Lymphatic System Overview
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Questions and Answers

What are pathogens?

  • Cells that promote healing
  • Disease-causing microorganisms (correct)
  • Healthy body cells
  • Vitamins and minerals

The lymphatic system primarily circulates blood.

False (B)

What is the main organ system that defends the body against disease?

Lymphatic system

Lymph is richer in dietary __________ as it exits the gastrointestinal tract.

<p>lipids</p> Signup and view all the answers

Match the following lymphatic components with their functions:

<p>Lymph = Fluid that circulates in lymphatic vessels Lymphatic vessels = Transport lymph throughout the body Lymphoid tissues = Filter and monitor lymph Dietary lipids = Substances transported by the lymphatic system</p> Signup and view all the answers

What is the primary function of lymphatic capillaries?

<p>Absorb and return filtered interstitial fluid (B)</p> Signup and view all the answers

Lymphatic vessels can exit lymph nodes directly into the bloodstream.

<p>False (B)</p> Signup and view all the answers

What is the name of the lipid-rich lymph absorbed by specialized lymphatic capillaries in the small intestines?

<p>chyle</p> Signup and view all the answers

The endothelial cell edges of lymphatic capillaries allow fluid to enter but not ____.

<p>exit</p> Signup and view all the answers

Match the following structures with their corresponding functions or descriptions:

<p>Lacteals = Absorb dietary lipids Brachiocephalic veins = Return lymph to the circulatory system Thoracic duct = Main path for lymph to return to circulation MALT = Contains immune cells in mucous membranes</p> Signup and view all the answers

What percentage of fluid is returned to circulation via the lymphatic system?

<p>15% (D)</p> Signup and view all the answers

The right lymphatic duct is found in all individuals.

<p>False (B)</p> Signup and view all the answers

What structure collects lymph from various parts of the body before draining into the superior vena cava?

<p>brachiocephalic veins</p> Signup and view all the answers

The primary lymphatic organ located in the body is the ____ _____.

<p>red bone marrow</p> Signup and view all the answers

Which of the following correctly identifies a type of lymphoid tissue?

<p>Mucosa-associated lymphoid tissue (MALT) (D)</p> Signup and view all the answers

What is the process called that ensures T cells can bind to MHC-I and continue their development?

<p>Positive selection (D)</p> Signup and view all the answers

Vaccination is a form of passive immunity.

<p>False (B)</p> Signup and view all the answers

Name one virus that causes immunological amnesia.

<p>Measles</p> Signup and view all the answers

Vaccines provide a ________ version of a foreign antigen that stimulates the immune response.

<p>harmless</p> Signup and view all the answers

Match the following concepts with their descriptions:

<p>Immunodeficiency = Reduced ability to fight infections Autoimmunity = Immune response against self-antigens Hypersensitivity = Abnormal immune reactions Active immunity = Immune response generated after exposure to antigens</p> Signup and view all the answers

What type of antibodies do infants receive through the placenta?

<p>Pre-made (D)</p> Signup and view all the answers

T cells that bind to self-peptides are usually allowed to mature.

<p>False (B)</p> Signup and view all the answers

Which immune cells does HIV primarily infect?

<p>CD4+ T helper cells</p> Signup and view all the answers

During allergic reactions, mast cells ________ upon second exposure to the allergen.

<p>degranulate</p> Signup and view all the answers

What are the three types of homeostatic imbalances in the immune system?

<p>Immunodeficiencies, autoimmune disorders, and hypersensitivities (A)</p> Signup and view all the answers

What type of cells undergo clonal selection after activation by an antigen?

<p>Cytotoxic T lymphocytes (C), B cells (D)</p> Signup and view all the answers

Effector cells are long-lived and play a crucial role in immune memory.

<p>False (B)</p> Signup and view all the answers

What is the primary role of memory cells?

<p>To recognize and respond to the same antigen upon re-exposure.</p> Signup and view all the answers

Antigen-presenting cells (APCs) process _____ antigens by ingesting them.

<p>exogenous</p> Signup and view all the answers

Match the following types of T cells with their primary functions:

<p>Cytotoxic T lymphocytes (CTLs) = Kill infected body cells Helper T lymphocytes (HTLs) = Costimulate other lymphocytes Memory T cells = Provide long-term immunity CD8+ T cells = Recognize endogenous antigens</p> Signup and view all the answers

Which of the following is NOT a component of antibodies?

