Lymphatic Function Regulates Contact Hypersensitivity Dermatitis in Obesity

J Invest Dermatol. 2015 Nov;135(11):2742-2752. doi: 10.1038/jid.2015.283. Epub 2015 Jul 15.

Abstract

Obesity is a major risk factor for inflammatory dermatologic diseases, including atopic dermatitis and psoriasis. In addition, recent studies have shown that obesity impairs lymphatic function. As the lymphatic system is a critical regulator of inflammatory reactions, we tested the hypothesis that obesity-induced lymphatic dysfunction is a key regulator of cutaneous hypersensitivity reactions in obese mice. We found that obese mice have impaired lymphatic function, characterized by leaky capillary lymphatics and decreased collecting vessel pumping capacity. In addition, obese mice displayed heightened dermatitis responses to inflammatory skin stimuli, resulting in both higher peak inflammation and a delayed clearance of inflammatory responses. Injection of recombinant vascular endothelial growth factor-C remarkably increased lymphangiogenesis, lymphatic function, and lymphatic endothelial cell expression of chemokine (C-C motif) ligand 21, while decreasing inflammation and expression of inducible nitrous oxide synthase. These changes resulted in considerably decreased dermatitis responses in both lean and obese mice. Taken together, our findings suggest that obesity-induced changes in the lymphatic system result in an amplified and a prolonged inflammatory response.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Biopsy, Needle
  • Dermatitis, Allergic Contact / drug therapy
  • Dermatitis, Allergic Contact / etiology
  • Dermatitis, Allergic Contact / pathology*
  • Diet, High-Fat
  • Disease Models, Animal
  • Enzyme-Linked Immunosorbent Assay
  • Flow Cytometry
  • Fluorescent Antibody Technique
  • Follow-Up Studies
  • Immunohistochemistry
  • Injections, Subcutaneous
  • Lymphatic System / immunology
  • Lymphatic System / pathology
  • Lymphatic System / physiopathology*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Obesity / complications*
  • Random Allocation
  • Reference Values
  • Treatment Outcome
  • Vascular Endothelial Growth Factor A / pharmacology

Substances

  • Vascular Endothelial Growth Factor A