Coagulation in Lymphatic System

The lymphatic system maintains homeostasis of the internal environment between the cells in tissues and the blood circulation. The coagulation state of lymph is determined by conditions of coagulation factors and lymphatic vessels. Internal obliteration, external compression or abnormally increased...

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Autores principales: Wendi Zhang, Jiang Li, Jiangjiu Liang, Xiumei Qi, Jinghui Tian, Ju Liu
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/bb158d2fa2bd4f2ea5a06d7685588d3b
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spelling oai:doaj.org-article:bb158d2fa2bd4f2ea5a06d7685588d3b2021-11-30T17:55:35ZCoagulation in Lymphatic System2297-055X10.3389/fcvm.2021.762648https://doaj.org/article/bb158d2fa2bd4f2ea5a06d7685588d3b2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.762648/fullhttps://doaj.org/toc/2297-055XThe lymphatic system maintains homeostasis of the internal environment between the cells in tissues and the blood circulation. The coagulation state of lymph is determined by conditions of coagulation factors and lymphatic vessels. Internal obliteration, external compression or abnormally increased lymphatic pressure may predispose to localized lymphatic coagulation. In physiological conditions, an imbalance of antithrombin and thrombokinase reduces lymphatic thrombosis. However, the release of factor X by lymphatic endothelium injury may trigger coagulation casacade, causing blockage of lymphatic vessels and lymphedema. Heterogeneity of lymphatic vessels in various tissues may lead to distinct levels and patterns of coagulation in specific lymphatic vessels. The quantitative and qualitative measurement of clotting characteristic reveals longer time for clotting to occur in the lymph than in the blood. Cancer, infections, amyloidosis and lymph node dissection may trigger thrombosis in the lymphatic vessels. In contrast to venous or arterial thrombosis, lymphatic thrombosis has rarely been reported, and its actual prevalence is likely underestimated. In this review, we summarize the mechanisms of coagulation in lymphatic system, and discuss the lymphatic thrombosis-related diseases.Wendi ZhangWendi ZhangWendi ZhangJiang LiJiangjiu LiangXiumei QiJinghui TianJu LiuJu LiuFrontiers Media S.A.articlecoagulationlymphatic endotheliumlymphatic thrombosislymphlymphedemaDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic coagulation
lymphatic endothelium
lymphatic thrombosis
lymph
lymphedema
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle coagulation
lymphatic endothelium
lymphatic thrombosis
lymph
lymphedema
Diseases of the circulatory (Cardiovascular) system
RC666-701
Wendi Zhang
Wendi Zhang
Wendi Zhang
Jiang Li
Jiangjiu Liang
Xiumei Qi
Jinghui Tian
Ju Liu
Ju Liu
Coagulation in Lymphatic System
description The lymphatic system maintains homeostasis of the internal environment between the cells in tissues and the blood circulation. The coagulation state of lymph is determined by conditions of coagulation factors and lymphatic vessels. Internal obliteration, external compression or abnormally increased lymphatic pressure may predispose to localized lymphatic coagulation. In physiological conditions, an imbalance of antithrombin and thrombokinase reduces lymphatic thrombosis. However, the release of factor X by lymphatic endothelium injury may trigger coagulation casacade, causing blockage of lymphatic vessels and lymphedema. Heterogeneity of lymphatic vessels in various tissues may lead to distinct levels and patterns of coagulation in specific lymphatic vessels. The quantitative and qualitative measurement of clotting characteristic reveals longer time for clotting to occur in the lymph than in the blood. Cancer, infections, amyloidosis and lymph node dissection may trigger thrombosis in the lymphatic vessels. In contrast to venous or arterial thrombosis, lymphatic thrombosis has rarely been reported, and its actual prevalence is likely underestimated. In this review, we summarize the mechanisms of coagulation in lymphatic system, and discuss the lymphatic thrombosis-related diseases.
format article
author Wendi Zhang
Wendi Zhang
Wendi Zhang
Jiang Li
Jiangjiu Liang
Xiumei Qi
Jinghui Tian
Ju Liu
Ju Liu
author_facet Wendi Zhang
Wendi Zhang
Wendi Zhang
Jiang Li
Jiangjiu Liang
Xiumei Qi
Jinghui Tian
Ju Liu
Ju Liu
author_sort Wendi Zhang
title Coagulation in Lymphatic System
title_short Coagulation in Lymphatic System
title_full Coagulation in Lymphatic System
title_fullStr Coagulation in Lymphatic System
title_full_unstemmed Coagulation in Lymphatic System
title_sort coagulation in lymphatic system
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/bb158d2fa2bd4f2ea5a06d7685588d3b
work_keys_str_mv AT wendizhang coagulationinlymphaticsystem
AT wendizhang coagulationinlymphaticsystem
AT wendizhang coagulationinlymphaticsystem
AT jiangli coagulationinlymphaticsystem
AT jiangjiuliang coagulationinlymphaticsystem
AT xiumeiqi coagulationinlymphaticsystem
AT jinghuitian coagulationinlymphaticsystem
AT juliu coagulationinlymphaticsystem
AT juliu coagulationinlymphaticsystem
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