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Updated: Sep 22, 2025

Three-Dimensional Imaging of the Vertebral Lymphatic Vasculature and Drainage using iDISCO+ and Light Sheet Fluorescence Microscopy
Published on: May 22, 2020
Gravity and lymphodynamics
Thomas Holm-Weber1, Rasmus Eskild Kristensen1, Sheyanth Mohanakumar1
1Department of Cardiothoracic Surgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Gravity significantly impacts lymphatic function. Standing increases lymphatic packet propulsion frequency and pressure within minutes, highlighting the body
Area of Science:
- Physiology
- Biomedical Engineering
Background:
- The lymphatic system is crucial for fluid balance and immune function.
- Understanding healthy lymphatic function is essential for diagnosing pathologies.
- External factors like exercise and temperature affect lymphatic vessels.
Purpose of the Study:
- To investigate the impact of gravity on human peripheral lymphatic function.
- To quantify changes in lymphatic propulsion frequency, velocity, and pressure due to gravitational shifts.
Main Methods:
- Utilized Near-Infrared Fluorescence (NIRF) imaging to assess peripheral lymphatic function.
- Measured lymphatic packet propulsion frequency, velocity, and pressure in healthy participants.
- Compared lymphatic parameters in supine versus upright body positions.
Main Results:
- Lymphatic packet propulsion frequency significantly increased upon standing (0.5 to 1.2 contractions/min).
- Lymphatic pressure increased significantly by 9 mmHg while standing.
- Lymph velocity showed variable changes without a distinct pattern during postural change.
Conclusions:
- The lymphatic system rapidly responds to gravitational changes.
- Increased lymphatic propulsion frequency and pressure are key responses to upright posture.
- NIRF imaging is a valuable tool for assessing dynamic lymphatic function.
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