Document Detail


Lymphatic drainage function and its immunological implications: from dendritic cell homing to vaccine design.
MedLine Citation:
PMID:  18201895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The slow interstitial flow that drains fluid from the blood capillaries into the lymphatic capillaries provides transport of macromolecular nutrients to cells in the interstitium. We discuss herein how this flow also provides continuous access to immune cells residing in the lymph nodes of antigens from self or from pathogens residing in the interstitium. We also address mechanisms by which dendritic cells in the periphery sense interstitial flow to home efficiently into the lymphatics after activation, and how lymphatic endothelium can be activated by this flow, including how it can act as a lymphatic morphoregulator. Further, we present concepts on how interstitial flow can be exploited with biomaterial systems to deliver antigen and adjuvant molecules directly into the lymphatics, to target dendritic cells residing in the lymph nodes rather than in the peripheral tissues, using particles that are small enough to be carried along by flow through the network structure of the interstitium. Finally, we present recent work on lymphatic and lymphoid tissue engineering, including how interstitial flow can be used as a design principle. Thus, an understanding of the physiological processes that govern transport in the interstitium guides new understanding of both immune cell interactions with the lymphatics as well as therapeutic interventions exploiting the lymphatics as a target.
Authors:
Melody A Swartz; Jeffrey A Hubbell; Sai T Reddy
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-01-16
Journal Detail:
Title:  Seminars in immunology     Volume:  20     ISSN:  1044-5323     ISO Abbreviation:  Semin. Immunol.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-17     Completed Date:  2008-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9009458     Medline TA:  Semin Immunol     Country:  England    
Other Details:
Languages:  eng     Pagination:  147-56     Citation Subset:  IM    
Affiliation:
Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland. melody.swartz@epfl.ch
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MeSH Terms
Descriptor/Qualifier:
Adjuvants, Immunologic
Animals
Antigen Presentation
Antigens / immunology
Cell Communication / immunology
Cell Differentiation / immunology
Cell Movement / immunology
Dendritic Cells / cytology,  immunology*,  metabolism
Extracellular Fluid / cytology,  immunology,  metabolism
Humans
Lymphatic Vessels / immunology*,  metabolism
Protein Transport / immunology
Tissue Engineering
Vaccines / immunology
Chemical
Reg. No./Substance:
0/Adjuvants, Immunologic; 0/Antigens; 0/Vaccines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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