Inhibition of inflammation and iNOS improves lymphatic function in obesity Journal Article


Authors: Torrisi, J. S.; Hespe, G. E.; Cuzzone, D. A.; Savetsky, I. L.; Nitti, M. D.; Gardenier, J. C.; Nores, G. D. G.; Jowhar, D.; Kataru, R. P.; Mehrara, B. J.
Article Title: Inhibition of inflammation and iNOS improves lymphatic function in obesity
Abstract: Although recent studies have shown that obesity decreases lymphatic function, the cellular mechanisms regulating this response remain unknown. In the current study, we show that obesity results in perilymphatic accumulation of inflammatory cells and that local inhibition of this response with topical tacrolimus, an inhibitor of T cell differentiation, increases lymphatic vessel density, decreases perilymphatic iNOS expression, increases lymphatic vessel pumping frequency, and restores lymphatic clearance of interstitial fluid to normal levels. Although treatment of obese mice with 1400W, a selective inhibitor of iNOS, also improved lymphatic collecting vessel contractile function, it did not completely reverse lymphatic defects. Mice deficient in CD4+ cells fed a high fat diet also gained weight relative to controls but were protected from lymphatic dysfunction. Taken together, our findings suggest that obesity-mediated lymphatic dysfunction is regulated by perilymphatic accumulation of inflammatory cells and that T cell inflammatory responses are necessary to initiate this effect.
Journal Title: Scientific Reports
Volume: 6
ISSN: 2045-2322
Publisher: Nature Publishing Group  
Date Published: 2016-01-01
Start Page: 19817
Language: English
DOI: 10.1038/srep19817
PROVIDER: scopus
PMCID: PMC4726274
PUBMED: 26796537
DOI/URL:
Notes: Article -- Export Date: 3 March 2016 -- Source: Scopus
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MSK Authors
  1. Babak Mehrara
    448 Mehrara
  2. Daniel Adam Cuzzone
    24 Cuzzone
  3. Jeremy   Torrisi
    27 Torrisi
  4. Geoffrey Eckerson Hespe
    23 Hespe
  5. Raghu Prasad Kataru
    60 Kataru
  6. Dawit   Jowhar
    2 Jowhar
  7. Matthew   Nitti
    12 Nitti