<p>Cytokines (D)</p> Signup and view all the answers

Memory cells are activated by foreign antigens presented by APCs.

<p>True (A)</p> Signup and view all the answers

What do CTLs secrete to carry out their function?

<p>Perforins and granzymes.</p> Signup and view all the answers

The _____ immune response occurs after the first exposure to an antigen.

<p>primary</p> Signup and view all the answers

Which component is involved in recognizing specific protein shapes on antigens?

<p>Epitopes (B)</p> Signup and view all the answers

All lymphocytes can act as antigen-presenting cells.

<p>False (B)</p> Signup and view all the answers

How do B cells contribute to antibody-mediated immunity?

<p>By producing antibodies after activation.</p> Signup and view all the answers

A second signal is usually provided by _____ for full T cell activation.

<p>cytokines</p> Signup and view all the answers

What is the role of antibodies in the immune response?

<p>To enhance phagocytosis (B)</p> Signup and view all the answers

Match the following types of immune responses with their characteristics:

<p>Cell-mediated immunity = Involves T lymphocytes Antibody-mediated immunity = Involves B lymphocytes Primary immune response = Initial response to an antigen Secondary immune response = Faster and stronger response</p> Signup and view all the answers

What process occurs after a phagocyte binds to an invader?

<p>Adherence (D)</p> Signup and view all the answers

The major histocompatibility complex (MHC) antigens are present on all body cells including erythrocytes.

<p>False (B)</p> Signup and view all the answers

What type of immune response is characterized by increased blood flow and vascular permeability?

<p>inflammation</p> Signup and view all the answers

The process of leukocytes squeezing through intercellular gaps is called __________.

<p>emigration</p> Signup and view all the answers

Match the following immune cells with their functions:

<p>Neutrophils = Phagocytize invaders Natural Killer Cells = Cause cytolysis of invaders Macrophages = Phagocytize cell debris Helper T Cells = Activate other immune cells</p> Signup and view all the answers

Which is not a characteristic sign of inflammation?

<p>Nausea (D)</p> Signup and view all the answers

Chemical signals like histamine are responsible for increasing blood flow to injured tissues.

<p>True (A)</p> Signup and view all the answers

What type of pathogens does cell-mediated immunity primarily protect against?

<p>intracellular pathogens</p> Signup and view all the answers

Once the phagosome fuses with a lysosome, it is referred to as a __________.

<p>phagolysosome</p> Signup and view all the answers

What are the proteins that promote vasodilation along with histamine called?

<p>Kinins (D)</p> Signup and view all the answers

Which type of cells give rise to blood cells including leukocytes?

<p>Multipotent stem cells (A)</p> Signup and view all the answers

The thymus is a unilobed gland.

<p>False (B)</p> Signup and view all the answers

Antibody-mediated immunity is also known as humoral immunity.

<p>True (A)</p> Signup and view all the answers

What do T cells express that facilitates their identification and immune signaling?

<p>CD proteins</p> Signup and view all the answers

What type of lymphocytes become immunocompetent in the thymus?

<p>T lymphocytes</p> Signup and view all the answers

The response of the immune system to tissue damage is known as __________ immunity.

<p>nonspecific</p> Signup and view all the answers

The spleen is the ______ mass of lymphatic tissue in the body.

<p>largest</p> Signup and view all the answers

Match the following immune responses with their descriptions:

<p>Phagocytosis = Ingestion of pathogens by cells Chemotaxis = Movement toward chemical signals Vasodilation = Widening of blood vessels Cytolysis = Destruction of cells by perforation</p> Signup and view all the answers

What is the outer structure of the lymph nodes called?

<p>Capsule (D)</p> Signup and view all the answers

Innate immunity is specific and slower than adaptive immunity.

<p>False (B)</p> Signup and view all the answers

Name two internal defenses of the innate immune system.

<p>Interferons and complement proteins</p> Signup and view all the answers

Cilia in the respiratory tract help sweep ____ through the respiratory system.

