Progressive Collecting Liver Lymphatic Vessels Dysfunction over the Course of Extrahepatic Cholestasis

Abstract

Liver produces a large fraction of total lymph flow (25–50%). Transport function of lymphatics is altered during inflammation, which impacts the pathogenesis of numerous diseases. Despite their importance in liver function, the functional characteristics of liver lymphatic vessels (LLVs) have been never evaluated in health and disease. We evaluated liver lymphatic vessel (LLV) function in normal and cholestatic rats following extrahepatic bile duct ligation (BDL). LLV contractility/pumping characteristics were determined in LLVs isolated from Sprague‐Dawley rats in control, 1, 3 and 7 days after BDL (BDL1, BDL3, and BDL7) and sham groups. LLV pumping/contractility was analyzed in all groups. Control LLVs had outer diameters of ~500 um, typical lymphatic tone (~7%), moderate contraction amplitude (15–35%), high contraction frequency (12–21 contractions/min) and strong active pumping (5–7.5 vol/min). Over the course of its duration, the BDL significantly altered LLV contractile/pump function, inducing an enlargement of LLVs; their decreased tone; lowering of phasic contractions frequency responses to increases in stretch. Cumulatively, BDL induced progressive decline in minute pumping of LLVs with complete cessation of phasic lymphatic contractions after seven days of BDL. In addition, BDL even after one day completely ablated the light imposed flow‐dependent relaxatory/inhibitory reactions of LLVs observed in control. Progressive dysfunction of LLVs correlates with cholestasis‐induced alterations in liver and bile ducts. We believe that observed BDL‐induced changes in LLVs are likely the result of the liver inflammation and will further promote the inflammatory edema known to occur in the liver during BDL. Thus, LLV dysfunction may play important roles in the ensuing pathogenesis of cholestasis and merit further study.Support or Funding InformationNIH/NIDDK R01 DK110035; NIH/NHLBI 1U01HL123420; funds from TAMU HSC COM and Dept. of Medical Physiology.