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Am J Physiol Heart Circ Physiol (March 7, 2008). doi:10.1152/ajpheart.00781.2007
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Submitted on July 6, 2007
Accepted on March 3, 2008

First-Order Approximation for the Pressure-Flow Relationship of Spontaneously Contracting Lymphangions

Christopher M Quick1*, Arun M. Venugopal1, Ranjeet M Dongaonkar1, Glen A. Laine1, and Randolph H. Stewart1

1 Michael E. DeBakey Institute, Texas A and M University, College Station, Texas, United States

* To whom correspondence should be addressed. E-mail: cquick{at}cvm.tamu.edu.

In order to return lymph to the great veins of the neck, it must be actively pumped against a pressure gradient. Mean lymph flow in a portion of a lymphatic network has been characterized by an empirical relationship (Pin-Pout=-Pp+RLQL), where Pin-Pout is the axial pressure gradient and QL is mean lymph flow. RL and Pp are empirical parameters characterizing the effective lymphatic resistance and pump pressure. Relating these global empirical parameters to the properties of lymphangions, the segment of a lymphatic vessel bounded by valves, has been problematic. Lymphangions have a structure like blood vessels, but cyclically contract like cardiac ventricles; they are characterized by a contraction frequency (f) and the slopes of the end-diastolic pressure-volume relationship (Emin) and end-systolic pressure-volume relationship (Emax). Poiseuille’s Law provides a first-order approximation relating the pressure-flow relationship to the fundamental properties of a blood vessel. No analogous formula exists for a pumping lymphangion. We therefore derived an algebraic formula predicting lymphangion flow from fundamental physical principles and known lymphangion properties. Quantitative analysis revealed that lymph inertia and resistance to lymph flow are negligible, and that lymphangions act like a series of interconnected ventricles. For a single lymphangion, Pp= Pin(Emax-Emin)/Emin and RL=Emax/f. The formula was tested against a validated, realistic mathematical model of a lymphangion, and found to be accurate. Predicted flows were within the range of flows measured in vitro. The present work therefore provides a general solution that makes it possible to relate fundamental lymphangion properties to lymphatic system function.







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