<p>mucus</p> Signup and view all the answers

Match the following types of immune cells with their functions:

<p>T lymphocytes = Attack foreign cells B lymphocytes = Produce antibodies Natural killer cells = Induce apoptosis in infected cells Macrophages = Engulf and destroy pathogens</p> Signup and view all the answers

What does the red pulp of the spleen primarily contain?

<p>Erythrocytes and macrophages (C)</p> Signup and view all the answers

Phagocytes are cells that engulf other cells or large particles to destroy them.

<p>True (A)</p> Signup and view all the answers

What protein disrupts bacterial membranes and is contained in tears?

<p>Lysozyme</p> Signup and view all the answers

The first line of defense in innate immunity includes keratinized stratified __________ epithelium.

<p>squamous</p> Signup and view all the answers

What lymphatic organ is located in the left hypochondriac region of the abdomen?

<p>Spleen (D)</p> Signup and view all the answers

Flashcards

Immunity

The body's ability to resist damage or disease caused by pathogens.

Susceptibility

The vulnerability or proneness to damage or disease.

Pathogens

Disease-causing microorganisms that can harm the body, including bacteria, fungi, viruses, and parasites.

Lymph

Fluid that circulates throughout the lymphatic system, similar to blood plasma but richer in dietary lipids.

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Lymphatic System

A network of vessels, tissues, and organs that circulates lymph, defends against disease, and transports dietary lipids.

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Lymphatic Capillaries

Tiny, blind-ended vessels that collect interstitial fluid (IF) from tissues.

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How does interstitial fluid enter lymphatic capillaries?

When the pressure of interstitial fluid (IF) is higher than inside lymph vessels, the overlapping edges of endothelial cells open, allowing IF to enter.

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Anchoring Filaments

Elastic fibres that attach lymphatic capillaries to surrounding tissues, allowing them to stretch and open wider when tissues swell.

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Lacteals

Specialized lymphatic capillaries in the small intestine that absorb dietary lipids (fats).

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Chyle

Lipid-rich lymph, giving it a creamy white appearance.

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Lymph Nodes

Small, bean-shaped organs that filter lymph plasma, removing waste and pathogens.

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Lymph Trunks

Larger lymphatic vessels that collect lymph from lymph nodes and drain specific regions of the body.

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Right Lymphatic Duct

Small lymphatic duct that drains lymph from the right side of the head, neck, and right upper limb.

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Thoracic Duct

The largest lymphatic vessel in the body, draining lymph from the rest of the body into the left subclavian vein.

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Cisterna Chyli

The expanded, sac-like beginning of the thoracic duct, where lymph from the lower body collects.

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Red bone marrow

A primary lymphatic organ that contains multipotent stem cells which give rise to blood cells, including leukocytes.

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Thymus

A bilobed gland located in the anterior mediastinum that is the site where T lymphocytes become immunocompetent.

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Cortex of the thymus

The outer region of the thymus lobe that contains epithelial cells that train immature T cells.

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Medulla of the thymus

The inner region of the thymus lobe that contains mature T cells and thymic corpuscles.

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Spleen

The largest mass of lymphatic tissue in the body, located in the left hypochondriac region of the abdomen.

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Stroma of the spleen

The supporting framework of the spleen, composed of dense connective tissue, reticular fibres, and fibroblasts.

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Trabeculae of the spleen

Projections of the capsule into the spleen that provide passage for blood vessels and mechanical support.

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Parenchyma of the spleen

The functional tissue of the spleen, containing white pulp and red pulp.

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White pulp of the spleen

Lymphatic tissue clustered around the splenic artery that contains lymphocytes and macrophages.

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Red pulp of the spleen

Tissue containing erythrocytes, macrophages, lymphocytes, and other immune cells, involved in removing worn-out blood cells and storing platelets.

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Capsule of a lymph node

The outer covering of a lymph node made of dense connective tissue.

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Lymphoid nodules

Clusters of B cells found in the outer cortex of a lymph node.

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Afferent lymphatic vessels

Lymphatic vessels that carry lymph into a lymph node.

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Efferent lymphatic vessels

Lymphatic vessels that carry lymph out of a lymph node.

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What is a vaccine?

