chapter 21- lymphatic and immune systems Flashcards

1
Q

lymph composition and function

A

compoasition: proteins, salts, glucose, fats, water, WHITE blood cells
function: fight infections and maintain fluid levels in body

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2
Q

pathway of circulation of lymph

A
  1. Collect from terminal lymph capillaries
  2. Goes through collecting lymphatic vessels with valves
  3. Goes to superficial lymph nodes *(cervical region, axillary region, inguinal region) or deep lymph nodes (tracheobronchial, aortic, and illiac lymph nodes)
  4. Lymphatic trunks collect lymph from vessels and nodes
  5. Then lymph goes to the lymphatic duct (left and right subclavian ducts)
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3
Q

lymphatic vessels that deliver lymph from upper extremities. lower extermities, and abdominopelvic area

A

lumbar trunks – lower limbs
interstinal trunks - from digestive organs
bronchomediastinal trunks – from thoracic viscera
subclavian trunks – upper limbs and thoracic wall
jugular trunks - from head and neck

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4
Q

unique properties of lymph circulation

A

lymph vessels contain more valves than veins do

pressure is only 1 mmHg

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5
Q

3 classes of lymphocytes

A

T-cells (thymus dependent) –> 80%
B-cells (bone marrow-derived) –> ~10-15%
NK cells (Natural killer) –> ~5-10%

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6
Q

types of T cells

A

CYTOTOXIC (CD+ [MHC I]) T cells –> produce cell-mediated immunity; attack eukaryotic cells infected by viruses, transplanted cells, some cancer cells
HELPER (CD4+ [MHC II) T cells -> stimulate functions of T cells and B cells by secreting cytokine
SUPPRESSOR-INDUCER T cells –> inhibit function of T cells and B cells
REGULATORY T cells (TREGS) –> helper + suppressor T cells that control sensitivity of immune response
MEMORY T cells –? quickly respond to previously encountered antigens

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7
Q

B lymphocytes (and plasma cells)

A

produce specific antibodies in response to exposure to different antigens
as plasma cells, they produce and secrete immunoglobulkins as part of humoral-mediated immunity –> results in destruction of pathogen

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8
Q

NK cells function

A

immunological surveillance and atttack foreign cells, virus-infected cells, and cancer cells
part of innate immune response: recognize stressed cells in absence of antibodies and MHC, leading to faster immune reaction; recognize cells that lack “self” cell surface molecules or certain glycoproteins

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9
Q

“Activation” of lymphocytes

A

ORIGIN – B and T lymphocyte precursors in red bone marrow
MATURATION –> develop immunocompetence and self-tolerance
SEEDING SECONDARY LYMPHOID ORGANS AND CIRCULATION –> naiive lymphocytes leave area and “seed” secondary lymphoid organs + circulate thru blood and lymph
ANTIGEN ENCOUNTER + ACTIVATION –> activated when lymphocyte receptors bind its antigen
PROLIFERATION + DIFFERENTIATION –> activated lymphocytes proliferate + differentiate into effector cells and memory cells, which are continuously in blood and lymph thru secondary lymphoid organs

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10
Q

PRIMARY lymphoid organs

A

bone marrow

thymus

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11
Q

SECONDARY lyphoid organs

A

lymph nodes, spleen, tonsils
aggregated lymphoid nodules
appendix

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12
Q

location of SUPERFICIAL lymph nodes

A

cervial region
axillary region
inguinal region

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13
Q

what is the major function of the lymph nodes?

A

cleanse lymph of pathogens, act as filters that purify lymph before returning it to venous circulation

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14
Q

thymus location and function

A

location: mediastinum
two thymic lobes that are divided by septa into smaller lobules
function: is site where immature lymphocytes develop in T lymphocytes (thymosin and thymopoietin)

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15
Q

thymus + aging

A

thymic involution –> atrophies after puberty (~3% loss weight/year) –> diminishing effectiveness of immune system w/ age

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16
Q

spleen functions

A
  • removal of abnormal blood cells + other blood components by phagocytosis
  • destruction of antigens
  • storage of iron recycled from RBC and platelets
  • initiation of immune responses by B and T cells in response to antigens in circulating blood
17
Q

RED pulp

A

contains many RBCs + fixed and free macrophages

responsible for destruction of worn-out RBCs

18
Q

WHITE pulp

A

resembles lymphoid nodules

blood-borne antigens are destroyed as they activate the immune response

19
Q

mucosa-associated lymphoid tissue (MALT)

A

-found in underlying lamina propria od tonsils + is abundant in intestinal walls

20
Q

cyclothorax

A

leakage of fatty lymph into the thorax, usually due to blockage or tear in thoracic duct

20
Q

lymphangitis

A

inflammation of lymph vessel wall; becomes red as vasa vasorum vessels become congested

21
Q

mononucleosis

A
  • large oversized T cells, NOT monocytes
  • viral disease caused by Epstein-Barr virus
  • infects B lymphocytes –> T cells attack infected Bs
22
Q

Hodgkin’s lymphoma

A

cancer of lymph nodes; non-painful abnormal Bs

23
Q

Non-Hodgkin’s lymphoma

A

uncontrolled multiplication and metastasis of undifferentiated lymphocytes
B’s 85%, T’s 15%