Evidence map›Paper›PMID 28186091›Full record

ArticleNature communications2017

Topical tacrolimus for the treatment of secondary lymphedema.

Jason C Gardenier, Raghu P Kataru, Geoffrey E Hespe, Ira L Savetsky, Jeremy S Torrisi, Gabriela D García Nores, Dawit K Jowhar, Matthew D Nitti, Ryan C Schofield, Dean C Carlow and 1 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03715387 phase2 / phase3unknown statusnot on this mapstarted 2018, after this paper: background citation

Malar Bags After Lower Lid Blepharoplasty and Facelift: A Randomized Controlled Trial of the Effects of Tacrolimus

TypeinterventionalSponsorUniversity of British ColumbiaRan2018 to 2019Enrolled100ConditionsEdema FaceArmsTacrolimus Topical 0.1% Topical Ointment, Polysporin Ointment
NCT04541290 phase1 / phase2completednot on this mapstarted 2020, after this paper: background citation

Tacrolimus as Treatment of Breast Cancer-Related Lymphedema

TypeinterventionalSponsorOdense University HospitalRan2020 to 2022Enrolled20ConditionsBreast Cancer LymphedemaArmsProtopic 0.1 % Topical Ointment
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Time-Dependent Efficacy of Lymphaticovenous Anastomosis in Secondary Lymphedema: A Rabbit Model Study.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  4. Review
  5. Keratinocytes: A key player in skin immunity and their emerging roles in secondary lymphedema.JID innovations : skin science from molecules to population health · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Mechanisms and treatments of lymphedema.Frontiers in immunology · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. [Research progress on rodent models of secondary lymphedema].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Review
  17. Review
  18. Article
  19. Review
  20. Article

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Jason C GardenierDivision of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, New York, New York 10065, USA.
Raghu P KataruDivision of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, New York, New York 10065, USA.
Geoffrey E HespeDivision of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, New York, New York 10065, USA.ORCID 0000-0003-1961-7484
Ira L SavetskyDivision of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, New York, New York 10065, USA.
Jeremy S TorrisiDivision of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, New York, New York 10065, USA.
Gabriela D García NoresDivision of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, New York, New York 10065, USA.
Dawit K JowharWeill Cornell Medical College New York, New York, New York 10065, USA.
Matthew D NittiDivision of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, New York, New York 10065, USA.
Ryan C SchofieldDepartment of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York 10065, USA.
Dean C CarlowDepartment of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York 10065, USA.
Babak J MehraraDivision of Plastic and Reconstructive Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center New York, New York, New York 10065, USA.
Memorial Sloan Kettering Cancer Center · USCornell University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
SURGICAL ONCOLOGY RESEARCH TRAINING PROGRAMT32CA009501 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Babak J Mehrara · 1985 to 2026
$7.7M
Mechanisms of fibrosis in post-surgical lymphedemaR01HL111130 · NHLBI · SLOAN-KETTERING INST CAN RESEARCH · PI MEHRARA, BABAK J · 2012 to 2021
$7.2M
Summer research experiences for medical students supervised by faculty mentorsR25CA020449 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Charlotte Eielson Ariyan · 1985 to 2026
$6.2M
HEAD AND NECK TRAINING PROGRAM SURGICAL ONCOLOGYT32CA009685 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI FAGIN, JAMES A, WONG, RICHARD J · 1992 to 2022
$3.6M
Restoration of lymphatic function in postsurgical lymphedema with lymph node transferR21CA194882 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI MEHRARA, BABAK J · 2016 to 2017
$421k
NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA194882NCI NIH HHS R25 CA020449NCI NIH HHS T32 CA009501NCI NIH HHS T32 CA009685NHLBI NIH HHS R01 HL111130
6 · The paper itself

Abstract

Secondary lymphedema, a life-long complication of cancer treatment, currently has no cure. Lymphedema patients have decreased quality of life and recurrent infections with treatments limited to palliative measures. Accumulating evidence indicates that T cells play a key role in the pathology of lymphedema by promoting tissue fibrosis and inhibiting lymphangiogenesis. Here using mouse models, we show that topical therapy with tacrolimus, an anti-T-cell immunosuppressive drug, is highly effective in preventing lymphedema development and treating established lymphedema. This intervention markedly decreases swelling, T-cell infiltration and tissue fibrosis while significantly increasing formation of lymphatic collaterals with minimal systemic absorption. Animals treated with tacrolimus have markedly improved lymphatic function with increased collecting vessel contraction frequency and decreased dermal backflow. These results have profound implications for lymphedema treatment as topical tacrolimus is FDA-approved for other chronic skin conditions and has an established record of safety and tolerability.

Indexed as

Disease Models, AnimalAnimalsEndothelial CellsFemaleFibrosisHumansImmunosuppressive AgentsLymphatic VesselsLymphedemaLymph Node ExcisionMice, Inbred C57BLTacrolimusT-LymphocytesTreatment OutcomeImmunosuppressive AgentsTacrolimus

Identifiers

PMID28186091
PMCPMC5309859
OpenAlexW2586696305

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.