Department of Vascular Rehabilitation, San Giovanni Battista Hospital, Rome, Italy.
Study Centre Pianeta Linfedema, Terni, Italy; Lymphology Sector of the Rehabilitation Service, USLUmbria2, Terni, Italy.
Acta Biomed. 2020 Nov 9;91(13-S):e2020013. doi: 10.23750/abm.v91i13-S.10658.
Malformations in the lymphatic vasculature, injury, surgery, trauma or toxic damage may lead to swelling of the limbs caused by inefficient lymphatic uptake and flow (lymphedema). Lymphedema can be congenital or acquired. Primary lymphedema is rare and caused by mutations in single genes, secondary lymphedema is more common and caused by a trauma in association with a genetic predisposition. We decided to develop a genetic test that would determine the genetic predisposition to the onset of lymphedema and to predict the course of the disease by analyzing polymorphisms involved in leukotriene B4 (LTB4) synthetic pathway, and variants involved in the onset of secondary lymphedema. There are not many compounds available for the treatment of the negative effects of lymph accumulation, we therefore designed a food supplement based on the hydroxytyrosol, that has anti-oxidant, anti-bacterial and anti-inflammatory activities.
淋巴管畸形、损伤、手术、创伤或毒性损害可能导致肢体肿胀,原因是淋巴摄取和流动效率低下(淋巴水肿)。淋巴水肿可分为先天性和获得性。原发性淋巴水肿罕见,由单个基因突变引起,继发性淋巴水肿更为常见,由创伤引起,并与遗传易感性有关。我们决定开发一种基因检测,通过分析白细胞三烯 B4(LTB4)合成途径中的多态性以及与继发性淋巴水肿发病相关的变异,来确定淋巴水肿发病的遗传易感性,并预测疾病的病程。目前,治疗淋巴积聚不良影响的药物有限,因此我们基于羟基酪醇设计了一种具有抗氧化、抗菌和抗炎活性的食品补充剂。