Basics of the Lymphatic System – Vocabulary Review

Overview

  • Lymphatic system = network of vessels, organs, and tissues that returns excess interstitial fluid to blood, supports immunity, and aids fat absorption.

  • Color‐coded green in diagrams; empties into subclavian veins.

  • Intertwined with cardiovascular, immune, and digestive systems.

Major Functions

  • Fluid balance

    • Blood capillaries leak plasma water continuously.

    • ~10\% of filtered water is NOT reabsorbed osmotically → becomes lymph.

    • Lymphatic capillaries collect this fluid and channel it back to blood.

  • Immune support

    • Storage & maturation of lymphocytes (T & B cells).

    • Provides travel routes for WBCs to infection sites.

    • Numerous “check-points” (nodes, MALT, spleen) filter fluids and expose pathogens to immune cells.

  • Digestive involvement

    • Specialized intestinal lymphatics (lacteals) absorb dietary fats.

Primary vs. Secondary Lymphatic Organs

  • Primary (sites of lymphocyte production & maturation)

    • Red bone marrow

    • Generates ALL formed elements.

    • B cells: produced & mature here → exit via sinusoidal capillaries.

    • T cells: produced but NOT fully mature; migrate to thymus.

    • Thymus

    • Location: mediastinum, anterior–superior to heart.

    • T-cell maturation & selection.

  • Secondary (filter extracellular fluids; house mature lymphocytes)

    • Encapsulated

    • Lymph nodes → filter lymph.

    • Spleen → filters blood.

    • Unencapsulated / partially encapsulated = MALT (mucosa-associated lymphoid tissue)

    • Diffuse or nodular clusters embedded in mucosal/connective layers.

Lymphatic Vessel Hierarchy & Flow

  • Lymph capillaries → collecting (lymphatic) vessels → trunks → ducts → subclavian veins.

  • Analogous to veins: large diameter, thin walls, low pressure, valves.

  • Ducts

    • Right lymphatic duct

    • Drains R upper limb, R thorax, R head/neck.

    • Thoracic duct (larger, longer)

    • Drains remainder: both lower limbs, abdomen, pelvis, L upper limb, L thorax, L head/neck.

Fluid Dynamics at Capillary Level

  • Blood capillaries retain plasma proteins → high capillary oncotic pressure \pi_c.

  • Interstitial fluid almost protein-free ⇒ oncotic gradient negligible.

  • Net driving force for lymph entry = hydrostatic pressure gradient:
    P{interstitial} > P{lymph\,capillary} (though both low).

  • Lymph capillary features

    • Blind-ended “terminal” sacs.

    • Simple squamous endothelial cells overlap → flaplike one-way micro-valves.

    • Anchoring filaments prevent collapse under tissue pressure.

Collecting Vessels – Structural/Functional Parallels with Veins

  • Tunics: endothelium + thin smooth muscle layer (perivascular cells) + adventitia.

  • Possess valves; rely on

    • Skeletal-muscle pump.

    • Respiratory pump.

    • Sympathetic (α-adrenergic)–mediated constriction.

  • Extremely compliant due to thin walls & low P.

Lymph Nodes

  • Definition: encapsulated, bean-shaped organs inserted along collecting vessels.

  • Basic anatomy

    • Dense irregular collagen capsule → extensions (trabeculae) partition lobules.

    • Cortex (outer): densely packed diffuse lymphatic tissue & lymphatic nodules.

    • Medulla (inner): fewer cells, medullary cords/sinuses.

    • Afferent (inbound) vs. efferent (outbound) vessels—labels depend on node referenced.

  • Histology

    • Reticular CTP network → physical scaffolding + filtration mesh.

    • Lymphatic nodules

    • Circular aggregates of lymphocytes.

    • Central germinal centers = active B/T cell proliferation.

  • Functional role

    • “Immune checkpoints”; expose lymph to resident WBCs.

    • Capture pathogens/debris via reticular mesh for recognition.

MALT (Mucosa-Associated Lymphoid Tissue)

  • Non-capsulated nodules within mucosal CT layers; extra protection at body tract portals.

  • Key sites

    • Tonsils (6 total)

    • Pharyngeal (adenoids), palatine, lingual.

    • Stratified squamous epithelium with crypts that trap pathogens.

    • Peyer’s patches (ileum of small intestine).

    • Vermiform appendix (large clusters within wall).

    • Scattered in respiratory, urinary, reproductive tracts.

  • Rationale near ileocecal region: guard against translocation of large-intestinal flora into small intestine/body.

Spleen

  • Location: upper L quadrant, posterior to stomach & pancreas.

  • Vascular supply: splenic artery (from celiac trunk) in; splenic vein → hepatic portal vein → liver.

  • Capsule & trabeculae partition lobules.

  • Two pulps

    • White pulp: lymphocytes clustered around arterioles → immune surveillance of blood.

    • Red pulp: sinusoidal capillaries + macrophages → remove senescent RBCs; store platelets, healthy RBC reservoir.

  • Functions

    • Filters bloodborne pathogens.

    • Hematologic recycling of erythrocytes (macrophage phagocytosis).

    • Blood reservoir; potential to release RBCs during high demand (species-dependent).

Thymus

  • Primary lymphatic organ for T-cell education.

  • Anatomy

    • Two lobes; each subdivided into lobules via connective tissue trabeculae.

    • Lobule structure: dark cortex (densely packed immature T cells) → lighter medulla (maturing cells exit via vessels).

  • Epithelial cells secrete thymosins → orchestrate maturation.

  • Positive/negative selection

    • T cells exposed to self-antigens; self-reactive clones undergo apoptosis (autoimmunity safeguard).

  • Involution

    • Active in childhood; atrophies in adulthood, replaced by inert CT/fat once adequate T-cell repertoire (millions of clones) produced.

Connections & Cross-System Relevance

  • Cardiovascular: Returns \approx 3\,\text{L/day} of fluid to venous circulation; vessels share pumps/valves.

  • Immune: Houses & transports leukocytes; major filter for pathogens.

  • Digestive: Lacteals absorb chylomicrons; MALT guards GI tract; spleen/liver sequential blood filtration.

  • Endocrine: Thymic hormones (thymosins) regulate immunity.

  • Clinical tie-ins

    • Blocked lymphatics → edema.

    • Splenectomy ↑ infection risk; liver takeover of RBC recycling.

    • Tonsillitis, appendicitis = inflamed MALT structures.

    • Autoimmune diseases stem from failed T/B cell selection checkpoints.

Ethical & Philosophical Notes

  • Body maintains strict self/non-self discrimination; failure → autoimmunity, raising questions about immunological tolerance.

  • Spleen/thymus studies inform transplantation ethics and age-related immunity.

Numerical/Statistical References & Equations

  • Plasma filtration: \sim 10\% not reabsorbed; \approx 3\,\text{L} daily enters lymphatics.

  • Hydrostatic vs. oncotic relationships: P{if} > P{lymph} while \pi_{if}\approx 0 (protein-free).

Key Terminology Recap

  • Lymph, lymphocyte, lacteal, MALT, node vs. nodule, pulp, thymosin, apoptosis.