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Growth factor therapy and lymph node graft for lymphedema.

Identifieur interne : 000E99 ( PubMed/Checkpoint ); précédent : 000E98; suivant : 000F00

Growth factor therapy and lymph node graft for lymphedema.

Auteurs : Tomi V. Tervala [Finlande] ; Pauliina Hartiala [Finlande] ; Tuomas Tammela [Finlande] ; Mikko T. Visuri [Finlande] ; Seppo Yl Herttuala [Finlande] ; Kari Alitalo [Finlande] ; Anne M. Saarikko [Finlande]

Source :

RBID : pubmed:25777822

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English descriptors

Abstract

Lymphedema still remains an unsolved problem. Secondary lymphedema often develops after cancer operations or radiation therapy, especially in breast cancer patients. Using a mouse model, we show here that the lymphatic network can be regenerated using lymphatic vascular growth factor therapy in combination with lymph node transfer.

DOI: 10.1016/j.jss.2015.02.031
PubMed: 25777822


Affiliations:


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pubmed:25777822

Le document en format XML

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<div type="abstract" xml:lang="en">Lymphedema still remains an unsolved problem. Secondary lymphedema often develops after cancer operations or radiation therapy, especially in breast cancer patients. Using a mouse model, we show here that the lymphatic network can be regenerated using lymphatic vascular growth factor therapy in combination with lymph node transfer.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema still remains an unsolved problem. Secondary lymphedema often develops after cancer operations or radiation therapy, especially in breast cancer patients. Using a mouse model, we show here that the lymphatic network can be regenerated using lymphatic vascular growth factor therapy in combination with lymph node transfer.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We have compared the therapeutic effects of different vascular endothelial growth factors (VEGF-C, VEGF-D, VEGF-C156S, and VEGF-A), in combination with lymph node transfer in mouse axilla. The lymphangiogenic effects of the growth factor therapy were examined at 3 mo postoperatively.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">VEGF therapy with VEGF-C and VEGF-D induced growth of new lymphatic vessels in the defect area, and VEGF-C also improved lymphatic vessel function compared with that of controls. VEGF-C156S induced moderate lymphangiogenesis, but the effect remained statistically nonsignificant. Prolymphangiogenic growth factors (VEGF-C, -D, and -C156S) also improved lymph node survival as compared with those of the VEGF-A and control group. VEGF-C, which activates both vascular endothelial growth factor receptor 2 and vascular endothelial growth factor receptor 3, gave the best therapeutic effect in this experimental lymphedema model.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These results support our goal to treat secondary lymphedema by combining lymph node transfer with the growth factor therapy. VEGF-C provides the preferred alternative for growth factor therapy of lymphedema when compared with other VEGF-family growth factors, due to the superior lymphangiogenic response and minor blood vascular effects.</AbstractText>
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<li>Finlande occidentale</li>
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<li>Helsinki</li>
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<name sortKey="Tervala, Tomi V" sort="Tervala, Tomi V" uniqKey="Tervala T" first="Tomi V" last="Tervala">Tomi V. Tervala</name>
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<name sortKey="Alitalo, Kari" sort="Alitalo, Kari" uniqKey="Alitalo K" first="Kari" last="Alitalo">Kari Alitalo</name>
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<name sortKey="Saarikko, Anne M" sort="Saarikko, Anne M" uniqKey="Saarikko A" first="Anne M" last="Saarikko">Anne M. Saarikko</name>
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<name sortKey="Visuri, Mikko T" sort="Visuri, Mikko T" uniqKey="Visuri M" first="Mikko T" last="Visuri">Mikko T. Visuri</name>
<name sortKey="Yl Herttuala, Seppo" sort="Yl Herttuala, Seppo" uniqKey="Yl Herttuala S" first="Seppo" last="Yl Herttuala">Seppo Yl Herttuala</name>
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