Posterior lymph heart pressure and rate and lymph flow in the toad Bufo marinus in response to hydrated and dehydrated conditions

Structural and functional analysis of the newt lymphatic system

Regeneration competent vertebrates such as newts and salamanders possess a weakened adaptive immune system characterized by multiple connections between the lymphatic system and the blood vascular system called lymphatic hearts. The role of lymphatic vasculature and these lymphaticovenous connections in regeneration is unknown. We used in-vivo near-infrared lymphangiography, ultra-high frequency ultrasonography, micro-CT lymphangiography, and histological serial section 3-dimentional computer reconstruction to evaluate the lymphatic territories of Cynops pyrrhogaster. We used our model and supermicrosurgery to show that lymphatic hearts are not essential for lymphatic circulation and limb regeneration. Instead, newts possess a novel intraosseous network of lymphatics inside the bone expressing VEGFR-3, LYVE-1 and CD-31. However, we were unable to show Prox-1 expression by these vessels. We demonstrate that adult newt bone marrow functions as both a lymphatic drainage organ and fat reservoir. This study reveals the fundamental anatomical differences between the immune system of urodeles and mammals and provides a model for investigating lymphatics and regeneration.

Lymphatic regulation in nonmammalian vertebrates

All vertebrate animals share in common the production of lymph through net capillary filtration from their closed circulatory system into their tissues. The balance of forces responsible for net capillary filtration and lymph formation is described by the Starling equation, but additional factors such as vascular and interstitial compliance, which vary markedly among vertebrates, also have a significant impact on rates of lymph formation. Why vertebrates show extreme variability in rates of lymph formation and how nonmammalian vertebrates maintain plasma volume homeostasis is unclear. This gap hampers our understanding of the evolution of the lymphatic system and its interaction with the cardiovascular system. The evolutionary origin of the vertebrate lymphatic system is not clear, but recent advances suggest common developmental factors for lymphangiogenesis in teleost fishes, amphibians, and mammals with some significant changes in the water-land transition. The lymphatic system of anuran amphibians is characterized by large lymphatic sacs and two pairs of lymph hearts that return lymph into the venous circulation but no lymph vessels per se. The lymphatic systems of reptiles and some birds have lymph hearts, and both groups have extensive lymph vessels, but their functional role in both lymph movement and plasma volume homeostasis is almost completely unknown. The purpose of this review is to present an evolutionary perspective in how different vertebrates have solved the common problem of the inevitable formation of lymph from their closed circulatory systems and to point out the many gaps in our knowledge of this evolutionary progression.

Posterior lymph heart function in two species of anurans: analysis based on both in vivo pressure-volume relationships by conductance manometry and ultrasound

Rhinella marina and Lithobates catesbeianus have known differences in the capacity to mobilize lymph to stabilize blood volume following dehydration and hemorrhage. The purpose of these experiments was to assess whether there are interspecific differences in basic lymph heart functions. The end diastolic volumes of posterior lymph hearts averaged 10.8 μl kg⁻¹ in R. marina and 7.9-10.8 μl kg⁻¹ in L. catesbeianus by conductance manometry, and 9-32 μl kg⁻¹ in R. marina by ultrasound techniques, which correlated with body mass. Stroke volumes were approximately 20% of end diastolic volumes in both species. Peak systolic pressures and stroke work were correlated with the index of contractility (dP/dt(max)) in both species. Stroke volume was correlated to stroke work but not peak systolic pressure, end diastolic volume or end diastolic pressure indicating the preload variables do not seem to determine stroke volume as would be predicted from Starling considerations of the blood heart. Renal portal elastance (end systolic pressure/stroke volume) an afterload index did not differ interspecifically, and was equivalent to values for systemic flow indices from mice of equivalent ventricular volume. These data, taken together with predictions derived from mammalian models on the effect of high resistance indicate afterload (renal portal pressure), may be important determinants of posterior lymph heart stroke volume. The shape of the pressure-volume loop is different from an idealized version previously reported, and is influenced by end diastolic volume. Our data indicate that increasing end diastolic pressure and volume can influence the loop shape but not the stroke volume. This indicates that lymph hearts do not behave in a Starling Law manner with increased preload volume.