A vaccine is an injection or pill containing a harmless version of a foreign antigen, designed to trigger an immune response.

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What is immunological amnesia?

Immunological amnesia is the loss of immune memory to a specific pathogen, often caused by the destruction of immune cells.

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How do vaccines work?

Vaccines stimulate the primary immune response, creating memory lymphocytes and antibodies against a specific antigen. When exposed to the actual pathogen, the body mounts a faster and stronger secondary immune response.

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What is active immunity?

Active immunity involves the body's own immune system producing antibodies in response to exposure to a foreign antigen.

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What is passive immunity?

Passive immunity is when pre-made antibodies are transferred to an individual, providing temporary protection.

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What is self-recognition in the immune system?

Self-recognition refers to the immune system's ability to distinguish between its own cells and foreign invaders.

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What is positive selection of T cells?

Positive selection in the thymus ensures that only T cells capable of binding to MHC-I on cortical thymic epithelial cells survive.

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What is negative selection of T cells?

Negative selection in the thymus eliminates T cells that react to self-antigens, preventing autoimmune responses.

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What happens to T cells that don't bind to MHC-I?

T cells that fail to bind to MHC-I during positive selection in the thymus die.

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What is autoimmunity?

Autoimmunity is a condition where the immune system attacks the body's own tissues, resulting in inflammation and damage.

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Phagocytosis

A process where phagocytes engulf and destroy invaders (like bacteria) by wrapping their membrane around them, forming a phagosome, then fusing it with a lysosome to digest them.

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Phagosome

A vesicle formed when a phagocyte's membrane engulfs an invader during phagocytosis. It transports the invader to the lysosome for digestion.

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Lysosome

A cellular organelle containing digestive enzymes to break down invaders and cellular debris inside a phagosome.

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Phagolysosome

The structure formed when a phagosome containing an invader merges with a lysosome, allowing the invader to be broken down.

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Oxidative burst

The release of reactive oxygen species (ROS) by phagocytes during digestion, which damages the invader's cellular molecules.

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Nonspecific defense

A type of defense that doesn't target a specific invader, but reacts the same way to any threat to the body.

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Histamine

A chemical signal released by damaged tissues that triggers vasodilation and increased vascular permeability.

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Vasodilation

The widening of blood vessels, increasing blood flow to the site of injury.

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Vascular permeability

The leakage of fluid from blood vessels into surrounding tissues.

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Rolling

Leukocytes moving slowly along the inner surface of blood vessels, guided by membrane proteins on endothelial cells.

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Emigration

Leukocytes squeezing through gaps in the blood vessel walls to reach the site of injury.

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Chemotaxis

Leukocytes following chemical signals released by damaged tissue to reach the site of injury.

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Tissue disinfection

The process where leukocytes neutralize invaders and clean up cell debris at the site of injury.

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Tissue healing

The process of repairing damaged tissues after injury.

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Lymphocyte Activation

The process where a lymphocyte is triggered to become active and start producing antibodies. This happens when an antigen on a foreign invader binds to the lymphocyte's antigen receptor.

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Effector Cells

These are the main force of a lymphocyte's attack and they are produced during clonal selection. They are responsible for carrying out the lymphocyte's defensive roles.

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Memory Cells

These cells are long-lived and only a small population is produced. They are important for future encounters with the same antigen. They do not actively kill but rather remember the invader for next time.

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Exogenous Antigens

These are foreign molecules that are found circulating in the fluids outside of body cells (extracellular antigens). They are processed by antigen-presenting cells (APCs).

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Antigen Presentation

This is the process where an antigen-presenting cell (APC) displays an antigen to a lymphocyte. The APC 'shows' the antigen to the lymphocyte, so it can tell if it's a threat.

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Endogenous Antigens

These are foreign antigens found inside of body cells. These might include viruses, toxins, or cancer antigens.

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MHC-I

A type of protein complex found on the surface of body cells. It is used to display endogenous antigens to cytotoxic T lymphocytes (CTLs).

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CTL Activation

This is the process of activating cytotoxic T lymphocytes (CTLs) to kill cells infected with endogenous antigens.

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CD8 Protein

A protein found on CTLs that interacts with MHC-I. This interaction helps to stabilize the T cell's connection to the APC.

