2010
DOI: 10.1016/j.pathophys.2009.09.003
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Gastrointestinal lymphatics in health and disease

Abstract: Lymphatics perform essential transport and immune cell regulatory functions to maintain homeostasis in the gastrointestinal (GI) system. Although blood and lymphatic vessels function as parallel and integrated systems, our understanding of lymphatic structure, regulation and functioning lags far behind that of the blood vascular system. This chapter reviews lymphatic flow, differences in lymphangiogenic and hemangiogenic factors, lymphatic fate determinants and structural features, and examines how altered mol… Show more

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Cited by 101 publications
(92 citation statements)
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References 212 publications
(221 reference statements)
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“…This is not the case in Pecam1 nulls. Although Sdc4 −/− and some Sdc4 −/− ; Pecam1 −/− double-knockout mice can survive to adulthood, the presence of abnormal lymphatic valves in the adult may affect the function of lymphatic vessels leading to increased morbidity (Alexander et al, 2010). The more severe lymphatic phenotype that developed in Sdc4 −/− ; Pecam1 −/− double nulls suggests that Sdc4 and Pecam1 function through independent flow signaling pathways.…”
Section: Discussionmentioning
confidence: 99%
“…This is not the case in Pecam1 nulls. Although Sdc4 −/− and some Sdc4 −/− ; Pecam1 −/− double-knockout mice can survive to adulthood, the presence of abnormal lymphatic valves in the adult may affect the function of lymphatic vessels leading to increased morbidity (Alexander et al, 2010). The more severe lymphatic phenotype that developed in Sdc4 −/− ; Pecam1 −/− double nulls suggests that Sdc4 and Pecam1 function through independent flow signaling pathways.…”
Section: Discussionmentioning
confidence: 99%
“…For example, multiple organ dysfunction syndrome, "MODS," secondary to hemorrhagic shock and intestinal ischemia, is mediated by cytokines and lipid mediators produced in the gut and carried in lymph, but not portal venous plasma. 26,27) On the other hand, inflammatory cytokines produced in visceral fat deposited around the mesentery and omental are considered causative of systemic insulin resistance observed in obese patients with metabolic syndrome. [28][29][30] If these cytokines are carried in lymph to the circulation, MLNs likely play an important role in the pathophysiology of metabolic syndrome.…”
Section: Discussionmentioning
confidence: 99%
“…This circulatory switch increases mesenteric lymph flow and favors gut-derived factors that could reach the systemic circulation avoiding the liver filter [22,23].…”
Section: The Ischemia-reperfusion Phenotype: the Hydroelectrolitic Chmentioning
confidence: 99%
“…Expansion of lymphatics is also a prominent feature of gastrointestinal inflammation. The dysregulation of lymphatics exacerbates, in turn, gastrointestinal disease [83]. During cirrhotic portal hypertension dilation of esophageal and gastric lymph vessels may be related to the absorption of excess interstitial fluid [84].…”
Section: Ascites: the Portal Hypertensive Peritoneummentioning
confidence: 99%