Lymphatic system = network of vessels, organs, and tissues that returns excess interstitial fluid to blood, supports immunity, and aids fat absorption.
Color‐coded green in diagrams; empties into subclavian veins.
Intertwined with cardiovascular, immune, and digestive systems.
Fluid balance
Blood capillaries leak plasma water continuously.
~10\% of filtered water is NOT reabsorbed osmotically → becomes lymph.
Lymphatic capillaries collect this fluid and channel it back to blood.
Immune support
Storage & maturation of lymphocytes (T & B cells).
Provides travel routes for WBCs to infection sites.
Numerous “check-points” (nodes, MALT, spleen) filter fluids and expose pathogens to immune cells.
Digestive involvement
Specialized intestinal lymphatics (lacteals) absorb dietary fats.
Primary (sites of lymphocyte production & maturation)
Red bone marrow
Generates ALL formed elements.
B cells: produced & mature here → exit via sinusoidal capillaries.
T cells: produced but NOT fully mature; migrate to thymus.
Thymus
Location: mediastinum, anterior–superior to heart.
T-cell maturation & selection.
Secondary (filter extracellular fluids; house mature lymphocytes)
Encapsulated
Lymph nodes → filter lymph.
Spleen → filters blood.
Unencapsulated / partially encapsulated = MALT (mucosa-associated lymphoid tissue)
Diffuse or nodular clusters embedded in mucosal/connective layers.
Lymph capillaries → collecting (lymphatic) vessels → trunks → ducts → subclavian veins.
Analogous to veins: large diameter, thin walls, low pressure, valves.
Ducts
Right lymphatic duct
Drains R upper limb, R thorax, R head/neck.
Thoracic duct (larger, longer)
Drains remainder: both lower limbs, abdomen, pelvis, L upper limb, L thorax, L head/neck.
Blood capillaries retain plasma proteins → high capillary oncotic pressure \pi_c.
Interstitial fluid almost protein-free ⇒ oncotic gradient negligible.
Net driving force for lymph entry = hydrostatic pressure gradient:
P{interstitial} > P{lymph\,capillary} (though both low).
Lymph capillary features
Blind-ended “terminal” sacs.
Simple squamous endothelial cells overlap → flaplike one-way micro-valves.
Anchoring filaments prevent collapse under tissue pressure.
Tunics: endothelium + thin smooth muscle layer (perivascular cells) + adventitia.
Possess valves; rely on
Skeletal-muscle pump.
Respiratory pump.
Sympathetic (α-adrenergic)–mediated constriction.
Extremely compliant due to thin walls & low P.
Definition: encapsulated, bean-shaped organs inserted along collecting vessels.
Basic anatomy
Dense irregular collagen capsule → extensions (trabeculae) partition lobules.
Cortex (outer): densely packed diffuse lymphatic tissue & lymphatic nodules.
Medulla (inner): fewer cells, medullary cords/sinuses.
Afferent (inbound) vs. efferent (outbound) vessels—labels depend on node referenced.
Histology
Reticular CTP network → physical scaffolding + filtration mesh.
Lymphatic nodules
Circular aggregates of lymphocytes.
Central germinal centers = active B/T cell proliferation.
Functional role
“Immune checkpoints”; expose lymph to resident WBCs.
Capture pathogens/debris via reticular mesh for recognition.
Non-capsulated nodules within mucosal CT layers; extra protection at body tract portals.
Key sites
Tonsils (6 total)
Pharyngeal (adenoids), palatine, lingual.
Stratified squamous epithelium with crypts that trap pathogens.
Peyer’s patches (ileum of small intestine).
Vermiform appendix (large clusters within wall).
Scattered in respiratory, urinary, reproductive tracts.
Rationale near ileocecal region: guard against translocation of large-intestinal flora into small intestine/body.
Location: upper L quadrant, posterior to stomach & pancreas.
Vascular supply: splenic artery (from celiac trunk) in; splenic vein → hepatic portal vein → liver.
Capsule & trabeculae partition lobules.
Two pulps
White pulp: lymphocytes clustered around arterioles → immune surveillance of blood.
Red pulp: sinusoidal capillaries + macrophages → remove senescent RBCs; store platelets, healthy RBC reservoir.
Functions
Filters bloodborne pathogens.
Hematologic recycling of erythrocytes (macrophage phagocytosis).
Blood reservoir; potential to release RBCs during high demand (species-dependent).
Primary lymphatic organ for T-cell education.
Anatomy
Two lobes; each subdivided into lobules via connective tissue trabeculae.
Lobule structure: dark cortex (densely packed immature T cells) → lighter medulla (maturing cells exit via vessels).
Epithelial cells secrete thymosins → orchestrate maturation.
Positive/negative selection
T cells exposed to self-antigens; self-reactive clones undergo apoptosis (autoimmunity safeguard).
Involution
Active in childhood; atrophies in adulthood, replaced by inert CT/fat once adequate T-cell repertoire (millions of clones) produced.
Cardiovascular: Returns \approx 3\,\text{L/day} of fluid to venous circulation; vessels share pumps/valves.
Immune: Houses & transports leukocytes; major filter for pathogens.
Digestive: Lacteals absorb chylomicrons; MALT guards GI tract; spleen/liver sequential blood filtration.
Endocrine: Thymic hormones (thymosins) regulate immunity.
Clinical tie-ins
Blocked lymphatics → edema.
Splenectomy ↑ infection risk; liver takeover of RBC recycling.
Tonsillitis, appendicitis = inflamed MALT structures.
Autoimmune diseases stem from failed T/B cell selection checkpoints.
Body maintains strict self/non-self discrimination; failure → autoimmunity, raising questions about immunological tolerance.
Spleen/thymus studies inform transplantation ethics and age-related immunity.
Plasma filtration: \sim 10\% not reabsorbed; \approx 3\,\text{L} daily enters lymphatics.
Hydrostatic vs. oncotic relationships: P{if} > P{lymph} while \pi_{if}\approx 0 (protein-free).
Lymph, lymphocyte, lacteal, MALT, node vs. nodule, pulp, thymosin, apoptosis.