![3D Medical Animation of Afferent Vessel](https://upload.wikimedia.org/wikipedia/commons/8/8c/3D_Medical_Animation_of_Afferent_Vessel.jpg)
The lymphatic vessels (or lymph vessels or lymphatics) are thin-walled vessels (tubes), structured like
blood vessel
The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away ...
s, that carry
lymph
Lymph (from Latin, , meaning "water") is the fluid that flows through the lymphatic system, a system composed of lymph vessels (channels) and intervening lymph nodes whose function, like the venous system, is to return fluid from the tissues to ...
. As part of the
lymphatic system
The lymphatic system, or lymphoid system, is an organ system in vertebrates that is part of the immune system, and complementary to the circulatory system. It consists of a large network of lymphatic vessels, lymph nodes, lymphatic or lymphoid o ...
, lymph vessels are complementary to the
cardiovascular system
The blood circulatory system is a system of organs that includes the heart, blood vessels, and blood which is circulated throughout the entire body of a human or other vertebrate. It includes the cardiovascular system, or vascular system, tha ...
. Lymph vessels are lined by
endothelial cells
The endothelium is a single layer of squamous endothelial cells that line the interior surface of blood vessels and lymphatic vessels. The endothelium forms an interface between circulating blood or lymph in the lumen and the rest of the vessel ...
, and have a thin layer of
smooth muscle
Smooth muscle is an involuntary non-striated muscle, so-called because it has no sarcomeres and therefore no striations (''bands'' or ''stripes''). It is divided into two subgroups, single-unit and multiunit smooth muscle. Within single-unit mus ...
, and
adventitia
The adventitia () is the outer layer of fibrous connective tissue surrounding an organ.
The outer layer of connective tissue that surrounds an artery, or vein – the tunica externa, is also called the ''tunica adventitia''.
To some degree, its ...
that binds the lymph vessels to the surrounding tissue. Lymph vessels are devoted to the
propulsion
Propulsion is the generation of force by any combination of pushing or pulling to modify the translational motion of an object, which is typically a rigid body (or an articulated rigid body) but may also concern a fluid. The term is derived from ...
of the lymph from the
lymph capillaries
Lymph capillaries or lymphatic capillaries are tiny, thin-walled microvessels located in the spaces between cells (except in the central nervous system and non-vascular tissues) which serve to drain and process extracellular fluid. Upon enterin ...
, which are mainly concerned with the absorption of
interstitial fluid
In cell biology, extracellular fluid (ECF) denotes all body fluid outside the cells of any multicellular organism. Total body water in healthy adults is about 60% (range 45 to 75%) of total body weight; women and the obese typically have a lower ...
from the tissues. Lymph capillaries are slightly bigger than their counterpart
capillaries
A capillary is a small blood vessel from 5 to 10 micrometres (μm) in diameter. Capillaries are composed of only the tunica intima, consisting of a thin wall of simple squamous endothelial cells. They are the smallest blood vessels in the body: ...
of the vascular system. Lymph vessels that carry lymph to a
lymph node
A lymph node, or lymph gland, is a kidney-shaped organ of the lymphatic system and the adaptive immune system. A large number of lymph nodes are linked throughout the body by the lymphatic vessels. They are major sites of lymphocytes that inclu ...
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
A lymph duct is a great lymphatic vessel that empties lymph into one of the subclavian veins. There are two lymph ducts in the body—the right lymphatic duct and the thoracic duct. The right lymphatic duct drains lymph from the right upper li ...
. Lymph ducts drain the lymph into one of the
subclavian vein
The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption ...
s and thus return it to general
circulation.
The vessels that bring lymph away from the tissues and towards the lymph nodes can be classified as
afferent vessels. These afferent vessels then drain into the subscapular sinus.
The
efferent vessels that bring lymph from the lymphatic organs to the nodes bringing the lymph to the right lymphatic duct or the thoracic duct, the largest lymph vessel in the body. These vessels drain into the right and left
subclavian veins
The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption ...
, respectively. There are far more afferent vessels bringing in lymph than efferent vessels taking it out to allow for lymphocytes and macrophages to fulfill their immune support functions. The lymphatic vessels contain valves.
