Nan Shi1,2, Wei Xia1,2, Ketong Ji1,2, Yiwei Feng1,2, Hua Li1,2, Guangyao He1,2, Anzhou Tang1,2. 1. Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of Guangxi Medical University, No. 6, Shuangyong Street, Nanning 530021, P.R. China. 2. Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor (Guangxi Medical University), Ministry of Education, No. 22, Shuangyong Street, Nanning 530021, P.R. China.
Abstract
The immune response plays a key role in the disease development of the organism, while immune function serves as an important indicator for animal models evaluation. The tree shrew (Tupaia belangeri chinensis), as a new laboratory animal with a close genetic relationship with primates, has been used to construct various disease models. However, the immune system of tree shrews, especially anatomical descriptions of lymph nodes, is still relatively unknown. In this study, a total of 16 different lymph nodes were identified, including superficial lymph nodes and deep lymph nodes. Superficial lymph nodes were located in the head and neck region (submandibular lymph node, parotid lymph node, deep and superficial cervical lymph nodes) and at the forelimb (axillary and accessory axillary lymph nodes, subscapular lymph node) and hindlimb (popliteal, sciatic, and inguinal lymph nodes). Deep lymph nodes comprise mediastinal lymph nodes located in thoracic cavity and abdominal lymph nodes that are mainly located in each mesentery (mesenteric, gastric, pancreatic-duodenal, renal lymph nodes) or along the major vessels (iliac lymph nodes). In addition, we described the spleen and thymus of the tree shrew, as well as two lymphoid tissues in the top wall of the nasal cavity and the oropharynx. This study mainly describes the tree shrew immune system from an anatomical and histopathological perspective and provides fundamental research references for the establishment of various animal models of tree shrews.
The immune response plays a key role in the disease development of the organism, while immune function serves as an important indicator for animal models evaluation. The tree shrew (Tupaia belangeri chinensis), as a new laboratory animal with a close genetic relationship with primates, has been used to construct various disease models. However, the immune system of tree shrews, especially anatomical descriptions of lymph nodes, is still relatively unknown. In this study, a total of 16 different lymph nodes were identified, including superficial lymph nodes and deep lymph nodes. Superficial lymph nodes were located in the head and neck region (submandibular lymph node, parotid lymph node, deep and superficial cervical lymph nodes) and at the forelimb (axillary and accessory axillary lymph nodes, subscapular lymph node) and hindlimb (popliteal, sciatic, and inguinal lymph nodes). Deep lymph nodes comprise mediastinal lymph nodes located in thoracic cavity and abdominal lymph nodes that are mainly located in each mesentery (mesenteric, gastric, pancreatic-duodenal, renal lymph nodes) or along the major vessels (iliac lymph nodes). In addition, we described the spleen and thymus of the tree shrew, as well as two lymphoid tissues in the top wall of the nasal cavity and the oropharynx. This study mainly describes the tree shrew immune system from an anatomical and histopathological perspective and provides fundamental research references for the establishment of various animal models of tree shrews.
The tree shrew (Tupaia belangeri chinensis), as a small laboratory animal, shows a closer genetic relationship with primates than rats and mice [1]. For this reason, various tree shrew models of human diseases have been established, especially those for studying viral infections and immune processes such as human
hepatitis B virus [2, 3], hepatitis C virus [4, 5], influenza virus [6, 7], herpes simplex virus (HSV) [8],
Epstein-Barr virus (EBV) [9], and SARS-CoV-2 [10]. Immunological processes of the tree shrew correlate strongly
with the occurrence and development of diseases [11]. The functions of immune-related genes and proteins, the role of immune cells, and the
histopathological changes of immune tissues and organs should be systematically for revealing the immune response about diseases comprehensively and then effectively implement prevention and
treatment. Previous studies showed the relatively similar immune system of tree shrews to humans. For example, the major histocompatibility complex (MHC), the important molecules of the immune
response, and the genes encoding antibodies of tree shrew are highly homologous to those of humans [1, 12], as well
as the differential count of peripheral blood cells of tree shrew, compared with mice and rats, is also closer to that of humans [13]. These studies
provide molecular and biological insights into the research on the immune system of tree shrews. However, no anatomical study about the organs of the immune system of tree shrew has been
reported yet. The immune organs are important parts of the immune system, where immune cells generate, differentiate and mature and T- and B-lymphocytes settle and proliferate. It is also the
main site of the immune response. Lymph nodes are important immune organs mainly to collect and filter lymphatic fluid from all over the body [14, 15]. Given that the invasion of pathogenic microorganisms or inflammation often causes tumefaction of local lymph nodes and other changes, the examination of
lymph nodes can aid in understanding the immune response of the organism to a certain extent. To advance the immunological study of tree shrews, this paper outlined the distribution of immune
organs including lymph nodes, spleen and thymus from the perspective of anatomy and histomorphology.