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Costimulation

A second signal required to fully activate T cells. It's like a double check to make sure the cell is really under attack.

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Cytokines

Protein hormones that stimulate leukocyte division and differentiation. They act as messengers in the immune system, helping cells communicate and coordinate their actions.

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Helper T Cells (HTLs)

These T cells are critical for activating other lymphocytes. They are also known as CD4+ cells.

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Antibody-mediated immunity

This is one of the main branches of the adaptive immune system. It involves the production of antibodies by B lymphocytes, which target extracellular antigens.

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Plasma Cells

These are specialized B cells that produce large amounts of antibodies. They are like antibody factories.

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Immunological Memory

The ability of the adaptive immune system to remember past encounters with antigens and mount a faster and stronger response the next time it encounters that antigen.

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Study Notes

Lymphatic System

  • The lymphatic system is the main organ system for immunity, defending against disease and damage.
  • Immunity is resistance to damage or disease; susceptibility is vulnerability to damage or disease.
  • Pathogens are disease-causing microorganisms (bacteria, fungi, viruses, parasites).
  • The lymphatic system comprises lymph plasma, vessels, and organs that transport lymph. It has three main functions:
    • Circulates and drains excess body fluids.
    • Defends against disease and damage.
    • Transports dietary lipids.
  • Lymph is richer in dietary lipids exiting the GI tract than interstitial fluid or blood.
  • Lymph is carried in lymphatic vessels, while interstitial fluid is outside vessels.
  • Lymph is filtered through lymphoid tissues and organs.
  • The main difference between lymph and interstitial fluid is location; lymph is found around lymphatic vessels, while interstitial fluid is around cells.
  • Lymph circulation begins at lymphatic capillaries between tissue cells.
  • Capillary ends overlap; IF pressure > vessel pressure = fluid enters.
  • Lymph capillaries are anchored to surrounding tissue via anchoring filaments. Excess tissue fluid stretches the capillaries, allowing more fluid entry.
  • Specialized lymphatic capillaries in the small intestine (lacteals) absorb dietary lipids forming chyle (creamy white lymph).
  • Lymphatic capillaries merge to form lymphatic vessels.
  • Lymphatic vessels carry lymph to lymph nodes and lymphoid tissue, filtering lymph plasma.
  • Lymph trunks form from lymphatic vessels exiting lymph nodes, draining lymph from specific body regions.
  • Lymph trunks sometimes merge into lymphatic ducts.
    • The right lymphatic duct is not universal, often 3 independent trunks draining into the right subclavian vein.
    • The thoracic duct is the main lymph return pathway to circulation, originating at the cisterna chyli and draining into the left subclavian vein.
  • The brachiocephalic veins return lymph fluid as blood plasma to the heart.
    • Right lymph drains into the right brachiocephalic vein.
    • Left lymph drains into the left brachiocephalic vein via the thoracic duct and the bronchomediastinal trunk.
    • Brachiocephalic veins drain into the superior vena cava.
    • Lymph drainage pattern: right lymphatic duct/trunks drain head, neck, and right upper limb; thoracic duct drains the rest.
  • The lymphatic system returns ~15% (3L/day) of filtered fluid to circulation.
  • Skeletal muscle and respiratory pumps move lymph.

Lymphatic Organs and Tissues

  • Lymphatic organs are categorized as primary and secondary.
  • Lymphatic tissue lacks a capsule and includes mucosa-associated lymphoid tissue (MALT) within mucous membrane lamina propria, aggregated lymphoid follicles (Peyer's patches) in the ileum, and tonsils (pharyngeal, palatine, lingual).
  • Primary lymphatic organs:
    • Red bone marrow: Site of hematopoiesis (blood cell formation), including B and T lymphocytes development from multipotent stem cells.
    • Thymus: Bilobed gland in the mediastinum; shrinks with age; site of T lymphocyte maturation and immunocompetence.
    • The thymus cortex contains epithelial cells training immature T cells; the medulla contains mature T cells and thymic corpuscles (role unknown).
  • Secondary lymphatic organs:
    • Spleen: Largest lymphatic organ in the left hypochondriac region, with stroma (connective tissue capsule and trabeculae) and parenchyma (white and red pulp).
      • White pulp: Lymphatic tissue, surrounds splenic arteries; monitors blood and defends against infection.
      • Red pulp: Erythrocytes, macrophages, lymphocytes, etc.; removes worn-out blood cells, participates in hemopoiesis, stores platelets.
    • Lymph nodes: Bean-shaped organs with a capsule, trabeculae, cortex (lymphoid nodules of B cells), para-cortex (T cells and dendritic cells), and medulla (plasma cells and macrophages). Lymph enters afferent and exits efferent vessels.

