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Regulation of sensory nerve system in lymphangigenesis and lymph edema

Research Project

Project/Area Number 18K16994
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 56070:Plastic and reconstructive surgery-related
Research InstitutionKitasato University

Principal Investigator

Mishima Toshiaki  北里大学, 医学部, 講師 (00296477)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywordsリンパ浮腫 / 神経ペプチド / リンパ管新生 / CGRP / RAMP1 / リンパ管 / マクロファージ / リンパ / 知覚神経
Outline of Final Research Achievements

Secondary lymphedema commonly arises as a complication of cancer surgery and radiation treatment; however, the underlying mechanisms are poorly understood. The present study examined whether RAMP1 plays a role in increased lymphangiogenesis during secondary lymphedema. A model of lymphedema was generated by surgical removal of pre-existing lymphatic vessels from the subcutaneous tissue on the tails of RAMP1-deficient (RAMP1-/-) mice and their wild-type (WT) counterparts. Lymphedema in RAMP1-/- mice was sustained, with suppressed lymphangiogenesis and reduced expression of vascular endothelial growth factor (VEGF)-C and VEGFR-3. The number of pro-inflammatory macrophages in RAMP1-/- mice was higher than that in WT mice. RAMP1 signaling improves lymphedema and accelerates lymphangiogenesis associated with reduced recruitment of pro-inflammatory macrophages.

Academic Significance and Societal Importance of the Research Achievements

乳がんの腋窩リンパ節廓清術後、子宮・卵巣がんの骨盤内リンパ節廓清術後、またこれらに追加される放射線療法後などの患者では2次性のリンパ浮腫が発症することがある。多くは難治性で慢性化するだけでなく、皮膚の広範な肥厚と線維化、繰り返す蜂窩織炎などのために患者のQOLは著しく損なわれる。現在でも本質的な治療方法はないため、リンパ再生を含めたリンパ管新生増強方策が切望されている。この点、CGRPや特異的RAMP1アゴニストが2次性リンパ浮腫の治療に有効であることが期待される。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (6 results)

All 2020 2018

All Journal Article (5 results) (of which Peer Reviewed: 4 results,  Open Access: 5 results) Presentation (1 results)

  • [Journal Article] RAMP1 signaling in immune cells regulates inflammation-associated lymphangiogenesis2020

    • Author(s)
      Tsuru Seri、Ito Yoshiya、Matsuda Hiromi、Hosono Kanako、Inoue Tomoyoshi、Nakamoto Shuji、Kurashige Chie、Mishima Toshiaki、Tsujikawa Kazutake、Okamoto Hirotsugu、Majima Masataka
    • Journal Title

      Laboratory Investigation

      Volume: - Issue: 5 Pages: 738-750

    • DOI

      10.1038/s41374-019-0364-0

    • Related Report
      2020 Annual Research Report 2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Regional thigh tissue oxygen saturation during cardiopulmonary bypass predicts acute kidney injury after cardiac surgery2020

    • Author(s)
      Sakaki Kenjiro、Kitamura Tadashi、Kohira Satoshi、Torii Shinzo、Mishima Toshiaki、Hanayama Naoji、Kobayashi Kensuke、Ohkubo Hirotoki、Miyaji Kagami
    • Journal Title

      Journal of Artificial Organs

      Volume: 23 Issue: 4 Pages: 315-320

    • DOI

      10.1007/s10047-020-01175-y

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Watch-and-wait strategy for type A intramural haematoma and acute aortic dissection with thrombosed false lumen of the ascending aorta: a Japanese single-centre experience2020

    • Author(s)
      Kitamura Tadashi、Torii Shinzo、Miyamoto Takashi、Mishima Toshiaki、Ohkubo Hirotoki、Fujioka Shunichiro、Yakuwa Kazuki、Araki Haruna、Kondo Shin、Tamura Yoshimi、Tadokoro Yuki、Onishi Yoshihiko、Miyaji Kagami
    • Journal Title

      European Journal of Cardio-Thoracic Surgery

      Volume: 58 Issue: 3 Pages: 590-597

    • DOI

      10.1093/ejcts/ezaa080

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Improved hemodynamics following endovascular treatment for acquired aortic coarctation: A case report.2018

    • Author(s)
      Nagata T, Ikeda Y, Ishii S, Kishihara J, Ohkubo H, Mishima T, Kitamura T, Miyaji K, Ako J
    • Journal Title

      J Cardiol Cases

      Volume: 18 Issue: 4 Pages: 138-140

    • DOI

      10.1016/j.jccase.2018.06.003

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Cerebral oximetry for cardiac surgery: a preoperative comparison of device characteristics and pitfalls in interpretation2018

    • Author(s)
      Kobayashi K, Kitamura T, Kohira S, Torii S, Mishima T, Ohkubo H, Tanaka Y, Sasahara A, Fukunishi T, Ohtomo Y, Horikoshi R, Murai Y, Miyaji K
    • Journal Title

      J Artif Organs

      Volume: 21 Issue: 4 Pages: 412-418

    • DOI

      10.1007/s10047-018-1052-3

    • Related Report
      2018 Research-status Report
    • Open Access
  • [Presentation] RAMP1 signaling in hepatic macrophages plays a critical role in immune-mediated hepatitis2018

    • Author(s)
      伊藤義也、井上智仁、大高史聖、美島利昭、大久保博世、馬嶋正隆
    • Organizer
      第92回日本薬理学会年会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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