| Lymphatic System |
|
|
| An image displaying the lymphatic system. |
The lymphatic system in vertebrates is a network of conduits that carry a clear fluid called lymph. It also includes the lymphoid tissue that the lymph travels through. Lymphoid tissue is found in many organs, particularly the lymph nodes, but also in the lymphoid follicles associated with the digestive system such as the tonsils. The system also includes all the structures dedicated to the circulation and production of lymphocytes, which includes the spleen, thymus, bone marrow and the digestive system.[1] It was first described in 1651 as the source of white blood cells.
The dissolved constituents of the blood do not directly come in contact with the cells and tissues in the body, but first enter the interstitial fluid, and then the cells of the body. Lymph is the fluid that is formed when interstitial fluid enters the conduits of the lymphatic system. The lymph is not pumped through the body like blood, it is moved mostly by the contractions of skeletal muscles. It develops in the embryo from the mesoderm, the same structure that produces the circulatory system.
The lymphatic system has three interrelated functions. It is responsible for the removal of interstitial fluid from tissues. It absorbs and transports fatty acids and fats as chyle to the circulatory system. The last function of the lymphatic system is the production of immune cells, such as lymphocytes, including antibody producing plasma cells and monocytes.[2]
The study of lymphatic drainage of various organs is important in treatment and diagnosis of cancer. The lymphatic system, because of its physical proximity to many tissues of the body, is responsible for carrying cancerous cells between the various parts of the body in a process called metastasis. The intervening lymph nodes can trap the cancer cells. If they are not successful in destroying the cancer cells the nodes may become sites of secondary tumors.
Diseases and other problems of the lymphatic system can cause swelling and other symptoms. Problems with the system can impair the body's ability to fight infections.
Organization
The lymphatic system can be broadly divided into the conducting system and the lymphoid tissue.
The conducting system carries the lymph and consists of tubular vessels that include the lymph capillaries, the lymph vessels and the right and the thoracic ducts.
The lymphoid tissue is primarily involved in immune responses, and consists of lymphocytes and other [[white blood cell]s enmeshed in connective tissue through which the lymph passes. Regions of the lymphoid tissue that are densely packed with lymphocytes are known as lymphoid follicles. Lymphoid tissue can either be structurally well organized as lymph nodes or may consist of loosely organized lymphoid follicles known as the mucosa-associated lymphoid tissue.
Formation of lymph
Formation of interstitial fluid from blood
Blood supplies nutrients, and important metabolites to the tissues, and collects back the waste products that they produce, which requires exchange of respective constituents between the blood and tissues. However, this exchange is not direct, and is effected through an intermediary called interstitial fluid or tissue fluid that the blood forms. Interstitial fluid (ISF) is the fluid that occupies the spaces between the cells and acts as their immediate environment. The composition of ISF keeps on changing depending upon what substances are removed or added by blood and the cells in the vicinity. Water and solutes can freely pass (diffuse) between the ISF and blood, and thus both are in dynamic equilibrium with each other; exchange between the two fluids occurs across the walls of small blood vessels called capillaries.
Formation of lymph from interstitial fluid (labeled here as "Tissue fluid"). Note: how the tissue fluid is entering the blind ends of lymph capillaries (shown as deep green arrows)
ISF forms at the arterial (coming from the heart) end of the capillaries because of higher pressure of blood, and most of it returns to its venous ends and venules; the rest (10—20%) enters the lymph capillaries as lymph.[1] Thus, lymph is a watery clear liquid composed of interstitial fluid.
Lymphatic circulation
Unlike the cardiovascular system, the lymphatic system is not closed and has no central pump. Lymph movement occurs with low pressure due to peristalsis, valves, and the milking action of skeletal muscles. Like veins, lymph travels through vessels in one way only, due to semilunar valves. This depends mainly on the movement of skeletal muscles to squeeze fluid through them, especially near the joints. Rhythmic contraction of the vessel walls through movements may also help draw fluid into the smallest lymphatic vessels, capillaries. Tight clothing can restrict this, thus reducing the removal of wastes and allowing them to accumulate. 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.
