Studies on lymph humoral factor. Biological characteristics of a lymphocytopoietic factor in rat thoracic duct lymph

The biological characteristics of a lymphocytopoietic factor obtained from rat thoracic duct lymph (Yamashita, Fukumoto & Miyamoto, 1976) were further investigated. The lymph extract from normal rats failed to stimulate both large pyroninophilic cell-proliferation and mitotic response in the spleen and lymph node of the thymectomized, irradiated and marrow reconstituted rat (B rat). This suggests that target or responsive cells for the factor are not marrow-derived (B) cells, but thymus-derived (T) cells. On the other hand, the lymph extract from the lymphopenic lymph-drained B rats showed similar high lymphopoietic activity to those of normal rats, indicating that the existence of a thymus is not essential for the production or secretion of the factor. The fact that lymphocytotic rats produced by syngeneic lymphocyte transfusion are most sensitive to the lymph extract suggests that liver endogenous level of this factor and the responsiveness of target cells are regulated by the number of circulating T lymphocytes.

Influence of protein content upon the electrolyte composition of lymph and plasma

The concentration of Na+ and Cl' is higher in renal hilar lymph (HL) than in arterial (P) or renal venous plasma or thoracic duct lymph (TDL). The purpose of the present study was to test the theory that this is the consequence of differences in protein content of lymph and plasma rather than a reflection of renal function. Samples of P, HL and TDL were obtained from dogs and analysed for Na+, Cl', K+ and Ca++. The samples were then centrifuged through an ultrafiltration membrane to remove the protein and reanalysed for electrolyte content. Ca++ concentrations were reduced by 30-40% in the (protein-free) filtrate. This was attributed to protein binding. Na+ and Cl' concentrations were raised minimally (2.0 mEq/L and 5.0 mEq/L respectively) in protein-free filtrate of plasma, but not in protein-free filtrate of lymph. It was concluded that the relative protein concentration in lymph and plasma are not an important influence on Na+ and Cl' concentrations.

Distribution of 5-fluorouracil to body tissues compared after intraluminal, intravenous, and intramural administration in gastrointestinal cancer

The distribution of 5-fluorouracil (5-FU) to various potential metastatic sites has been investigated in stomach and colorectal cancer patients, using intraluminal, intravenous, and intramural routes of administration at the time of surgery. The best overall concentrations of 5-FU in systemic blood, portal blood, liver, draining lymph nodes, tumor, and locally in the bowel wall was obtained after intramural injection. The intraluminal route of administration resulted in poor overall distribution of 5-FU. Intravenous administration tended to give levels between those obtained from intramural and intraluminal routes. There was no complication of 5-FU therapy. On the basis of this study we conclude that the intramural route is the most satisfactory for adjuvant administration of 5-FU with surgery. This might be expected to give better results than those obtained in clinical studies using intraluminal and intravenous routes. A controlled trial of 5-FU using the intramural route is indicated in gastric and colorectal cancer to demonstrate whether or not clinical benefit can be obtained.

Activities of proscillaridin A in thoracic duct lymph after single oral doses in man

In order to study the possibility that orally administered proscillaridin after absorption is transported by the lymph to the systemic circulation, the concentrations of the glycoside in thoracic duct lymph were analyzed in two patients with thoracic duct drainage. They received the drug as a single oral dose; plasma and lymph concentrations were measured by 86Rb-technique. Lymph was collected at various intervals for 24 hrs. The proscillaridin activity in thoracic duct lymph was low and followed closely that the plasma. During the sampling period, a total of 300 ng and 240 ng, respectively, was recovered in the lymph, corresponding to less than 0.03% of the administered dose. The results indicate that proscillaridin is not transported by the thoracic duct lymph.

