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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Frontiers Media S.A.
2021
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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) |
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DOAJ |
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coagulation lymphatic endothelium lymphatic thrombosis lymph lymphedema Diseases of the circulatory (Cardiovascular) system RC666-701 |
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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 |
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1718406405219680256 |