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Questions and Answers

Where is BALT located?

  • Along the base of the tongue
  • In the walls of the bronchi and bronchioles (correct)
  • Posteriorly on the soft palate
  • In the posterior wall of the nasopharynx
  • What is the function of the spleen?

  • Defense against blood-borne antigens (correct)
  • Digestion of fats
  • Respiration assistance
  • Hormone regulation
  • What is a common medical condition associated with inflammation of the tonsils?

  • Appendicitis
  • Tonsillitis (correct)
  • Bronchitis
  • Gastritis
  • Which tonsil's mucosa lacks crypts?

    <p>Pharyngeal tonsil</p> Signup and view all the answers

    What happens in chronic inflammation of the pharyngeal lymphoid tissue and tonsils of children?

    <p>Enlargement of the tonsils to form adenoids</p> Signup and view all the answers

    What is the main site of old erythrocyte destruction in the body?

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

    Which region of the body is covered by stratified squamous epithelium with crypts and has secondary lymphoid nodules?

    <p>Palatine tonsils</p> Signup and view all the answers

    What is the main function of lymph nodes?

    <p>Filtration of lymph and defense against microorganisms and tumor cells</p> Signup and view all the answers

    Where are lymph nodes most abundantly present in the body?

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

    What is the structure that surrounds the lymph node?

    <p>Dense connective tissue capsule</p> Signup and view all the answers

    Which cells are NOT abundant in lymph nodes?

    <p>Red blood cells</p> Signup and view all the answers

    What do lymph nodes add to the lymph before it merges with the bloodstream?

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

    What is the function of the valves in the lymphatics?

    <p>To regulate lymph flow</p> Signup and view all the answers

    Where are the high endothelial venules (HEVs) located in the lymph nodes?

    <p>In the paracortex</p> Signup and view all the answers

    What is the role of follicular dendritic cells (FDCs) in the lymph nodes?

    <p>Contact with antigens for B cell activation</p> Signup and view all the answers

    Where do activated cytotoxic T cells primarily proliferate within the lymph node?

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

    What is the function of M cells in the Peyer patches?

    <p>Transfer of antigens to immune cells</p> Signup and view all the answers

    Which region of the lymph node lacks B-cell lymphoid nodules and is rich in T cells?

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

    What is the role of macrophages in the lymph nodes?

    <p>Phagocytosis and removal of debris and pathogens</p> Signup and view all the answers

    Which part of the body contains one of the largest collections of mucosa-associated lymphoid tissue (MALT)?

    <p>Intestinal mucosa</p> Signup and view all the answers

    What is the main function of the thymus?

    <p>Induction of central tolerance to prevent autoimmunity</p> Signup and view all the answers

    Which type of cells originate from the embryo's third pair of pharyngeal pouches and proliferate in the thymic epithelium?

    <p>Precursor lymphoblasts</p> Signup and view all the answers

    What happens to the thymus during puberty?

    <p>It undergoes involution, decreasing greatly in size and activity</p> Signup and view all the answers

    Where does the maturation of T lymphocytes continue in the thymus?

    <p>In the medulla</p> Signup and view all the answers

    What is the role of Type III cortical thymic epithelial cells (TECs) in each lobule of the thymus?

    <p>To form a functional corticomedullary barrier</p> Signup and view all the answers

    What is the selection process that ensures mature T cells have T-cell receptors (TCRs) that are fully functional but do not recognize and strongly bind MHC with self-antigens?

    <p>Negative selection</p> Signup and view all the answers

    What happens to as many as 80% of the total nonfunctional T cells during the selection process?

    <p>They undergo apoptosis and are removed by macrophages</p> Signup and view all the answers

    What is the function of Hassall corpuscles in the medulla of the thymus?

    <p>To control activity of local dendritic cells and promote development of regulatory T cells for peripheral tolerance</p> Signup and view all the answers

    What percentage of developing T lymphocytes pass both positive and negative selection tests to exit the thymus as immunocompetent T cells?

    <p>2%</p> Signup and view all the answers

    Which of the following is NOT a cause of splenomegaly?

    <p>Chronic inflammation of pharyngeal lymphoid tissue</p> Signup and view all the answers

    What is the main function of the thymus in T-cell development?

    <p>Prevention of autoimmunity</p> Signup and view all the answers

    What happens in the two-stage selection process in the thymus?

    <p>Removal of nonfunctional T cells by apoptosis</p> Signup and view all the answers

    Where does the maturation of T lymphocytes continue in the thymus?

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

    What is the role of Type II thymic nurse cells in the thymus?

    <p>Secretion of cytokines for T-cell development</p> Signup and view all the answers

    What type of cells line the afferent lymphatics of the lymph nodes?

    <p>Reticular cells</p> Signup and view all the answers

    Where do activated cytotoxic T cells primarily proliferate within the lymph node?

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

    What is the role of high endothelial venules (HEVs) in the lymph nodes?

    <p>Lymphocyte entry</p> Signup and view all the answers

    What is the main site of mucosa-associated lymphoid tissue (MALT) in the body?

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

    What is the function of M cells in the Peyer patches?