Lymph flux rates from various lymph sacs in the cane toad Rhinella marina: an experimental evaluation of the roles of compliance, skeletal muscles and the lungs in the movement of lymph

A new method for quantitatively determining lymph flux from various lymphatic sacs of an anuran, the cane toad, was developed. This method used the dye dilution principle of CiVi=CfVf following injection of Evans Blue into specific lymph sacs and measuring its appearance in the venous circulation. The apparent lymph volume was 57 ml kg–1. The greatest rate of lymph return (0.5–0.8 ml kg–1 min–1) and best linear fit of Evans Blue appearance in the circulation with time followed injections into the subvertebral lymph sac, which has direct connections to both the anterior and posterior pairs of lymphatic hearts. Rate of lymph flux from the pair of posterior lymph hearts was three times greater than the anterior pair. Rates of lymph flux were only influenced by injection volume in the crural lymph sacs, implicating lymph sac compliance as the source of the pressure for lymph movement from these sacs. Femoral lymph sac fluxes were decreased by 60% following ablation of the tendons of the sphincter ani cloacalis, abdominal crenators and piriformis. This supports a role for these muscles in generating the pressure for vertical lymph movement. Femoral lymph sac fluxes were also decreased by 70% by the insertion of a coil in the subvertebral lymph sac, preventing normal compression and expansion of this sac by the lungs. This supports a role for lung ventilation in generating the pressure for vertical movement of lymph. Contrary to previous hypotheses, fluxes from the brachial sac were not influenced by insertion of the coil into the subvertebral sac. A haemorrhage equivalent to 50% of the blood volume did not change lymph flux rates from the femoral lymph sacs. These data provide the first experimental evidence that actual lymph fluxes in the cane toad Rhinella marina depend on lymph sac compliance, contraction of specific skeletal muscles and lung ventilation to move lymph laterally and vertically to the dorsally located lymphatic hearts.

Physiological analysis of the lymphatic system in the eastern painted turtle (Chrysemys picta picta)

Examination into the anuran lymphatic system has led to a comprehensive understanding of lymphatics, including the importance of synchrony in fluid-balance maintenance. However, little research has been conducted on the lymphatics of turtles and other reptilian vertebrates. Using pressure-peak recordings created through cannulation of both lymph hearts of the eastern painted turtle, Chrysemys picta picta (Schneider, 1783), the lymph heart contraction rate was verified and the interbeat interval patterns were examined using Poincaré plots. The lymph heart beating rate was determined to be 38.2 beats·min–1with a mean pulse pressure of 2.40 ± 1.44 mm Hg (1 mm Hg at 0 °C = 133.3224 Pa). Poincaré plots are useful in displaying nonlinear sequential data and are often given descriptive names related to the overall pattern. The Poincaré plot resembled a garden hose nozzle spray, indicating a large variability in interbeat time intervals with periods of multiple-beat patterns. The degree of bilateral lymph heart synchrony was determined in the turtle using the mean time difference between right and left lymph heart systoles. Results show that chelonian lymph hearts do in fact beat in synchrony, with over 50% of contractions occurring within 100 ms of each other. This indicates shared neuronal control and may suggest an energetic advantage to fluid homeostasis.

Synchrony in the amphibian lymphatic system: evidence for bilateral posterior lymph heart synchrony and cardiac–lymphatic synchrony inRana catesbeianaandBufo marinus

Early investigations into amphibian lymph heart function established that lymph heart contractions were synchronous with neither the systemic heart, nor the lungs, nor each other. However, the present study concludes that there is synchronization between the cardiac heart and the lymph hearts and that the posterior lymph hearts in both Rana catesbeiana Shaw, 1802 and Bufo marinus (L., 1758) beat synchronously as well. Pressure peaks were recorded through cannulation of the ischiatic artery and each posterior lymph heart and subsequently analyzed to determine the time differences between arterial diastole and lymph heart systole or between two bilateral lymph heart systoles. Results show that there is clear synchronization between the lymph heart systoles of two bilateral posterior lymph hearts. This lymph heart synchrony is further supported by using Poincaré plot analysis to visually compare the lymph heart inter-beats. Cardiac heart and lymph heart contractions also show a degree of synchronization, even though the lymph hearts beat up to three times as fast as the cardiac heart. These results support the conclusion that synchrony is characteristic of the anuran lymphatic system and that synchronization of the cardiac heart and the lymph hearts could impart an energetic advantage that benefits fluid homeostatic mechanisms.

