Lymph capillary

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 entering the lumen of a lymphatic capillary, the collected fluid is known as lymph. Each lymphatic capillary carries lymph into a lymphatic vessel, which in turn connects to a lymph node, a small bean-shaped gland that filters and monitors the lymphatic fluid for infections.[1] Lymph is ultimately returned to the venous circulation.

Lymph capillary
Diagram showing the formation of lymph from interstitial fluid (labeled here as "Tissue fluid").
Details
SystemLymphatic system
Identifiers
Latinvas lymphocapillare
TA98A12.0.00.044
TA23918
THH3.09.02.0.05004
FMA5028
Anatomical terminology

Lymphatic capillaries are slightly larger in diameter than blood capillaries, and have closed ends (unlike the loop structure of blood capillaries). Lymph capillaries are strategically placed among the blood-related capillaries in order to have efficient and effective uptake from the interstitial fluid during capillary exchange. This intentional formation allows for a more rapid and continuous collection.[2] Their unique structure permits interstitial fluid to flow into them but not out. The ends of the endothelial cells that make up the wall of a lymphatic capillary overlap. When pressure is greater in the interstitial fluid than in lymph, the cells separate slightly, like the opening of a one-way swinging door, and interstitial fluid enters the lymphatic capillary. When pressure is greater inside the lymphatic capillary, the cells adhere more closely, and lymph cannot escape back into the interstitial fluid. Attached to the lymphatic capillaries are anchoring filaments, which contain elastic fibers. They extend out from the lymphatic capillary, attaching lymphatic endothelial cells to surrounding tissues. When excess interstitial fluid accumulates and causes tissue swelling, the anchoring filaments are pulled, making the openings between cells even larger so that more fluid can flow into the lymphatic capillary.[3]

Lymph capillaries have a greater internal oncotic pressure than blood capillaries, due to the greater concentration of plasma proteins present.

Clinical importance

In the small intestine, lymphatic capillaries called lacteals are critical for the transport of dietary lipids and lipid-soluble vitamins to the bloodstream. In the small intestine, dietary triglycerides combine with other lipids and proteins, and enter the lacteals to form a milky fluid called chyle. The chyle then travels through the lymphatic system, eventually entering the bloodstream.[4]

References
  1. "Lymphatic System". Cleveland Clinic.
  2. Leak, LV (June 1976). "The structure of lymphatic capillaries in lymph formation". Federation Proceedings. 35 (8): 1863–71. PMID 1269772.
  3. Tortora, Gerard J.: "Principles of Human Anatomy - 10th edition", page 512. John Wiley and Sons, Inc., 2005. lymph enters the lymph capillaries by osmosis
  4.  This article incorporates text available under the CC BY 4.0 license. Betts, J Gordon; Desaix, Peter; Johnson, Eddie; Johnson, Jody E; Korol, Oksana; Kruse, Dean; Poe, Brandon; Wise, James; Womble, Mark D; Young, Kelly A (August 6, 2023). Anatomy & Physiology. Houston: OpenStax CNX. 21.1 Anatomy of the lymphatic and immune systems. ISBN 978-1-947172-04-3.
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