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lymph(part of lymphatic system)
a fluid similar to plasma
does not have plasma proteins
lymphatic vessels(lymphatics)- (part of lymphatic system)
network that carries lymph from peripheral tissues to the venous system
lymphoid tissues and lymphoid organs (part of lymphatic system)
found throughout the body
last part of lymphatic system
lymphocytes, phagocytes, and other immune system cells
lymphatic and immune functions
drain excess interstitial fluid- 3 liters needs to be reabsorbed but not for exchange- just collected, lymph systems use WBCs to clean fluid and return back to blood stream
lymph- when interstitial fluid enters system it becomes this
transport dietary lipids- when fat absorbed in GI tract and fat soluble vitamins are transported in lymph system
carry out immune responses- immune system in lymphatic system
lymphatic capillaries
collection only, no exchange
closed at 1 end, contain valves, 1 way flow into capillary and back to heart have larger diameters and thinner walls than blood capillaries
location: space between cells, run with blood capillaries
endothelial cells
important in maintaining 1 way flow into lymphatic capillaries
anchoring filaments
used to keep lymphatic capillaries open, prevent collapse
lacteals
specialized lymphatic capillaries in small intestine to carry lipids from diet
chyle
specialized white lymph(contains fat) from lacteals
lymphatic flow
blood capillaries(blood)→ interstitial space(interstitial fluid)→ lymphatic capillaries(lymph)→ lymphatic vessels(lymph)→ lymphatic ducts→ subclavian veins(blood)
-use skeletal and respiratory pumps(no pressure in lymphatic system)
-return from pulmonary and systemic circuits to subclavian veins(caps→ vessels→ trunk→ ducts)
the lymphatic system is very left sided,
lower body drains into the thoracic duct(left side)
left subclavian vein
thoracic duct
left jugular trunk(head, neck)
left subclavian trunk(arm)
left bronchomediastinal tract(chest)
cisterna chyli
intestinal trunk
(R&L) lumbar trunks(legs)
right subclavian vein
right lymphatic duct
right jugular trunk
right subclavian trunk
right bronchomedistinal trunk
primary organs and tissue
where stem cells divide and develop(factory)
red bone marrow (primary)
produce hemocytoblasts→ produce B cells and pre-T cells
thymus gland (primary)
matures(educates) T cells
secondary organs and tissues
where immune response occurs(battle field)
lymph nodes
spleen
lymphatic nodules
lymph nodes (secondary)
lymph will flow from 1 node to the next
lymph nodes
about 600 located along lymph vessels
concentrated in: breast, axillary, and groin
lymph divides into: capsules
outer covering
lymph divides into: outer cortex
contains mostly B cells and macrophages
lymph divides into: inner cortex
contains mostly T cells
lymph divides into: medulla
B cells, antibodies from plasma cells, and macrophages
lymph node flow
afferent lymphatic vessel(into node)→ subcapsular sinus→
trabecular sinus→
medullary sinus→
efferent lymphatic vessel(out of node)
designed to pass lymph by different WBCs
metasis
secondary tumor sites can be predicted according to the direction of lymph flow from primary tumor site
not tender like inflamed nodes
use to dye to detect central node for biopsy
spleen
largest mass of lymphatic tissue
location: left side between stomach and left kidney
capsule(spleen)
outer covering, contains hilus(splenic arteries, veins, and efferent lymph vessels)
parenchyma(spleen)
center of spleen, 2 tissues
white pulp(spleen)
lymphatic tissue, lymphocytes and macrophages are located around a central artery(branches of the splenic artery)
red pulp(spleen)
blood filled venous sinuses, contain RBCs, leukocytes, and plasma cells
functions of spleen
remove worn out RBCs
store platelets- 1/3 of body total
produce blood cells when fetus
blood enter white pulp where it is “phaged”- gets rid of blood born pathogens→ then into red pulp→ then splenic veins
thymus gland
location: sit on top of heart, covered by capsule, larger in kids
cortex(thymus gland)
pre T cells(immature cells) collect here from red bone marrow, this is where they will mature
medulla(thymus gland)
contains more mature T cells
epithelial cells( thymus gland)
helps “Education” of T cells by ‘positive selection’, only 20% make it, T cells leave thymus to collect in spleen, lymph nodes, and lymphatic tissue
lymphatic nodules
spread through different areas of the body
egg-shaped masses of lymphatic tissue not covered by a capsule
tonsils
lymphatic nodules in the oral cavity
pharyngeal(tonsil)
posterior wall of nasopharynx
palatine(tonsil)
back side of oral cavity(removed)
lingual(tonsil)
back base of tongue
MALT(mucosa-associated lymphatic tissue)
spread through out connective tissue of GI tract, urinary, and reproductive systems
lymphoid tissues associated with digestive system(peyer’s patch)
clustered deep to intestinal lining epithelial lining
appendix
mass of fused lymphoid nodules
nonspecific resistance
present at birth
offers immediate protection against variety of pathogens
functions same way regardless of the type of invader
first line of defense
physical and chemical barriers discourage pathogens from penetrating the body and causing disease
skin(epidermis) (1st defense)
provides a tough physical barrier
mucous membranes (1st defense)
traps many microbes and foreign substances
lacrimal apparatus (1st defense)
provides tears to wash away irritants to the eyes
saliva (1st defense)
reduces growth of microbes in the mouth
urine flow (1st defense)
cleanses the urethra
gastric juice (1st defense)
strong acidity destroys many pathogens
internal antimicrobial proteins (2nd defense)
found in blood and interstitial fluid, discourages growth of microbes
interferons (2nd defense)
prevent viruses from replicating
complement system (2nd defense)
found in blood plasma and plasma membranes, when activated enhances immune reactions- stimulation of inflammation, attraction of phagocytes, enhancement of phagocytosis by complements working with antibodies, and destruction of target cell membranes by complement proteins
