An important role of lymphatic vessel activation in limiting acute inflammation

Reto Huggenberger, Shoib S Siddiqui, Daniela Brander, Stefan Ullmann, Kathrin Zimmermann, Maria Antsiferova, Sabine Werner, Kari Alitalo, Michael Detmar

Research output: Contribution to journalArticlepeer-review

162 Citations (Scopus)


In contrast to the established role of blood vessel remodeling in inflammation, the biologic function of the lymphatic vasculature in acute inflammation has remained less explored. We studied 2 established models of acute cutaneous inflammation, namely, oxazolone-induced delayed-type hypersensitivity reactions and ultraviolet B irradiation, in keratin 14-vascular endothelial growth factor (VEGF)-C and keratin 14-VEGF-D transgenic mice. These mice have an expanded network of cutaneous lymphatic vessels. Transgenic delivery of the lymphangiogenic factors VEGF-C and the VEGFR-3 specific ligand mouse VEGF-D significantly limited acute skin inflammation in both experimental models, with a strong reduction of dermal edema. Expression of VEGFR-3 by lymphatic endothelium was strongly down-regulated at the mRNA and protein level in acutely inflamed skin, and no VEGFR-3 expression was detectable on inflamed blood vessels and dermal macrophages. There was no major change of the inflammatory cell infiltrate or the composition of the inflammatory cytokine milieu in the inflamed skin of VEGF-C or VEGF-D transgenic mice. However, the increased network of lymphatic vessels in these mice significantly enhanced lymphatic drainage from the ear skin. These results provide evidence that specific lymphatic vessel activation limits acute skin inflammation via promotion of lymph flow from the skin and reduction of edema formation.

Original languageEnglish
Pages (from-to)4667-78
Number of pages12
JournalBlood Purification
Issue number17
Publication statusPublished - 28 Apr 2011


  • Acute Disease
  • Adjuvants, Immunologic/toxicity
  • Animals
  • Cytokines/immunology
  • Dermatitis/immunology
  • Disease Models, Animal
  • Edema/chemically induced
  • Humans
  • Hypersensitivity, Delayed/chemically induced
  • Keratin-14/genetics
  • Lymph/immunology
  • Lymphatic Vessels/immunology
  • Mice
  • Mice, Transgenic
  • Oxazolone/toxicity
  • Vascular Endothelial Growth Factor C/genetics
  • Vascular Endothelial Growth Factor D/genetics
  • Vascular Endothelial Growth Factor Receptor-3/immunology


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