Materials and Methods
Animals
Experiments consisted of ten healthy adult tree shrews (6 males and 4 females; weight 130–150 g) that were purchased from the Kunming Institute of Zoology, Chinese Academy of Sciences.
Before the experiments, tree shrews were individually housed in hanging metal cages (cage size 40 cm × 30 cm × 35 cm, resting box 15 cm × 12 cm × 12 cm). Housing conditions were as follows:
the temperature was 23–25°C, the relative humidity was 40–60%, the photoperiod/dark duration was 12 h, and environmental noise did not exceed 60 dB. The animal experiments in this study were
approved by the Animal Ethics Committee, Guangxi Medical University (approval number: 202105002). During the experiment, animal welfare was improved as much as possible, and humanitarian
care was given during the euthanasia process.
Identification and dissection of lymph nodes
Before the experiments, tree shrews were euthanized by intraperitoneally injecting pentobarbital sodium at a dose of 120 mg/kg. The distribution of lymph nodes in the whole body was
observed by using methylene blue injection as the lymph node tracer. The tracer was prepared with 3% hydrogen peroxide and methylene blue dye and injected into the end of each toe skin of
four limbs using a 1-ml syringe with a 30-G needle. Then, the skin on the dorsal side of the anterior and posterior palms was carefully peeled off under a dissecting microscope to reveal the
stained lymphatic vessels. A microinjection glass capillary needle (the outside diameter at the tip was 1 mm) was gently inserted into the lymphatic vessels to continue to inject the tracer
to identify the lymph nodes connected to the vessels. The position of lymph nodes was recorded through a photograph and reconfirmed in the same position in another tree shrew without tracer
injection. Since lymph node tracers were hard to reach at sites distant from the injection point, lymph nodes in the head and neck, thoracic and abdominal cavities were carefully searched
and identified under a dissecting microscope. After dissection, the tissue was fixed in the 10% neutral formalin solution for fixation.
Identification and dissection of thymus, spleen and tonsils
While searching for the lymph nodes in the thoracic and abdominal cavities of tree shrews, the thymus and spleen were carefully separated and placed in 10% formalin neutral fixative
(Solarbio, Beijing, China). The head of euthanized tree shrews were taken to remove the external tissues, including skin, mandible, brain tissue, eyes and muscles. Then the rest parts were
fixed in 10% neutral formalin for 48 h, and then decalcified in 10% EDTA decalcifying solution (Solarbio) for two weeks. When the decalcification was completed, head samples were serially
separate along a coronal plane (0.5 cm thickness).
Histomorphology
All the separated tissues were dehydrated and embedded in paraffin sections, and 4 µm sections were cut with a microtome (RM2245, Leica, Wetzlar, Germany). All tissue
sections were stained with an HE staining kit (Solarbio), and were examined with an optical microscope (BX53F, Olympus, Tokyo, Japan) linked to a digital camera (DP73, Olympus).
Immunohistochemical analysis
Lymphoid follicle tissue sections of tree shrews were immunohistochemically stained using an immunohistochemistry kit (SP-9000, ZSGB-Bio, Beijing, China). CD3 rabbit polyclonal (GB11014,
Servicebio, Wuhan, China) and CD20 rabbit polyclonal antibodies (GB11540, Servicebio) were used as the primary antibodies at a dilution of 1/200 for 1 h at 37°C. Biotin conjugated goat
anti-rabbit IgG was used as the secondary antibody. Diaminobenzidine (DAB) was used as the chromogen. The section was then counterstained with hematoxylin. Antigen retrieval was heat
mediated with sodium citrate buffer (pH 6.0).