transferrins (2nd defense)
iron binding proteins, reduces iron needed for bacterial growth
natural killer cells
5-10% of lymphocytes, attack cells that display abnormal plasma membrane proteins
phagocytes
specialized cells that ingest microbes and other cellular debris
example of phagocytes
neutrophils and macrophages
chemotaxis
chemically stimulated movement of phagocytes
adherence
attachment of phagocyte to microbe
ingestion
process of engulfing the microbe
digestion
uses digestive enzymes and strong oxidates
killing
digestion and oxidation kills microbe
inflammation
defensive response to tissue damage
attempt to dispose of microbes, toxins, and foreign material at the site of injury to prevent spread to other tissues, and to prepare site for repair
signs of inflammation
redness, pain, heat, swelling
inflammation examples
pathogens, abrasions, chemical irritation, cell disturbance, or extreme temperature
inflammation process
Injured cells release Prostaglandins, proteins, potassium ions
Changes interstitial environment and stimulates mast cells
Mast cells release histamine (increases capillary permeability) & heparin (inhibits clotting)
Increased blood flow- raises local temperature, causes area to swell, redden, and become painful
Blood clot forms around damaged area, isolating it
Complements break down bacteria & attract phagocytes
Activated neutrophils attack debris and bacteria
Phagocytes and foreign proteins activate body’s specific defense system
Macrophages clean up pathogens and cell debris
Fibroblasts form scar tissue
necrosis(products of inflammation)
local tissue destruction in area of injury
pus(products of inflammation)
mixture of debris and necrotic tissue
abscess(products of inflammation)
pus accumulated in an enclosed space
fever
abnormal high body temperature that occurs because of hypothalamic thermostat reset
intensifies effects of interferons, inhibits some microbe growth, speeds up reactions that aid in attack and repair
pyrogens
any material that causes the hypothalamus to raise body temperature including circulating pathogens. toxins, or antibody complexes
immunity((adaptive defenses)
ability to mount a specific resistance against specific antigens
specific(adaptive defenses)
ability to signal out foreign substances for destruction, also recognize self
memory(adaptive defenses)
to be able to remember an antigen and kill it faster next time
systemic(adaptive defenses)
affects the whole body-not restricted to the area of infection
antigens(adaptive defenses)
anything is perceived as foreign due to surface proteins
examples of antigens
viruses, bacteria, cancers, bacterial toxins, pollen, incompatible blood cells
3 common pathways to lymphatic tissue
enter blood stream and are trapped as they flow through the spleen
penetrate the skin, enter lymphatic vessels and get lodged in lymph nodes
penetrate mucous membranes and become entrapped by MALT
antigen receptors
before T cells leave the thymus and B cells leave red bone marrow they insert specific proteins into the plasma membrane capable of recognizing specific antigens
T cells
kill other cells
B cells
produce plasma cells that produce antibodies
major histocompatibility complex(MHC)(self-antigens)
these are the body’s self antigens, a protein on the surface of all cells, how the body recognizes its own cells(except RBCs)
Class 1 MHC(self-antigens)
appear on all body cells except RBCs
Class 11 MHC(self-antigens)
appear only on activated T cells and cells of the thymus
cell-mediated immunity cells(cells attacking cells)
1) Antigen is Presented (APC’s)- antigen gets noticed/discovered, bumps into WBC, antigen presenting cell 🡪 migrates to lymphatic tissue to present antigen to T cell
2) Activation of T cell- antigen causes a small
number of T cells to activate
3) Costimulation (interleukin-2)- activation is
complete after a second chemical confirmation
(costimulation)- prevents unneeded immune
responses
4) Proliferate- makes copies of itself (divides) from a few to thousands
5) Differentiate- forms different more specialized copies
Helper
Cytotoxic
Memory- storage for future invasion
6) Elimination (all T cells kill this way)
Perforin
Lymphotoxin
Helper
(CD4) recognizes MHC-II’s – secretes interluken 2 (provides more costimulant)
cytotoxic
(CD8) recognizes antigens combined with MHCs 1’s(body cells with: virus, tumor cell), cells gone bad
perforin
punches holes in the plasma membrane of target cell
lymphotoxin
activates enzymes in target cell that destroy cells DNA
antibody-mediated immunity
1) Binding & Activation of B cell- B cells can bind directly to antigen but are much more efficient when antigen is presented to B cells
2) Costimulation by T helper cell
3) Proliferate- B cells divide
4) Differentiate- turn into memory & plasma cells
Memory cells
Plasma cells (live 4-5 days) produce hundreds to millions of antibodies
Antibodies- antibodies bind with antigen (with
different results)
5) Antibody Action
antibody structure
2 parallel pairs of polypeptide chains: 1 pair of heavy chains and 1 pair of light chains
each chain contains constant segments and variable segments
classes
distinctive chemical structure
IgG(antibodies)
most abundant(80%), protects against bacteria, viruses, toxins and triggers complement system, can cross placenta from M→ F(immunity to newborns)
IgA(antibodies)
10-15%, found in secretions- tears, mucus, saliva, breast milk, GI- protects mucus membranes from bacteria and viruses
IgM(antibodies)
5-10%, first secretion of plasma cells, activates complement system, are antigen receptors on B cells, anti-A and anti-B antibodies in blood plasma
IgD(antibodies)
rare, act as B cell antigen receptors, activation of B cells
IgE(antibodies)
rare, act as receptors on mast cells and basophils, involved with allergic and hypersensitivity reactions, help against parasitic worms
neutralizing
stops reactivity