Evidence map›Paper›PMID 33322476›Full record

ReviewBiology2020

Lymphatic Vessels and Their Surroundings: How Local Physical Factors Affect Lymph Flow.

Eleonora Solari, Cristiana Marcozzi, Daniela Negrini, Andrea Moriondo

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05609526 (Target Muscles Training in Patients With Leg Lymphedema), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05609526 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Target Muscles Training in Patients With Leg Lymphedema : Inspiratory Muscles Versus Calf Muscles

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2022 to 2023Enrolled45ConditionsLymphedema of Leg, Lymphedema, ExerciseArmsCompression Therapy, Inspiratory muscle training, Calf muscle exercise training
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Manual Lymph Drainage Vodder (MLDV) Increases Facial Function in Bell's Palsy Patients.International journal of therapeutic massage & bodywork · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Defective lymphatic vasculature in obesity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  12. Article
  13. Article
  14. ET-3/ETBR Mediates NaCirculation research · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Eleonora SolariDepartment of Medicine and Surgery, University of Insubria, I-21100 Varese, Italy.ORCID 0000-0001-5962-8976
Cristiana MarcozziDepartment of Medicine and Surgery, University of Insubria, I-21100 Varese, Italy.ORCID 0000-0003-2242-2880
Daniela NegriniDepartment of Medicine and Surgery, University of Insubria, I-21100 Varese, Italy.
Andrea MoriondoDepartment of Medicine and Surgery, University of Insubria, I-21100 Varese, Italy.ORCID 0000-0002-9423-5446
University of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lymphatic vessels drain and propel lymph by exploiting external forces that surrounding tissues exert upon vessel walls (extrinsic mechanism) and by using active, rhythmic contractions of lymphatic muscle cells embedded in the vessel wall of collecting lymphatics (intrinsic mechanism). The latter mechanism is the major source of the hydraulic pressure gradient where scant extrinsic forces are generated in the microenvironment surrounding lymphatic vessels. It is mainly involved in generating pressure gradients between the interstitial spaces and the vessel lumen and between adjacent lymphatic vessels segments. Intrinsic pumping can very rapidly adapt to ambient physical stimuli such as hydraulic pressure, lymph flow-derived shear stress, fluid osmolarity, and temperature. This adaptation induces a variable lymph flow, which can precisely follow the local tissue state in terms of fluid and solutes removal. Several cellular systems are known to be sensitive to osmolarity, temperature, stretch, and shear stress, and some of them have been found either in lymphatic endothelial cells or lymphatic muscle. In this review, we will focus on how known physical stimuli affect intrinsic contractility and thus lymph flow and describe the most likely cellular mechanisms that mediate this phenomenon.

Indexed as

extrinsic mechanismhydraulic pressureintrinsic contractilitylymphatic vesselslymph flowosmolarityshear stresstissue temperature

Identifiers

PMID33322476
PMCPMC7763507
OpenAlexW3111746885

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.