Evidence map›Paper›PMID 41572961›Full record

SynthesisPhysiological reports2026

The physiology of thoracic duct pressure and flow: A review of the literature.

Sara Moazzam, Lomani A O'Hagan, Alys R Clarke, Peter S Russell, Anthony R J Phillips, John A Windsor, S Ali Mirjalili

Abstract readSystematic Review
In one paragraph

Synthesis in Physiological reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Sara MoazzamSchool of Medicine, The University of Auckland, Auckland, New Zealand.
Lomani A O'HaganDepartment of Anatomy and Medical Imaging, The University of Auckland, Auckland, New Zealand.
Alys R ClarkeAuckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand.
Peter S RussellDepartment of Surgery, Faculty of Medical and Health Sciences, Surgical and Translational Research Centre, University of Auckland, Auckland, New Zealand.
Anthony R J PhillipsApplied Surgery and Metabolism Laboratory, School of Biological Sciences, The University of Auckland, Auckland, New Zealand.
John A WindsorFaculty of Medical and Health Sciences, Surgical and Translational Research Centre, The University of Auckland, Auckland, New Zealand.
S Ali MirjaliliDepartment of Anatomy and Medical Imaging, The University of Auckland, Auckland, New Zealand.ORCID 0000-0002-1599-3573

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The thoracic duct (TD) is the largest vessel of the lymphatic system, transporting interstitial fluid, macromolecules, and immune cells into the venous circulation via the lymphovenous junction. Respiratory and circulatory forces have been proposed as key drivers of TD lymph propulsion; however, the literature reports inconsistent findings. This study systematically reviews the effects of respiration and circulation on TD lymph flow and pressure in humans and non-human mammals. A systematic review was conducted in accordance with PRISMA guidelines using MEDLINE, Embase, and Google Scholar databases. Studies published up to August 2025 were included with no language or past date restrictions. Twenty-three human and animal studies met the inclusion criteria. Respiratory activity influenced TD flow and/or pressure in 5/6 human and 12/17 animal studies. Circulatory influences were reported in 3/6 human and 8/17 animal studies. Intrinsic TD contractility was described in 3/6 human and 6/17 animal studies and was identified as an independent contributor to lymph propulsion. Overall, reported effects ranged from absent to highly synchronous physiological coupling. Evidence regarding respiratory and circulatory influences on TD lymphodynamics remains inconsistent, reflecting methodological heterogeneity. Findings should be considered hypothesis-generating and highlight the need for modern imaging and standardized physiological protocols.

Indexed as

Thoracic DuctAnimalsHumansLymphPressurecirculationflowlymphatic systemphysiologypressurerespirationsystematic reviewthoracic duct

Identifiers

PMID41572961
PMCPMC12828174

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.