Chapter 22 Flashcards
Immunity
Ability to ward off damage or disease through defences
Susceptibility
Vulnerability or lack of resistance
What are the two general types of immunity?
- Innate
- Adaptive
Innate immunity
Defences that are present at birth
Nonspecific
First line: physical and chemical barriers of skin
Second line: Antimicrobial substances, natural killer cells, phagocytes, inflammation and fever
Adaptive immunity
Specific recognition of microbes once it has breached the innate immunity defences
What does the lymphatic system consist of?
Lymph
Lymphatic vessels
Lymphocytes
Red bone marrow
Lymph
Interstitial fluid that passes into lymphatic vessels
Clear, pale yellow fluid
Lymphatic tissue
Specialized form of reticular connective tissue that contains large number of lymphocytes
Immune responses: B cells and T cells
Three primary functions of the lymphatic system?
- Drains excess interstitial fluid
- Transports dietary lipids
- Carries out immune responses
Lymphatic capillaries
Start of lymphatic vessels
Spaces between cells
Closed at one end
Unite to form larger lymphatic vessels
Greater permeability than blood capillaries
Can absorb proteins and lipids
One way permeability
Lacteals
Specialized lymphatic capillaries in the small intestine carry dietary lipids into the lymphatic vessels and ultimately into the blood
Chyle
Creamy white lymph that drains from the small intestine
What are the lymph trunks following the lymph nodes
- Lumbar
- Intestinal
- Bronchomediastinal
- Subclavian
- Jugular
Lumbar trunks drain lymph from where?
Lower limbs
Wall and viscera of the pelvis
Kidneys
Adrenal glands
Abdominal wall
Intestinal trunk drains lymph from where?
Stomach
Intestine
Pancreas
Spleen
Part of liver
Bronchomediastinal drains lymph from where?
Thoracic wall
Lung
Heart
Subclavian trunks drain lymph from where?
Upper limbs
Jugular trunks drain lymph from where?
Head and neck
Flow of lymph
Blood capillaries
Interstitial spaces
Lymphatic capillaries
Lymphatic vessels
Lymphatic trunk or ducts
Junction of internal
What are the two main pumps that support flow of lymph?
Respiratory pump
skeletal muscle pump
What are the primary lymphatic organs?
where stem cells divide and become immunocompetent including red bone marrow and thymus
What are the secondary lymphatic organs?
Where most immune responses occur including lymph nodes, spleen, lymphatic nodules
Thymus
Pre-T cells migrate from the red bone marrow to the cortex of the thymus where they become T cells consist of enclosed capsules and extensions call trabeculae
Lymph nodes
Contain lymphatic nodules which are egg shaped aggregates of B cells
lymphatic nodules containing mostly B cells are primary lymphatic nodules
lymphatic nodules in the outer cortex are secondary lymphatic nodules
What’s the function of lymph nodes?
Functions is a filter
Spleen
Largest single mass of lymphatic tissue in the body
contains white pulp consisting mostly of lymphocytes and macrophages located around central arteries and
red pulp consisting of blood filled venous sinuses in cords of splenic tissue called splenic cords/bill Rothy’s cord
Lymphatic nodules
Egg shaped masses of lymphatic tissue not surrounded by a capsule scattered around connective tissue of mucous membranes lining G.I., urinary, and reproductive tract also called mucosa associated lymphatic tissue
What are the names for the five tonsils?
1 pharyngeal tonsil
2 palatine tonsils
paired lingual tonsil
Name the chemicals that contribute to the high degree of resistance of the skin and mucous membranes?
Sebum, perspiration, gastric juice
Name the four main types of anti-microbial substances that discouraged microbial growth
Interferons, compliment, iron binding proteins, and antimicrobial proteins
What produces the interferons protein?
Lymphocytes, macrophages, and fibroblast infected with viruses
What is the complement system?
A group of normally inactive proteins in blood plasma and on plasma membranes when activated they enhance certain immune reactions such as Cystolysis of microbes, phagocytosis, and inflammation
Iron binding proteins
Inhibit the growth of certain bacteria by reducing the amount of available iron such as transferrin, lactoferrin, ferritin, and haemoglobin
Antimicrobial proteins
Short peptides that have a broad spectrum of antimicrobial activity and can attract Dendritic and mast cells which participate in immune responses
What are the different ways natural killer cells work?
- Contain a protein called perforin that insert into the plasma of target cells and cause cytolysis
- Release granzymes which cause the target cell to undergo a apoptosis which are then destroyed by Phagocytes
What are the two main types of Phagocytes?
Neutrophils and macrophages
What are the five phases of phagocytosis?
Chemotaxis
adherence
ingestion
digestion
Killing
What are the signs and symptoms associated with inflammation?
Pain due to the release of certain chemicals
Redness because more blood is rushed to the affected area
Immobility that results from some loss of function and severe inflammations
Swelling caused by an accumulation of fluids
Heat which is also due to more blood rush to the affected area
What are the two immediate changes that occur in the blood vessel in a region of tissue injury?
Vasodilation of arterials and increased permeability of Capillary’s
What are the substances that contribute to vasodilation?
Histamine
Kinins
prostaglandins
Leukotrienes
complement
Histamine
Mast cells in connective tissue in Basophils and platelets in blood release histamine
neutrophils and macrophages attracted to the side of injury also stimulates the release of histamine
causing vasodilation and increase permeability
Kinins
Polypeptides formed in blood from inactive precursors called kininogens induce vasodilation and increase permeability and serve as chemotactic agents for Phagocytes
Prostaglandins
Released by damage cells and intensify the effects of histamines and kinins and may also stimulate the immigration of phagocytes through Capillary walls
Leukotrienes
Produced by basophils in mast cells cause increased permeability and function in adherence of Phagocytes to pathogens and chemotactic agents that attract Phagocytes
Complement
Different components of the complement system stimulate histamine release, attract neutrophils by chemo taxis, and promote phagocytosis some components can also destroy bacteria
What are the signs and symptoms of inflammation ?
Heat, redness, swelling
Antigens (Ags)
Substances that are recognized as foreign and provoke immune responses also means antibody generators
What distinguishes adaptive immunity from innate immunity?
- Specificity - Distinguishing self from nonself molecules
- Memory - For most previously encountered antigens so that a second encounter prompts and even more rapid and vigourous response