Infrared fluorescence lymphography in experimental and clinical practice

2018 ◽  
Vol 17 (2) ◽  
pp. 84-91 ◽  
Author(s):  
G. V. Papayan ◽  
A. L. Akopov ◽  
P. A. Antonyan ◽  
A. A. Ilin ◽  
N. N. Petrishchev
Keyword(s):  
Lymph Nodes ◽  
Near Infrared ◽  
Lymphatic System ◽  
Lymphatic Vessels ◽  
Diagnostic System ◽  
Biological Tissues ◽  
Peritumoral Injection ◽  
Intradermal Administration ◽  
Nir Fluorescence ◽  
Real Time Visualization

Introduction. Near infrared (NIR) fluorescent diagnostics is promising due to a deeper penetration into biological tissues. Material and methods. In experiments on rabbits and in clinical studies evaluation the lymphatic system with the use of the instrument complex FLUM-808 was analysed. Results. For visualization of the lymphatic vessels of the skin, the intradermal administration of ICG, dissolved in 20 % albumin in the order of 0.02 mg/ml, is optimal. Peritumoral injection of ICG allows visualizing sentinel lymph nodes in patients with lung cancer. Conclusions. The developed NIR fluorescence diagnostic system FLUM-808 allows to real time visualization of lymphatic vessels and lymph nodes.

Lymphangiogenesis in development and disease

2007 ◽  
Vol 98 (08) ◽  
pp. 304-310 ◽  
Author(s):  
Ruediger Liersch ◽  
Michael Detmar
Keyword(s):  
Lymph Nodes ◽  
Cancer Metastasis ◽  
Lymphatic System ◽  
Vascular System ◽  
Malignant Tumors ◽  
Inflammatory Diseases ◽  
Transplant Rejection ◽  
Lymphatic Vessels ◽  
Lipid Uptake ◽  
Molecular Control

SummaryThe lymphatic vascular system plays an important role in the maintenance of fluid homeostasis, in the afferent immune response, in the intestinal lipid uptake and in the metastatic spread of malignant cells. The recent discovery of specific markers and growth factors for lymphatic endothelium and the establishment of genetic mouse models with impairment of lymphatic function have provided novel insights into the molecular control of the lymphatic system in physiology and in embryonic development. They have also identified molecular pathways whose mutational inactivation leads to human diseases associated with lymphedema. Moreover, the lymphatic system plays a major role in chronic inflammatory diseases and in transplant rejection. Importantly, malignant tumors can directly promote lymphangiogenesis within the primary tumor and in draining lymph nodes, leading to enhanced cancer metastasis to lymph nodes and beyond. Based upon these findings, novel therapeutic strategies are currently being developed that aim at inhibiting or promoting the formation and function of lymphatic vessels in disease.

Quantitative imaging of lymph function

2007 ◽  
Vol 292 (6) ◽  
pp. H3109-H3118 ◽  
Author(s):  
Ruchi Sharma ◽  
Wei Wang ◽  
John C. Rasmussen ◽  
Amit Joshi ◽  
Jessica P. Houston ◽  
...  
Keyword(s):  
Fluorescence Imaging ◽  
Near Infrared ◽  
Quantitative Imaging ◽  
Imaging Agents ◽  
Excitation Light ◽  
Lymph Vessels ◽  
Intradermal Administration ◽  
Nir Fluorescence ◽  
Lymph Endothelium ◽  
Lymphatic Imaging

