Resolution of Lymphedema with Induced Lymphangiogenesis Using Tissue Nanotransfection Technology

Abstract

Lymphedema is characterized by lymphatic vessel dysfunction causing accumulation of extracellular fluid in peripheral tissues resulting in limb enlargement. Lymphedema is on the spectrum of vascular anomaly diseases. Lymphedema can be primary (malformed lymphatic system) or secondary (acquired from traumatic injury, radiation, parasitic infection). Any inciting significant trauma to the lower extremities, groin, or axilla can lead to lymphedema. It is estimated that 20-40 percent of patients, including military veterans, who undergo treatment for solid malignancies such as breast cancer, melanoma, gynecological or urologic tumors, or sarcomas develop lymphedema. There is no cure for this progressive, life-long disease. This study uses a novel, non-viral nanotechnology-based approach with tissue nanotransfection technology (TNT) to manage lymphedema by inducing lymphangiogenesis in a mouse tail model of lymphedema. TNT facilitates direct, transcutaneous gene delivery using a chip with nanochannels in a rapid (less than 100ms) focused electric field. The feasibility of TNT for in vivo gene delivery has been established and validated for other applications in animal models. This innovative method can potentially establish a clinically translatable new interventional paradigm to treat lymphedema by point-of-care focal upregulation of lymphangiogenic genes. Translational significance of this research project involves lymphangiogenesis using TNT being focal and not global. Furthermore, the technology is non-invasive, portable and can be administered in the field.

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Document Details

Document Type
Technical Report
Publication Date
Mar 01, 2022
Accession Number
AD1169485

Entities

People

  • Aladdin H. Hassanein

Tags

DTIC Thesaurus Topics

  • Abstracts
  • Biomedical Research
  • Breast Cancer
  • Cancer
  • Department Of Defense
  • Diseases And Disorders
  • Electric Fields
  • Gene Delivery
  • High Resolution
  • Immunohistochemistry
  • Lower Extremity
  • Lymphatic Diseases
  • Lymphatic System
  • Lymphatic Vessels
  • Maryland
  • Medical Personnel
  • Nanotechnology
  • Neoplasms
  • Photolithography
  • Point-Of-Care Diagnostic Testing
  • Radiation
  • Standards

Fields of Study

  • Medicine

Readers

  • Marine Ecological Systems Migration
  • Oncology
  • Trauma Surgery or Emergency Medicine.

Technology Areas

  • Biotechnology
  • Biotechnology - Bioremediation
  • Biotechnology - Cancer Biotech