New Lymphology Combined with Lymphatic Physiology, Innate Immunology and OncologyIn more than 85 year-old history of the Gordon Research Conference, a conference on the scheme of lymphatic system was held for the first time on March 2004, in Ventura, California, USA. Such trends of lymphatic Gordon conference are considered to reflect rapid progress of lymphology inspired by the discovery of new markers of lymphatic endothelial cells such as LYVE-1, podoplanin, and Prox1, and then the development of the VEGF C/D and VEGF R3-mediated lymphangiogenesis and lymphatic metastasis of carcinoma cells.As one of lymphatic functions, it is well known that transport and drainage of the substances through the lymph systems play pivotal roles in keeping to homeostasis of internal environment between the cells in tissues in collaboration with the exchange of substances through blood capillaries and venules, A large number of achievements of the classical lymphology have been mainly accumulated in anatomy [1]. While the functions of lymphatic system have been studied by the many investigators of microcirculation, i.e., Courtice FC et al. On the other hand, it is well known that initial signs of main diseases such as inflammation, tumor, and circulatory disorders, appear as functional abnormalities of the internal environment in tissues. When the internal environment is evaluated from the biological defense points of view, these pathophysiological functions are worked by immunological elements with transport and drainage actions of lymphatic system. When the classical lymphology is viewed again from the physiological and pathophysiological significance, the new lymphology may be the royal road of its final goal by the combination with new lymphatic physiology, innate immunology, and oncology. Thus the new obtained physiological findings are summarized as follows:(i) There are marked heterogeneity in lymph dynamic functions, which may be related to gravity and lymph flow volume [7], i.e. heartlike spontaneous contractions are observed physiologically in mesenteric and lower extremities' collecting lymph vessels, but not in facial and neck ones with lymphatic valves [8] (ii) The lymph vessels work physiologically under the circumstance of lower oxygen tension such as 30-35 mmHg [7,9]. Thus oxygen radicals such as nitric oxide (NO) and prostaglandins play as main regulators for controlling the functions of lymphatic endothelial cells and smooth muscles [7,10]
(iii)The lymph flow (shear stress stimulation) also play important roles in the production and release of NO [7,11] Taking into consideration of the new findings, we have suggested the concept of new lymphology that new more interesting findings and concept will be easily produced in the field of immunology and oncology in connection with lymphatic physiology if the abovementioned findings were combined with the research of innate immunology and sentinel lymph node concept or lymphatic metastasis concept of carcinoma cells in oncology.In this special commentary, concerning ...