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Hello. My name is Jorge Castorena-Gonzalez. I am an Associate Professor and Member of the Tulane Cancer Center at Tulane University School of Medicine in the Department of Pharmacology. My expertise and research are in understanding the mechanisms that regulate lymphatic system function and dysfunction. In this lecture, I will talk to you about lymphatic system dysfunction in obesity and metabolism.
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The lymphatic system is part of the circulatory system, and in the most general concept, it can be described as a transport system. Some of the major functions of the lymphatic system are: it absorbs, transports, and returns excess interstitial fluid back into the central veins, provides a main route for immune cell trafficking and therefore plays a critical role in immunity. It also absorbs and transports nutrients. In particular, dietary lipids and fat-soluble vitamins. In contrast to the blood circulation, the lymphatic system is not a closed system. It begins with lymphatic capillaries or initial lymphatics that uptake fluid. Fluid is then transported through a network of interconnected lymph nodes via larger collecting lymphatic vessels before it's returned into the central veins.
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Endothelial cell-to-cell junctions play a fundamental role in regulating interstitial fluid uptake in the lymphatic capillaries and the modulation of lymphatic permeability in larger lymphatic vessels. Cell-to-cell junctions between capillary lymphatic endothelial cells are discontinuous and button-like. This facilitates the uptake of interstitial fluid, macromolecules and the migration of immune cells into the lymphatic networks. In collecting lymphatic vessels, junctions between lymphatic endothelial cells are continuous and zipper-like. The lymphatic endothelial cell layer is surrounded by a basement membrane and a single layer of lymphatic muscle cells displaying strong electrical coupling. Lymphatic muscle cells are responsible for the spontaneous and strong contractions of these vessels. Interstitial fluid is more than just water.

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Lymphatic system dysfunction in obesity and metabolism

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