Lymphatic drainage

Aerosols reach the alveolar space depending on their particle size and physico-chemical characteristics. Small particles that reach the alveiilar region (see Sections 2.3.7 and 3.1.1) may reach the circulation through the lymphatic drainage of the alveolar region. 

Elephantiasis, oedema of the lower leg consequent to obstruction of the lymphatic drainage, is endemic in bare-footed subjects in the Cameroons and other regions of Africa. The identification of aluminosilicate clay... 

Metastatic spread can occur by local extension, lymphatic drainage, or hematogenous dissemination.17 Lymph node metastases are more common in patients with large, undifferentiated tumors that invade the seminal vesicles. The pelvic and abdominal lymph node groups are the most common sites of lymph node involvement (Fig. 89-1). Skeletal metastases from hematogenous spread are the most common sites of distant... 

Fig. 5 Schematic representation of extravasation and lymphatic drainage. (From Ref. 38.)...

Shielded polyplexes with improved blood circulating properties are interesting tools for systemic cancer therapy (see Sect. 4.2). Nanoparticles can take advantage of the enhanced permeability and retention (EPR effect) [89] for passive tumor targeting. The EPR effect is based on the leakiness of tumor vasculature, due to neovascularization in growing tumors, combined with an inadequate lymphatic drainage. Nanoparticles with an elongated plasma circulation time can extravasate and passively accumulate at the tumor site. 

There are occasional anomalies to the rule that food reduces and delays peak plasma concentration. The anti-fungal drug, griseofulvin, has enhanced absorption if taken with a meal - possibly because it becomes emulsified by bile salts and passes more readily into the lymphatic drainage of the gut which bypasses the liver, entering the venous system directly. The immuno-suppressant cyclosporin, and calcium salts in general, show a similar increase in absorption when taken with a fatty meal. 

Activated T and B cells emigrate from the inductive environment via lymphatic drainage, circulate through the bloodstream, and target the mucosal effector sites. B cells expressing IgA differentiate during their spread to mucosal sites to become IgA-producing plasma cells. IgG also reaches these areas by passive diffusion from the bloodstream (Corthesy, 2007 Rojas and Apodaca, 2002). 

The blood supply to the vagina is through the uterine arteries and the internal iliac artery. Blood returns to the venous system through veins that empty into the internal iliac vein. Lymphatic drainage is through the external and internal iliac lymph nodes and superficial inguinal lymph nodes. 

The interstitial fluid content of the skin is higher than in the subcutaneous fat layer and normal fluid movement is intrinsically finked to lymphatic drainage as governed by mechanical stresses of the tissue. A model of temporal profiles of pressure, stress, and convective ISF velocity has been developed based on hydraulic conductivity, overall fluid drainage (lymphatic function and capillary absorption), and elasticity of the tissue.34 Measurements on excised tissue and in vivo measurement on the one-dimensional rat tail have defined bulk average values for key parameters of the model and the hydration dependence of the hydraulic flow conductivity. Numerous in vivo characterization studies with nanoparticles and vaccines are currently underway, so a more detailed understanding of the interstitial/lymphatic system will likely be forthcoming. 

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