Structure
The general structure of lymphatics is based on that of
blood vessel
The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away ...
s. There is an inner lining of single flattened epithelial cells (simple squamous epithelium) composed of a type of
epithelium
Epithelium or epithelial tissue is one of the four basic types of animal tissue, along with connective tissue, muscle tissue and nervous tissue. It is a thin, continuous, protective layer of compactly packed cells with a little intercellul ...
that is called the
endothelium
The endothelium is a single layer of squamous endothelial cells that line the interior surface of blood vessels and lymphatic vessels. The endothelium forms an interface between circulating blood or lymph in the lumen and the rest of the vessel ...
, and the cells are called ''endothelial cells''. This layer functions to mechanically transport fluid and since the
basement membrane
The basement membrane is a thin, pliable sheet-like type of extracellular matrix that provides cell and tissue support and acts as a platform for complex signalling. The basement membrane sits between Epithelium, epithelial tissues including mesot ...
on which it rests is discontinuous; it leaks easily.
The next layer is that of
smooth muscle
Smooth muscle is an involuntary non-striated muscle, so-called because it has no sarcomeres and therefore no striations (''bands'' or ''stripes''). It is divided into two subgroups, single-unit and multiunit smooth muscle. Within single-unit mus ...
s 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
The adventitia () is the outer layer of fibrous connective tissue surrounding an organ.
The outer layer of connective tissue that surrounds an artery, or vein – the tunica externa, is also called the ''tunica adventitia''.
To some degree, its ...
which 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
Lymph capillaries or lymphatic capillaries are tiny, thin-walled microvessels located in the spaces between cells (except in the central nervous system and non-vascular tissues) which serve to drain and process extracellular fluid. Upon enterin ...
'') 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
Peristalsis ( , ) is a radially symmetrical contraction and relaxation of muscles that propagate in a wave down a tube, in an anterograde direction. Peristalsis is progression of coordinated contraction of involuntary circular muscles, which ...
(propulsion of the lymph due to alternate contraction and relaxation of
smooth muscle
Smooth muscle is an involuntary non-striated muscle, so-called because it has no sarcomeres and therefore no striations (''bands'' or ''stripes''). It is divided into two subgroups, single-unit and multiunit smooth muscle. Within single-unit mus ...
), valves, and compression during contraction of adjacent skeletal muscle and
arterial
An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pul ...
pulsation
A pulse, in physiology, is the throbbing of arteries resulting from heartbeat.
Pulse, The Pulse or Pulses may also refer to:
Botany
* Pulse (legume), any agriculturally significant annual leguminous food crop, such as peas, beans, lentils, and ...
.
Lymph capillaries
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. This valve system involves collagen fibers attached to lymphatic endothelial cells that respond to increased interstitial fluid pressure by separating the endothelial cells and allowing the flow of lymph into the capillary for circulation.
There is another system of semilunar valves that prevents back-flow of lymph along the lumen of the vessel.
[ Lymph capillaries have many interconnections (]anastomoses
An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf veins, or streams. Such a connection may be normal ...
) 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
A capillary is a small blood vessel from 5 to 10 micrometres (μm) in diameter. Capillaries are composed of only the tunica intima, consisting of a thin wall of simple squamous endothelial cells. They are the smallest blood vessels in the body: ...
. If tissue fluid builds up the tissue will swell; this is called edema
Edema, also spelled oedema, and also known as fluid retention, dropsy, hydropsy and swelling, is the build-up of fluid in the body's Tissue (biology), tissue. Most commonly, the legs or arms are affected. Symptoms may include skin which feels t ...
. 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
The right lymphatic duct is an important lymphatic vessel that drains the right upper quadrant of the body. It forms various combinations with the right subclavian vein and right internal jugular vein.
Structure
The right lymphatic duct courses ...
(for lymph from the right upper body) and the thoracic duct
In human anatomy, the thoracic duct is the larger of the two lymph ducts of the lymphatic system. It is also known as the ''left lymphatic duct'', ''alimentary duct'', ''chyliferous duct'', and ''Van Hoorne's canal''. The other duct is the right ...
(for the rest of the body); both ducts ''drain'' into the circulatory system at the right and left subclavian vein
The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption ...
s. 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.