Results
Anatomical locations and histological structures of lymph nodes in the tree shrew
According to the anatomical and histomorphological verification, the tree shrew contains a total of 16 lymph nodes, which were divided into peripheral lymph nodes (head and neck, forelimbs
and hindlimbs) and deep lymph nodes (intrathoracic and intra-abdominal lymph nodes) based on their locations. Table 1 describes the nomenclature of lymph nodes based on their locations and specific anatomical positions. Figure 1 shows a schematic diagram of lymph node locations of the tree shrew, including 10 pairs of bilateral lymph nodes, comprising all lymph nodes in the head and neck (submandibular lymph
nodes, parotid lymph nodes, deep and superficial cervical lymph nodes), forelimbs (axillary and accessory axillary lymph nodes, subscapular axillary lymph nodes) and hindlimbs (popliteal,
sciatic, and inguinal lymph nodes). The lymph nodes in the thoracic cavity are mainly located in the mediastinum, and were classified as mediastinal lymph nodes. Intra-abdominal lymph nodes
are mainly located at each mesentery or along major vessels. The former includes mesenteric, gastric, pancreatic-duodenal lymph nodes, and the latter mainly refers to iliac lymph nodes on
both sides of the abdominal aorta. Figure 2 illustrates the anatomical location of lymph nodes and the surrounding structure: (1) Submandibular lymph node: Each side contains one lymph node, approximately 3–5 mm in size,
located near the head of the sublingual gland in the superficial subcutaneous layer. Sometimes it is necessary to search for these lymph nodes on the inner side because they may be located
inferior to the sublingual gland. (2) Parotid lymph node: It is located on the inner surface of the parotid glands on both sides, often on the surface of the masseter muscle. one on each
side, approximately 2–4 mm in size, smaller than the submandibular lymph node. (3) Cervical superficial lymph node: There are 1–2 on each side, approximately 3–4 mm in size. It is in the fat
layer outside the clavicle end of the stern cephalic muscle, inside the external jugular vein, and above the clavicle. Fat separation and identification are needed to distinguish it. (4)
Cervical deep lymph node: It is in the deep part of the neck and can be found in the gap between both sides of the trachea and the sternocephalic muscle. There were 1–2 lymph nodes on each
side, approximately 2–4 mm in size. The superficial lymph nodes of the head and neck are commonly used as donor sites to treat lymphedema due to their large numbers and subcutaneous location
[16,17,18]. (5) Axillary lymph node: This is a group of larger lymph
nodes. Each side often consists of 2–4 lymph nodes, approximately 2–3 mm in size, often arranged in rows along the long axis of the trunk. These were located between the axillary artery and
vein roots, along the ventral side of the latissimus dorsi muscle. It is easy to identify after separating the chest muscles in front of the trunk. There were more lymph nodes in this
location than in other positions, which often drain most of the upper limbs and chest wall lymph fluid. It is a common sentinel lymph node for breast cancer metastasis [19]. Due of its fixed location, it is easy to find and isolate, which shows its potential as an animal model for tumor lymph node metastasis. (6) Accessory axillary lymph
node: Located at the junction of the posterior edge of the triceps brachii muscle and the edge of the latissimus dorsi, one on each side, size 2–3 mm. (7) Subscapular lymph node: Located at
the junction of the triceps brachii surface and the scapula, usually one on each side, 2–3 mm in size. (8) Inguinal lymph node: Usually, one on each side, 2–5 mm in size, located in the
lateral abdominal fold of the groin area, close to the subcutaneous, easy to peel off and lose with the skin when separated. Due of its superficial position, it has become the main site of
injection treatment called the lymphatic drug delivery system (LDDS) [20]. (9) Sciatic lymph node: It is located on the ventral side of the superficial
gluteus muscle, on the side of the sciatic tuberosity, and above the sciatic nerve near the spine, one on each side, and the size is approximately 4–5 mm. (10) Popliteal lymph node: Located
in the popliteal fossa on the cephalic surface of the gastrocnemius muscle, one on each side, approximately 2–5 mm in size. (11) Mediastinal lymph node: It is in the anterior side of the
aortic arch, usually close to the root of the great vessels. There are 3–4 lymph nodes, approximately 3–5 mm in size. (12) Mesenteric lymph node: This is a group of lymph nodes located at
the root of the mesentery. It is formed by a fusion of 5–7 lymph nodes each about 10–15 mm in diameter. Some smaller lymph nodes can be seen scattered on the mesentery and intestinal wall.
