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What are the primary functions of the lymphatic system?
fluid recovery - return water and plasma to the blood
immunity - lymph nodes contain immune cells, filter pathogens in blood
lipid absorption - in small intesetines (lacteals)
What is lymph?
the recovered fluid
clear, colorless fluid
similar to plasma, but with less protein
contains WBCs, lipids, and pathogens/impurities
starts as extracellular fluid (interstitial fluid) drawn into lymphatic capillaries
chemical composition varies in different places
What transports lymph?
lymphatic vessels
What is composed of aggregates of lymphocytes and macrophages that populate many organs in the body?
lymphatic tissues and organs
defense cells are concentrated here
Lymphatic capillaries are present in nearly every tissue except:
cartilage, cornea, bone, and bone marrow
What is the capillary wall comprised of?
overlapping endothelial cells
gaps between cells are big enough to let bacteria and other cells in
endothelium creates valve-like flaps that open when interstitial fluid pressure is high to allow fluid to enter and close when it is low
pressure is highest in blood capillaries, then in interstitial space, and lowest in veins
interstitium
filled with interstitial fluid that eventually is recovered by lymphatic capillaries to become lymph
What are the six lymphatic trunks?
jugular
subclavian
broncho-mediastinal
intercostal
intenstinal
lumbar trunks
The two collecting ducts are ____ and _____ and drain lymph into the subclavian veins
right lymphatic duct
drains right arm, right upper thorax, right side of head/neck into right subclavian
thoracic duct
drains everything else
What is the flow of lymph?
lymphatic capillaries → collecting vessels → 6 lymphatic trunks → right lymphatic duct OR thoracic duct → subclavian veins
thoracic duct
larger and longer than the right lymphatic duct
originates as cisterna chyli
receives lymph from below the diaphragm
named for fatty lymph received from small intestines
What are the two primary lymphoid organs?
bone marrow
thymus
bone marrow
located inside bones
produces all blood cells, WBCs, site for maturation of B cells
thymus
houses developing T lymphocytes
bilobate organ located in mediastinum between sternum and aortic arch
member of enodcrine AND lymphatic systems
largest lymphatic organ through adolescence
degenerates with age
secretes hormones regulating T-cell development
Thymosin, thymulin, thymopoietin
What is the outer connective tissue layer of the thymus?
capsule
What is the dark blue stained area of thymus that is packed with maturing T cells?
cortex
Secondary lymphoid organs
tonsils, spleen, lymph nodes
What are tonsils?
patches of lymphatic tissue located at the entrance to the pharynx
guards against ingested or inhaled pathogens
covered with epithelium
tonsilar crypts
deep pits lined with lymphatic tissue
What are the 3 types of tonsils?
pharyngeal tonsil (1)
known as adenoids
single tonsil on wall of nasopharynx
palatine tonsils (2)
pair at posterior margin of oral cavity
most often infected
lingual tonsils (2)
pair at root of tongue
spleen
largest lymphatic organ in adults
highly vascularized to filter blood
2 tissue types
red pulp = sinuses with erythrocytes and platelets
white pulp = lymphocytes, macrophages, surrounding small branches of splenic artery to initiate immune response
functions of spleen
white pulp monitors blood for foreign antigens and keeps an army of monocytes for release
stabilizes blood volume through plasma transfers to lymphatic system
healthy erythrocytes come and go
erythrocyte graveyard for old RBCs
old RBCs rupture in sinus capillaries
lymph nodes
small, bean shaped glands hosting lymphocytes, macrophages (APCs)
most numerous lymphatic organs
450 in adults
highly concentrated in cervical, axillary, thoracic, abdominal, intestinal, inguinal, and popliteal regions
2 main functions of lymph nodes
cleanse the lymph (remove 99% of impurities)
act as a site of T and B cell activation
What allows circulating lymphocytes to enter the lymph node?
high endothelial venule (HEV)
germinal center
contains activated B cells that are differentiating to plasma cells
lymphedema
accumulation of interstitial fluid secondary to obstructed lymphatic vessels
elephantiasis is an example of lymphedema caused by roundworms
lymph nodes and metastatic cancer
metastatic cencer cells can easily enter lymphatic vessels and travel to new tissue
lodge in the 1st lymph node (sentinel node) they encounter
trapped cells multiply and destroy the node
causes swelling, firmness, but usually painless
cancerous cells typically spread to other nodes downstream
that’s why treatment of breast cancer = lumpectomy + removal of axillary nodes
What is the difference between endocrine and exocrine secretions?
