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First published online on January 11, 2007.
Copyright © 2007 by The Physiological Society
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jphysiol.2006.127126v1
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Received December 20, 2006
Revised January 9, 2007
Accepted after revision January 9, 2007

REGIONAL RECRUITMENT OF RAT DIAPHRAGMATIC LYMPHATICS IN RESPONSE TO INCREASED PLEURAL OR PERITONEAL FLUID LOAD

Andrea Moriondo1, Annalisa Grimaldi1, Laura Sciacca1, Maria Luisa Guidali1, Cristiana Marcozzi1, and Daniela Negrini1*

1 Università degli Studi dell'Insubria

* To whom correspondence should be addressed. E-mail: daniela.negrini{at}uninsubria.it.

The specific role of the diaphragmatic tendineous and muscular tissues in sustaining lymph formation and propulsion in the diaphragm was studied in 24 anesthetized spontaneously breathing supine rats. Three experimental protocols were envisaged: a) control; b) peritoneal ascitis, induced through an intraperitoneal injection of 100 ml/kg of iso-oncotic saline and c) pleural effusion, induced through an intrapleural injection of 6.6 ml/kg saline solution. A group of animals (n=12) was instrumented to measure the hydraulic transdiaphragmatic pressure gradient between the pleural and peritoneal cavities in the three protocols. In the other group (n=12), the injected iso-oncotic saline was enriched with 2 % fluorescent dextrans (MW = 70,000 Da); at 30 min from the injections these animals were suppressed and their diaphragm excised and processed for confocal microscopy analysis. In control condition, in spite of a favourable peritoneal to pleural pressure gradient, the majority of the tracer absorbed into the diaphragmatic lymphatic system converges towards the deeper collecting lymphatic ducts. This suggests that diaphragmatic lymph formation mostly depends upon pressure gradients developing between the serosal cavities and the lymphatic vessel lumen. In addition, the tracer distributes to lymph vessels located in the muscular diaphragmatic tissue, suggesting that active muscle contraction, rather than passive tendon stretch, more efficiently enhance local diaphragmatic lymph flow. Viceversa, a prevailing recruitment of the lymphatics of the tendineous diaphragmatic regions was observed in peritoneal ascitis and pleural effusion, suggesting a functional adaptation of the diaphragmatic network to increased draining requirements.


Key words: Diaphragm • Interstitial fluid • Lymphatic pressure







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