Plasma is a straw-coloured liquid that constitutes around 55% of the blood
Plasma is largely composed of water (95%) and because water is a good solvent, many substances can dissolve in it, allowing them to be transported around the body
As blood passes through capillaries, some plasma leaks out through gaps in the walls of the capillary to surround the cells of the body
This results in the formation of tissue fluid
The composition of plasma and tissue fluid are virtually the same, although tissue fluid contains far fewer proteins
Proteins are too large to fit through gaps in the capillary walls and so remain in the blood
Tissue fluid bathes almost all the cells of the body outside of the circulatory system
Exchange of substances between cells and the blood occurs via the tissue fluid
For example, carbon dioxide produced in aerobic respiration will leave a cell, dissolve into the tissue fluid surrounding it, and then diffuse into the capillary
Tissue fluid formation
How much liquid leaves the plasma to form tissue fluid depends on two opposing forces
When blood is at the arterial end of a capillary, the hydrostatic pressure is great enough to push molecules out of the capillary
Proteins remain in the blood; the increased protein content creates a water potential between the capillary and the tissue fluid
However, overall movement of water is out from the capillaries into the tissue fluid
At the venous end of the capillary, less fluid is pushed out of the capillary as pressure within the capillary is reduced
The water potential gradient between the capillary and the tissue fluid remains the same as at the arterial end, so water begins to flow back into the capillary from the tissue fluid
Overall, more fluid leaves the capillary than returns, leaving tissue fluid behind to bathe cells
If blood pressure is high (hypertension) then the pressure at the arterial end is even greater
This pushes more fluid out of the capillary and fluid begins to accumulate around the tissues. This is called oedema
Formation of tissue fluid
Formation of lymph
Some tissue fluid reenters the capillaries while some enters the lymph capillaries
The lymph capillaries are separate from the circulatory system
They have closed ends and large pores that allow large molecules to pass through
Larger molecules that are not able to pass through the capillary wall enter the lymphatic system as lymph
Small valves in the vessel walls are the entry point to the lymphatic system
The liquid moves along the larger vessels of this system by compression caused by body movement. Any backflow is prevented by valves
This is why people who have been sedentary on planes can experience swollen lower limbs
The lymph eventually reenters the bloodstream through veins located close to the heart
Any plasma proteins that have escaped from the blood are returned to the blood via the lymph capillaries
If plasma proteins were not removed from tissue fluid they could lower the water potential (of the tissue fluid) and prevent the reabsorption of water into the blood in the capillaries
After digestion lipids are transported from the intestines to the bloodstream by the lymph system