This article needs additional citations for verification. (April 2010) (Learn how and when to remove this template message)
Lymph capillaries in the tissue spaces.
The thoracic duct and right lymphatic duct.
The lymphatic vessels (or lymph vessels or lymphatics) are thin-walled vessels (tubes) structured like blood vessels, that carry lymph. As part of the lymphatic system, lymph vessels are complementary to the cardiovascular system. Lymph vessels are lined by endothelial cells, and have a thin layer of smooth muscle, and adventitia that binds the lymph vessels to the surrounding tissue. Lymph vessels are devoted to the propulsion of the lymph from the lymph capillaries, which are mainly concerned with absorption of interstitial fluid from the tissues. Lymph capillaries are slightly larger than their counterpart capillaries of the vascular system. Lymph vessels that carry lymph to a lymph node are called afferent lymph vessels, and those that carry it from a lymph node are called efferent lymph vessels, from where the lymph may travel to another lymph node, may be returned to a vein, or may travel to a larger lymph duct. Lymph ducts drain the lymph into one of the subclavian veins and thus return it to general circulation.
Generally, lymph flows away from the tissues to lymph nodes and eventually to either the right lymphatic duct or the largest lymph vessel in the body, the thoracic duct. These vessels drain into the right and left subclavian veins, respectively. The lymphatic vessels contain valves.
The general structure of lymphatics is based on that of blood vessels. There is an inner lining of single flattened epithelial cells (simple squamous epithelium) composed of a type of epithelium that is called endothelium, and the cells are called endothelial cells. This layer functions to mechanically transport fluid and since the basement membrane on which it rests is discontinuous; it leaks easily. The next layer is that of smooth muscles that are arranged in a circular fashion around the endothelium, which by shortening (contracting) or relaxing alter the diameter (caliber) of the lumen. The outermost layer is the adventitia that consists of fibrous tissue. The general structure described here is seen only in larger lymphatics; smaller lymphatics have fewer layers. The smallest vessels (lymphatic or lymph capillaries) lack both the muscular layer and the outer adventitia. As they proceed forward and in their course are joined by other capillaries, they grow larger and first take on an adventitia, and then smooth muscles.
The lymphatic conducting system broadly consists of two types of channels—the initial lymphatics, the prelymphatics or lymph capillaries that specialize in collection of the lymph from the ISF, and the larger lymph vessels that propel the lymph forward.
Unlike the cardiovascular system, the lymphatic system is not closed and has no central pump. Lymph movement occurs despite low pressure due to peristalsis (propulsion of the lymph due to alternate contraction and relaxation of smooth muscle), valves, and compression during contraction of adjacent skeletal muscle and arterial pulsation.
The lymphatic circulation begins with blind ending (closed at one end) highly permeable superficial lymph capillaries, formed by endothelial cells with button-like junctions between them that allow fluid to pass through them when the interstitial pressure is sufficiently high. These button-like junctions consist of protein filaments like platelet endothelial cell adhesion molecule-1, or PECAM-1. A valve system in place here prevents the absorbed lymph from leaking back into the ISF. There is another system of semilunar (semi=half; lunar=related to the Moon) valves that prevents back-flow of lymph along the lumen of the vessel. Lymph capillaries have many interconnections (anastomoses) between them and form a very fine network.
Rhythmic contraction of the vessel walls through movements may also help draw fluid into the smallest lymphatic vessels, capillaries. If tissue fluid builds up the tissue will swell; this is called edema. As the circular path through the body's system continues, the fluid is then transported to progressively larger lymphatic vessels culminating in the right lymphatic duct (for lymph from the right upper body) and the thoracic duct (for the rest of the body); both ducts drain into the circulatory system at the right and left subclavian veins. The system collaborates with white blood cells in lymph nodes to protect the body from being infected by cancer cells, fungi, viruses or bacteria. This is known as a secondary circulatory system.
