Application | Approach and targets | Clinical outcome | Ref. |
---|---|---|---|
Cardiac Repair | Induce lymphangiogenesis to create a pathway for inflammatory cell efflux and promote wound healing | -Rescue lymphatic transport ability -Mobilize macrophages -Reduce inflammation and edema | |
Deliver VEGF-C to promote lymphangiogenesis | -Smaller ventricular end-systolic volume and improved ejection fraction -Accelerated cardiac lymphangiogenesis and limited collecting vessel remodeling -Decreased cardiac inflammation, fibrosis, and dysfunction | ||
Inject HA-based hydrogels into peri-infarct region | -Ejection fraction improved to almost pre-MI baseline levels -Decreased scarring and decreased collagen deposition | [202] | |
Neurological Conditions | Deliver VEGF-C to rescue impaired meningeal LVs and improve waste drainage from CNS | -Improved drainage of macromolecules -Improved brain perfusion -Improved learning and memory | [256] |
Rescue meningeal LVs to decrease amyloid-β deposition in the meninges | -Potential to slow onset of Alzheimer's and other age-related cognitive declines | [268] | |
Improved Skin Grafts | Incorporate LVs into skin grafts to treat full-thickness skin defects | -Improved perfusion of oxygen and nutrients in dermal component -Rapid integration, proliferation, and differentiation of skin graft | [261] |
Improved Wound Healing | Implant hydrogel scaffolds embedded with LECs | -Accelerated healing rate -Enhanced lymphatic ingrowth -Potential to treat diabetic wounds | |
Diabetes | Inhibit lymphatic-specific epsin expression | -Prevent degradation of VEGFR3 and negate diabetes-triggered downregulation of lymphangiogenesis | [266] |