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what does lymphatic system maintain
Ā fluid balance, absorbing fats, and
defending the body against pathogens
Immunity, the body's defense mechanism, comprisesĀ two
main branches
innate and adaptive.
The lymphatic system is a network of vessels and organs that work together to drainĀ
excess fluid
from tissues, transport fats, and support the immune response
Collects excess fluid and proteins from the interstitial spaces and returns them to the bloodstream, preventing edema.
Draining interstitial fluid
Absorbs fats and fat-soluble vitamins from the digestive tract and carries them to the bloodstream.
Transporting dietary lipids
Houses and transports immune cells like lymphocytes and macrophages, playing a vital role in detecting and fighting infections
Involvement with immune response
Components of the Lymphatic System
1.Lymphatic capillaries
2.Lymph vessels
3.Lymph nodes
4.Lymphatic ducts and trunks
5.Primary and secondary lymph organs and tissues
The lymphatic system includes:
Tonsils: Such as the palatine tonsil.
Lymph Nodes:
Lymphatic Vessels:
Thoracic Duct:
Cisterna Chyli:
Spleen:
Peyer's Patches:
Appendix:
Marrow:
Ā Such as the palatine tonsil is part of
Including cervical, axillary, mediastinal, intestinal, iliac, and inguinal nodes is part of
Ā A network throughout the body.
A major lymphatic vessel that collects lymph from most of the body.
Tonsils:
Lymph Nodes
Lymphatic Vessels
Thoracic Duct
An enlarged sac that receives lymph from the lower body is part of
A large organ that filters blood and houses immune cells is part of
Aggregated lymphatic follicles in the small intestine is part of
Contains lymphatic tissue is part of
Where lymphocytes originate.
Cisterna Chyli:
Spleen
Peyer's Patches:
Appendix
Red Bone Marrow
is a clear to milky fluid found in the extracellular fluid (ECF) compartment
LymphĀ
what does the lymph do
essentially unaltered interstitial fluid that has entered lymphatic vessels
In the gastrointestinal tract, lymph also contains absorbed
dietary lipids
Lymphatic fluid flows fromĀ
periphery towards the central circulation
Ā general pathway is: for Flow of Lymph
Interstitial fluid ā lymphatic capillaries ā lymph vessels ā regional lymph nodes ā thorax ā
Right or Left lymphatic duct ā Subclavian veins (returning to the bloodstream)
Lymphatic Capillaries;Slightly larger than blood capillaries, with a unique "one-way" valve system that
allows interstitial fluid to enter but prevents it from exiting
Structure:
Specialized lymphatic capillaries in the small intestine responsible for absorbing
dietary lipids.
Lacteals
The term for lymph that contains absorbed lipids.
Chyle:
Lymph movement is driven by
Pressure gradients in the interstitial space.
Skeletal muscle contractions that compress lymph vessels.
Respiratory movements that create pressure differences. Any obstruction or malf
unction in lymph flow can lead to edema (swelling).
Primary Lymph Organs includes
Bone marrow and thymus
Site where stem cells originate and B cells mature.
Bone Marrow
Site where T cells mature. These are the locations where stem cells divide
and develop into immunocompetent cells (cells capable of mounting an immune
response)
Thymus Gland
Secondary Lymph Organs includes
Spleen
Lymph Nodes
Other lymphoid tissues (e.g., tonsils, Peyer's patches) These are the sites where most
immune responses occur.
he thymus is crucial forĀ
Ā T cell maturation.
Contains a large number of immature T cells. These cells proliferate andmature with the help of dendritic cells and specialized epithelial cells. Approximately 25% of T cells survive this rigorous maturation process.
Outer Cortex
Contains more mature T cells ready to enter circulation.
Inner Medulla:
Lymph nodes act asĀ
filters, trapping and destroying foreign substances and pathogens.
Key
regional lymph nodes include:
Submandibular
Cervical (neck)
Axillary (armpit)
Mediastinal (chest)
Inguinal (groin)
Internal structure and cellular components of a lymph node
Capsule:
Sinuses:
Cortex:
Medulla
1.Outer protective layer
Spaces within the node where lymph flows (subcapsular, trabecular, medullary).
Contains B cells and germinal centers for B cell proliferation.
Contains B cells, plasma cells, and macrophages.
Rich in T cells and dendritic cells.