Function of the fatty acid transport system
Lymph vessels called lacteals are present in the lining of the gastrointestinal tract, predominantly in the small intestine. While most other nutrients absorbed by the small intestine are passed on to the portal venous system to drain, via the portal vein, into the liver for processing, fats (lipids) are passed on to the lymphatic system, to be transported to the blood circulation via the thoracic duct. The enriched lymph originating in the lymphatics of the small intestine is called chyle. As the blood circulates, fluid leaks out into the body tissues. This fluid is important because it carries food to the cells and waste back to the bloodstream. The nutrients that are released to the circulatory system are processed by the liver, having passed through the systemic circulation. The lymph system is a one-way system, transporting interstitial fluid back to blood.
Pathology
In elephantiasis, infection of the lymphatic vessels cause a thickening of the skin and enlargement of underlying tissues, especially in the legs and genitals. It is most commonly caused by a parasitic disease known as lymphatic filariasis.
Lymphedema also causes abnormal swelling, especially in the appendages (though the face, neck, and abdomen can also be affected). It occurs if the lymphatic system is damaged, or underdeveloped in some way. An estimated 170 million suffer with the disorder. There are three stages:
Stage 1: Pressing the swollen limb leaves a pit that takes a while to fill back in. Because there is little fibrosis (hardening) it is often reversible. Elevation reduces swelling.
Stage 2: Pressure does not leave a pit. Elevation does not help. If left untreated, the limb becomes fibrotic.
Stage 3: This stage of lymphedema is often called elephantiasis. It is generally only in the legs after lymphedema that has gone long untreated. While treatment can help a little, it is not reversible.
Some common causes of swollen lymph nodes include infections, infectious mononucleosis and cancer, e.g. Hodgkin's and non-Hodgkin's lymphoma, and metastasis of cancerous cells via the lymphatic system.
Development of lymphatic tissues
Lymphatic tissues begin to develop by the end of the fifth week of embryonic life. Lymphatic vessels develop from lymph sacs that arise from developing veins, which are derived from mesoderm.
The first lymph sacs to appear are the paired jugular lymph sacs at the junction of the internal jugular and subclavian veins. From the jugular lymph sacs, lymphatic capillary plexuses spread to the thorax, upper limbs, neck and head. Some of the plexuses enlarge and form lymphatic vessels in their respective regions. Each jugular lymph sac retains at least one connection with its jugular vein, the left one developing into the superior portion of the thoracic duct.
The next lymph sac to appear is the unpaired retroperitoneal lymph sac at the root of the mesentery of the intestine. It develops from the primitive vena cava and mesonephric veins. Capillary plexuses and lymphatic vessels spread form the retroperitoneal lymph sac to the abdominal viscera and diaphragm. The sac establishes connections with the cisterna chyli but loses its connections with neighboring veins.
The last of the lymph sacs, the paired posterior lymph sacs, develop from the iliac veins. The posterior lymph sacs produce capillary plexuses and lymphatic vessels of the abdominal wall, pelvic region, and lower limbs. The posterior lymph sacs join the cisterna chyli and lose their connections with adjacent veins.
With the exception of the anterior part of the sac from which the cisterna chyli develops, all lymph sacs become invaded by mesenchymal cells and are converted into groups of lymph nodes.
The spleen develops from mesenchymal cells between layers of the dorsal mesentery of the stomach. The thymus arises as an outgrowth of the third pharyngeal pouch.
History
Olaus Rudbeck Sr. of Sweden (1630–1702) was a university dean, natural scientist, archaeologist and more. In 1651 he discovered the lymphatic system.[3] He pointed to these as the source of production of white blood cells.
See also
References
- ^ a b Warwick, Roger; Peter L. Williams [1858] (1973). "Angiology (Chapter 6)", Gray's anatomy, illustrated by Richard E. M. Moore, Thirty-fifth Edition, London: Longman, 588—785.
- ^ Lymphatic system
- ^ Thomson, Thomas (1843). Chemistry of Animal Bodies. Adam & Charles Black, 416.
External links
Wikimedia Commons has media related to:
|
Lymphatic system - The journey of lymph |
|
|
|
|
|
