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Updated: Mar 20, 2026

A Revised Method for Inducing Secondary Lymphedema in the Hindlimb of Mice
Published on: November 2, 2019
Obesity but not high-fat diet impairs lymphatic function.
G D García Nores1, D A Cuzzone1, N J Albano1
1Division of Plastic and Reconstructive Surgery, The Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
High-fat diets impair lymphatic function, especially in obesity-prone individuals. This occurs due to inflammation and altered gene expression in lymphatic endothelial cells (LECs), suggesting VEGFR-3 signaling as a therapeutic target.
Area of Science:
- Lymphatic biology
- Obesity research
- Cellular signaling
Background:
- High-fat diet (HFD)-induced obesity negatively impacts lymphatic function.
- The direct role of HFD versus adipose tissue deposition in lymphatic dysfunction is unclear.
Purpose of the Study:
- To investigate the effects of HFD on lymphatic function in obesity-prone and obesity-resistant mice.
- To elucidate the cellular and molecular mechanisms underlying HFD-induced lymphatic impairment.
Main Methods:
- Comparative analysis of lymphatic function in vivo and in vitro between obesity-prone and obesity-resistant mice fed HFD.
- Assessment of lymphatic endothelial cell (LEC) gene expression (VEGFR-3, Prox1) and apoptosis.
- In vitro experiments exposing LECs to fatty acids and manipulating VEGFR-3 signaling.
Main Results:
- Obesity-prone mice exhibited impaired lymphatic function, increased perilymphatic inflammation, and lipid droplet accumulation around LECs.
- LECs from obesity-prone mice showed reduced VEGFR-3 and Prox1 expression compared to obesity-resistant mice.
- In vitro, fatty acid exposure induced LEC apoptosis and decreased VEGFR-3, while inhibiting VEGFR-3 pathway inhibitors improved viability.
Conclusions:
- HFD-induced obesity impairs lymphatic function via increased perilymphatic inflammation and altered LEC gene expression.
- Diminished VEGFR-3 signaling in LECs contributes to lymphatic dysfunction.
- Restoring VEGFR-3 signaling may offer a therapeutic strategy to improve lymphatic function in obesity.
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