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Lymphatic system · immunity

The lymphatic system — a silent army

Alongside our blood vessels runs a second, lesser-known network. It collects fluid from the tissues, carries fats from the gut and delivers microbes straight to hundreds of lymph nodes — outposts where an army of white blood cells lies in wait. See how swelling forms, how eater cells defend a cut, how lymphocytes learn a new enemy, and why vaccines protect whole communities.

This page is educational and is not medical advice. The models are simplified; the descriptions follow textbook immunology and WHO guidance. For health matters, see a doctor.

Map of the lymphatic system

Click an organ in the drawing or its name. The green streams are lymph — it always flows one way: from the tissues toward the heart.

Parts of the system

    Why do lymph nodes swell?

    During a throat infection, lymph carries microbes and their fragments to the nodes in the neck. Lymphocytes that recognize the intruder start dividing rapidly there, and more blood and immune cells flow into the node. The node grows and may feel tender — a sign that work is under way. After the infection it usually shrinks back to its old size.

    A node that stays enlarged for several weeks without an obvious reason is worth showing to a doctor.

    Fat travels in lymph

    Most dietary fats do not go straight into the blood: in the intestinal villi they are absorbed by lymphatic vessels, and lymph from the gut turns milky white (this is chyle) and flows through the cisterna chyli and the thoracic duct into a vein.

    Where does lymph come from?

    In a capillary, blood pressure pushes water out into the tissues, while plasma proteins (oncotic pressure) pull it back. Not everything returns — the surplus, together with proteins that escaped from the blood, is taken away by the lymphatic system. Block it and watch the tissue.

    Starling forces

    30 mmHg
    at the end of the capillary: 10 mmHg
    28 mmHg
    100%

    Fluid balance (whole body)

    Filtration from blood to tissues20.0 L/day
    Reabsorption into blood17.0 L/day
    Lymph drainage3.0 L/day
    Excess fluid in tissues+0.0 L
    Tissue fluid pressure−3.0 mmHg
    Tissue oncotic pressure5.4 mmHg
    BalanceAbout 20 L of fluid a day leaks out of the capillaries, about 17 L returns, and about 3 L is carried off by the lymph.

    Lymph has no heart

    Blood is pumped by the heart, but lymph is moved by: contracting skeletal muscles that squeeze the vessels, valves that keep it from flowing back, breathing (each breath in draws lymph deeper into the chest) and rhythmic contractions of the walls of the larger lymphatic vessels.

    What is the leg's owner doing? L

    Lymph flow in the leg (model, relative value)
    Fluid pooled around the ankles

    That's why after a whole day on your feet or a long flight your shoes can feel tight in the evening. Movement helps — even circling your feet while sitting — and so does raising your legs, because then gravity doesn't fight the return of fluid.

    How does it work?

    The lymphatic system is a network of thin vessels, lymph nodes and organs (spleen, thymus, tonsils, bone marrow, Peyer's patches). It has three jobs: it returns excess fluid from the tissues to the blood, carries fats absorbed in the gut and — most importantly — it is the home and highway of the immune system.

    Starling forces

    Whether water leaves a capillary or returns to it is decided by a difference in pressures: hydrostatic (pushes water out) and oncotic (proteins pull water in). At the start of the capillary filtration wins; at the end, reabsorption.

    J = Kf · [ (Pc − Pt) − σ · (πc − πt) ]P — hydrostatic pressure, π — oncotic pressure; c — blood in the capillary, t — tissue; Kf — permeability of the wall; σ — how well the wall holds back proteins (in the model σ = 1). J > 0 means outflow into the tissue.
    Qlymph = Ffiltration − Rreabsorption ≈ 20 − 17 ≈ 3 L/dayat equilibrium the lymph drains exactly as much as did not return to the blood (typical, “approximate” values for an adult)

    Two lines of defense

    Innate immunity acts right away and in the same way against many microbes: barriers, inflammation, eater cells (neutrophils, macrophages), NK cells, fever. Adaptive immunity needs a few days but is precise: B cells make antibodies that fit one antigen, helper T cells (CD4) coordinate the response, cytotoxic T cells (CD8) kill infected cells, and memory cells remain for years.

    Herd immunity

    If each sick person infects on average R0 people in a population with no immunity, then with a fraction p immune they infect only Re people. The epidemic dies out when Re < 1.

    Re = R0 · (1 − p)   ⇒   pc = 1 − 1R0e.g. measles: R₀ ≈ 12–18, so the threshold is about 92–95%; seasonal flu: R₀ ≈ 1.3, threshold about 23%

    Simplifications: the fluid balance is a model of an “average” capillary scaled up to the whole body; tissue compliance, the rise in lymph flow and the washout of proteins from the tissue are approximated by simple relationships. Newer research (the glycocalyx layer) suggests that in many tissues reabsorption is smaller than the classic model says — so the role of lymph is even greater. The lymph node story compresses days into seconds and leaves out many cells and molecules. The epidemic simulation assumes lifelong immunity and a 100% effective vaccine.

    Keys

    • Q W E R — modes (number keys work within modes)
    • Space — pause / resume animations
    • 1 2 3 — capillary situations (Q)
    • L — walking / standing still / legs up (Q)
    • N — new cut (W), new antigen (E), new population (R)
    • ← → — story scenes (E)
    • 1–4 — diseases, S — let the sick in (R)
    • On the boards: arrow keys + Enter

    See also

    Did you know…?

    • Until 2015 it was thought that the brain has no lymphatic vessels. Then two independent research teams discovered them in the meninges surrounding the brain.
    • You have only about 20,000 protein-coding genes, yet your lymphocytes can produce billions of different receptors — thanks to the shuffling of gene pieces (V(D)J recombination).
    • The thymus, the “school” for T cells, is largest in childhood. After puberty it gradually shrinks and is replaced by fatty tissue, but the lymphocytes trained there serve for years.

    Challenges

    • Cause swelling by blocking lymph drainageMode Q: reduce lymph drainage to 10% or less and produce visible swelling (at least +2.5 L of fluid in the tissues).
    • Help the macrophages beat the infectionMode W: summon eater cells with signals until not a single bacterium is left in the wound.
    • Find the B cell that matches the antigenMode E: pick the cell whose receptor is an exact mold of the antigen.
    • Stop an epidemic with herd immunityMode R: with R₀ ≥ 3, vaccinate enough people that fewer than 2% of the population fall ill.
    • Compare the first and second immune responseMode E: trigger both contacts with the antigen and see the whole second response on the chart.

    Laboratorium · The lymphatic system and immunity. Educational content, not medical advice.