Functional Roles for the Compartmentalization of the Subcutaneous Lymphatic Sacs in Anuran Amphibians

Compliance of the subcutaneous lymph sacs of the hindlimbs increases from distal to proximal, as does limb segment mass (and presumably rate of lymph formation), for the semiaquatic bullfrog Rana catesbeiana and the cane toad Bufo marinus but not the aquatic clawed toad Xenopus laevis. Subcutaneous lymph-sac compliances vary interspecifically. The distal-to-proximal increase in lymph-sac compliance and estimates of lymph formation rate in the various hindlimb segments indicate that partitioning of hindlimb subcutaneous lymphatic sacs establishes a differential decrease in the intra-lymph-sac pressure for R. catesbeiana and B. marinus. These pressure differentials constitute a "compliance pump" that drives distal-to-proximal intersac lymph flow. The compliance pump alone explains lymphatic return for the aquatic frog X. laevis but does not explain how lymph would reach the dorsally located lymph hearts for terrestrial anurans, so we hypothesize that skeletal muscle pumps return lymph from the femoral and pubic lymph sacs to the lymph heart. This is a fundamentally different role of the subcutaneous lymph-sac system than has been previously proposed. We suggest that the more proximal subcutaneous lymph sacs are important for fluid storage because they have a relatively high compliance.

Osmotically Absorbed Water Preferentially Enters the Cutaneous Capillaries of the Pelvic Patch in the ToadBufo marinus

Cutaneously absorbed water in anurans has two potential routes of movement from the skin interstitium into the body fluids, via the cutaneous capillaries and/or the lymphatic system. We investigated the lymphatic route at the pelvic patch skin under the influence of isoproterenol and arginine vasotocin in Bufo marinus by continuously aspirating lymph from the lymph sacs draining the pelvic patch while the animals absorbed water. Changes in body mass, lymph mass, and lymph osmolality were measured. If absorbed water entered the lymph space directly, we expected, relative to controls, (1) no difference in change in body mass, (2) lymph mass to be greater, and (3) lymph osmolality to be lower. None of these predictions were confirmed. We also tested the possibility that absorbed water was stored in the skin interstitium by measuring the surface density of pelvic skin immediately after it absorbed water. If water was stored, we expected the surface density of this skin to be greater than that of control skin. No difference in surface density was found. These results provide strong evidence that absorbed water does not directly enter the lymphatic system and is not stored in the skin. Consequently, osmotically absorbed water must enter via a transcapillary route.

General Function and Endocrine Control of the Posterior Lymph Hearts inBufo marinusandRana catesbeiana

The effects of hypervolemia and graded increases in arginine vasotocin (AVT), angiotensin II (ANGII), and atrial natriuretic peptide (ANP) on lymph heart pressure (P(lh)) and rate (f(lh)) were examined in Bufo marinus and Rana catesbeiana. The P(lh) and f(lh) for normally hydrated B. marinus at rest were 1.45+/-0.01 kPa and 52.8+/-0.38 beats min(-1). The P(lh) and f(lh) were significantly lower in R. catesbeiana, 1.05+/-0.01 kPa and 48.4+/-0.35 beats min(-1). Hypervolemia, induced by intravenous infusion of isotonic saline, stopped the lymph hearts at volumes of 0.48%+/-0.06% and 0.32%+/-0.04% body mass in B. marinus and R. catesbeiana, respectively, equivalent to an 8% increase of their respective plasma volumes. ANP had no effect on P(lh) or f(lh) at any of the dosages tested. ANGII decreased f(lh) in both species, approximating the physiological range of concentrations. AVT, at physiological concentrations, increased P(lh) 48% in B. marinus and 38% in R. catesbeiana without changing f(lh) in either species. At higher than physiological dosages, P(lh) and f(lh) in both species declined. The results suggest that AVT, normally released during hemorrhage and dehydration, would increase lymph heart output and help compensate for the hypovolemia. This is a contrary result to previous work using supraphysiologic doses of AVT.