endocrine secretes directly into the bloodstream
exocrine secretes via ducts (exit)
primarily refers to digestive secretions
paracrine
secretes chemical diffuses through the interstitial space and has affect on neighboring cells
somatostatin secreted by pancreatic cells
autocrine
the chemical secreted has effect on the same cell that just secreted it
an activated T-cell secretes IL-2 that comes back and binds IL-2 receptors on the same cell
humoral stimuli - blood solute concentration
some glands secrete their hormone in direct response to changing blood levels of certain critical nutrients and ions
ex. parathyroid gland secretes PTH in response to low blood calcium levels
high levels of glucose in the blood can cause the release of insulin
neural stimuli - autonomic nervous system
not common but a good example is sympathetic nervous system stimulation of the adrenal gland medulla to release catecholamines (norepinephrine and epinephrine)
fight or flight
being chased by a bear with chainsaw hands activates your sympathetic nervous system, causing release of EPI
hormonal stimuli - tropic hormones
many endocrine glands secrete their hormone in response to other endocrine glands
Hormone A released by Organ A and acts on Organ B causing the release of Hormone B
TSH released by the adenohypophysis causes the thyroid gland to release TH
hormones stimulate only those cells that have functioning _____ for them
receptors
if present, hormone can bind and initiate changes in cellular metabolic activity
Where are receptors for lipid-based hormones (sterioid hormones) located?
cytoplasm
Where are receptors for lipid-insoluble hormones (peptide hormones)?
imbedded in the plasma membrane
these hormones cannot penetrate the cell membrane
synergistic effects
2 or more hormones work together to produce a greater effect than each can alone
FSH and testosterone facilitate normal sperm production
permissive effects
1 hormone is required for a later hormone to exert its full effect
estrogen prepares the uterus for the action of progesterone
antagonistic effects
2 hormones have opposing physiological actions
insulin lowers blood glucose and glycogen increases it
How can hormone sensitivity be modulated?
altering receptor density
up-regulation = increase in total number of receptors for increase in sensitivity
down-regulation = decrease in total receptors for decreased sensitivity
occurs with long-term exponsure to high hormone concentrations
negative feedback
occurs when hormone levels reach such concentrations that the pathway to produce the target hormone is inhibited or turned off
positive feedback
occurs when a stimuli triggers the release of a hormone, which in turn strengthens the initial stimuli
promotes release of additional hormone and further strengthens the initial stimuli
What are the 3 endocrine organs of the brain?
hypothalamus
pituitary gland
pineal gland
hypothalamus
King of the endocrine system
most endocrine functions start with input here
links nervous and endocrine systems
all vertebrates have one
all of the hormones (tropic) released directly affect the pituitary gland
maintains rich connection to the cortex, brainstem, and autonomic zones and limbic system
ex. hunger, thirst, temperature, fatigue, sleep, reproductive and attachment behaviors
What are hormones released by the hypothalamus?
corticotropin-releasing hormone (CRH)
gonadotropin-releasing hormone (GnRH)
thyrotropin-releasing hormone (TRH)
Growth Hormone-releasing hormone (GHRH)
Growth Hormone-Inhibiting hormone (GHIH or Somatostatin)
Prolactin-releasing hormone (PRH)
Prolactin-inhibiting hormone (PIH)
corticotropin-releasing hormone (CRH)
stimuli = low cortisol levels
origin = hypothalamus
target = anterior pituitary gland
action = causes release of ACTH
inhibition = high cortisol
Gonadotropin releasing hormone (GnRH)
stimuli: low testosterone or estrogen
origin: hypothalamus
target: anterior pituitary gland
action: causes release of FSH or LH
inhibition: high testosterone or estrogen
Thyrotropin-releasing hormone (TRH)
stimuli: low thyroid hormone levels
origin: hypothalamus
target: anterior pituitary gland
action: cases release of TSH
inhibition: high thyroid hormone levels
Growth hormone releasing hormone (GHRH)
stimuli: deep sleep, puberty, intense exercise, low levels of GH
origin: hypothalmus
target: anterior pituitary gland
action: causes release of GH
inhibition: old age, high levels of cortisol, high levels of GH
Growth Hormone Inhibiting Hormone (GHIH) or Somatostatin
stimuli: very high levels of GH, high calcium or glucose levels
origin: hypothalamus
target: anterior pituitary gland
action: inhibits release of GH
inhibition: low levels of GH, exercise, deep sleep
Prolactin releasing hormone (PRH)
stimuli: low milk reserves, sexual gratification
origin: hypothalamus
target: anterior pituitary gland
action: causes release of PRH
inhibition: high milk reserves, arousal
prolactin inhibiting hormone (PIH)
