RAMP1 signaling facilitates angiogenesis and lymphangiogenesis in the endometriotic lesions in mice
RAMP1 signaling in macrophages and fibroblasts promotes angiogenesis and lymphangiogenesis, reducing the growth of ectopic endometriotic lesions in RAMP1 deficient mice.
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The study investigated whether receptor activity-modifying protein 1 (RAMP1) signaling promotes endometriosis growth by stimulating angiogenesis and lymphangiogenesis. Using a mouse ectopic endometriosis model, the authors compared implants generated in wild-type versus RAMP1-deficient (RAMP1-/-) mice and measured vessel size/density, vascular and lymphatic marker mRNA, angiogenic/lymphangiogenic growth factor expression, and cell localization by immunofluorescence. Vessel density and expression of blood/lymphatic vessel markers and angiogenic/lymphangiogenic growth factors were reduced in RAMP1-/-→RAMP1-/- implants, while RAMP1-expressing CD11b+ and S100A4+ cells colocalized with VEGF-A, VEGF-C, and VEGF-D; cultured macrophages and fibroblasts increased VEGF-A/C/D expression in a RAMP1-dependent manner. The main limitation is that the work relies on a peritoneal ectopic model and molecular/marker readouts of vascular growth rather than direct demonstration of systemic RAMP1 effects in humans. This paper is centrally about endometriosis — it tests how RAMP1-dependent signaling drives angiogenesis and lymphangiogenesis in endometriotic lesions in mice.
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