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Physiology of the Gastrointestinal Lymphatics

  • Toshio OhhashiEmail author
  • Yoshiko Kawai
Chapter

Abstract

In this chapter, we focus on the physiology of gastrointestinal lymphatic system and then demonstrate with current inspired studies that (1) functional properties of the intestinal microcirculation are summarized as higher permeability of plasma protein, especially albumin through the venule walls, which contribute to the oncotic pressure-mediated much absorption of interstitial fluid into lymphatic capillaries, (2) the larger amount of lymph formation in the intestinal villi may be related to the presence of lacteal vessels in the tissues, (3) the mesenteric collecting lymphatics demonstrate marked heart-like spontaneous contractions working as transport of the larger amount of lymph to chylous cyst, (4) the sentinel lymph node (SLN) may be defined as the node subjected to higher lymph flow from physiological point of view, and (5) the higher lymph flow may be, in part, related to develop the suitable microenvironment of the SLN for metastasis of carcinoma cells, which is produced by the cell surface F1/F0 ATP synthase-dependent overexpression of intercellular adhesion molecule-1 on the marginal endothelial-like cells of SLN.

Keywords

Albumin Starling’s law Spontaneous contraction Lipid absorption Lacteal vessel 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Innovation of Medical and Health Sciences ResearchSchool of Medicine, Shinshu UniversityMatsumotoJapan
  2. 2.Faculty of Medicine, Division of PhysiologyTohoku Medical and Pharmaceutical UniversitySendaiJapan

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