Lacteal vessels

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Lacteal Vessels

Lacteal vessels are a critical component of the lymphatic system, specifically within the small intestine. These specialized lymphatic vessels play a pivotal role in the absorption and transport of dietary lipids and lipid-soluble vitamins (A, D, E, and K) from the intestine to the bloodstream. The term "lacteal" derives from the Latin word lac, meaning milk, which refers to the milky appearance of the fluid, known as chyle, that fills these vessels after a fatty meal.

Structure and Function[edit | edit source]

Lacteal vessels are located in the core of each villus of the small intestine. A villus is a tiny, finger-like projection that extends into the lumen of the intestine, significantly increasing its surface area for nutrient absorption. Each lacteal is surrounded by a network of capillaries that absorb other nutrients directly into the bloodstream.

During digestion, fats are broken down into fatty acids and monoglycerides in the small intestine. These lipids are then absorbed by the enterocytes (intestinal cells) and reassembled into triglycerides. The triglycerides are packaged into chylomicrons, which are too large to enter the capillaries. Instead, they are absorbed by the lacteals. The chylomicrons are transported through the lymphatic system, eventually draining into the thoracic duct and then into the bloodstream, where they can be used by the body for energy or stored in adipose tissue.

Clinical Significance[edit | edit source]

The proper functioning of lacteal vessels is essential for lipid absorption. Blockage or malformation of these vessels can lead to malabsorption syndromes, where fats and fat-soluble vitamins are not adequately absorbed, leading to deficiencies and various health issues. One such condition is lymphangiectasia, where the lacteals are dilated, leading to leakage of lymph fluid into the intestines and resulting in protein-losing enteropathy.

Research and Developments[edit | edit source]

Recent research has focused on understanding the molecular mechanisms that regulate the formation and function of lacteal vessels, with the aim of developing therapies for diseases related to lipid absorption. Studies have also explored the role of lacteals in immune function, given their location in the gut and their connection to the lymphatic system, which is integral to the body's immune response.


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Contributors: Prab R. Tumpati, MD