(13) Gastric lymph node: There were 1–2 lymph nodes located in the lesser curvature of the stomach, 2–3 mm diameter. (14) Pancreaticoduodenal lymph node: It is above the mesentery of the
twelfth finger, and it is surrounded by pancreatic tissue, including a lymph node, 1–2 mm in size. (15) Renal lymph node: Usually, one on each side, 1–2 mm in size, located below the renal
blood vessels near the renal hilum. (16) Iliac lymph node: Located on either side of the distal end of the abdominal aorta, near the bifurcation of the iliac vessels, it is usually long oval
and 1–3 mm in size. (The number of lymph nodes in the tree shrew is arranged in the attachment Supplementary Table 1).
Table 1.
Nomenclature of lymph nodes based on their locations and the specific anatomical locations
No.
Name
Size
Shape
Position
Head and neck
1
Submandibular lymph node
3–5
Ellipsoid
In sublingual gland near the cephalic side
2
Parotid lymph node
2–4
Ellipsoid
In deep parotid gland at the intersection with the edge of the occlusal muscle
3
Cervical superficial lymph node
3–4
Oval
Sternocleidomastoid muscle, lateral to the beginning of the clavicle, at the angle between the external jugular vein and the clavicle
4
Cervical deep lymph node
2–4
Oval
Deep sternocleidomastoid muscle, both sides of the trachea
Forelimb
5
Axillary lymph node
2–3
Oval
Between the axillary artery and the ventral aspect of the latissimus dorsi muscle
6
Accessory axillary lymph node
2–3
Circle
Posterior border of the triceps brachii muscle and the border of the latissimus dorsi muscle
7
Subscapular lymph node
2–3
Circle
The surface of the triceps near the outer edge of the scapula
Hindlimb
8
Inguinal lymph node
2–5
Oval
In the inguinal region immediately below the skin
9
Sciatic lymph node
4–5
Oval
Below the superficial gluteus muscle and above the sciatic nerve near the spinal side
10
Popliteal lymph node
2–5
Oval
Within the popliteal fossa on the head side of the gastrocnemius
Thoracic cavity
11
Mediastinal lymph node
3–5
Circle
Near the aortic arch
Abdominal cavity
12
Mesenteric lymph node
10–15
Ellipsoid
Near the aortic arch root of mesentery, the rest scatters in the wall of jejunum, ileum, and colon on the mesentery
13
Gastric lymph node
2–3
Circle
In the mesentery of the lesser curvature of the stomach
14
Pancreaticoduodenal lymph node
1–2
Circle
At the lesser curvature of the stomach mesentery of duodenum surrounded by pancreatic tissue
Anatomical locations of lymph nodes in tree shrews. (ABCD) Ventral view of head and neck, including sublingual gland (a), submandibular gland (b), parotid gland (c), muscles of
mastication (d), sternocleidomastoid muscle (e), external jugular vein (f); (E) ventral view of axillary region, including axillary vessels (g), latissimus dorsal muscular (h); (F)
dorsal view of forelimb side, including brachial triceps (i), trapezius muscle (j); (G) view of inguinal region, including femoral vein (k); (H) dorsal view of sacral region, including
sciatic nerve (k); (I) ventral view of hind limbs, including gastrocnemius (m), popliteal fossa (n); (J) medial view of thoracic cavity, including heart (p), aortic arch (o); (K)
exposure of mesentery; (LMN) intra-abdominal view, including liver (r), stomach (q), duodenum (t), pancreas (s), kidney (u); (O) intra-abdominal view with the viscera set aside,
including the abdominal vein (v), and iliac vessels (w). Numbers 1–16 are described in Table 1.