Lymph Pools in the Basement, Sump Pumps in the Attic: The Anuran Dilemma for Lymph Movement

Amphibians are a vertebrate group transitional between aquatic and terrestrial environments. Consequently, both increases and decreases in blood volume are a natural biological stress associated with aquatic and terrestrial environments. In comparison with other vertebrate classes, anuran amphibians have the most rapid compensation and greatest capacity to compensate for changes in blood volume and survive dehydration. Unlike in mammals, a Starling transcapillary uptake mechanism does not account for this fluid mobilization because lymph flow is a substantial and important additional factor. The role of the lymphatic system in flux of fluids back into the circulation varies interspecifically in anurans and is an order of magnitude greater in anurans than in mammals. Current models of lymph movement in anurans are centered on the role of lymph hearts, but we suggest that these models are untenable. We present a new hypothesis for lymph movement involving (1) pressure differences created by compartmentalization of the hind limb lymph spaces into sacs of serially graded compliance to move lymph horizontally and (2) both negative and positive pressure differences created by contraction of skeletal muscles to move lymph vertically. The primary function of some of these skeletal muscles may be solely for lymph movement, but some may also be involved with other functions such as pulmonary ventilation.

Short-term immobilization after eccentric exercise. Part II: creatine kinase and myoglobin

PURPOSE

Although creatine kinase (CK) is commonly used as a marker of muscle damage, there is large variability in the response to exercise. We previously found short-term immobilization blunted the rise in plasma CK after eccentric exercise, suggesting subsequent movement of damaged muscle may contribute to variability. We hypothesized that immobilization decreases lymphatic transport of CK from damaged muscle, blunting the CK response. In this study, we compared changes in plasma CK and myoglobin (Mb), as Mb is released from damaged muscle directly into the bloodstream whereas CK is released first into the lymph.

METHODS

Twenty-five college-age males were matched according to force loss after 50 maximal eccentric contractions of the elbow flexors and placed into an immobilization (IMM, N = 12) or control (CON, N = 13) group. IMM had their arm immobilized at 90 degrees and secured in a sling for 4 d (treatment). Venipuncture was performed during baseline, treatment, and for 5 d after treatment (recovery) to assess plasma CK activity and Mb. Urine specific gravity (USG) and muscle activity (ACT) were assessed.

RESULTS

Immobilization significantly blunted increases in CK activity (IMM: 955 +/- 316 IU.L-1 vs CON: 2884 +/- 1083 IU.L-1; P < 0.05) but not increases in Mb (IMM: 712 +/- 278 ng.mL-1 vs CON: 891 +/- 253 ng.mL-1; P > 0.05). There were no differences in USG between groups over time (P > 0.05) and no group differences in ACT (P > 0.05).

CONCLUSIONS

Short-term immobilization after eccentric exercise blunted the CK response but not the Mb response, suggesting lymphatic transport of CK may be responsible. Because hydration status and muscular activity after exercise were not different between groups, the blunted CK response was likely due to inactivation of CK activity before entering circulation.

Aspects of lymph-heart function inRana catesbeiana

The effect of voluntary dives on the posterior lymph heart rate of the bullfrog, Rana catesbeiana, was tested and compared with the blood-heart rate (n = 6). This was performed by cannulating the posterior lymph heart and femoral artery simultaneously. Blood-heart rates during submergence were significantly lower (α = 0.05) then pre-submergence rates at all sampling times. In contrast, the lymph hearts showed significantly lower rates only during the first and last submergence intervals. It is believed that the lymph-heart bradycardia found during these intervals is due in part to the physiological "preparations" for diving by the frog. Further information regarding posterior lymph heart contractions was gained by cannulating two posterior lymph hearts on one side of the frog (n = 5). It was found that these hearts beat within 100 ms of each other between 66 and 97% of the time (α = 0.05). The combined contraction of the three posterior lymph hearts could facilitate the movement of lymph through the outflow valve and into the venous circulation. This study represents the first time the axial coordination of homolateral lymph hearts has been shown to extend to the multiple posterior lymph hearts.

The role of pulmocutaneous baroreceptors in the control of lymphatic heart rate in the toad Bufo marinus

The influence of increased pulmocutaneous arterial systolic pressure on amphibian lymph heart activity was determined in Bufo marinus. Arginine vasotocin-induced increases in systolic arterial pressure of greater than 0.5 kPa significantly (P<0.0002) decreased lymph heart rate. Denervation of the recurrent laryngeal nerve led to an increase in arterial pressure of 3.88 kPa in test animals compared to control animals. Denervation abolished lymph heart response to increased arterial pressure for an average of 38 min. Direct stimulation to the recurrent laryngeal nerve stopped lymph heart activity without an increase in arterial pressure. These data indicate that baroreceptors in the pulmocutaneous artery can decrease lymph heart rate during periods of either direct stimulation or elevated arterial pressure. The data also support lymph hearts as effectors for aortic and carotid baroreceptors.