Lymph vessels
The lymph capillaries drain into larger ''collecting lymphatics''. These are ''contractile lymphatics'' which transport lymph using a combination of smooth muscle walls, which contract to assist in transporting lymph, as well as valves to prevent the lymph from flowing backwards.[ As the collecting lymph vessel accumulates lymph from more and more lymph capillaries along its length, it becomes larger and eventually becomes an ]afferent lymph vessel
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 vessel ...
as it enters a lymphs node. The lymph percolates through the lymph node tissue and exits via an efferent lymph vessel
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 vessel ...
. An efferent lymph vessel may directly drain into one of the (right
Rights are law, legal, social, or ethics, ethical principles of Liberty, freedom or entitlement; that is, rights are the fundamental normative rules about what is allowed of people or owed to people according to some legal system, social convent ...
or thoracic
The thorax or chest is a part of the anatomy of humans, mammals, and other tetrapod animals located between the neck and the abdomen. In insects, crustaceans, and the extinct trilobites, the thorax is one of the three main divisions of the crea ...
) 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 vein
The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption ...
s
Lymph vessels consist of functional units known as lymphangions which are segments separated by semilunar valves. These segments propel or resist the flow of lymph by the contraction of the encircling smooth muscle depending upon the ratio of its length to its radius.
Function
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
Lymphedema, also known as lymphoedema and lymphatic edema, is a condition of localized swelling caused by a compromised lymphatic system. The lymphatic system functions as a critical portion of the body's immune system and returns interstitial fl ...
typically results.
Afferent vessels
The afferent lymph vessels enter at all parts of the periphery of the lymph node
A lymph node, or lymph gland, is a kidney-shaped organ of the lymphatic system and the adaptive immune system. A large number of lymph nodes are linked throughout the body by the lymphatic vessels. They are major sites of lymphocytes that inclu ...
, 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
The endothelium is a single layer of squamous endothelial cells that line the interior surface of blood vessels and lymphatic vessels. The endothelium forms an interface between circulating blood or lymph in the lumen and the rest of the vessel ...
lining, which is continuous with a layer of similar cells lining the lymph paths.
Afferent lymphatic vessels are only found in lymph nodes. This is in contrast to efferent lymphatic vessel which are also found in the thymus
The thymus is a specialized primary lymphoid organ of the immune system. Within the thymus, thymus cell lymphocytes or ''T cells'' mature. T cells are critical to the adaptive immune system, where the body adapts to specific foreign invaders. ...
and spleen
The spleen is an organ found in almost all vertebrates. Similar in structure to a large lymph node, it acts primarily as a blood filter. The word spleen comes . .
Efferent vessels
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.
Efferent lymphatic vessels are also found in association with the thymus and spleen
The spleen is an organ found in almost all vertebrates. Similar in structure to a large lymph node, it acts primarily as a blood filter. The word spleen comes . . This is in contrast to afferent lymphatic vessels, which are found only in association with lymph nodes.
Clinical significance
Lymphedema
Lymphedema, also known as lymphoedema and lymphatic edema, is a condition of localized swelling caused by a compromised lymphatic system. The lymphatic system functions as a critical portion of the body's immune system and returns interstitial fl ...
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
Lymphangiomatosis is a condition where a lymphangioma is not present in a single localised mass, but in a widespread or multifocal manner. It is a rare type of tumor which results from an abnormal development of the lymphatic system.
It is though ...
is a disease involving multiple cysts or lesions formed from lymphatic vessels.
See also
* Lacteal
A lacteal is a lymphatic capillary that absorbs dietary fats in the villi of the small intestine.
Triglycerides are emulsified by bile and hydrolyzed by the enzyme lipase, resulting in a mixture of fatty acids, di- and monoglycerides. These th ...
* Meningeal lymphatic vessels
The meningeal lymphatic vessels (or meningeal lymphatics) are a network of conventional lymphatic vessels located parallel to the dural venous sinuses and middle meningeal arteries of the mammalian central nervous system (CNS). As a part of the ly ...
Additional images
File:Illu lymphatic system.jpg, Lymphatic system
File:Gray1093.png , Section across portal canal of pig. X 250.
References
Further reading
*
External links
*
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{{Authority control
Lymphatic system