Department of Physiology, Semmelweis University School of Medicine, Budapest, Hungary.
MTA-SE "Lendület" Lymphatic Physiology Research Group of the Hungarian Academy of Sciences and the Semmelweis University, Budapest, Hungary.
Nat Commun. 2021 Jun 8;12(1):3460. doi: 10.1038/s41467-021-23546-6.
Lack or dysfunction of the lymphatics leads to secondary lymphedema formation that seriously reduces the function of the affected organs and results in degradation of quality of life. Currently, there is no definitive treatment option for lymphedema. Here, we utilized nucleoside-modified mRNA encapsulated in lipid nanoparticles (LNPs) encoding murine Vascular Endothelial Growth Factor C (VEGFC) to stimulate lymphatic growth and function and reduce experimental lymphedema in mouse models. We demonstrated that administration of a single low-dose of VEGFC mRNA-LNPs induced durable, organ-specific lymphatic growth and formation of a functional lymphatic network. Importantly, VEGFC mRNA-LNP treatment reversed experimental lymphedema by restoring lymphatic function without inducing any obvious adverse events. Collectively, we present a novel application of the nucleoside-modified mRNA-LNP platform, describe a model for identifying the organ-specific physiological and pathophysiological roles of the lymphatics, and propose an efficient and safe treatment option that may serve as a novel therapeutic tool to reduce lymphedema.
淋巴管的缺失或功能障碍会导致继发性淋巴水肿的形成,严重降低受影响器官的功能,并导致生活质量下降。目前,淋巴水肿尚无明确的治疗选择。在这里,我们利用包裹在脂质纳米颗粒 (LNP) 中的核苷修饰 mRNA 编码小鼠血管内皮生长因子 C (VEGFC) 来刺激淋巴管生长和功能,并减少小鼠模型中的实验性淋巴水肿。我们证明,单次低剂量的 VEGFC mRNA-LNP 给药可诱导持久的、器官特异性的淋巴管生长和功能性淋巴管网络的形成。重要的是,VEGFC mRNA-LNP 治疗通过恢复淋巴管功能而不引起任何明显的不良反应来逆转实验性淋巴水肿。总的来说,我们提出了核苷修饰 mRNA-LNP 平台的一种新应用,描述了一种识别淋巴管的器官特异性生理和病理生理作用的模型,并提出了一种有效且安全的治疗选择,可能成为一种减少淋巴水肿的新型治疗工具。
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