lymphatic fluid. In lymphoedema specimens, adipocytes displayed hypertrophic changes and more collagen fibre deposits when examined using electron microscopy, whole-mount staining and immunohistochemistry. The number of capillary lymphatic channels was also found to be increased in the dermis of lymphoedema limbs. Crown-like structures (dead adipocytes surrounded by M1 macrophages) were less frequently seen in lymphoedema samples. Flow cytometry revealed that, among the cellular components of adipose tissue, adipose-derived stem/stromal cells and M2 macrophages were decreased in number in lymphoedema adipose tissue compared with normal controls.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These findings suggest that long-term lymphatic volume overload can induce chronic tissue inflammation, progressive fibrosis, impaired homeostasis, altered remodelling of adipose tissue, impaired regenerative capacity and immunological dysfunction. Further elucidation of the pathophysiological mechanisms underlying lymphoedema will lead to more reliable therapeutic strategies.</AbstractText><CopyrightInformation>© 2016 British Association of Dermatologists.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tashiro</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Plastic Surgery, National Cancer Center, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Feng</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Plastic Surgery, Southern Medical University Nanfang Hospital, 1838 Guangzhou South Ave., Guangzhou, 510515, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>S-H</ForeName><Initials>SH</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mashiko</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kanayama</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Narushima</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Uda</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miyamoto</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, National Cancer Center, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koshima</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yoshimura</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Plastic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>04</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Dermatol</MedlineTA><NlmUniqueID>0004041</NlmUniqueID><ISSNLinking>0007-0963</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>12</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>12</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>12</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>12</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28000916</ArticleId><ArticleId IdType="doi">10.1111/bjd.15238</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Tashiro, K" sort="Tashiro, K" uniqKey="Tashiro K" first="K" last="Tashiro">K. Tashiro</name></noRegion><name sortKey="Feng, J" sort="Feng, J" uniqKey="Feng J" first="J" last="Feng">J. Feng</name><name sortKey="Kanayama, K" sort="Kanayama, K" uniqKey="Kanayama K" first="K" last="Kanayama">K. Kanayama</name><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name><name sortKey="Mashiko, T" sort="Mashiko, T" uniqKey="Mashiko T" first="T" last="Mashiko">T. Mashiko</name><name sortKey="Miyamoto, S" sort="Miyamoto, S" uniqKey="Miyamoto S" first="S" last="Miyamoto">S. Miyamoto</name><name sortKey="Narushima, M" sort="Narushima, M" uniqKey="Narushima M" first="M" last="Narushima">M. Narushima</name><name sortKey="Uda, H" sort="Uda, H" uniqKey="Uda H" first="H" last="Uda">H. Uda</name><name sortKey="Wu, S H" sort="Wu, S H" uniqKey="Wu S" first="S-H" last="Wu">S-H Wu</name><name sortKey="Yoshimura, K" sort="Yoshimura, K" uniqKey="Yoshimura K" first="K" last="Yoshimura">K. 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