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lymphatic system

Introduction to the Lymphatic System

  • The lymphatic system is an essential part of the body's immune system.

  • It consists of several components:

    • Lymph

    • Lymphatic vessels

    • Lymphatic tissues and organs

Composition of Lymph

  • Lymph:

    • Contains interstitial fluid (the fluid between cells)

    • Comprises lymphocytes (a type of white blood cell)

    • Contains macrophages (cells that engulf and digest debris and pathogens)

  • Lymphatic Vessels:

    • Function by passing through lymphatic tissues and organs

    • Deliver lymph to venous circulation

Lymphatic Structures

  • Primary Lymphatic Structures:

    • Thymus: Site of T cell maturation

    • Red Bone Marrow: Produces blood cells, including lymphocytes

  • Secondary Lymphatic Structures:

    • Tonsils: Lymphoid tissues that protect against pathogens entering through the mouth and nose

    • Lymph Nodes: Filter lymph and house lymphocytes

      • Found in various regions: axillary, lumbar, pelvic, inguinal

    • Spleen: Filters blood, removes old red blood cells and pathogens

    • Mucosa-associated lymphoid tissue (MALT): Associated with various tracts (digestive, respiratory, urinary, reproductive)

Functions of the Lymphatic System

  • Production and Maintenance of Lymphocytes:

    • Cells vital for immune defense

    • Includes differentiation of T cells, B cells, and NK cells

  • Maintaining Blood Volume and Composition:

    • Returns interstitial fluid to the bloodstream to maintain blood volume

  • Transport of Substances:

    • Provides an alternative route for hormones, nutrients, and waste transport

Hemodynamics and Lymphatic Flow

  • Blood Pressure:

    • Approximately 35 mm Hg in capillaries, forcing solutes into interstitial fluid

  • Fluid Entry into Lymphatics:

    • Excess interstitial fluid enters lymphatic capillaries

    • The lymphatic system returns this fluid to the venous system

Structure of Lymphatic Vessels

  • Lymphatic Capillaries:

    • Larger and have thinner walls compared to blood capillaries

    • Irregular outlines and greater permeability for fluid accumulation

    • Anchoring filaments connect to surrounding tissue to maintain open structures

  • Larger Lymphatic Vessels:

    • Have valves like veins to prevent backflow

    • Contain larger lumens compared to comparable veins

Major Lymphatic Collecting Vessels

  • Superficial Lymphatics:

    • Located in subcutaneous tissues and mucosal linings

  • Deep Lymphatics:

    • Collect lymph from skeletal muscles and various organs

  • Lymphatic Trunks:

    • Major trunks include:

      • Lumbar

      • Intestinal

      • Bronchomediastinal

      • Subclavian

      • Jugular

Lymphatic Ducts

  • Thoracic Duct:

    • Drains into the left subclavian vein

    • Collects lymph from regions inferior to the diaphragm and the left side of the body

  • Right Lymphatic Duct:

    • Drains into the right subclavian vein

    • Drains lymph from the right arm, head, and neck

Lymphocytes: Key Player in the Immune System

  • Types of Lymphocytes:

    • T Cells: Matures in thymus, critical for cell-mediated immunity

      • Includes cytotoxic, helper, regulatory, and memory T cells

    • B Cells: Develop in bone marrow, produce antibodies

    • NK Cells: Provide rapid responses to virally infected cells and cancer cells

Lymphocyte Production and Function

  • Lymphocytopoiesis:

    • Process of lymphocyte production in red bone marrow and thymus

    • T Cells mature via exposure to thymosin, while B cells produce antibodies against antigens

Immune Response Mechanisms

  • Cell-Mediated Immunity:

    • Involves T cells directly attacking pathogens

  • Antibody-Mediated Immunity:

    • Involves B cells producing antibodies that lock onto pathogens to mark them for destruction

Aging and the Lymphatic System

  • As people age, T and B cell responsiveness to antigens decline

  • The number of helper T cells decreases, leading to increased vulnerability to infections and cancer

  • The thymus gland diminishes in size, impacting T cell production