Evidence map›Paper›PMID 27219461›Full record

ReviewThe Journal of physiology2016

Lymphatic pumping: mechanics, mechanisms and malfunction.

Joshua P Scallan, Scott D Zawieja, Jorge A Castorena-Gonzalez, Michael J Davis

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in The Journal of physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05874895 (MAnual Lymphatic DrAinage to iMprove the outcomE of Patients After Septic Shock), which is not on this map. Cited by 226 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
226citing papers in PubMed, 3 pooled it
10.2field-weighted citation impact, top 1% 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.

NCT05874895 nacompletednot on this mapstarted 2023, after this paper: background citation

MAnual Lymphatic DrAinage to iMprove the outcomE of Patients After Septic Shock: A Safety and Feasibility Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity Hospital OstravaRan2023 to 2025Enrolled24ConditionsSepsis, Multiorgan Failure, Inflammatory Response, Septic ShockArmsManual Lymphatic Drainage, Usual Care
3 · Its place in the literature

Who cites it

226 citing papers in PubMed, 3 syntheses or guidelines pooled it, 405 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effects of resistance training on breast cancer-related arm lymphedema: a systematic review and dose-response meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Quantification of Lacteal Contractility by Live Intravital Imaging.Microcirculation (New York, N.Y. : 1994) · 2026
    Article
  12. Article
  13. Article
  14. Ocular Lymphatics in Health and Disease.Diagnostics (Basel, Switzerland) · 2026
    Review
  15. Review
  16. Pacemaking in the lymphatic system.The Journal of physiology · 2026
    Review
  17. Review
  18. Review
  19. Article
  20. Article

166 more citing papers are in PubMed but not listed here.

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.

Joshua P ScallanDepartment of Medical Pharmacology and Physiology, University of Missouri, Columbia, MO, USA.
Scott D ZawiejaDepartment of Medical Pharmacology and Physiology, University of Missouri, Columbia, MO, USA.
Jorge A Castorena-GonzalezDepartment of Medical Pharmacology and Physiology, University of Missouri, Columbia, MO, USA.
Michael J DavisDepartment of Medical Pharmacology and Physiology, University of Missouri, Columbia, MO, USA. davismj@missouri.edu.
University of Missouri · US

Funding

Lymphatic pacemaking and pumping in lymphedema: function, dysfunction, and rescueR01HL122578 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI DAVIS, MICHAEL JOHN · 2015 to 2023
$4.1M
Conduction and coordination of electrical signals within the lymphatic vascular wallR01HL125608 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI DAVIS, MICHAEL JOHN · 2015 to 2018
$1.6M
Mechanisms of lymphatic valve and pump dysfunction in lymphedemaR01HL120867 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI DAVIS, MICHAEL JOHN · 2014 to 2017
$1.5M
Lymphatic Endothelial Permeability as a Regulator of Mesenteric Adipose DepositioR00HL124142 · NHLBI · UNIVERSITY OF SOUTH FLORIDA · PI SCALLAN, JOSHUA PAUL · 2016 to 2018
$717k
Lymphatic Endothelial Permeability as a Regulator of Mesenteric Adipose DepositioK99HL124142 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI SCALLAN, JOSHUA PAUL · 2014 to 2015
$177k
NHLBI NIH HHS K99 HL124142NHLBI NIH HHS R00 HL124142NHLBI NIH HHS R01 HL120867NHLBI NIH HHS R01 HL122578NHLBI NIH HHS R01 HL125608
6 · The paper itself

Abstract

A combination of extrinsic (passive) and intrinsic (active) forces move lymph against a hydrostatic pressure gradient in most regions of the body. The effectiveness of the lymph pump system impacts not only interstitial fluid balance but other aspects of overall homeostasis. This review focuses on the mechanisms that regulate the intrinsic, active contractions of collecting lymphatic vessels in relation to their ability to actively transport lymph. Lymph propulsion requires not only robust contractions of lymphatic muscle cells, but contraction waves that are synchronized over the length of a lymphangion as well as properly functioning intraluminal valves. Normal lymphatic pump function is determined by the intrinsic properties of lymphatic muscle and the regulation of pumping by lymphatic preload, afterload, spontaneous contraction rate, contractility and neural influences. Lymphatic contractile dysfunction, barrier dysfunction and valve defects are common themes among pathologies that directly involve the lymphatic system, such as inherited and acquired forms of lymphoedema, and pathologies that indirectly involve the lymphatic system, such as inflammation, obesity and metabolic syndrome, and inflammatory bowel disease.

Indexed as

AnimalsHumansLymphLymphatic SystemLymphatic VesselsMuscle ContractionMuscle, SmoothPressurelymphaticlymphedemamuscle contraction

Identifiers

PMID27219461
PMCPMC5063934
OpenAlexW2395338705

What Socratic holds

Textmetadata
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 Socratic graph.