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Anatomy 2 Ch 21 Lymphatic System

Overview of the Lymphatic System

  • The lymphatic system is crucially linked to the immune system, primarily focusing on:

    • The spleen

    • Lymph nodes

    • Lymphatic vessels

    • Bone marrow

  • Importance of leukocytes (white blood cells) in immune responses.

Cell Composition of the Human Body

  • The human body is made up of approximately 30 trillion cells.

    • Composed of over 200 different cell types.

    • Majority of cells classified into four major tissue types.

  • Interestingly, bacterial cells in the body may outnumber human cells:

    • Home to a substantial amount of commensal flora (healthy bacteria) that play a vital role in health.

Commensal Flora

  • Commensal bacteria are beneficial and assist in:

    • Nutrient absorption, particularly vitamins.

    • Maintaining a balanced microflora.

  • Pathogenic bacteria may arise due to imbalances or infections, especially after antibiotic use, disrupting the healthy flora.

Immune System Overview

  • The immune system's primary components include:

    • Innate immune system: First line of defense against pathogens.

    • Adaptive immune system: Responds to specific pathogens using memory.

  • Leukocytes are critical in both innate and adaptive immunity.

Lymphatic System Functions

  • The lymphatic system is a one-way circulatory system:

    • Similar to the venous system but unique in its function to collect lymph fluid.

  • Lymphatic capillaries gather excess interstitial fluid (15% of plasma) not recaptured by venules:

    • Considerable daily loss of fluid (2-4 liters) if not recaptured.

Process of Recapturing Lymph Fluid

  • Lymphatic vessels work to reclaim this interstitial fluid, now called lymph, and return it to the circulatory system:

    • Lymph fluid passes through lymph nodes, which filter and cleanse lymph fluid.

    • Clusters of immune cells (lymphocytes) in lymph nodes can be activated against pathogens or foreign cells.

Differences Between Fluid Types

  • Three terms for fluid based on location and composition:

    • Plasma: Fluid component of blood before it is filtered.

    • Interstitial Fluid: Fluid between cells after filtration

    • Lymph: Fluid that has entered the lymphatic system and contains less protein than plasma and interstitial fluid.

Anatomy of Lymphatic Capillaries

  • Composed of

    • Endothelial cells that overlap (like shingles) for easy fluid entry.

    • No basal lamina, making them highly porous.

  • Anchoring filaments made of fibrillin help maintain structural integrity of the capillaries.

    • Integrins are transmembrane proteins that connect cells to the extracellular matrix.

Mechanisms of Lymph Flow

  • Lymph does not have a pump; instead, it relies on:

    • Skeletal muscle pump: Movement of skeletal muscles aids in lymph flow.

    • Respiratory pump: Pressure changes during breathing facilitate lymph movement.

    • Pulsation of adjacent arteries also assists in moving lymph towards the heart.

Lymphatic Vessels and Their Structures

  • Lymphatic vessels initially start from capillaries to larger collecting vessels, then to lymphatic trunks, and finally collecting ducts:

    • The system resembles the vascular system in layering (tunica interna, media, externa).

  • Valves present in larger vessels prevent backflow of lymph, ensuring it moves toward the heart.

Lymphatic Trunks and Ducts

  • Six paired lymphatic trunks collect lymph:

    • Jugular, subclavian, bronchomediastinal, intercostal, lumbar trunks—along with an intestinal trunk.

  • Lymph drains into two main ducts:

    • Right lymphatic duct: Drains lymph from the right side of the head, neck, and upper limb.

    • Thoracic duct: Drains lymph from the lower body and the left side, leading to the left subclavian vein.

Dietary Lipids and Lymph

  • Dietary lipids absorbed from the intestines enter the lymphatic system through lacteals and eventually reach the bloodstream via the thoracic duct:

    • This process avoids the hepatic portal system, which normally processes nutrients absorbed from the gut.

Functional Summary

  • The lymphatic system plays a critical role in fluid recovery, immune system support, and nutrient absorption:

    • By filtering the lymph through lymph nodes, it contributes to immune surveillance and response to pathogens.