Apelin-VEGF-C mRNA delivery as therapeutic for the treatment of secondary lymphedema

Abstract Secondary lymphedema (LD) corresponds to a severe lymphatic dysfunction leading to the accumulation of fluid and fibrotic adipose tissue in a limb. Here, we identified apelin (APLN) as a powerful molecule for regenerating lymphatic function in LD. We identified the loss of APLN expression i...

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Päätekijät: Justine Creff, Asalaa Lamaa, Emeline Benuzzi, Elisa Balzan, Francoise Pujol, Tangra Draia-Nicolau, Manon Nougué, Lena Verdu, Florent Morfoisse, Eric Lacazette, Philippe Valet, Benoit Chaput, Fabian Gross, Regis Gayon, Pascale Bouillé, Julie Malloizel-Delaunay, Alessandra Bura-Rivière, Anne-Catherine Prats, Barbara Garmy-Susini
Aineistotyyppi: Artikkeli
Kieli:English
Julkaistu: Springer Nature 2024-01-01
Sarja:EMBO Molecular Medicine
Aiheet:
Linkit:https://doi.org/10.1038/s44321-023-00017-7
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author Justine Creff
Asalaa Lamaa
Emeline Benuzzi
Elisa Balzan
Francoise Pujol
Tangra Draia-Nicolau
Manon Nougué
Lena Verdu
Florent Morfoisse
Eric Lacazette
Philippe Valet
Benoit Chaput
Fabian Gross
Regis Gayon
Pascale Bouillé
Julie Malloizel-Delaunay
Alessandra Bura-Rivière
Anne-Catherine Prats
Barbara Garmy-Susini
author_facet Justine Creff
Asalaa Lamaa
Emeline Benuzzi
Elisa Balzan
Francoise Pujol
Tangra Draia-Nicolau
Manon Nougué
Lena Verdu
Florent Morfoisse
Eric Lacazette
Philippe Valet
Benoit Chaput
Fabian Gross
Regis Gayon
Pascale Bouillé
Julie Malloizel-Delaunay
Alessandra Bura-Rivière
Anne-Catherine Prats
Barbara Garmy-Susini
author_sort Justine Creff
collection DOAJ
description Abstract Secondary lymphedema (LD) corresponds to a severe lymphatic dysfunction leading to the accumulation of fluid and fibrotic adipose tissue in a limb. Here, we identified apelin (APLN) as a powerful molecule for regenerating lymphatic function in LD. We identified the loss of APLN expression in the lymphedematous arm compared to the normal arm in patients. The role of APLN in LD was confirmed in APLN knockout mice, in which LD is increased and associated with fibrosis and dermal backflow. This was reversed by intradermal injection of APLN-lentivectors. Mechanistically, APLN stimulates lymphatic endothelial cell gene expression and induces the binding of E2F8 transcription factor to the promoter of CCBE1 that controls VEGF-C processing. In addition, APLN induces Akt and eNOS pathways to stimulate lymphatic collector pumping. Our results show that APLN represents a novel partner for VEGF-C to restore lymphatic function in both initial and collecting vessels. As LD appears after cancer treatment, we validated the APLN-VEGF-C combination using a novel class of nonintegrative RNA delivery LentiFlash® vector that will be evaluated for phase I/IIa clinical trial.
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spelling doaj.art-2898d3ab95934418854620e0a800a7ed2024-03-05T19:55:58ZengSpringer NatureEMBO Molecular Medicine1757-46842024-01-0116238641510.1038/s44321-023-00017-7Apelin-VEGF-C mRNA delivery as therapeutic for the treatment of secondary lymphedemaJustine Creff0Asalaa Lamaa1Emeline Benuzzi2Elisa Balzan3Francoise Pujol4Tangra Draia-Nicolau5Manon Nougué6Lena Verdu7Florent Morfoisse8Eric Lacazette9Philippe Valet10Benoit Chaput11Fabian Gross12Regis Gayon13Pascale Bouillé14Julie Malloizel-Delaunay15Alessandra Bura-Rivière16Anne-Catherine Prats17Barbara Garmy-Susini18I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3Institut RESTORE, UMR 1301-INSERM, 5070-CNRS, Université Paul Sabatier, Université de ToulouseDepartment of Plastic Surgery, University of Toulouse III Paul SabatierBiotherapy Module of Clinical Investigation Center (CIC 1436), University Hospital of ToulouseFlash TherapeuticsFlash TherapeuticsService de Médecine Vasculaire, Centre Hospitalier Universitaire de ToulouseService de Médecine Vasculaire, Centre Hospitalier Universitaire de ToulouseI2MC, Université de Toulouse, Inserm UMR 1297, UT3I2MC, Université de Toulouse, Inserm UMR 1297, UT3Abstract Secondary lymphedema (LD) corresponds to a severe lymphatic dysfunction leading to the accumulation of fluid and fibrotic adipose tissue in a limb. Here, we identified apelin (APLN) as a powerful molecule for regenerating lymphatic function in LD. We identified the loss of APLN expression in the lymphedematous arm compared to the normal arm in patients. The role of APLN in LD was confirmed in APLN knockout mice, in which LD is increased and associated with fibrosis and dermal backflow. This was reversed by intradermal injection of APLN-lentivectors. Mechanistically, APLN stimulates lymphatic endothelial cell gene expression and induces the binding of E2F8 transcription factor to the promoter of CCBE1 that controls VEGF-C processing. In addition, APLN induces Akt and eNOS pathways to stimulate lymphatic collector pumping. Our results show that APLN represents a novel partner for VEGF-C to restore lymphatic function in both initial and collecting vessels. As LD appears after cancer treatment, we validated the APLN-VEGF-C combination using a novel class of nonintegrative RNA delivery LentiFlash® vector that will be evaluated for phase I/IIa clinical trial.https://doi.org/10.1038/s44321-023-00017-7lymphedemaApelinVEGF-CmRNACollector
spellingShingle Justine Creff
Asalaa Lamaa
Emeline Benuzzi
Elisa Balzan
Francoise Pujol
Tangra Draia-Nicolau
Manon Nougué
Lena Verdu
Florent Morfoisse
Eric Lacazette
Philippe Valet
Benoit Chaput
Fabian Gross
Regis Gayon
Pascale Bouillé
Julie Malloizel-Delaunay
Alessandra Bura-Rivière
Anne-Catherine Prats
Barbara Garmy-Susini
Apelin-VEGF-C mRNA delivery as therapeutic for the treatment of secondary lymphedema
EMBO Molecular Medicine
lymphedema
Apelin
VEGF-C
mRNA
Collector
title Apelin-VEGF-C mRNA delivery as therapeutic for the treatment of secondary lymphedema
title_full Apelin-VEGF-C mRNA delivery as therapeutic for the treatment of secondary lymphedema
title_fullStr Apelin-VEGF-C mRNA delivery as therapeutic for the treatment of secondary lymphedema
title_full_unstemmed Apelin-VEGF-C mRNA delivery as therapeutic for the treatment of secondary lymphedema
title_short Apelin-VEGF-C mRNA delivery as therapeutic for the treatment of secondary lymphedema
title_sort apelin vegf c mrna delivery as therapeutic for the treatment of secondary lymphedema
topic lymphedema
Apelin
VEGF-C
mRNA
Collector
url https://doi.org/10.1038/s44321-023-00017-7
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