Capsule:
Sinuses:
Cortex
Medulla:
Inner Cortex:
Cells found within lymph nodes
T cells and Dendritic cellsĀ
B cells
Follicular dendritic cells
MacrophagesĀ
Plasma cells
T cells and Dendritic cells are found
B cells found
Follicular dendritic cellsĀ
MacrophagesĀ are found in
Plasma cells found
(inner cortex)
(around germinal centers and in the medulla)
germinal centers)
(germinal centers and medulla)
(medulla)
Route of lymph flow through a lymph node:
Afferent lymphatic vessel (lymph enters)
ā
Subcapsular sinus
ā
Trabecular sinus
ā
Medullary sinus
ā
Efferent lymphatic vessel (lymph exits via the hilum)
Lymph enters the node viaĀ _________ Ā percolates through the sinuses.
afferent lymphatic vesselsĀ
Immune cells within the node (lymphocytes, macrophages)
encounter antigens in the lymph.
carry filtered lymph, antibodies, and activated T cells away from the node.
Efferent vessels
largest lymphatic organ.
The spleen
Composed of lymphatic tissue; this is where lymphocytes and macrophages perform immune functions
unctions.
White Pulp
Consists of venous sinuses and splenic cords; it serves as a reservoir for platelets
and is the primary site for the destruction of old red blood cells.
Red Pulp
immune system has two main branches
Ā Innate Immunity
Adaptive Immunity
Non-specific, inborn defense mechanisms.
Ā Specific, acquired defense mechanisms with memory.
Cell-mediated immunity
Antibody-mediated (humoral) immunity
. Innate Immunity
Adaptive Immunity
Innate immunity provides immediate, non-specific protection. Key components include
Physical Barriers:
Intact skin with its normal flora.
Mucous membranes.
Chemical Barriers:
Stomach acid (low pH).
Acidic pH of the urinary tract.
Lysozyme in tears and saliva.
Cellular Defenses:
Macrophages
Natural Killer (NK) cells
Inflammation: A localized response to injury or infection.
Fever: Elevated body temperature that can inhibit microbial growth.
Chemical Mediators:
Interferons
Complement system
critical process in innate immunity where cells engulf and digest foreign particles
Phagocytosis
five
steps are
Chemotaxis:
Adherence:
Ingestion:
Digestion:
Killing:
Movement of phagocytes towards the site of infection, guided by chemical
signals.
The phagocyte attaches to the surface of the foreign particle.
The phagocyte engulfs the particle, forming a vesicle called a phagosome
The phagosome fuses with a lysosome, forming a phagolysosome, where enzymes break down the particle.
The pathogen is destroyed.
Chemotaxis:
. Adherence
. Ingestion:
. Digestion
. Killing
The four cardinal signs of inflammation are:
1. Redness (Rubor)
2. Pain (Dolor)
3. Swelling (Tumor)
4. Heat (Calor)
Inflammation helps byĀ
diluting toxins, removing foreign materials and pathogens, and preparing
the tissue for repair
Inflammatory Response Stages
1. Vasodilation: Blood vessels widen, increasing blood flow to the injured area. This brings
antibodies, clotting factors, and other immune cells. Chemical mediators like histamine,
kinins, and prostaglandins are released.
2. Emigration: Phagocytes (neutrophils, then monocytes) move from the blood vessels into the
injured tissue, guided by chemotaxis.
3. Tissue Repair: Damaged tissue is replaced.
Adaptive immunity is characterized by itsĀ
specificity for particular invaders and its ability to develop memory of encountered antigens.
Differentiate into plasma cells that produce antibodies. Associated with antibody-
mediated immunity.
B cells
Coordinate immune responses.
Directly kill infected cells.
Helper T cells (CD4+)
Cytotoxic T cells (CD8+):
B cells and Antibody-Mediated Immunity: B cells undergoĀ ______. Ā to become
plasma cells (antibody factories) andĀ
Memory cells are crucial for aĀ
clonal selectionĀ ,memory B cells
Ā faster and stronger response upon re-exposure to the same antigen.
Play a central role in both cell-mediated and antibody-mediated immunity by activating other immune cells.
T Helper Cells (CD4+)
B and T lymphocytes develop unique antigen receptors on their surface during fetal development. This process is genetic, meaning
immunocompetence is pre-determined, not learned through antigen exposure.
Generation of Immunocompetence:
Ā Each lymphocyte has many
copies of one specific receptor, capable of binding to a single type of antigen.
Ā When an immunocompetent lymphocyte encounters its
specific antigen, it completes its differentiation into a fully functional immune cell (e.g., anactivated T cell or a plasma cell)
Antigen Encounter and Activation
Substances that can trigger an adaptive immune response (antigens) typically possess these
characteristics:
Foreign: Originating from outside the host.
