Formation of Lymph
Lymph is derived from interstitial fluid that flows into the lymphatics. Therefore, lymph as it first enters the terminal lymphatics has almost the same composition as the interstitial fluid.
The protein concentration in the interstitial fluid of most tissues averages about 2 g/dl, and the protein con-centration of lymph flowing from these tissues is near this value. Conversely, lymph formed in the liver has a protein concentration as high as 6 g/dl, and lymph formed in the intestines has a protein concentration as high as 3 to 4 g/dl. Because about two thirds of all lymph normally is derived from the liver and intes-tines, the thoracic duct lymph, which is a mixture of lymph from all areas of the body, usually has a protein concentration of 3 to 5 g/dl.
The lymphatic system is also one of the major routes for absorption of nutrients from the gastrointestinal tract, especially for absorption of virtually all fats in food. Indeed, after a fatty meal, thoracic duct lymph sometimes contains as much as 1 to 2 per cent fat.
Finally, even large particles, such as bacteria, can push their way between the endothelial cells of the lymphatic capillaries and in this way enter the lymph.
As the lymph passes through the lymph nodes, these particles are almost entirely removed and destroyed.
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