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Related Experiment Video

Updated: May 5, 2026

A Revised Method for Inducing Secondary Lymphedema in the Hindlimb of Mice
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Targeting uPARAP Modifies Lymphatic Vessel Architecture and Attenuates Lymphedema.

Fabrice Gucciardo1, Alizée Lebeau1, Sébastien Pirson1

  • 1From the Laboratory of Tumor and Development Biology, GIGA (F.G., A.L., S.P., F.B., E.I., S.B., J.D., L.B., A.P., C.M., M.G.-I., A.N.), University of Liège, Sart-Tilman, Belgium.

Circulation
|March 4, 2025
PubMed
Summary

Targeting uPARAP (urokinase plasminogen activator receptor-associated protein) can attenuate lymphedema by remodeling lymphatic vasculature. This approach offers a novel therapeutic strategy for lymphedema by improving fluid absorption.

Keywords:
adherens junctionscadherinslymphatic vesselslymphedema

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Area of Science:

  • Vascular Biology
  • Lymphatic Research
  • Fibrosis Mechanisms

Background:

  • Lymphedema is a chronic condition characterized by lymphatic dysfunction, leading to tissue swelling and fibrosis.
  • Current treatments for lymphedema are limited, highlighting the need for novel therapeutic strategies.

Purpose of the Study:

  • To investigate the role of uPARAP (urokinase plasminogen activator receptor-associated protein) in lymphedema pathogenesis.
  • To determine if interfering with uPARAP can attenuate lymphedema by modulating lymphatic vasculature.

Main Methods:

  • Generated mice with specific uPARAP deficiency in lymphatic endothelial cells (LECs).
  • Utilized a preclinical model of secondary lymphedema (SL) for analysis.
  • Assessed cellular effects of uPARAP deletion on lymphatic permeability in vitro and in vivo.
  • Investigated uPARAP interactions with cell junction proteins and employed computational modeling.

Main Results:

  • uPARAP deficiency mitigated key lymphedema features, including swelling and epidermal thickening.
  • Absence of uPARAP led to a distinctive labyrinthine lymphatic vasculature with improved fluid-absorbing capacity.
  • uPARAP knockdown impaired vascular endothelial growth factor C-mediated trafficking and induced overlapping cell junctions in LECs.
  • Pharmacologic inhibition of ROCK mimicked these effects and attenuated SL.

Conclusions:

  • Downregulating uPARAP induces beneficial lymphatic vasculature remodeling, attenuating lymphedema.
  • This remodeling occurs via a cell junction-based mechanism, offering a novel therapeutic pathway.
  • Targeting uPARAP with a gapmer approach demonstrates therapeutic potential for lymphedema treatment.