Organic: Usually proteins or large polysaccharides.
Structurally complex.
Large molecular weight.
Antigens can have multiple unique regions calledĀ ________ that are recognized by immune cells.
epitopesĀ
primarily macrophages and dendritic cells, are essential
for initiating adaptive immunity. They engulf pathogens, process their antigens, and "present"
these antigens to T helper cells.
Antigen-Presenting Cells (APCs),
Adaptive Immunity: Activation Cascade
An APC engulfs and processes an antigen.
2. The APC presents the antigen fragments on its surface via MHC molecules to a helper T cell
(CD4+).
3. This antigen presentation activates the helper T cell.
4. Activated helper T cells then:
Activate cytotoxic T cells (CD8+) for cell-mediated immunity.
Activate B cells to produce antibodies for antibody-mediated immunity.
Cytotoxic T cells are the primary effectors ofĀ
They directly recognize
Ā cell-mediated immunity
and kill infected cells, cancerous cells, or foreign cells (like transplanted tissue) that display
specific antigens
help regulate the immune response, and memory T cells
provide long-term immunity.
Suppressor T cells
are small proteins secreted by immune cells that regulate cellular activities
Cytokines
Examples
include:
Interferon: Primarily inhibits viral replication.
Interleukins: Influence lymphocyte and stem cell growth and differentiation.
Erythropoietin: Involved in red blood cell production (though its role in inflammation is
complex).
Tumor Necrosis Factor (TNF): Induces fever, apoptosis (programmed cell death), and
inhibits tumor growth and viral replication
Structure of Antibodies
Composed of two heavy chains and two light chains linked by disulfide bonds
Ā variable region at the tips of the "arms" is responsible for
Ā stem region (Fc region) determines
Ā antigen binding specificity.
antibody's class and f
unction.
Binding to and blocking the active sites of toxins or pathogens. This can also
lead to agglutination (clumping of cells) and precipitation (clumping of soluble antigens).
Triggering the complement system, a cascade of
that can lead to vasodilation, inflammation, and lysis (bursting) of the target cell.
blood proteins
Coating pathogens to enhance their recognition and engulfment by
phagocytes.
Neutralization:
Complement Activation
Opsonization
A key part of the complement system the MAC forms a pore in the plasma membrane of target
cells, leadingĀ
cytolysis.
Cascade leading to C3b coating for opsonization and C5b-C9
forming the MAC.
Complement Activation:
Opsonization by C3b.
Phagocytosis Enhancement
Mast cell degranulation releasing histamine, increasing vascular permeability.
Inflammation
Pore formation by MAC leading to cell lysis.
Cytolysis:
the only class that crosses the placenta. Monomer with 2 binding
sites.
. IgG:Long-term immunity
The first antibody produced during a primary immune response. Activates complement
strongly. Pentamer with 10 binding sites.
IgM:
Ā Found in body secretions (saliva, tears, milk, GI fluids). Dimer.
Ā IgA:Ā
Primarily involved in allergic reactions and defense against parasitic worms.
Ā IgE:
Found on the surface of B cells; function is still being fully elucidated, likely involved in B
cell activation.
. IgD:
Ā the ability of the adaptive immune system to "remember" previous
encounters with specific antigens, leading to a faster and more potent response upon
subsequent exposures.
Immunological memoryĀ
The body actively produces its own antibodies.
Ā Occurs after contracting a disease.
The body receives antibodies from an external source.
Active Immunity:
Natural Active
The body receives antibodies from an external source.
Passive Immunity:
Ā Antibodies transferred from mother to fetus/infant (placenta, breast
milk)
Natural Passive:
Administration of pre-formed antibodies (e.g., antivenom).
Artificial Passive
Ā Primarily targets intracellular pathogens, cancer cells, and
tissue transplants.
Cell-Mediated Immunity
Targets extracellular pathogens and toxins in body fluids.
Antibody-Mediated Immunity:Ā
Ā Found on the surface of almost all nucleated body cells.
They present fragments of intracellular proteins (including viral or bacterial antigens if the cell
is infected) to cytotoxic T cells. If a cytotoxic T cell recognizes a foreign antigen on MHC-I, it
triggers the destruction of the infected cell.
Class I MHC molecules (MHC-I)
Found primarily on Antigen-Presenting Cells (APCs)
like macrophages and dendritic cells. They present antigens derived from extracellular
pathogens to helper T cells (CD4+).
Class II MHC molecules (MHC-II)