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Lymph
leaked fluid/plasma proteins, chylomicrons, cell debris/pathogens/cancer cells
How much fluid/plasma proteins is forced out of the capillary bed and into interstitial space daily?
3 liters
Cardiovascular system function
maintain blood volume and retain “energy expensive” blood proteins the liver makes (i.e. albumen)
Chylomicrons
absorbed fat (fatty acids and reformed glycerol) packaged from the small intestine
When does increased uptake of cell debris/pathogen/cancer cells occur and why?
during inflammation because during tissue repair capillaries swell and allow more things to enter
Lymphatic vessels
one way transport toward the heart
Lymph capillaries
microscopic, closed vessels that weave between cells and blood capillaries; more permeable and larger than blood capillaries
Explain the permeable/larger structure of lymph capillaries
cells are not tightly joined (form flap-like mini valves) and collagen filaments anchor cells; pressure of increased interstitial fluid opens gaps in lymphatic walls
Pathway of lymphatics
capillaries → collecting vessels → lymph trunks → lymph ducts
Right lymphatic duct
drains upper right arm and right side of head/thorax
Thoracic duct
drains left side of body above diaphragm and entire body inferior to diaphragm
What do both ducts empty into and what happens to the lymph?
both empty into subclavian veins on respective veins, lymph → plasma
Pathway of fluid from GI to plama
fluid → small intestine → blood/plasma → interstitial fluid → lymph vessels → lymph → subclavian veins → plasma
Lymphatic vessel structure
thinner walls and more valves (one-way) than blood veins, more anastomosis
What is the purpose of one-way valves?
help lymph movement toward heart and prevent backflow
Lymph transport
similar to return through veins: milking action of active skeletal muscles, breathing, pulsations of nearby arteries, and rhythmic contractions of smooth muscle in walls of lymphatic trunks/ducts
When does lymph pooling occur?
when an individual is sedentary for a long period of time
Lymphoid tissue
reticular connective tissue with T and B lymphocytes/macrophages in the spaces of the network
Reticular connective tissue
type of loose connective tissue, forms a network for lymphocytes/macrophages, dominates all lymphoid organs except thymus
T and B lymphocytes
monitor lymphatic stream for presence of antigens and then mound an attack
T cells
reside temporarily before going out to patrol the body; cell mediated response
B cells
clone rapidly when activated by an antigen and release antibodies; can also make antibodies in lymph/blood
Lymph nodes
100s of bean shaped organs less than 1 inch in length that cluster along lymphatic vessels
Regions with lymph nodes
cervical, axillary, inguinal
Lymph node function
filter lymph; have fewer efferent vessels draining than afferent vessels supplying to slow down lymph and allow for lymphocytes/macrophage to work
Spleen
in upper left abdominal cavity below the diaphragm, largest single mass of lymphatic tissue
Functions of the spleen
lymphocytes production/immune response, blood cleansing, and storage/release of platelets
What can result when the spleen is removed?
immunocompetence, increased change for infection
Blood cleansing function of the spleen
macrophages remove pathogens/debris from the blood (occurs in white pulp) and spleen removes defective and old RBCs (occurs in red pulp)
How much of the body’s supply of platelets is stored and released by the spleen?
up to one third
Thymus
site for T cell bootcamp, secretes hormones, only lymphoid organ that doesn’t directly fight antigens
Hormone secretion of the thymus
stimulate T-lymphocytes to become immunocompetent before entrance into lymph nodes, consider endocrine and lymphoid (+bone marrow) organ
Blood-thymus barrier
prevents antigens from coming into premature contact with immature T-cells (prevention of cloning)
Tonsils
swellings around entrance to pharynx
Function of tonsils
gather and remove pathogens entering pharynx from inhaled air and food
Types of tonsils
Palatine (2), pharyngeal (adenoids), and lingual (2)
Which tonsils are largest and most often affected
palatine
Which tonsils are located on the posterior nasopharynx (behind the posterior nasal aperture)?
the pharyngeal (adenoids)
Which tonsils are located at the base of the tongue?
lingual
Two other examples of lymphoid tissue
Peyer’s patches and the appendix
Peyer’s patches
walls of ileum of small intestine
Appendix
offshoot of first part of large intestine
Lymphoid tissue function
protect digestive tract from large amount of pathogens that enter, generate many “memory” lymphocytes for long term immunity
MALT
mucosa associated lymphoid tissue; tonsils/peyer’s patches/appendix is the largest collection