Lymphatic network of kidney. I. Anatomic and physiologic considerations

A small number of investigators, including our team, has been responsible during the past two decades for many studies focusing on the kidney lymphatics. Interesting new information and concepts have been published, but unfortunately some of these data are scattered in obscure journals. The major purpose of this, and three subsequent reviews, is to present these new concepts in a more organized fashion. The reviews will also allow our group an opportunity to emphasize physiologic principles which have been ignored in the past. In a future review we will emphasize the role of the immunoblast, found only in kidney lymph and responsible for rejecting the renal allograft. Azathioprine (Imuran), if given early and in adequate dosage, will reduce the role of these transformed lymphocytes. Still another review article will emphasize the importance of renal tissue concentrations of antibacteria in eradicating acute pyelonephritis. Blood and urine levels of antibiotics are also important in eradicating pyelonephritis. Since renal lymph represents interstitial fluid, the concentration of appropriate bacteria-sensitive antibacterials is probably more important. We have now evaluated fourteen antibacterials individually in the mongrel dog, comparing plasma, urine, and renal lymph levels during similar time intervals. Finally, we will review the role of diuretics in altering the interstitial gradient of various solutes. Osmotic diuretics of more potent diuretics which affect renal tubular reabsorption manifest their action by different means when renal lymph fluid is evaluated.

Flow and composition of leg lymph in normal men during venous stasis, muscular activity and local hyperthermia

Changes in normal human leg lymph protein concentration, output, and lymph flow/lymph protein concentration relationship, as well as lactate dehydrogenase and alkaline phosphatase activity were followed during procedures known to increase capillary filtration as venous stasis, muscular exercise and warming of tissues. Lymph flow increased by 83% during two hour ergometer cycling, and by 117% during two hour warm water foot bath. During a two hour period of venous stasis lymph flow dropped by 50%. There was an increase in lymph flow during the rest period following all three types of experiment, most pronounced after foot warming. An inverse relationship between the lymph flow rate and lymph protein concentration was found. Lymph enzymes followed the same pattern of changes as total protein.

Twenty-four hour variation in flow and composition of leg lymph in normal men

The twenty-four hour variation in concentration and output of total protein, lactate dehydrogenase and alkaline phosphatase has been studied in the peripheral lymph from the legs of 5 healthy volunteers over a period of five days. The highest concentration of these proteins was found in lymph collected during the first two hours after a night's rest. During the day a continuous decrease in concentration occurred without any direct correlation to lymph flow. The variation in lymph protein concentration between early morning and late day was about 40%, lactate dehydrogenase and alkaline phosphate about 90% and 45% respectively.

Thoracic duct lymph in conscious dogs at rest and during changes of physical activity

In conscious dogs with a thoracic duct-venous shunt, lymph flow (LF), protein concentration (LP), transported protein (LTP), albumin concentration (LA), globulin concentration (LG), albumin to globulin ratio (LAG), plasma disappearance rate of labelled albumin (k), plasma volume (PV) and intravascular protein pool (IVP) were studied at rest, during walking and muscle relaxation induced by guajacolglycerinether. At rest, LF approximated 50 mul/min-kg and LTP 1.55 mg/min-kg. LF and LTP correlated positively with the state of physical activity. LP was 54%, LA 67%, LG 43%, but LAG 156% of the plasma values; k was 0.00228. Relaxation reduced LF by 34%, LTP by 31%, LAG by 7% and the lymph concentration of i.m. applied labelled albumin by 54%. PV, IVP and k were not changed significantly. Walking enhanced LF by 100%, LTP by 50% and LAG by 25%. LP was decreased by 15%. PV, IVP and k were not changed significantly. Control data suggest a significant influence of anaesthesia on thoracic duct lymph flow, composition and protein transport. Spontaneous and experimental changes of thoracic duct lymph may be explained by changes of the activity of the "tissue pump". An extravascular fluid and protein pool would seem to be accumulated at rest and emptied during exercise.