Functional lymphatic imaging was demonstrated in the abdomen and anterior hindlimb of anesthetized, intact Yorkshire swine by using near-infrared (NIR) fluorescence imaging following intradermal administration of 100–200 μl of 32 μM indocyanine green (ICG) and 64 μM hyaluronan NIR imaging conjugate to target the lymph vacular endothelial receptor (LYVE)-1 on the lymph endothelium. NIR fluorescence imaging employed illumination of 780 nm excitation light (∼2 mW/cm2) and collection of 830 nm fluorescence generated from the imaging agents. Our results show the ability to image the immediate trafficking of ICG from the plexus, through the vessels and lymphangions, and to the superficial mammary, subiliac, and middle iliac lymph nodes, which were located as deep as 3 cm beneath the tissue surface. “Packets” of ICG-transited lymph vessels of 2–16 cm length propelled at frequencies of 0.5–3.3 pulses/min and velocities of 0.23–0.75 cm/s. Lymph propulsion was independent of respiration rate. In the case of the hyaluronan imaging agent, lymph propulsion was absent as the dye progressed immediately through the plexus and stained the lymph vessels and nodes. Lymph imaging required 5.0 and 11.9 μg of ICG and hyaluronan conjugate, respectively. Our results suggest that microgram quantities of NIR optical imaging agents and their conjugates have a potential to image lymph function in patients suffering from lymph-related disorders.

Nitric Oxide Transport in Lymphatic Vessels

2011 ◽  
Author(s):  
John T. Wilson ◽  
Rebecca L. Dahlin ◽  
Olga Gasheva ◽  
David C. Zawieja ◽  
James E. Moore
Keyword(s):  
Lymph Nodes ◽  
Lymphatic System ◽  
Physiological Function ◽  
Lymphatic Vessels ◽  
Vital Role ◽  
The Body ◽  
Common Pathway ◽  
Regional Lymph Nodes ◽  
Insight Into

The lymphatic system plays a vital role in maintaining proper physiological function in the body. Its removal of proteins and other particulate matter from the tissue spaces is particularly important for the body’s prevention of extracellular edema [1]. After fluid is absorbed by the initial lymphatics, it is transported to lymph nodes where filtration occurs. In addition, the lymphatic system serves as a common pathway of initial metastases to regional lymph nodes for certain types of cancers [2]. Thus, the characterization of mass transport in the lymphatic system could lead to unprecedented insight into the treatment of such pathologies.

Pump eflciency of lymphatic vessels: numeric estimation

2019 ◽  
Vol 34 (5) ◽  
pp. 261-268 ◽  
Author(s):  
Anastasia S. Mozokhina ◽  
Sergey I. Mukhin ◽  
Gennady I. Lobov
Keyword(s):  
Lymph Nodes ◽  
Pressure Gradient ◽  
Lymphatic System ◽  
Lymphatic Vessels ◽  
Lymph Flow ◽  
Dimensional Approach ◽  
One Dimensional ◽  
Numeric Estimation

Abstract A model of lymph flow in the human lymphatic system in the quasi-one-dimensional approach has been created and investigated under different conditions. The model includes an implementation of contractions and valve influence on lymph flow. We consider contractions of lymphatic vessels and their influence on resulting flow in the whole network of lymphatic vessels and lymph nodes. We have investigated flow with zero pressure gradient and have found parameters, which influence the efficiency of contractions most significantly.

scholarly journals Bacterial Lymphatic Metastasis in Infection and Immunity

Cells ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 33
Author(s):  
Matthew K. Siggins ◽  
Shiranee Sriskandan
Keyword(s):  
Lymph Nodes ◽  
Lymphatic Metastasis ◽  
Bacterial Infections ◽  
Lymphatic System ◽  
Lymphatic Vessels ◽  
Systemic Infection ◽  
The Body ◽  
Host Cells ◽  
Adaptive Responses ◽  
Bacterial Dissemination

Lymphatic vessels permeate tissues around the body, returning fluid from interstitial spaces back to the blood after passage through the lymph nodes, which are important sites for adaptive responses to all types of pathogens. Involvement of the lymphatics in the pathogenesis of bacterial infections is not well studied. Despite offering an obvious conduit for pathogen spread, the lymphatic system has long been regarded to bar the onward progression of most bacteria. There is little direct data on live virulent bacteria, instead understanding is largely inferred from studies investigating immune responses to viruses or antigens in lymph nodes. Recently, we have demonstrated that extracellular bacterial lymphatic metastasis of virulent strains of Streptococcus pyogenes drives systemic infection. Accordingly, it is timely to reconsider the role of lymph nodes as absolute barriers to bacterial dissemination in the lymphatics. Here, we summarise the routes and mechanisms by which an increasing variety of bacteria are acknowledged to transit through the lymphatic system, including those that do not necessarily require internalisation by host cells. We discuss the anatomy of the lymphatics and other factors that influence bacterial dissemination, as well as the consequences of underappreciated bacterial lymphatic metastasis on disease and immunity.

