Interleukin-8 reduces post-surgical lymphedema formation by promoting lymphatic vessel regeneration

I Choi, YS Lee, HK Chung, D Choi, T Ecoiffier, HN Lee… - Angiogenesis, 2013 - Springer
I Choi, YS Lee, HK Chung, D Choi, T Ecoiffier, HN Lee, KE Kim, S Lee, EK Park, YS Maeng…
Angiogenesis, 2013Springer
Lymphedema is mainly caused by lymphatic obstruction and manifested as tissue swelling,
often in the arms and legs. Lymphedema is one of the most common post-surgical
complications in breast cancer patients and presents a painful and disfiguring chronic illness
that has few treatment options. Here, we evaluated the therapeutic potential of interleukin
(IL)-8 in lymphatic regeneration independent of its pro-inflammatory activity. We found that IL-
8 promoted proliferation, tube formation, and migration of lymphatic endothelial cells (LECs) …
Abstract
Lymphedema is mainly caused by lymphatic obstruction and manifested as tissue swelling, often in the arms and legs. Lymphedema is one of the most common post-surgical complications in breast cancer patients and presents a painful and disfiguring chronic illness that has few treatment options. Here, we evaluated the therapeutic potential of interleukin (IL)-8 in lymphatic regeneration independent of its pro-inflammatory activity. We found that IL-8 promoted proliferation, tube formation, and migration of lymphatic endothelial cells (LECs) without activating the VEGF signaling. Additionally, IL-8 suppressed the major cell cycle inhibitor CDKN1C/p57KIP2 by downregulating its positive regulator PROX1, which is known as the master regulator of LEC-differentiation. Animal-based studies such as matrigel plug and cornea micropocket assays demonstrated potent efficacy of IL-8 in activating lymphangiogenesis in vivo. Moreover, we have generated a novel transgenic mouse model (K14-hIL8) that expresses human IL-8 in the skin and then crossed with lymphatic-specific fluorescent (Prox1-GFP) mouse. The resulting double transgenic mice showed that a stable expression of IL-8 could promote embryonic lymphangiogenesis. Moreover, an immunodeficient IL-8-expressing mouse line that was established by crossing K14-hIL8 mice with athymic nude mice displayed an enhanced tumor-associated lymphangiogenesis. Finally, when experimental lymphedema was introduced, K14-hIL8 mice showed an improved amelioration of lymphedema with an increased lymphatic regeneration. Together, we report that IL-8 can activate lymphangiogenesis in vitro and in vivo with a therapeutic efficacy in post-surgical lymphedema.
Springer
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