Protein concentration in interstitial and lymphatic fluids from the subcutaneous tissue

The protein content of interstitial fluid and lymph from the same tissue was determined fluid samples of nanolitre volumes being taken from the subcutaneous tissue of rabbits by micropuncture. In the same area lymph was collected from lymphatic vessels of 30-100 mum. An electrophoretic technique in polyacrylamide gels in glass capillaries was used for the analysis of proteins. The gels were stained and then scanned on a microscope equipped with a moving table and photomultiplier. The area under each protein band was calculated from the recorded densitograms. The method required only a few nanolitres of fluid for analysis. Using solutions of known protein concentrations the relationship between the amount of protein and the area under the densitogram band was investigated. This relationship was found to be linear, making it possible to quantify the protein content of both interstitial fluid and lymph samples. The interstitial fluid/plasma concentration ratios for albumin, transferrin, globulins and total proteins were 0.42, 0.42, 0.32 and 0.37. The albumin/globulin ratio in interstitial fluid was found to be 1.60 of the plasma value although the values obtained for lymph were similar to those found for interstitial fluid. The similarity between the protein concentration of interstitial fluid and lymph indicated that the endothelial lining of the terminal lymphatics did not restrict the passage of macromolecules into the lymphatics.

The synthesis and excretion of non-erythroid bilirubin in the dog

Between 10 and 20% of the bilirubin excreted in the bile is not derived from the breakdown of hemoglobin. When delta-aminolevulinic acid is given as a bilirubin precursor, 99% of the bilirubin formed is of this non-erythroid variety. The non-erythroid bilirubin has been supposed to be synthetized exclusively in the liver. Sequential samples of arterial, portal and liver vein blood, as well as of bile and thoracic duct lymph, were analyzed for bilirubin and non-bilirubin radioactivity following the injection of labeled delta-aminolevulinic acid in dogs. Radioactive bilirubin appeared in blood before it could be demonstrated in bile or lymph. The concentration differences between aortic, portal and liver vein blood displayed a considerable extrahepatic non-erythroid bilirubin synthesis. Most non-erythroid bilirubin synthetized in the liver is excreted directly into the biliary canaliculi.

The influence of the lymph node on the protein concentration of efferent lymph leaving the node

1. Experiments have been performed in sheep to determine the contribution of lymph formed within a lymph node to the total protein output in lymph leaving the node. 2. The lymphatic duct leaving the popliteal lymph node was cannulated and the protein and lymphocyte output in efferent lymph determined. The afferent lymph flow to the popliteal node was then diverted and lymph formed only within the lymph node collected from the efferent cannula. It appeared from the results that the popliteal lymph node forms lymph at the rate of approximately 1 ml. per hour and may contribute 30-50% of the protein output observed in efferent lymph. 3. The importance of lymph formation within the lymph node varied between nodes found in different regions of the body. This was due in part to the different protein concentrations in the afferent lymph to the different nodes. 4. A positive correlation was found between the protein and lymphocyte concentrations in efferent lymph from the popliteal lymph node in seven out of eleven sheep and in lymph formed within the popliteal lymph node in two out of three sheep. It is suggested that this relationship may be due to an increased transfer of plasma proteins through the post-capillary venules in the lymph node accompanying the continual traffic of lymphocytes across the wall of these vessels. The results indicated that the protein transfer across the post-capillary venules was not an indiscriminate transfer of plasma per se but a selective transport from the blood plasma compartment based on molecular size.

The relationship between tissue fluid and lymph

Protein concentration in the fluid aspirated from subcutaneously implanted capsules is higher both in dogs and in rabbits than in the lymph collected from the same area. Besides the quantitative differences there are also qualitative differences in the composition of the two fluids. It is concluded, that the capsular fluid is not identical with normal tissue and that from its composition no informations can be gained about the origin of lymph or the mechanism of its formation.

[Properties and the protein composition of lymph and blood in burns]

Experiments conducted on 25 dogs demonstrated that burn was accompanied by a regular redistribution of plasma proteins between the fluid media of the organism and an intensification of lymphogenic resorption. Properdin, albumin, and alpha2-globulin retardation in tissues in case of burn was demonstrated indirectly. The degree of burn proved to depend on the initial properdin level.