Schematic diagram of lymph nodes in the tree shrew. (1) Subscapular lymph nodes; (2) Submandibular lymph nodes; (3) Parotid lymph nodes; (4) Cervical deep lymph nodes; (5) Cervical
superficial lymph nodes; (6) Accessory axillary lymph nodes; (7) Axillary lymph nodes; (8) Mediastinal lymph nodes; (9) Gastric lymph nodes; (10) Pancreaticoduodenal lymph nodes; (11)
Renal lymph nodes; (12) Mesenteric lymph nodes; (13) Iliac lymph node; (14) Inguinal lymph nodes; (15) Popliteal lymph nodes; (16) Sciatic lymph nodes.Anatomical locations of lymph nodes in tree shrews. (ABCD) Ventral view of head and neck, including sublingual gland (a), submandibular gland (b), parotid gland (c), muscles of
mastication (d), sternocleidomastoid muscle (e), external jugular vein (f); (E) ventral view of axillary region, including axillary vessels (g), latissimus dorsal muscular (h); (F)
dorsal view of forelimb side, including brachial triceps (i), trapezius muscle (j); (G) view of inguinal region, including femoral vein (k); (H) dorsal view of sacral region, including
sciatic nerve (k); (I) ventral view of hind limbs, including gastrocnemius (m), popliteal fossa (n); (J) medial view of thoracic cavity, including heart (p), aortic arch (o); (K)
exposure of mesentery; (LMN) intra-abdominal view, including liver (r), stomach (q), duodenum (t), pancreas (s), kidney (u); (O) intra-abdominal view with the viscera set aside,
including the abdominal vein (v), and iliac vessels (w). Numbers 1–16 are described in Table 1.After being injected into the skin of the four limbs, hydrogen peroxide produces tiny bubbles that inflate the lymphatic vessels. It leads to the dye tracer being absorbed into the
lymphatic vessels, which are stained blue. After dye injection, the lymphatic vessels could be observed on the dorsal and palmar sides of the foot, appearing as a honeycomb grid (Fig. 3A). Although the dye is occasionally absorbed by the veins, the lymphatic vessels can be distinguished from the dyed veins since the diameter of the veins are slightly larger than that
of the lymphatic vessels (Fig. 3B). Although both vein and lymphatic vessels had valves where the dye could be seen to accumulate, they could be
distinguished by observing blood retained in most veins. Three types of lymph nodes were identified in the four limbs after the dye entered the lymphatic vessels upon delivery with
microinjection glass capillary needles (Fig. 3). The dorsal palmar lymphatic network of the upper limbs was observed to converge into a single
lymphatic vessel that traveled around the stem of the forearm and up the lateral side of the upper limbs to the dorsum, where it converged into the subscapular lymph nodes (Fig. 3C). The dorsal lymphatic vessels of the foot traveled laterally to the ankle, up along the midline of the gastrocnemius muscle, through the
popliteal lymph nodes and into the gluteal muscle gap. Then, they traveled along the femoral vessels into the sciatic lymph nodes (Fig. 3D).
Fig. 3.
Lymphatic tracer identification in four limbs. (A) Dorsal lymphatic network of the tree shrew hind limbs appearing as a honeycomb grid; (B) bead-like valves, visible in the
blue-stained lymphatic vessel (r), accompanying the saphenous vein (*) in the hind limbs. (CD) Lymphatic vessels travel in the fore and hind limbs. (EFG) The tracer shows lymph nodes;
subscapular lymph nodes, popliteal lymph nodes and sciatic lymph nodes are shown.
Lymphatic tracer identification in four limbs. (A) Dorsal lymphatic network of the tree shrew hind limbs appearing as a honeycomb grid; (B) bead-like valves, visible in the
blue-stained lymphatic vessel (r), accompanying the saphenous vein (*) in the hind limbs. (CD) Lymphatic vessels travel in the fore and hind limbs. (EFG) The tracer shows lymph nodes;
subscapular lymph nodes, popliteal lymph nodes and sciatic lymph nodes are shown.The histological structure of all lymph nodes and tissues identified in this paper was confirmed using pathological sections (Fig. 4). Most of the tree shrew lymph nodes presented a clear histological structure, and the envelope was composed of denser connective tissue. The parenchyma comprised the cortex and
medulla. Lymph follicle could be seen in the cortical area. The germinal center structures were apparent, resembling those of human lymph nodes. Only a few lymph nodes showed blurred
histological structures and unclear boundaries of the cortex and renal medulla, which sometimes were difficult to distinguish.
Fig. 4.
A light micrograph of the lymph nodes of tree shrews stained with HE (100× and 400×). Numbers 1–16 have been described in Table 1.
A light micrograph of the lymph nodes of tree shrews stained with HE (100× and 400×). Numbers 1–16 have been described in Table 1.