    <p>Initiating adaptive responses</p> Signup and view all the answers

    What is the function of the PALS in the white pulp of the spleen?

    <p>Supporting B cell activation</p> Signup and view all the answers

    Where are the lingual tonsils located in the human body?

    <p>Along the base of the tongue</p> Signup and view all the answers

    What is the main function of the closed circulation route in the splenic red pulp?

    <p>Selective removal of swollen RBCs</p> Signup and view all the answers

    In which region of the respiratory system is BALT predominantly located?

    <p>Walls of bronchi and bronchioles</p> Signup and view all the answers

    What happens to iron released from hemoglobin during the degradation of RBCs in the spleen?

    <p>Stored by macrophages within complexes of ferritin proteins</p> Signup and view all the answers

    What is the function of high endothelial venules (HEVs) in the lymph nodes?

    <p>They facilitate the entry of lymphocytes into the lymph nodes from the bloodstream</p> Signup and view all the answers

    What is the main role of follicular dendritic cells (FDCs) in the lymph nodes?

    <p>They trap and present antigens to B cells in the lymph nodes</p> Signup and view all the answers

    Which part of the body contains one of the largest collections of mucosa-associated lymphoid tissue (MALT)?

    <p>Small intestine</p> Signup and view all the answers

    What happens to as many as 80% of the total nonfunctional T cells during the selection process in the thymus?

    <p>They undergo apoptosis and are removed by macrophages</p> Signup and view all the answers

    What is the main site of old erythrocyte destruction in the body?

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

    Study Notes

    Respiratory and Lymphoid Tissue

    • BALT (Bronchus-Associated Lymphoid Tissue) is primarily located in the respiratory tract, particularly within the bronchial epithelium.
    • Peyer patches are specialized areas of mucosa-associated lymphoid tissue (MALT) found in the intestinal lining.

    Spleen Function and Structure

    • The spleen acts as a filtration system for blood, specializing in the destruction of old erythrocytes (red blood cells).
    • The closed circulation route in the splenic red pulp maximizes interaction between blood and splenic parenchyma for optimal filtering.
    • Iron released from hemoglobin during erythrocyte degradation in the spleen is recycled for use in new hemoglobin synthesis.

    Tonsils and Inflammatory Conditions

    • Tonsillitis is a common medical condition linked with inflammation of the tonsils.
    • The mucosa of palatine tonsils contains crypts, while the mucosa of lingual tonsils lacks such structures.
    • Chronic inflammation of pharyngeal lymphoid tissue and tonsils in children can lead to enlarged lymphoid tissue and recurrent infections.

    Lymph Nodes and Lymphatic System

    • Lymph nodes serve as critical sites for immune response, filtering lymph and producing immune cells.
    • They are most abundantly found in the cervical, axillary, and inguinal regions of the body.
    • Lymph nodes are surrounded by a fibrous capsule.
    • B-cells are less abundant in lymph nodes compared to T-cells, which dominate in the lymph node paracortex.

    Immune Cell Functionality

    • Lymph nodes enrich lymph with antibodies and other immune mediators before it merges with the bloodstream.
    • Valves in lymphatics prevent backflow of lymph fluid, ensuring unidirectional flow towards nodes.
    • High endothelial venules (HEVs) are present in lymph nodes and facilitate the entry of lymphocytes from the blood.

    Dendritic Cells and Other Key Cells

    • Follicular dendritic cells (FDCs) play a crucial role in presenting antigens to B-cells in lymph nodes, promoting their activation.
    • Activated cytotoxic T-cells primarily proliferate in the T-cell rich areas of the lymph node, specifically in paracortex.

    Thymus and T-Cell Development

    • The thymus is essential for T-cell maturation, with T lymphocytes developing from progenitor cells originating from the third pair of pharyngeal pouches.
    • During puberty, the thymus undergoes involution, decreasing in size and functionality.
    • Maturation of T lymphocytes continues within the thymus, particularly in the cortex and medulla, where Type III cortical thymic epithelial cells assist in T-cell development.
    • Hassall corpuscles in the thymus medulla are involved in the maturation of specific T-cell types.
    • About 80% of nonfunctional T-cells are eliminated during the selection process to ensure efficacy against pathogens and tolerance to self-antigens.

    Selection Processes in the Thymus

    • The thymus employs a two-stage selection process to ensure mature T-cells have functional T-cell receptors (TCRs) that do not react strongly with self-antigens.
    • Only a small percentage of developing T lymphocytes pass both positive and negative selections to emerge as immunocompetent T-cells.

    Mucosa-Associated Lymphoid Tissue (MALT)

    • One of the largest collections of MALT is found in the gut, particularly in Peyer patches.
    • M cells in Peyer patches facilitate the transcytosis of antigens from the intestinal lumen, enhancing immune surveillance.

    Clinical Notes

    • Causes of splenomegaly can include infections, liver disease, and hematological conditions, while conditions leading to lymphadenopathy should be evaluated for potential malignancies or infections.
    • The primary function of the PALS (periarteriolar lymphoid sheath) in the white pulp of the spleen is to manage T-cell responses.
    • Lingual tonsils are located at the base of the tongue, contributing to the immune response in the oral cavity.

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