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Adrenomedullin haploinsufficiency predisposes to secondary lymphedema.

Identifieur interne : 001C64 ( PubMed/Checkpoint ); précédent : 001C63; suivant : 001C65

Adrenomedullin haploinsufficiency predisposes to secondary lymphedema.

Auteurs : Leonid L. Nikitenko [Royaume-Uni] ; Tatsuo Shimosawa ; Stephen Henderson ; Taija M Kinen ; Hiromi Shimosawa ; Uzma Qureshi ; R Barbara Pedley ; Margaret C P. Rees ; Toshiro Fujita ; Chris Boshoff

Source :

RBID : pubmed:23364478

Descripteurs français

English descriptors

Abstract

Secondary lymphedema is a debilitating condition, and genetic factors predisposing to its development remain largely unknown. Adrenomedullin (AM) is peptide encoded, together with proadrenomedullin N-terminal peptide (PAMP), by the Adm gene (adrenomedullin gene). AM and its putative receptor calcitonin receptor-like receptor (CLR) are implicated in angiogenesis and lymphangiogenesis during embryogenesis and wound healing, suggesting their possible involvement in secondary lymphedema. To investigate whether AM deficiency predisposes to secondary lymphedema, we used heterozygous adult mice with Adm gene-knockin stop mutation, which selectively abrogated AM, but preserved PAMP, expression (Adm(AM+/Δ) animals). After hind limb skin incision, Adm messenger RNA expression was upregulated in wounded tissue of both Adm(AM+/+) and Adm(AM+/Δ) mice. However, only Adm(AM+/Δ) animals developed limb swelling and histopathological lymphedematous changes, including epidermal thickening, elevated collagen fiber density, and increased microvessel diameter. Secondary lymphedema was prevented when circulating AM levels in Adm(AM+/Δ) mice were restored by systemic peptide delivery. In human skin, CLR was expressed in tissue components affected by lymphedema, including epidermis, lymphatics, and blood vessels. Our study identified a previously unrecognized role for endogenous AM as a key factor in secondary lymphedema pathogenesis and provided experimental in vivo evidence of an underlying germ-line genetic predisposition to developing this disorder.