Immunity

  • The immune system is divided into innate and adaptive immunity.

  • Innate immunity is non-specific and rapid, found in all animals. Adaptive immunity is specific, requiring activation, found only in vertebrates.

  • Innate immunity includes external and internal defenses.

  • External defenses are the first line of defense: epidermis (keratinized stratified squamous epithelium), sebum (acidic), sweat (salty), mucus membranes, hair, cilia, tears and other fluids (lysosome), and waste elimination.

  • Internal defenses (if external fail), include: antimicrobial substances (interferons, complement proteins, iron-binding proteins, AMPs), natural killer cells (releasing perforin and granzymes), and phagocytes (neutrophils, macrophages).

  • Phagocytosis: chemotaxis, adherence, ingestion (phagosome), digestion (phagolysosome), killing (oxidative burst), and disposal.

  • Inflammation is a nonspecific immune response to tissue injury: characterized by pain, redness, immobility, swelling, and heat (PRISH) due to histamine, kinins, prostaglandins, leukotrienes, and complement proteins signaling increased blood flow, vascular permeability, and leukocyte recruitment.

  • Fever is elevated body temperature, potentially beneficial against infection as it can denature pathogen proteins.

  • Adaptive immunity has two arms: cell-mediated (CTLs directly kill invaders) and antibody-mediated (antibodies enhance phagocytosis and lysis).

  • Lymphocytes recognize specific foreign "antigens" with antigen receptors.

  • Cellular activation requires antigen processing and presentation to lymphocytes.

  • Exogenous antigens are processed and presented by antigen-presenting cells (APCs, e.g., B cells, macrophages) via MHC-II.

  • Endogenous antigens within body cells are processed and presented by APCs via MHC-I.

  • T cells (CTLs, HTLs) activate upon antigen recognition (TCRs bind to antigen-MHC complexes); require costimulation(cytokines) for full activation.

  • CTLs develop into effector and memory cells during clonal selection.

    • CTLs release perforin and granzymes for lysis and apoptosis of infected cells.
  • HTLs develop into effector and memory cells during clonal selection.

    • HTLs stimulate other lymphocytes, including B cells for antibody-mediated responses.
  • Antibody-mediated immunity involves B cells processing exogenous antigens and presenting them via MHC-II. Activated B cells (plasma cells) produce antibodies to enhance pathogens killing and clearance through mechanisms like neutralization and precipitation, complement activation.

  • Adaptive immunity generates memory.

  • Primary response is slower, subsequent exposures elicit a faster, stronger secondary response due to memory cells.

  • Vaccines provide immunity through inoculation with a harmless antigen.

  • Immunological amnesia is a condition whereby a virus disables immunologic memory via infection of macrophages or lymphocytes.

  • Self-recognition depends on the thymus positive selection of T-cells binding to MHC and negative selection eliminating those that react to self-peptide antigens. Failures of self-tolerance can result in autoimmunity.

Homeostatic Imbalances of the Immune System

  • Immunodeficiencies (e.g., AIDS), autoimmune disorders, and hypersensitivities (allergies) can occur.
  • AIDS results from HIV infection, primarily affecting CD4+ helper T cells; rendering affected individuals susceptible to infections and cancers.
  • Hypersensitivities involving an abnormal response to foreign antigens (allergies) involve antigen stimulation, antibody binding to mast cells and subsequent release of histamine. This leads to anaphylaxis (systemic inflammation).

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Explore the essential functions of the lymphatic system in the body, including its role in immunity, the transport of lymph, and its components. This quiz covers the structure and importance of lymphatic vessels, organs, and their interaction with bodily fluids. Test your understanding of how this system defends against diseases and circulates dietary lipids.

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