Oxygen pressure in small lymphatics

Oxygen tension of the small lymph vessels (PLO2) of the rabbit hind limb was measured with both a flow-through micro chamber and a polarographic catheter-tip oxygen electrode to obtain experimental data on the source of oxygen in the lymph. The following processes may influence PLO2: 1. Since the structure of the lymphatic capillaries allows a free diffusion of small molecules from the interstitial fluid into the lymphatics the lymph within its capillaries can mirror the oxygen supply of the tissue, i.e., probably a mean interstitial PO2. 2. PLO2 might be influenced by the oxygen content of the tissue surrounding the lymph vessels. Measurement with the catheter electrode showed that PLO2 rose after superfusing vessel with O2-saturated saline. After occlusion of the artery running paralled to the lymph vessel, a decrease in PLO2 was recorded. PLO2 in the absence of lymph flow increased rapidly after O2 inhalation. This reaction could be impeded by occluding the artery running parallel with the lymph vessel. 3. The mean oxygen tension of the prenodal (afferent) lymph measured with the flow-through chamber was 28.1 +/- 12.0 torr, whereas that measured with the catheter electrode was 42.0 +/- 12.18 torr. This difference may be attributed to the oxygen consumption of the lymph cells. The lymph containing a large number of cells has a stronger oxygen consumption than that with a lower number of cells. These observations suggest that PLO2 is influenced not only by the oxygen tension of the tissues drained by the lymph but also by the oxygen consumption of lymph cells as well as by the oxygen content of the surrounding tissues and perhaps by that of the blood vessels which are located at different distances from the collecting lymphatic vessels.

[Effect of intravenous infusions of thrombin and heterogenous blood on lymph coagulability]

In dogs, i.v. administration of thrombin leads to hypocoagulation, consumption of fibrinogen, increasing fibrinolysis, and to a slight raise of antithrombin. This has no connection with appearance of natural anticoagulants and fibrinolytic agents in the lymph stream. After the heterotransfusion shock, apart from hypocoagulation and hyperfibrinolysis in the blood, the incoagulability of lymph developes due to a sharp increase of free heparin in it. The hypocoagulation after the heterotransfusion shock seems to depend on appearance of anticoagulants in the tissue fluid and lymph. Common and different features of thrombin and heterogenic blood effects on the mechanism of hypocoagulation and hyperfibrinolysis, are discussed.

Red blood cell catabolism in lymph nodes of the sheep and rat: quantitation

Estimates have been made of the number of red blood cells catabolised in the lymph nodes of the sheep and the rat. These estimates were based on observations on the output of bilirubin in intestinal lymph of the sheep and on bilirubin output in thoracic duct lymph of the rat. It was calculated that some 2 to 15 X 10(9) red blood cells were catabolised in a 24 hour period by the lymph nodes of the intestinal region of the sheep, representing approximately 3% of all the red cells destroyed in this period. Similarly, 0.9 to 4.6 X 10(8) red blood cells were estimated to be catabolised every 24 hours in the lymph nodes of those areas drained by the thoracic duct of the rat, representing approximately 6% of all the red cells destroyed in a 24 hour period. Calculations extending these results to include all areas of the body in both species indicated that the lymph nodes may account for some 6-7% of the total number of red blood cells catabolised in the animal.

The relationship between right duct lymph flow and extravascular lung water in dogs given alpha-naphthylthiourea

