Evidence map›Paper›PMID 35743063›Full record

ReviewInternational journal of molecular sciences2022

Current Mechanistic Understandings of Lymphedema and Lipedema: Tales of Fluid, Fat, and Fibrosis.

Bailey H Duhon, Thien T Phan, Shannon L Taylor, Rachelle L Crescenzi, Joseph M Rutkowski

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07787234 (Systemic Inflammatory Indices in Lipedema Compared With BMI-Matched Obesity), which is not on this map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
9.8field-weighted citation impact, top 1% 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.

NCT07787234 completednot on this mapstarted 2026, after this paper: background citation

Systemic Inflammatory Indices in Lipedema Compared With BMI-Matched Obesity: The Distinct Clinical Relevance of the C-Reactive Protein-to-Albumin Ratio

TypeobservationalSponsorSultan Abdulhamid Han Training and Research Hospital, Istanbul, TurkeyRan2026 to 2026Enrolled192ConditionsLipedema, Inflamation, Inflammation Biomarkers, Obesity & OverweightArmsClinical parameters, Laboratory parameters
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  12. Observational
  13. 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
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3 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

5 authors at 1 institution in 1 country.

Bailey H DuhonDepartment of Medical Physiology, Texas A & M University College of Medicine, Bryan, TX 77807, USA.ORCID 0000-0002-4355-6565
Thien T PhanDepartment of Medical Physiology, Texas A & M University College of Medicine, Bryan, TX 77807, USA.ORCID 0000-0003-3940-1613
Shannon L TaylorDepartment of Biomedical Engineering, Vanderbilt University School of Engineering, Nashville, TN 37232, USA.ORCID 0000-0003-1143-267X
Rachelle L CrescenziDepartment of Biomedical Engineering, Vanderbilt University School of Engineering, Nashville, TN 37232, USA.ORCID 0000-0003-1008-4570
Joseph M RutkowskiDepartment of Medical Physiology, Texas A & M University College of Medicine, Bryan, TX 77807, USA.
Vanderbilt University · US

Funding

Visualizing vascular mechanisms of lipedemaR01HL157378 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CRESCENZI, RACHELLE L · 2021 to 2025
$2.5M
Imaging sodium and lymphatics in lymphedemaR01HL155523 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CRESCENZI, RACHELLE L · 2021 to 2025
$2.4M
Lymphatics and lymphangiogenesis in kidney function and inflammationR01DK119497 · NIDDK · TEXAS A&M UNIVERSITY · PI RUTKOWSKI, JOSEPH MICHAEL · 2020 to 2024
$2.1M
NHLBI NIH HHS R01 HL155523NHLBI NIH HHS R01 HL157378NIDDK NIH HHS R01 DK119497
6 · The paper itself

Abstract

Lymphedema and lipedema are complex diseases. While the external presentation of swollen legs in lower-extremity lymphedema and lipedema appear similar, current mechanistic understandings of these diseases indicate unique aspects of their underlying pathophysiology. They share certain clinical features, such as fluid (edema), fat (adipose expansion), and fibrosis (extracellular matrix remodeling). Yet, these diverge on their time course and known molecular regulators of pathophysiology and genetics. This divergence likely indicates a unique route leading to interstitial fluid accumulation and subsequent inflammation in lymphedema versus lipedema. Identifying disease mechanisms that are causal and which are merely indicative of the condition is far more explored in lymphedema than in lipedema. In primary lymphedema, discoveries of genetic mutations link molecular markers to mechanisms of lymphatic disease. Much work remains in this area towards better risk assessment of secondary lymphedema and the hopeful discovery of validated genetic diagnostics for lipedema. The purpose of this review is to expose the distinct and shared (i) clinical criteria and symptomatology, (ii) molecular regulators and pathophysiology, and (iii) genetic markers of lymphedema and lipedema to help inform future research in this field.

Indexed as

LipedemaLymphedemaAdipose TissueEdemaFibrosisHumansadipogenesisextracellular matrixfibrosisinflammationlipedemalymphedemaobesitypainvascular disease

Identifiers

PMID35743063
PMCPMC9223758
OpenAlexW4282921777

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.