DOI: 10.1038/jid.2013.47
PubMed: 23364478


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pubmed:23364478

Le document en format XML

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<term>Adrenomedullin (genetics)</term>
<term>Animals</term>
<term>Calcitonin Receptor-Like Protein (metabolism)</term>
<term>Cells, Cultured</term>
<term>Endothelium, Lymphatic (metabolism)</term>
<term>Endothelium, Vascular (metabolism)</term>
<term>Gene Knock-In Techniques</term>
<term>Genetic Predisposition to Disease (genetics)</term>
<term>Haploinsufficiency (genetics)</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Lymphedema (genetics)</term>
<term>Mice</term>
<term>Mice, Inbred C57BL</term>
<term>Mice, Mutant Strains</term>
<term>Mutation (genetics)</term>
<term>Phenotype</term>
<term>Risk Factors</term>
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<term>Adrénomédulline (génétique)</term>
<term>Animaux</term>
<term>Cellules cultivées</term>
<term>Endothélium lymphatique (métabolisme)</term>
<term>Endothélium vasculaire (métabolisme)</term>
<term>Facteurs de risque</term>
<term>Haploinsuffisance (génétique)</term>
<term>Humains</term>
<term>Hétérozygote</term>
<term>Lymphoedème (génétique)</term>
<term>Mutation (génétique)</term>
<term>Phénotype</term>
<term>Protéine apparentée au récepteur de la calcitonine (métabolisme)</term>
<term>Prédisposition génétique à une maladie (génétique)</term>
<term>Souches mutantes de souris</term>
<term>Souris</term>
<term>Souris de lignée C57BL</term>
<term>Techniques de knock-in de gènes</term>
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<term>Adrenomedullin</term>
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<term>Calcitonin Receptor-Like Protein</term>
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<term>Genetic Predisposition to Disease</term>
<term>Haploinsufficiency</term>
<term>Lymphedema</term>
<term>Mutation</term>
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<term>Adrénomédulline</term>
<term>Haploinsuffisance</term>
<term>Lymphoedème</term>
<term>Mutation</term>
<term>Prédisposition génétique à une maladie</term>
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<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Endothelium, Lymphatic</term>
<term>Endothelium, Vascular</term>
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<term>Endothélium lymphatique</term>
<term>Endothélium vasculaire</term>
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<term>Cells, Cultured</term>
<term>Gene Knock-In Techniques</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Mice</term>
<term>Mice, Inbred C57BL</term>
<term>Mice, Mutant Strains</term>
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<term>Cellules cultivées</term>
<term>Facteurs de risque</term>
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<term>Souches mutantes de souris</term>
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<div type="abstract" xml:lang="en">Secondary lymphedema is a debilitating condition, and genetic factors predisposing to its development remain largely unknown. Adrenomedullin (AM) is peptide encoded, together with proadrenomedullin N-terminal peptide (PAMP), by the Adm gene (adrenomedullin gene). AM and its putative receptor calcitonin receptor-like receptor (CLR) are implicated in angiogenesis and lymphangiogenesis during embryogenesis and wound healing, suggesting their possible involvement in secondary lymphedema. To investigate whether AM deficiency predisposes to secondary lymphedema, we used heterozygous adult mice with Adm gene-knockin stop mutation, which selectively abrogated AM, but preserved PAMP, expression (Adm(AM+/Δ) animals). After hind limb skin incision, Adm messenger RNA expression was upregulated in wounded tissue of both Adm(AM+/+) and Adm(AM+/Δ) mice. However, only Adm(AM+/Δ) animals developed limb swelling and histopathological lymphedematous changes, including epidermal thickening, elevated collagen fiber density, and increased microvessel diameter. Secondary lymphedema was prevented when circulating AM levels in Adm(AM+/Δ) mice were restored by systemic peptide delivery. In human skin, CLR was expressed in tissue components affected by lymphedema, including epidermis, lymphatics, and blood vessels. Our study identified a previously unrecognized role for endogenous AM as a key factor in secondary lymphedema pathogenesis and provided experimental in vivo evidence of an underlying germ-line genetic predisposition to developing this disorder.</div>
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<AbstractText>Secondary lymphedema is a debilitating condition, and genetic factors predisposing to its development remain largely unknown. Adrenomedullin (AM) is peptide encoded, together with proadrenomedullin N-terminal peptide (PAMP), by the Adm gene (adrenomedullin gene). AM and its putative receptor calcitonin receptor-like receptor (CLR) are implicated in angiogenesis and lymphangiogenesis during embryogenesis and wound healing, suggesting their possible involvement in secondary lymphedema. To investigate whether AM deficiency predisposes to secondary lymphedema, we used heterozygous adult mice with Adm gene-knockin stop mutation, which selectively abrogated AM, but preserved PAMP, expression (Adm(AM+/Δ) animals). After hind limb skin incision, Adm messenger RNA expression was upregulated in wounded tissue of both Adm(AM+/+) and Adm(AM+/Δ) mice. However, only Adm(AM+/Δ) animals developed limb swelling and histopathological lymphedematous changes, including epidermal thickening, elevated collagen fiber density, and increased microvessel diameter. Secondary lymphedema was prevented when circulating AM levels in Adm(AM+/Δ) mice were restored by systemic peptide delivery. In human skin, CLR was expressed in tissue components affected by lymphedema, including epidermis, lymphatics, and blood vessels. Our study identified a previously unrecognized role for endogenous AM as a key factor in secondary lymphedema pathogenesis and provided experimental in vivo evidence of an underlying germ-line genetic predisposition to developing this disorder.</AbstractText>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D053607" MajorTopicYN="N">Adrenomedullin</DescriptorName>
<QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D058286" MajorTopicYN="N">Calcitonin Receptor-Like Protein</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002478" MajorTopicYN="N">Cells, Cultured</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004729" MajorTopicYN="N">Endothelium, Lymphatic</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004730" MajorTopicYN="N">Endothelium, Vascular</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055879" MajorTopicYN="Y">Gene Knock-In Techniques</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D020022" MajorTopicYN="N">Genetic Predisposition to Disease</DescriptorName>
<QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D057895" MajorTopicYN="N">Haploinsufficiency</DescriptorName>
<QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006579" MajorTopicYN="N">Heterozygote</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D051379" MajorTopicYN="N">Mice</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008810" MajorTopicYN="N">Mice, Inbred C57BL</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008817" MajorTopicYN="N">Mice, Mutant Strains</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009154" MajorTopicYN="N">Mutation</DescriptorName>
<QualifierName UI="Q000235" MajorTopicYN="Y">genetics</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010641" MajorTopicYN="N">Phenotype</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<OtherID Source="NLM">PMC3682392</OtherID>
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<Month>2</Month>
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<ArticleId IdType="pii">S0022-202X(15)36336-3</ArticleId>
<ArticleId IdType="doi">10.1038/jid.2013.47</ArticleId>
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<list>
<country>
<li>Royaume-Uni</li>
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<region>
<li>Angleterre</li>
<li>Grand Londres</li>
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<li>Londres</li>
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<li>University College de Londres</li>
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<name sortKey="Boshoff, Chris" sort="Boshoff, Chris" uniqKey="Boshoff C" first="Chris" last="Boshoff">Chris Boshoff</name>
<name sortKey="Fujita, Toshiro" sort="Fujita, Toshiro" uniqKey="Fujita T" first="Toshiro" last="Fujita">Toshiro Fujita</name>
<name sortKey="Henderson, Stephen" sort="Henderson, Stephen" uniqKey="Henderson S" first="Stephen" last="Henderson">Stephen Henderson</name>
<name sortKey="M Kinen, Taija" sort="M Kinen, Taija" uniqKey="M Kinen T" first="Taija" last="M Kinen">Taija M Kinen</name>
<name sortKey="Pedley, R Barbara" sort="Pedley, R Barbara" uniqKey="Pedley R" first="R Barbara" last="Pedley">R Barbara Pedley</name>
<name sortKey="Qureshi, Uzma" sort="Qureshi, Uzma" uniqKey="Qureshi U" first="Uzma" last="Qureshi">Uzma Qureshi</name>
<name sortKey="Rees, Margaret C P" sort="Rees, Margaret C P" uniqKey="Rees M" first="Margaret C P" last="Rees">Margaret C P. Rees</name>
<name sortKey="Shimosawa, Hiromi" sort="Shimosawa, Hiromi" uniqKey="Shimosawa H" first="Hiromi" last="Shimosawa">Hiromi Shimosawa</name>
<name sortKey="Shimosawa, Tatsuo" sort="Shimosawa, Tatsuo" uniqKey="Shimosawa T" first="Tatsuo" last="Shimosawa">Tatsuo Shimosawa</name>
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<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Nikitenko, Leonid L" sort="Nikitenko, Leonid L" uniqKey="Nikitenko L" first="Leonid L" last="Nikitenko">Leonid L. Nikitenko</name>
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