The relationship between right duct lymph flow and extravascular lung water was studied in 3 normal dogs and 15 dogs with pulmonary edema induced by alpha-naphthylthiourea (ANTU). Right duct lymph was collected in a pouch created by ligating jugular, subclavian, and brachiocephalic veins. Extravascular lung water was measured in vivo by double indicator dilution and post-mortem by weighting lungs before and after drying. Cardiac output, pulmonary artery and pulmonary artery wedge pressures, and the concentration of protein and electrolytes in plasma and right duct lymph were determined. Eight lungs were examined by light and electron microscopy. There was a direct relationship between right duct lymph flow (RDLF in milliters per hour per gram dry lung) and extravascular lung water (Qwl in milliliters per gram dry lung) which was best described by the equation RDLF=0.75-0.26 Qwl+0.03 (Qwl).2 Dogs with severe ANTU-induced edema had extensive lung capillary endothelial destruction but only mild interstitial swelling and no visible damage to type I alveolar epithelial cells. Cardiac output, pulmonary artery and wedge pressures, and protein and electrolyte concentrations did not correlate with either extravascular water or right duct flow. Thus, in ANTU-induced pulmonary edema right duct lymph flow was directly related to extravascular lung water with the highest flows occurring with severe edema. The absence of a rapid increase in lymph flow with small increases in extravascular water may be due to early sequestration of fluid in the alveolar space. Hemodynamic changes did not account for changes in lung water or lymph flow. The pulmonary interstitial factors relating increased extravascular water to lymph drainage remain to be determined.

The effect of generalized hypoxia upon flow and composition of cardiac lymph in the dog

Generalized hypoxia lasting 60 seconds more than doubled the cardiac lymph flow in dogs. The number of erythrocytes per mm3 of cardiac lymph increased by about 300%. However, there was no change in total protein or in the concentrations of different lipids following hypoxia. Thus, the transfer of erythrocytes across the myocardial interstitium increased by a factor of ten, and proteins and lipids by 150%. An increase of the capillary surface area probably explained the increased lymph flow. Permeability for macromolecules through the endothelial cells was not increased, since the selectivity for different lipids did not change. The increased transfer of erythrocytes may be explained by an increased permeability through intercellular junctions. The triglyceride content of thoracic duct lymph decreased by about 60% in the corresponding period, but no changes in flow or permeability were observed.

Pharmacokinetics of human leukocyte interferon

Most of the human leukocyte interferon or rabbit serum interferon administered intravenously to rabbits was detectabble in their plasma 1 min after injection. An increase in the dose did not affect the early clearance of human interferon but did prolong its persistence in the serum. Repeated intramuscular injections had no effect on the kinetics of circulating interferon. The purity of the preparation influenced the rate at which interferon entered the blood after intramuscular or subcutaneous injection but did not affect clearance from the blood after intravenous injection. The circulating interferons obtained after intravenous or intramuscular administration cleared at similar rates. During the first 1-2 hr after intravenous or intramuscular injection into rats, the interferon levels were lower in lymph than in serum; after 2 hr lymph and serum samples contained similar amounts of interferon.

Lung lymph and free interstitial fluid protein composition in sheep with edema

In 10 anesthetized sheep with mild or moderate pulmonary edema we determined whether the protein composition of lung lymph is representative of free interstitial fluid. We measured protein concentration and albumin fraction in 1-mul samples of plasma, lung lymph, and free interstitial fluid. We also measured lung lymph flow. In five sheep with edema caused by increased pulmonary microvascular pressure, the average (+/- 1 SE) plasma protein concentration was 6.0 +/- 0.4 g/100 ml, lung lymph 3.4 +/- 0.2, and interstitial fluid 3.1 +/- 0.3. Lymph flow increased from an average base-line value of 9.4 ml/h to 43.4 ml/h during edema. Average albumin fractions in lymph and interstitial fluid were 0.56 +/- 0.02 and 0.50 +/- 0.01, respectively, compared with 0.44 +/- 0.01 for plasma. In five sheep with increased-permeability edema, average plasma protein concentration was 5.7 +/- 0.3 g/100 ml, lung lymph 4.1 +/- 0.4, and interstitial fluid 4.6 +/- 0.4. Base-line lymph flow was 11.0 ml/h and increased to 27.8 ml/h during edema. Average albumin fractions in lymph and interstitial fluid were 0.53 +/- 0.01 and 0.50 +/- 0.02, respectively, compared with 0.43 +/- 0.01 for plasma. We conclude in both high-pressure and altered-permeability edema, the protein composition of lung lymph collected from the major lung efferent lymphatic is representative of the free interstitial edema fluid.