stimuli: high milk reserves, sexual arousal
origin: hypothalamus
target: anterior pituitary gland
action: inhibits release of prolactin
inhibition: low milk reserves, sexual gratification
pituitary gland
most hormones from this gland help maintain homeostasis
also known as the hypophysis
rests in the hypophyseal fossa of the sella turcica of the sphenoid bone
divided into 2 distinct regions
anterior pituitary or adenohypophysis
synthesizes and releases hormones
release is controlled by hypothalamus
originates from oral ectoderm; not nervous tissues
posterior pituitary or neurohypophysis
stores hormones produced in the hypothalamus and releases them
originate from neural ectoderm
Match the hypothalamic hormone to the anterior pituitary gland hormone it stimulates: corticotropin-releasing hormone (CRH)
adenocorticotropic hormone (ACTH)
adrenal gland release glucocorticoids
Match the hypothalamic hormone to the anterior pituitary gland hormone it stimulates: gonadotropin-releasing hormone (GnRH)
follicle-stimulating hormone (FSH)
lutenizing hormone (LH)
Match the hypothalamic hormone to the anterior pituitary gland hormone it stimulates: thyrotropin-releasing hormone (TRH)
thyroid-stimulating hormone (TSH) or thyrotropin
Match the hypothalamic hormone to the anterior pituitary gland hormone it stimulates: growth hormone-releasing hormone (GHRH)
growth hormone
Match the hypothalamic hormone to the anterior pituitary gland hormone it inhibits: growth hormone-inhibiting hormone (GHIH) or somatostatin
growth hormone
Match the hypothalamic hormone to the anterior pituitary gland hormone it inhibits: prolactin-inhibiting hormone (PIH)
prolactin (PRL)
anterior pituitary hormones
adrenocorticotropic hormone (ACTH)
follicle-stimulating hormone (FSH)
lutenizing hormone (LH)
thyroid-stimulating hormone (TSH)
growth hormone (GH)
prolactin (PRL)
neurohypophysis
antidiuretic hormone (ADH) or vasopressin
oxytocin (OT)
adrenocorticotropic hormone (ACTH)
stimuli: high levels of CRH
secreted from: anterior pituitary gland
target: adrenal cortex
action: release of cortisol
inhibition: low levels of CRH
follicle-stimulating hormone (FSH)
stimuli: high levels of GnRH
secreted from: anterior pituitary gland
target: testes or ovaries
action: stimulates egg development or sperm production
inhibition: low levels of GnRH, high levels of inhibin
lutenizing hormone (LH)
stimuli: high levels of GnRH
secreted from: anterior pituitary gland
target: testes or ovaries
action: release of testosterone or estrogen
inhibition: low levels of GnRH
thyroid-stimulating hormone (TSH)
stimuli: high levels of TRH
secreted from: anterior pituitary gland
target: thyroid
action: release of TH
inhibition: low levels of TRH
growth hormone (GH)
stimuli: high levels of GHRH, low levels of GHIH
secreted from: anterior pituitary gland
target: liver and muscles
action: increase use of fats, muscle uptake of glucose, bone, muscle and cartilage cell growth
inhibition: high levels of GHIH, low levels of GHRH
prolactin (PRL)
stimuli: high levels of PRH, low levels of PIH
secreted from: anterior pituitary gland
target: mammary glands, testes
action: causes milk production, stimulates LH secretion
inhibition: low levels of PRH, high levels of PIH
metabolic actions of growth hormone
hypothalamus secretes growth hormone-releasing hormone (GHRH) and somatostatin (GHIH)
Liver and other tissues effected / anti-insulin actions
Insulin-like growth factors / anti-insulin actions
Skeletal effects, extraskeletal effects / fat, carbohydrate metabolism
increased cartilage formation and skeletal growth, increased protein synthesis and cell growth / increased lipolysis, increased blood glucose and other anti-insulin effects
oxytocin
stimuli: uterine stretching, suckling, sex/romance
secreted from: posterior pituitary gland (made in hypothalamus)
target: uterus, mammary glands, memory center
action: stronger uterine contractions, causes milk ejection, bonding
inhibition: uterine wall stops stretching, no suckling, bad history
antidiuretic hormone (ADH)
stimuli: low blood pressure or reduced plasma volume (high osmolarity)
secreted from: posterior pituitary gland, made in hypothalamus
target: kidneys
action: causes retention of water/increased water reabsorpbtion in kidneys, moderate vasoconstriction and increase of blood pressure
inhibition: high plasma volume, high blood pressure, alcohol or caffeine
pineal gland/body
believed to help coordinate physiological processes with 24-hour circadian rhythms
produces 2 hormones:
melatonin - sleepy hormone
serotonin - happy hormone
melatonin
stimuli: decreased light or night
secreted from: pineal gland/body
target: brain
action: believed to cause sleepiness, may help sync physiological processes to circadian rhythms
inhibition: bright light (sunlight), high serotonin levels
serotonin
stimuli: bright light (sunlight)
secreted from: prineal gland/body
target: brain
action: believed to cause alertness and happiness
inhibition: decreased light or night