Anatomy & Physiology Flashcards
What is the lymphatic system?
A network of vessels and nodes that conveys lymph
Sections of the lymphatic system?
Primary
Secondary
Tertiary
What is lymph?
Clear-to-white fluid of white blood cells
Functions of the lymphatic system?
Defends against pathogens
Makes lymphocytes
Removes excess fluid
Absorption and transport of fats to the blood stream
What happens at primary lymphoid organs?
Immune cells develop
Main site of haematopoiesis?
Bone marrow
Where do T-cells mature?
Thymus
Why is a bone marrow transplant also called a stem cell transplant?
Stem cells can now be collected from blood rather than bone marrow
Primary lymphoid organs?
Thymus
Bone marrow
T-cell development process?
Precursors travel from bone marrow to thymus via blood
Pass through development stages in thymus
Selected on basis of self reactivity to MHC
Proliferate extensively but most die
What are the secondary lymphoid organs?
Lymph nodes
Spleen
Mucosa associated lymphoid tissue (MALT)
What happens at secondary lymphoid organs?
Immune response initiated
Where can MALT be found?
Tonsils
Peyers patches (small intestine)
Appendix
Lymphoid follicles in mucous membranes
Where are Peyer’s patches found?
Ileum of small intestine
Where is the spleen found?
upper left side of abdomen, next to stomach and behind left ribs
Functions of the spleen?
fights invading germs in the blood
it controls the level of blood cells
it filters the blood and removes any old or damaged red blood cells
Where is white pulp found?
Spleen
What does white pulp contain?
Periarteriolar lymphoid sheaths (PALS) rich in T-lymphocytes and macrophages
A marginal zone, rich in macrophages
Lymphoid follicles, rich in naive B-lymphocytes
Purpose of the marginal zone in white pulp?
A trap for antigens
What separates the red and white pulp?
Marginal zone
What is red pulp made up of?
tissue known as the cords, which is rich in macrophages, and the venous sinus
Functions of the red pulp?
Removal of old, dead, damaged or unwanted red blood cells
Phagocytosis of opsonised bacteria by macrophages
Storage of red blood cells in case of hypovolaemia, these can then be released following an injury resulting in blood loss
What are the first organised structures of the lymphatic system to face pathogens?
Lymph nodes
Lymph node function?
filter lymphatic fluid to isolate and kill foreign invaders that cause infection or disease
Function of lymph nodes?
filter lymphatic fluid to isolate and kill foreign invaders that cause infection or disease
What do lymph nodes contain?
Lymphocytes
Key locations for lymph nodes?
armpits, neck, groin, upper abdomen, and mediastinum
Regions of the lymph node?
Cortex
Follicle
Para-cortex
Medulla
What is contained in the cortex of the lymph node?
B cells
Macrophages
Follicular dendritic cells
What happens at the follicle of the lymph node?
It is a micro environment to support development of B cells
What is contained in the para-cortex?
T cells
Dendritic cells
What happens at the medulla of the lymph nodes?
Lymphocytes exit
Purpose of MALT?
Organises response to antigen entering mucosal membrane
Examples of organised MALT?
Tonsils
Adenoids
Peyer’s patches
Where are M-cells found?
MALT
Structure and function of M-cells?
Specialised epithelial cells of MALT that transport antigen across epithelium
What is GALT?
Gut associated lymphoid tissue
Where is tertiary lymphoid tissue?
The site of infection
How can the abdomen be divided?
In quadrants
RUQ
LUQ
RLQ
LLQ
Structures located in RUQ?
Liver
Gall bladder
Duodenum
Head of the pancreas
Right adrenal gland
Portion of the right kidney
portions of the ascending and transverse colon
Conditions arising from RUQ?
Biliary colic
Hepatitis
Peptic ulcer
Pancreatitis
Renal colic
Herpes zoster
Myocardial ischaemia
Structure located in the LUQ?
Left lobe of liver
Stomach
Spleen
Body of pancreas
Left adrenal gland
Portion of left kidney
Portions of the transverse and descending colon
Conditions arising from LUQ?
Gastritis
Splenic enlargement or rupture
Pancreatitis
Renal colic
Herpes zoster
Myocardial ischaemia
Structure located in the RLQ?
Lower portion of the right kidney
Caecum and appendix
Portion of the ascending colon
Ovary and Fallopian tube
Uterus IF enlarged
Right ureter
Conditions arising from RLQ?
Appendicitis
Diverticulitis
Intestinal obstruction
Renal colic
Ectopic pregnancy
Ovarian cysts
Salpingitis
Endometriosis
Structures located in LLQ?
Lower portion of left kidney
Sigmoid colon
Portion of the descending colon
Ovary and Fallopian tube
Uterus IF enlarged
Left ureter
Conditions arising from LLQ?
Diverticulitis
Intestinal obstruction
Renal colic
IBS
Ectopic pregnancy
Ovarian cysts
Salpingitis
Endometriosis
Primary function of the lymphatic system?
