Evidence map›Paper›PMID 41024219›Full record

ArticleBreast cancer research : BCR2025

Murine hindlimb lymphedema model: optimization and evaluation of radiation.

Shahnur Ahmed, Ganesh Mohan, Daniel J Konig, Steven J Sullivan, Christopher A Subi-Kasozi, Angad Sidhu, Miguel Jorge, Helen C Sinex, Marc S Mendonca, Mithun Sinha and 1 more

Abstract read
In one paragraph

Article in Breast cancer research : BCR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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.

Shahnur AhmedDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US.
Ganesh MohanDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US.
Daniel J KonigDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US.
Steven J SullivanDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US.
Christopher A Subi-KasoziDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US.
Angad SidhuDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US.
Miguel JorgeDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US.
Helen C SinexDepartment of Radiation Oncology, Radiation and Cancer Biology Laboratories, and Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, US.
Marc S MendoncaDepartment of Radiation Oncology, Radiation and Cancer Biology Laboratories, and Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, US.
Mithun SinhaDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US.
Aladdin H HassaneinDivision of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, US. ahassane@iu.edu.

Funding

Mechanisms of Junctional Proteins in Post-Surgical LymphedemaR01HL180721 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Aladdin Hasan Hassanein · 2025 to 2026
$825k
Novel Mechanisms in the Resolution of Post-Surgical LymphedemaK08HL167164 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Aladdin Hasan Hassanein · 2023 to 2026
$595k
Prevention of Post-Surgical Lymphedema using Tissue Nanotransfection TechnologyR21AR082600 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI HASSANEIN, ALADDIN HASAN · 2023 to 2023
$384k
National Institute of Health R21AR082600NHLBI NIH HHS K08 HL167164NHLBI NIH HHS L40 HL159766NHLBI NIH HHS L40 HL175936NHLBI NIH HHS R01 HL180721NIAMS NIH HHS R21 AR082600NIH LRP L40HL175936
6 · The paper itself

Abstract

backgroundPost-surgical lymphedema frequently occurs following lymph node dissection. The murine tail is the most commonly used model to study secondary lymphedema. The murine hindlimb model offers a more clinically translatable approach but results in the literature have been inconsistent. The purpose of this study is to optimize the murine hindlimb lymphedema to achieve consistent results and assess the utility of radiation.

methodsC57BL/6 mice underwent either 20-Gy irradiation of one hindlimb 7 days prior to surgery (n = 11) or no radiation (n = 9). For all mice, a circumferential skin incision was created at the proximal hindlimb. Lymphatics were identified and disrupted. Popliteal lymph nodes were excised. Paw thickness was measured and near-infrared laser lymphangiography was used to assess lymphatic function.

resultsThe average paw thickness of the operated hindlimb in irradiated mice on postoperative day (POD) 14 was 3.5 ± 0.3 cm compared to 2.1 ± 0.05 cm on the contralateral limb (p = 0.0001). Lymphangiography on POD-42 showed significantly worse lymphatic function in the operated hindlimb compared to the control hindlimb (p = 0.003). For the non-radiated mice, the paw thickness was 2.5 ± 0.2 cm on POD-42 compared to the contralateral limb (2.1 ± 0.1 cm) (p = 0.0002) but smaller than radiated hindlimb group (3.2 ± 0.1 cm) (p = 0.0002). The nonradiated mice had significantly greater paw thickness than the control limb until POD-56 whereas the radiated mice sustained significant paw thickness to POD-90.

conclusionRadiation of the murine hindlimb model results in sustained lymphedema compared to non-irradiated mice. The murine hindlimb lymphedema model is clinically more translatable than the murine tail model with consistent results.

Indexed as

Disease Models, AnimalHindlimbLymphedemaAnimalsFemaleHumansLymph Node ExcisionLymphographyMiceMice, Inbred C57BLLymphadenectomyLymphedemaMurine hindlimbRadiation

Identifiers

PMID41024219
PMCPMC12481953

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Registered trials

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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.