Anatomy of immune system - lymph node focus Flashcards

1
Q

Where do superficial lymphatic vessels drain from?

A

Subcutaneous and mucous membranes

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2
Q

Where do deep lymphatic vessels drain from?

A

Deep territories (accompany the arteries and deep veins)

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3
Q

What does the superficial and deep lymphatic vessels form when they converge?

A

Lymphatic trunks

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4
Q

What does the lymphatic trunk converge to?

A

Thoracic duct
Right lymphatic duct

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5
Q

Where does the thoracic duct collect lymph from?

A

Subdiaphragmatic regions and left supradiaphragmatic half

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6
Q

What does the thoracic duct flow into?

A

The junction between the left subclavian vein and the left jugular vein (base of neck)

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7
Q

What does the right lymphatic duct drain?

A

The right half of the body above the diaphragm

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8
Q

Where does the right lymphatic duct exit?

A

At the right jugular junction

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9
Q

What is the process of homing?

A

Mature naive lymphocytes entering different secondary lymphoid organs randomly from the blood

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10
Q

If not activated (or quiescent) through where do the lymphocytes leave?

A

The efferent lymphatic vessel

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11
Q

What does the lymph node promote?

A

Passage of lymphocytes from blood to lymph
Encounter between lymphocyte and antigen
Activation, proliferation and differentiation of B and T cells
Cooperation between T and B cells

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12
Q

3 regions of lymph nodes

A

Cortical region/B area
Paracortical region/T area
Medullary zone

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13
Q

Where are the germinal center of the lymph node found?

A

Secondary follicle of cortical region

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14
Q

Cells found in the cortical region of lymph nodes and their function there

A

B cells - inactive in primary follicles and active in secondary follicle
FDC - germinal centers, APC to B cell
Macrophages - APC to lymphocytes

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15
Q

How do FDC bind immune complexes?

A

Have receptors like CR1 (complement receptor 1) that binds C3b and FC receptor that binds antibody

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16
Q

Where in the lymph node are T cells activated?

A

Paracortical region

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17
Q

Cells found in the paracortical region of lymph nodes and their function there

A

T cells - mostly CD4+ but also some CD8+, activated by APC
DC- APC for T cells
Macrophages

18
Q

In which region are the High Endothelial Venules (HEV) located?

A

Paracortical region

19
Q

What is the function of HEV?

A

Allow for naive lymphocytes to leave the blood stream and enter the lymph node

20
Q

Where in the lymph node are plasma cells found?

A

Medullary zone

21
Q

Life span of plasma cell

A

1 month before undergoing apoptosis

22
Q

Cells found in the medullary zone of lymph nodes and their function there

A

Plasma cells - medullary cords, secrete antibodies
Macrophages - medullary sinuses, phagocytosis and APC
DC - medullary sinuses, APC to T cells
Lymphocytes, mainly B cells - medullary cords
Neutrophils (sometimes) - medullary sinuses, fight bacteria via phagocytosis and degranulation

23
Q

How many efferent and blood vessels in lymph node?

24
Q

How does the venues of the lymph node allow for the passage of lymphocytes?

A

It is modified to be isoprismatic

25
Q

How does the antigen get to the lymph nodes?

A

It is transported as a soluble protein from lymph or carried by DC

26
Q

2 zones of the germinal centers

A

Dark zone
Light zone

27
Q

What is the dark zone occupied by?

A

Centroblasts

28
Q

What happens to the centroblasts in the dark zones?

A

They proliferate and move into the light zone, transforming into centrocytes

29
Q

What is the light zone occupied by?

A

Centrocytes that have migrated from the dark zone

30
Q

What do the centrocytes in the light zone give rise tp?

A

B lymphocytes (both memory and plasma)

31
Q

How many of the of the B cells stay in the lymph node and how many migrate to the bone marrow?

A

10% stay in the lymph-node
90% migrate to the boned marrow

32
Q

What do reticular cells/reticular fibroblasts do?

A

Form a specialized network of fibers (FRC conduits or ducts) that structure the lymph node and facilitate immune function.

33
Q

Where in the lymph node are FRC ducts found?

A

Primarily in paracortical region and also regions involved in antigen transport

34
Q

Which form does the B cell recognize antigen in?

A

Native form

35
Q

How many lymphocytes pass through the lymph nodes every day?

A

25x10^9 lymphocytes (each lymphocyte passes through a lymph node at least once a day)

36
Q

When do naive T cells encounter antigens?

A

During passage through secondary lymphoid organs

37
Q

How does the T cells reenter the blood stream?

A

They leave the lymph node through the efferent lymphatic and thoracic duct which empties into the superior vena cava which enter the heart

38
Q

What regulates the exit of T cells from lymph nodes?

A

Interaction between S1P (sphingosine-1-phosphate, gradient of it as it is in low levels in lymphnode) and S1P1 (the receptor)

39
Q

2 main zones of the spleen

A

Red pulp
Whte pulp

40
Q

What is the red pulp?

A

Complex system of blood vessels that facilitate removal of old or damaged blood cells from circulation (emocateresis)

41
Q

What is emocatersis?

A

Removal of old or damaged blood cells from circulation

42
Q

What is the white pulp?

A

Region that contain T cells, B cells and accessory cells
Builds immunological response to blood antigens