Dynamics of lymphatic regeneration and flow patterns after lymph node dissection.
Identifieur interne : 001B80 ( PubMed/Corpus ); précédent : 001B79; suivant : 001B81Dynamics of lymphatic regeneration and flow patterns after lymph node dissection.
Auteurs : Katrin S. Blum ; Steven T. Proulx ; Paola Luciani ; Jean-Christophe Leroux ; Michael DetmarSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- physiopathology : Lymphatic System.
- prevention & control : Lymphedema.
- surgery : Lymphatic System.
- Animals, Male, Mice.
Abstract
Knowledge about the mechanisms of regeneration of the lymphatic vasculature after surgical trauma is essential for the development of strategies for the prevention and therapy of lymphedema. However, little is known about the alterations of lymphatic flow directly after surgical trauma. We investigated lymphatic function in mice using near-infrared imaging for a period of 4 weeks after surgeries that mimic sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND), by removal of the popliteal lymph node (LN) alone or together with the popliteal fat pad, respectively. SLNB-like surgery did not cause changes in lymphatic drainage in the majority of cases. In contrast, lymphatic drainage impairment shown by collecting vessel rupture, dermal backflow and rerouting of lymph flow via collateral vessels were observed after ALND-like surgery. All collateral vessels drained to the inguinal LN. These results indicate that less invasive surgery prevents lymphatic decompensation. They also reveal the development and maturation of collateral lymphatic vessels after extensive surgical trauma, which reroute the flow of lymph towards a different LN. These findings might be helpful for the development of strategies to prevent and/or treat post-surgical lymphedema.
DOI: 10.1007/s10549-013-2537-7
PubMed: 23613202
Links to Exploration step
pubmed:23613202Le document en format XML
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<author><name sortKey="Blum, Katrin S" sort="Blum, Katrin S" uniqKey="Blum K" first="Katrin S" last="Blum">Katrin S. Blum</name>
<affiliation><nlm:affiliation>Institute of Pharmaceutical Sciences, Swiss Federal Institute of Technology, ETH Zurich, Wolfgang Pauli-Str. 10, HCI H303, 8093, Zurich, Switzerland. blum.katrin@gmx.de</nlm:affiliation>
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<author><name sortKey="Proulx, Steven T" sort="Proulx, Steven T" uniqKey="Proulx S" first="Steven T" last="Proulx">Steven T. Proulx</name>
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<author><name sortKey="Luciani, Paola" sort="Luciani, Paola" uniqKey="Luciani P" first="Paola" last="Luciani">Paola Luciani</name>
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<author><name sortKey="Leroux, Jean Christophe" sort="Leroux, Jean Christophe" uniqKey="Leroux J" first="Jean-Christophe" last="Leroux">Jean-Christophe Leroux</name>
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<author><name sortKey="Detmar, Michael" sort="Detmar, Michael" uniqKey="Detmar M" first="Michael" last="Detmar">Michael Detmar</name>
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<author><name sortKey="Blum, Katrin S" sort="Blum, Katrin S" uniqKey="Blum K" first="Katrin S" last="Blum">Katrin S. Blum</name>
<affiliation><nlm:affiliation>Institute of Pharmaceutical Sciences, Swiss Federal Institute of Technology, ETH Zurich, Wolfgang Pauli-Str. 10, HCI H303, 8093, Zurich, Switzerland. blum.katrin@gmx.de</nlm:affiliation>
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<author><name sortKey="Leroux, Jean Christophe" sort="Leroux, Jean Christophe" uniqKey="Leroux J" first="Jean-Christophe" last="Leroux">Jean-Christophe Leroux</name>
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<series><title level="j">Breast cancer research and treatment</title>
<idno type="eISSN">1573-7217</idno>
<imprint><date when="2013" type="published">2013</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animals</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic System (physiopathology)</term>
<term>Lymphatic System (surgery)</term>
<term>Lymphedema (prevention & control)</term>
<term>Male</term>
<term>Mice</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
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<front><div type="abstract" xml:lang="en">Knowledge about the mechanisms of regeneration of the lymphatic vasculature after surgical trauma is essential for the development of strategies for the prevention and therapy of lymphedema. However, little is known about the alterations of lymphatic flow directly after surgical trauma. We investigated lymphatic function in mice using near-infrared imaging for a period of 4 weeks after surgeries that mimic sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND), by removal of the popliteal lymph node (LN) alone or together with the popliteal fat pad, respectively. SLNB-like surgery did not cause changes in lymphatic drainage in the majority of cases. In contrast, lymphatic drainage impairment shown by collecting vessel rupture, dermal backflow and rerouting of lymph flow via collateral vessels were observed after ALND-like surgery. All collateral vessels drained to the inguinal LN. These results indicate that less invasive surgery prevents lymphatic decompensation. They also reveal the development and maturation of collateral lymphatic vessels after extensive surgical trauma, which reroute the flow of lymph towards a different LN. These findings might be helpful for the development of strategies to prevent and/or treat post-surgical lymphedema.</div>
</front>
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<Month>10</Month>
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<Month>May</Month>
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<Title>Breast cancer research and treatment</Title>
<ISOAbbreviation>Breast Cancer Res. Treat.</ISOAbbreviation>
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<ArticleTitle>Dynamics of lymphatic regeneration and flow patterns after lymph node dissection.</ArticleTitle>
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<Abstract><AbstractText>Knowledge about the mechanisms of regeneration of the lymphatic vasculature after surgical trauma is essential for the development of strategies for the prevention and therapy of lymphedema. However, little is known about the alterations of lymphatic flow directly after surgical trauma. We investigated lymphatic function in mice using near-infrared imaging for a period of 4 weeks after surgeries that mimic sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND), by removal of the popliteal lymph node (LN) alone or together with the popliteal fat pad, respectively. SLNB-like surgery did not cause changes in lymphatic drainage in the majority of cases. In contrast, lymphatic drainage impairment shown by collecting vessel rupture, dermal backflow and rerouting of lymph flow via collateral vessels were observed after ALND-like surgery. All collateral vessels drained to the inguinal LN. These results indicate that less invasive surgery prevents lymphatic decompensation. They also reveal the development and maturation of collateral lymphatic vessels after extensive surgical trauma, which reroute the flow of lymph towards a different LN. These findings might be helpful for the development of strategies to prevent and/or treat post-surgical lymphedema.</AbstractText>
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<ForeName>Katrin S</ForeName>
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<MedlineJournalInfo><Country>Netherlands</Country>
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