Immune defence
What component of blood is filtered by lymph nodes?
White blood cells
Main function of the tonsils in the lymphatic system?
Protect against infections
Which lymphatic vessel drains lymph from the lower half of the body and returns it to the circulatory system?
Thoracic duct
Primary function of lymphatic capillaries?
Absorb dietary fats
Lymphatic vessels that transport lymph away from lymph nodes?
Efferent vessels
Lymphatic vessels that transport lymph to lymph nodes?
Afferent vessels
Primary function of natural killer cells in the lymphatic system?
Cell-mediated cytotoxicity
Which lymphatic vessel drains lymph from the upper right side of the body into the circulatory system?
Right subclavian vein
Main function of the lymphatic system in response to tissue injury or infection?
Drain excess fluid tissue and return it to bloodstream
Which lymphatic organ decrease in size and function as a person ages?
Thymus
Primary function of lymphatic vessels in the digestive system?
Absorb and transport dietary fats
Name for enlarged lymph nodes?
Lymphadenopathy
Primary function of the lymphatic nodules in the mucous membranes of the digestive and respiratory tracts?
Trap and remove foreign particles
Which lymphatic vessel collects lymph from the right arm and right side of the head and neck?
Right subclavian vein
What is the main function of the lacteals in the small intestine?
Absorb and transport dietary fats
Main function of lymphatic vessels in the skin?
Drain excess tissue fluid
What is the largest lymphatic organ?
Spleen
Which lymphatic vessel drains lymph from the left side of the head, neck and upper chest and returns it to the circulatory system?
Left subclavian vein
What are the primary lymphatic vessels that carry lymph from peripheral tissue towards the heart?
Lymphatic capillaries
What lymphatic organ acts as a reservoir for the red blood cells and platelets?
Spleen
What is the name of specialised lymphatic capillaries found in the small intestine that absorb dietary fats?
Lacteals
Which lymphatic vessel drains lymph from the right leg and lower right side of the body and returns it to the circulatory system?
Hepatic vein
What are epigenetics?
A pattern of inheritance in which a gene or chromosome is modified temporarily that changes gene expression and function or regulation of DNA, protein, or RNA molecule, without changing their primary sequence
Mechanism that can selectively activate or silence genes without modifying the nucleotide sequence
What doesn’t change in a gene/chromosome with epigenetics mechanism?
Their primary sequence
What lifestyle factors can affect epigenetics?
Recreational drugs
Medication
Diet
Exercise
What are stable epigenetic modifications?
Can be passed on to next generations
What are dynamic epigenetic modifications?
A response to external stimuli
Mammalian cells only allow one X chromosome to remain active, what happens to the other(s)?
Inactivated forming a Barr body
What is a Barr body?
An inactivated X chromosome
What explain why phenotypes associated with X chromosomes are less severe that those associated with Y chromosomes?
Only one X remains active
Number of Barr bodies in a normal female?
1
Number of Barr bodies in a normal male?
0
Number of Barr bodies in a turner syndrome female? (XO)
0
Number of Barr bodies in a triple X syndrome female?
2
Number of Barr bodies in a Klinefelter syndrome male? (XXY)
1
What is genomic imprinting?
A form of epigenetic inheritance in which expression of a gene depends on parent sex
What is the most known epigenetic modification?
DNA methylation
What happens during DNA methylation?
A methyl group is added to cytosine in a CpG site (region needed for gene regulation and expression)
What does methylation of cytosine in DNA cause?
Silence of genes
What are classical genetics controlled by?
Promotors, enhancers or protein binding sites that are present or absent in the DNA sequence
An example of classical genetic regulation?
Oncogenes
What is an oncogene?
A gene that contributes to cancer. Not usually expressed but can acquire a mutation to allow it to be expressed
Main difference between genetic and epigenetic regulation?
Epigenetics do not involve changes to DNA sequence
What does the ‘epi’ in epigenetics represent?
‘On top of’
Meaning regulation on top up usual genetic mechanisms
Types of cancer drugs that target epigenetic?
DNA methyl-transferase inhibitors
Histone de-acetylase inhibitors
examples of DNA methyl-transferase inhibitors?
Azacitidine
Decitabine
How does azacitidine work?
Inhibits methyltranferase to prevent epigenetic modification
Covalent binding to DNA methyltransferase results in DNA hypomethylation and prevents DNA synthesis
Examples of Histone de-acetylase inhibitors?
Vorinostat
Romidepsin
What is carcinogenesis?
The molecular process by which cancer develops
What are agents that cause cancer known as?
Carcinogens
Stages of carcinogenesis?
Initiation
Promotion
Transformation
Progression
What is the first stage of carcinogenesis?
Initiation
What is the second stage of carcinogenesis?
Promotion
What is the third stage of carcinogenesis?
Transformation
What is the fourth stage of carcinogenesis?
Progression