Anatomical locations and histological structures of thymus, spleen, and tonsils in the tree shrew
Immune organs refer to those organs that performs immune functions, and consist mostly of lymphoid tissues. Generally, they are divided into central immunological organs (thymus, bone
marrow) and peripheral immune organs (lymph nodes, spleen, tonsils). The thymus of tree shrews was located above the heart, behind the breastbone and in front of the major vessels of the
mediastinum (Fig. 5), with a yellowish appearance and oval-shaped lamellae, and was encapsulated in adipose tissue (Fig. 5). The thymus of the tree shrew was
composed of the peritoneum, cortex and medulla. The cortex was thin, while the medulla was thick, indistinctly demarcated and crossed (Fig. 5). All
samples were found to have obvious thymus corpuscles, similar to those of humans in structure. It may suggest a similar function of the thymus between tree shrews and humans.
Fig. 5.
General anatomical structure and histological structure of the thymus and spleen of tree shrews. (ABEF) Anatomical structures and adjoining of tree shrew thymus and spleen; (CDGH) HE
staining of thymus and spleen (100× and 400×).
General anatomical structure and histological structure of the thymus and spleen of tree shrews. (ABEF) Anatomical structures and adjoining of tree shrew thymus and spleen; (CDGH) HE
staining of thymus and spleen (100× and 400×).The spleen was long and brownish red, located in the deep abdominal cavity, adjacent to the stomach and duodenum, with a length of approximately 1.5–2 cm and a brittle and soft texture. No
accessory spleen was found (Fig. 5). The tree shrew spleen was covered by a peritoneum composed of dense connective tissue, which penetrated deep
into the parenchyma to form trabeculae. The parenchyma had cross-distributed red and white pulps and many lymph follicles with a clear structure, showing no significantly different
histological features from those of humans (Fig. 5).In the head section, clustered lymphoid tissue was found in the parietal wall of the posterior nasal cavity and the two walls of the terminal oropharyngeal segment of the tree shrew (Fig. 6), resembled the structure of human palatine tonsils and pharyngeal tonsils. The base of the palatine tonsils was close to the sphenoid bone, and covered with pseudostratified ciliated
columnar epithelium. The parenchyma consisted of lymphocytes with few lymph follicles observed. The pharynx tonsils were located on both sides of the lateral wall of the oropharynx and
protruded towards the oral cavity, with an intact peritoneum and 1–2 lymph follicles (Fig. 6).
Fig. 6.
Histological structure of the tree shrew tonsils. (A) Coronal plane of the tree shrew head, including llistening bubbles (a), sphenoid bone (b), posterior nasal cavity (c), oral
cavity (d), and tongue (e). (BCDE) HE staining of palatine tonsils and pharyngeal tonsils (100× and 400×).
Histological structure of the tree shrew tonsils. (A) Coronal plane of the tree shrew head, including llistening bubbles (a), sphenoid bone (b), posterior nasal cavity (c), oral
cavity (d), and tongue (e). (BCDE) HE staining of palatine tonsils and pharyngeal tonsils (100× and 400×).Through immunohistochemical staining, the cell composition in the lymph nodes of tree shrews (Fig. 7) could be found: CD3 staining could mark T lymphocytes, which were mainly scattered in the mantle and marginal areas of lymphoid follicles; B cells expressing CD20 were mainly
distributed in the germinal center, and clusters or single B cells existed in the red pulp.
Fig. 7.
Immunohistochemistry of lymphoid follicles in tree shrew (100× and 400×). (A) CD3 rabbit polyclonal positive cells (arrowheads). (B) CD20 rabbit polyclonal positive cells
(arrowheads).
Immunohistochemistry of lymphoid follicles in tree shrew (100× and 400×). (A) CD3 rabbit polyclonal positive cells (arrowheads). (B) CD20 rabbit polyclonal positive cells
(arrowheads).