scholarly journals The lymphatic system and sentinel lymph nodes: conduit for cancer metastasis

2021 ◽  
Author(s):  
Stanley P. Leong ◽  
Alexander Pissas ◽  
Muriel Scarato ◽  
Francoise Gallon ◽  
Marie Helene Pissas ◽  
...  
Keyword(s):  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Lymph Nodes ◽  
Cancer Cells ◽  
Cancer Metastasis ◽  
Lymphatic System ◽  
Early Cancer ◽  
Lymphatic Vessels ◽  
Review Article ◽  
Cancer Spread

AbstractThe lymphatic system is a complicated system consisting of the lymphatic vessels and lymph nodes draining the extracellular fluid containing cellular debris, excess water and toxins to the circulatory system. The lymph nodes serve as a filter, thus, when the lymph fluid returns to the heart, it is completely sterile. In addition, the lymphatic system includes the mucosa-associated lymphoid tissue, such as tonsils, adenoids, Peyers patches in the small bowel and even the appendix. Taking advantage of the drainage system of the lymphatics, cancer cells enter the lymphatic vessels and then the lymph nodes. In general, the lymph nodes may serve as a gateway in the majority of cases in early cancer. Occasionally, the cancer cells may enter the blood vessels. This review article emphasizes the structural integrity of the lymphatic system through which cancer cells may spread. Using melanoma and breast cancer sentinel lymph node model systems, the spread of early cancer through the lymphatic system is progressive in a majority of cases. The lymphatic systems of the internal organs are much more complicated and difficult to study. Knowledge from melanoma and breast cancer spread to the sentinel lymph node may establish the basic principles of cancer metastasis. The goal of this review article is to emphasize the complexity of the lymphatic system. To date, the molecular mechanisms of cancer spread from the cancer microenvironment to the sentinel lymph node and distant sites are still poorly understood and their elucidation should take major priority in cancer metastasis research.

scholarly journals Neutrophil Interactions with the Lymphatic System

Cells ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 2106
Author(s):  
Arnolda Jakovija ◽  
Tatyana Chtanova
Keyword(s):  
Lymph Nodes ◽  
Lymphatic System ◽  
Neutrophil Migration ◽  
Lymphatic Vessels ◽  
High Endothelial Venules ◽  
Microbial Infections ◽  
Lymphatic Vasculature ◽  
Pathogen Control ◽  
Secondary Lymphoid Organs ◽  
Draining Lymph Nodes

The lymphatic system is a complex network of lymphatic vessels and lymph nodes designed to balance fluid homeostasis and facilitate host immune defence. Neutrophils are rapidly recruited to sites of inflammation to provide the first line of protection against microbial infections. The traditional view of neutrophils as short-lived cells, whose role is restricted to providing sterilizing immunity at sites of infection, is rapidly evolving to include additional functions at the interface between the innate and adaptive immune systems. Neutrophils travel via the lymphatics from the site of inflammation to transport antigens to lymph nodes. They can also enter lymph nodes from the blood by crossing high endothelial venules. Neutrophil functions in draining lymph nodes include pathogen control and modulation of adaptive immunity. Another facet of neutrophil interactions with the lymphatic system is their ability to promote lymphangiogenesis in draining lymph nodes and inflamed tissues. In this review, we discuss the significance of neutrophil migration to secondary lymphoid organs and within the lymphatic vasculature and highlight emerging evidence of the neutrophils’ role in lymphangiogenesis.

scholarly journals PECULIARITIES OF CHANGES IN LYMPH COMPOSITION IN DIFFERENT FORMS OF LYMPHADENITIS MAXILLOFACIAL AREA IN CHILDREN

