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Grants Funded

Grant applicants for the 2024 cycle requested a total of nearly $3 million dollars. The PSF Study Section Subcommittees of Basic & Translational Research and Clinical Research evaluated more than 100 grant applications on the following topics:

The PSF awarded research grants totaling over $650,000 dollars to support more than 20 plastic surgery research proposals.

ASPS/PSF leadership is committed to continuing to provide high levels of investigator-initiated research support to ensure that plastic surgeons have the needed research resources to be pioneers and innovators in advancing the practice of medicine.

Research Abstracts

Search The PSF database to have easy access to full-text grant abstracts from past PSF-funded research projects 2003 to present. All abstracts are the work of the Principal Investigators and were retrieved from their PSF grant applications. Several different filters may be applied to locate abstracts specific to a particular focus area or PSF funding mechanism.

Inducible Lymphovenous Shunts using Tissue Nanotransfection Technology

Principal Investigator
Al Hassanein MD, MMSc, FACS

Year
2020

Institution
Indiana University

Funding Mechanism
PSRC/ PSF Research Grant

Focus Area
Microsurgery, General Reconstructive

Abstract
Project Summary: Lymphedema refers to swelling of limbs due to accumulation of lymphatic fluid and is caused by the removal of or damage to lymph nodes. If not congenital, (rare type called primary lymphedema) lymphedema is a secondary manifestation to cancer treatment. It usually occurs after cancer surgery or due to radiation therapy. Currently it affects around 250 million people worldwide. There is no treatment to lymphedema. The condition is primarily managed through surgical interventions of lymphovenous anastomosis (LVA) which relies on fusing the lymphatic vessels with the veins at the affected site. This helps to drain the lymphatic fluid back to the circulatory system. During fetal development the lymphatic vessels develop from veins. Once the lymphatic vessels are formed genes, SH2 domain-containing leukocyte protein 76 (Slp-76) and spleen tyrosine kinase (Syk) are activated which ensures that lymphatic vessels stay separate to veins. Here, we propose to turn on the developmental switch of lymphangiogenesis to stimulate LVA formation without surgical intervention. This is proposed by focal silencing genes Slp-76 and Syk in mice tail model of lymphedema. The gene silencing will be done through novel, deterministic and platform technology of tissue nanotransfection (TNT). TNT is a validated non-viral gene delivery technology. The technology is safe and does not pose immunogenic or oncogenic threat of viral vectors. We have proposed two aims to test the feasibility of the concept. In Aim 1: Develop and validate tissue nanotransfection (TNT) based approach to deliver anti-sense oligos against Slp-76 and Syk to murine tail vasculature affected by lymphedema Aim 2: Test whether knockdown approaches to Slp-76 and Syk in the lymphedematous mouse tail achieve lymphovenous shunting and improves lymphedema resolution. Impact Statement: Lymphedema results from lymphatic dysfunction causing extremity swelling from inadequate fluid clearance, adipose deposition and fibrosis. There is no cure for to lymphedema. The condition is managed through conservative (e.g. compression) and surgical interventions. Surgical intervention is by lymphovenous anastomosis (LVA) in which <1mm lymphatic vessels are microsurgically connected with veins. We aim to induce lymphovenous shunts similar to LVA without surgical intervention by silencing genes (Slp-76 and Syk) which prevent lymphatic and venous fusion. This is proposed through novel technology of tissue nano-transfection (TNT). TNT mediated non-viral gene delivery has been previously developed and validated by my collaborators. The results of this study will be clinically translatable.

Biography
I started medicine with the fundamental goal of alleviating patient suffering and improving their quality of life. I was shaped by my academic mentors as I progressed through my general surgery residency (University of California San Diego), 2-year research fellowship and Master’s degree in translation/clinical research (Harvard Medical School), plastic surgery fellowship (Harvard), and microsurgery fellowship (Johns Hopkins). My mentors allowed me to realize that academic medicine facilitates a profound effect on patients with direct management, teaching others that will care for patients, and research to guide innovation in the field to optimize therapy. I started my academic practice at the Indiana University School of Medicine. I started a laboratory focused on lymphedema. I obtained pilot grant funding from the Plastic Surgery Foundation (PSF) to develop a tissue nanotransfection technology (TNT) application for lymphedema and won the Academic Scholarship from the American Association of Plastic Surgeons (AAPS) in 2021. I won a Department of Defense Congressionally Directed Medical Research Program grant in 2021. I was subsequently awarded a K08 by the NIH NHLBI and an R21 by the NIH NIAMS for studying targeted gene therapy for lymphedema with tissue nanotransfection technology. This current proposal investigates a novel concept of lymphatic preconditioning to prevent lymphedema. The study has high translational impact.