Discussion
This study initially investigated the distribution of lymph nodes in tree shrews and their histological composition and demonstrated the anatomical location and histomorphological
characteristics of the main immune organs. The anatomical atlas of the lymphatic system of tree shrews has not been reported in previous literature. We identified a total of 16 lymph nodes of
tree shrews through dissection. The nomenclature was based on the lymphatic anatomical location of each lymph node and its adjacency, with reference to the naming of lymph nodes in
experimental mice [21,22,23]. Most of the locations and nomenclature were
consistent with those of experimental mice. Unlike the experimental mice, a type of lymph node was found in the scapular region of the tree shrew, through which the lymphatic vessels draining
the forelimbs passed. Their locations were superficial and constant, distant from the axillary lymph node group and the accessory axillary lymph node in the axillary region. Therefore, those
two types of lymph nodes were not totally the same as the common functional subdivision. Specifically, this lymph node in the tree shrew was equivalent to the subscapular lymph nodes of humans
and was considered one of the sentinel lymph nodes of breast cancer metastasis [24]. In addition, this study found that tree shrews had a pair of tissues
with lymphocyte aggregates in the lateral wall of the oropharynx and in the parietal wall of the nasopharynx. The latter, with lymph follicles inside, was considered similar to the human
pharyngeal tonsils which was not found in rats [25]. The human pharyngis is rich in lymphoid tissue. The large lymphoid masses are arranged in a
pharyngeal lymphatic ring (Waldeyer lymphatic ring) [26]. The inner ring consists mainly of the tonsilla pharyngea (adenoids) above, the palatine tonsils
on both sides, the lingual tonsils below, and the lymphoid follicles in the retropharyngeal wall. The inner ring of lymph nodes flows to the cervical lymph nodes, which are interconnected to
form an outer ring. Since the inner ring is in relatively close and frequent contact with the external environment, the Waldeyer lymphatic ring plays the leading role in confronting the
invasion of inhaled or ingested pathogens. Therefore, it is considered the first line of defense against external infection and is an essential component of the lymphatic system [27]. It suggests that tree shrews may have an advantage in immune tissue distribution compared to the rodents.Visualization of lymphatic vessels has been a difficult task in lymphatic system anatomy. Earlier studies identified lymphatic vessels by injecting mercury into the skin of living animals
[28,29,30], which had faded away due to toxicity. Dye injections have
emerged as alternatives to mercury injections and are still commonly used. Current methods for lymphatic vessel visualization are mainly the blue dye method and radionuclide tracer technique.
This study used a modified dye method developed by Suami et al. [31], combined with using hydrogen peroxide to identify lymphatic
vessels that produce microbubbles after injection. The subsequent inflation of fine lymphatic vessels and lumen expansion help to improve the success rate of microinjection needle insertion
into lymphatic vessels. By injecting the dye into the subcutaneous interstitial tissue, the capillary lymphatic vessels of injection sites could absorb the dye into the lymphatic system, thus
causing the colorless lymphatic vessels and lymph nodes to show blue color and facilitating observation. Since it existed in a dissolved state, methylene blue dye easily entered the lymphatic
vessels and the capillaries after injection. Extensive staining of the interstitial tissue space with a large injection dose easily occurred. The solution migrated fast, making it difficult to
track the lymphatic vessel travel to identify the lymphatic vessels that entered the thoracic and abdominal cavities. Suami et al. [32]
used an injection mixing lead tetroxide at 40°C to replace the dye and injected it into the lymphatic vessels. Lead tetroxide is insoluble in hot milk to create a colloidal suspension. The
solid lead tetroxide powder prevented rapid migration in the lumen compared to the dye. However, the lead tetroxide solution cannot be maintained at a constant temperature (40°C) during the
operation. The lead tetroxide will separate from the water and aggregate into large solid particles when the solution’s temperature decreases to room temperature. This solution does not easily
enter the fine lymphatic vessels and even blocks the lymphatic vessels and microinjection needle, making the operation more difficult.Since tree shrews have been proposed as experimental animals, many studies on tree shrews have been reported. However, most of the studies are applied research, such as the construction of
tree shrew disease models, while much basic research has not been resolved. For example, tree shrew strains with a pure genetic background are still being established [33, 34]. Additionally, there are only few tree shrew immortalized cell lines available [35,36,37]. Unfortunately, some reagents for working with tree shrew are lack, such as tree shrew
specific antibodies. Therefore, the primary research of tree shrews is still fundamental and should focus on achievement transformation to broad application.In short, we described the anatomy and histomorphology of the tree shrew’s lymph nodes, spleen, thymus, and tonsils. We hope that our research can provide a reference for the related study of
tree shrews immunology in the future.
Conflicts of Interest
The authors declare no competing financial interests.
Authors: Safak Uygur; Can Ozturk; Mehmet Bozkurt; Grzegorz Kwiecien; Maria Madajka; Maria Siemionow Journal: Ann Plast Surg Date: 2013-12 Impact factor: 1.539