2019 ◽  
Vol 19 (1) ◽  
pp. 119-123
Author(s):  
P.I. Tkachenko ◽  
S.O. Bilokon ◽  
N.M. Lokhmatova ◽  
N.M. Korotych ◽  
Yu.B. Lobach
Keyword(s):  
Lymph Nodes ◽  
Oral Mucosa ◽  
Developmental Disorders ◽  
Lymphatic System ◽  
Vascular System ◽  
Lymphatic Vessels ◽  
The Body ◽  
Depth Information ◽  
Regional Lymph Nodes ◽  
Odontogenic Origin

This literature review highlights the role of the immunocompetence of the lymph substance and the oral mucosa in various clinical forms of lymphadenitis of the maxillofacial area in children. The purpose of the work was to conduct a reflective analysis of the importance of their protective responses in the development of inflammation in regional lymph nodes. According to modern conceptions about the morpho-functional significance of the lymphatic system, it is considered first of all as one of the components of the body protective system, which is anatomically closely related to the vascular system and includes capillaries, lymphatic vessels, lymph nodes, trunks and ducts through which the lymph flows from organs and systems to the site of the merge of the internal jugular and subclavian veins. In response to entering foreign particles bearing signs of alienation into the body, lymphocytes and related antibodies are being produced in the organs of the lymphatic system and then are transferred to the site of injury through the lymphatic passageways, where the immune response takes place. The presence of a significant number of nosological forms of the disease, the factors contributing to the development of acute or chronic inflammation in the lymph nodes of the face and neck can be explained by the diversity of functions performed by them and the imperfect level of the development of structural elements of the immune system in children at the general and local levels. According to the fact that the oral mucous membrane is borderline anatomical substance through which the antigenic loading is directly carried out, it is its immunocompetence that can greatly affect on the high probability of the development of inflammatory processes of odontogenic and non-odontogenic origin. The lack of in-depth information about the multifactorial mechanisms of the aetiology and pathogenesis of lymphadenitis of the maxillofacial area of different genesis in children causes poses some difficulties in their understanding, especially in children with signs of the developmental disorders in the antenatal and early postnatal periods that influences ontogenesis, thus impacting the strength of the body systemic and local immune responses. Therefore, the study of the morphological and immunohistochemical architectonics of certain sections of the oral mucosa and regional lymphatic formations including investigation of the level of their nonspecific and specific protection is an important factor in substantiating the appropriateness to include immunocorrection medicines of different pharmacological actions into the integrated therapy.

scholarly journals Extracellular bacterial lymphatic metastasis drives Streptococcus pyogenes systemic infection

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Matthew K. Siggins ◽  
Nicola N. Lynskey ◽  
Lucy E. Lamb ◽  
Louise A. Johnson ◽  
Kristin K. Huse ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Cancer Cells ◽  
Streptococcus Pyogenes ◽  
Lymphatic System ◽  
Lymphatic Vessels ◽  
Systemic Infection ◽  
Intracellular Pathogen ◽  
Infection Site ◽  
Local Infection ◽  
Draining Lymph Nodes

Abstract Unassisted metastasis through the lymphatic system is a mechanism of dissemination thus far ascribed only to cancer cells. Here, we report that Streptococcus pyogenes also hijack lymphatic vessels to escape a local infection site, transiting through sequential lymph nodes and efferent lymphatic vessels to enter the bloodstream. Contrasting with previously reported mechanisms of intracellular pathogen carriage by phagocytes, we show S. pyogenes remain extracellular during transit, first in afferent and then efferent lymphatics that carry the bacteria through successive draining lymph nodes. We identify streptococcal virulence mechanisms important for bacterial lymphatic dissemination and show that metastatic streptococci within infected lymph nodes resist and subvert clearance by phagocytes, enabling replication that can seed intense bloodstream infection. The findings establish the lymphatic system as both a survival niche and conduit to the bloodstream for S. pyogenes, explaining the phenomenon of occult bacteraemia. This work provides new perspectives in streptococcal pathogenesis with implications for immunity.

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