1. Lymphatic function is regulated by a coordinated expression of lymphangiogenic and anti-lymphangiogenic cytokines.
- Author
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Zampell JC, Avraham T, Yoder N, Fort N, Yan A, Weitman ES, and Mehrara BJ
- Subjects
- Animals, Female, Inflammation metabolism, Inflammation pathology, Interferon-gamma antagonists & inhibitors, Interferon-gamma metabolism, Lymph metabolism, Lymphatic System pathology, Lymphatic System physiopathology, Lymphedema metabolism, Lymphedema pathology, Mice, Mice, Inbred C57BL, Mice, Nude, Regeneration physiology, T-Lymphocytes immunology, Tail anatomy & histology, Tail metabolism, Tail pathology, Tail physiopathology, Cytokines metabolism, Hepatocyte Growth Factor metabolism, Lymphangiogenesis physiology, Lymphatic System physiology, Vascular Endothelial Growth Factor A metabolism, Vascular Endothelial Growth Factor C metabolism
- Abstract
Lymphangiogenic cytokines such as vascular endothelial growth factor-C (VEGF-C) are critically required for lymphatic regeneration; however, in some circumstances, lymphatic function is impaired despite normal or elevated levels of these cytokines. The recent identification of anti-lymphangiogenic molecules such as interferon-γ (IFN-γ), transforming growth factor-β1, and endostatin has led us to hypothesize that impaired lymphatic function may represent a dysregulated balance in the expression of pro/anti-lymphangiogenic stimuli. We observed that nude mice have significantly improved lymphatic function compared with wild-type mice in a tail model of lymphedema. We show that gradients of lymphatic fluid stasis regulate the expression of lymphangiogenic cytokines (VEGF-A, VEGF-C, and hepatocyte growth factor) and that paradoxically the expression of these molecules is increased in wild-type mice. More importantly, we show that as a consequence of T-cell-mediated inflammation, these same gradients also regulate expression patterns of anti-lymphangiogenic molecules corresponding temporally and spatially with impaired lymphatic function in wild-type mice. We show that neutralization of IFN-γ significantly increases inflammatory lymph node lymphangiogenesis independently of changes in VEGF-A or VEGF-C expression, suggesting that alterations in the balance of pro- and anti-lymphangiogenic cytokine expression can regulate lymphatic vessel formation. In conclusion, we show that gradients of lymphatic fluid stasis regulate not only the expression of pro-lymphangiogenic cytokines but also potent suppressors of lymphangiogenesis as a consequence of T-cell inflammation and that modulation of the balance between these stimuli can regulate lymphatic function.
- Published
- 2012
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