The lymph capillaries drain the lymph to larger contractile lymphatics, which have valves as well as smooth muscle walls. These are called the collecting lymphatics. As the collecting lymph vessel accumulates lymph from more and more lymph capillaries in its course, it becomes larger and is called the afferent lymph vessel as it enters a lymphs node. Here the lymph percolates through the lymph node tissue and is removed by the efferent lymph vessel. An efferent lymph vessel may directly drain into one of the (right or thoracic) lymph ducts, or may empty into another lymph node as its afferent lymph vessel. Both the lymph ducts return the lymph to the blood stream by emptying into the subclavian veins
The functional unit of a lymph vessel is known as a lymphangion, which is the segment between two semilunar valves. Since it is contractile, depending upon the ratio of its length to its radius, it can act either like a contractile chamber propelling the fluid ahead, or as a resistance vessel tending to stop the lymph in its place.
Lymph vessels act as reservoirs for plasma and other substances including cells that have leaked from the vascular system and transport lymph fluid back from the tissues to the circulatory system. Without functioning lymph vessels, lymph cannot be effectively drained and lymphedema typically results.
The afferent lymph vessels enter at all parts of the periphery of the lymph node, and after branching and forming a dense plexus in the substance of the capsule, open into the lymph sinuses of the cortical part. It carries unfiltered lymph into the node. In doing this they lose all their coats except their endothelial lining, which is continuous with a layer of similar cells lining the lymph paths.
The efferent lymphatic vessel commences from the lymph sinuses of the medullary portion of the lymph nodes and leave the lymph nodes at the hilum, either to veins or greater nodes. It carries filtered lymph out of the node.
Lymphedema is the swelling of tissues due to insufficient fluid drainage by the lymphatic vessels. It can be the result from absent, underdeveloped or dysfunctional lymphatic vessels. In hereditary (or primary) lymphedema, the lymphatic vessels are absent, underdeveloped or dysfunctional due to genetic causes. In acquired (or secondary) lymphedema, the lymphatic vessels are damaged by injury or infection. Lymphangiomatosis is a disease involving multiple cysts or lesions formed from lymphatic vessels.
- Pepper, Michael S.; Michaela Skobe (2003-10-27). "Lymphatic endothelium : morphological, molecular and functional properties". The Journal of Cell Biology. 163 (2): 209–213. doi:10.1083/jcb.200308082. PMC 2173536. PMID 14581448.
- Shayan, Ramin; Achen, Marc G.; Stacker, Steven A. (2006). "Lymphatic vessels in cancer metastasis: bridging the gaps". Carcinogenesis. 27 (9): 1729–38. doi:10.1093/carcin/bgl031. PMID 16597644.
- Baluk, Peter; Jonas Fuxe; Hiroya Hashizume; Talia Romano; Erin Lashnits; Stefan Butz; Dietmar Vestweber; Monica Corad; Cinzia Molendini; Elisabetta Dejana; Donald M. McDonald (2007-09-10). "Functionally specialized junctions between endothelial cells of lymphatic vessels". Journal of Experimental Medicine. 204 (10): 2349–2362. doi:10.1084/jem.20062596. PMC 2118470. PMID 17846148.
- Rosse, Cornelius; Penelope Gaddum-Rosse (1997). "The Cardiovascular System (Chapter 8)". Hollinshead's Textbook of Anatomy (Fifth ed.). Philadelphia: Lippincott-Raven. pp. 72–73. ISBN 0-397-51256-2.
- Venugopal, A.M.; Stewart, R.H.; Laine, G.A.; Quick, C.M. (2004). "26th Annual International Conference of the IEEE". 2. Engineering in Medicine and Biology Society: 3700–3703. Archived from the original on 2010-07-01. Retrieved 2010-06-26. Cite journal requires
- Alitalo, Kari (2011). "The lymphatic vasculature in disease". Nature Medicine. 17 (11): 1371–80. doi:10.1038/nm.2545. PMID 22064427.
- Krebs, Rainer; Jeltsch, Michael (2013). "The lymphangiogenic growth factors VEGF-C and VEGF-D. Part 2: The role of VEGF-C and VEGF-D in lymphatic system diseases". Lymphologie in Forschung und Praxis. 17 (2): 96–104.