Chapter 22 - Lympathic System & Immunity Flashcards
What are pathogens?
Disease-producing microbes
- bacteria or viruses
What is immunity or resistance?
Ability to ward off damage or disease through our defenses
What is susceptibility?
Vulnerability or lack of resistance
What are the two general types of immunity?
- Innate (nonspecific immunity)
2. Adaptive (specific immunity)
What is innate (nonspecific) immunity?
Defenses that are present at birth
- acts against all microbes the same way
What are the components of innate (nonspecific) immunity?
- First line of defense (skin and mucous membranes)
2. Second line of defense (antimicrobial substances, natural killer cells, phagocytes, inflammation, fever)
What is the function of innate (nonspecific) immunity?
- early warning system
- prevent microbes from gaining access
- help eliminate those microbes that do gain access
What is adaptive (specific) immunity?
Defenses that involve special recognition of a microbe
- once it has breached the innate immunity defenses
What does adaptive (specific) immunity involve?
Lymphocytes
- a type of white blood cell
- T cells and B cells
Why is adaptive (specific) immunity named the way it is?
Specific response for a specific microbe
- its adjusts/adapts to handle a specific microbe
What does the lymphatic system consist of?
- lymph
- lymphatic vessels (transport lymph)
- structure and organs containing lymphatic tissue
- red bone marrow
What is lymph?
The fluid of the lymphatic system
What is lymphatic tissue?
Specialized form of reticular connective tissue
- contains a large number of lymphocytes (agranular white blood cell)
What two types of lymphocytes are adaptive to immune responses?
- B cells
2. T cells
What are the three functions of the lymphatic system?
- Drains excess interstitial fluid into blood
- Transports dietary lipids
- Carries out immune responses
Generally summaries lymphatic circulation.
Lymph passes from lymphatic capillaries into lymphatic vessels (thin walls and more valves than veins) and then through lymph nodes (consisting of B cells & T cells)
What are the tissues that lack lymphatic capillaries?
- cartilage
- epidermis
- cornea of the eye
- CNS
- portions of spleen
- red bone marrow
How do lymphatic capillaries differ from blood capillaries?
- greater permeability
- slightly larger diameter
- unique one-way structure (interstitial fluid)
What are lacteals?
Specialized lymphatic capillaries, in the small intestine
- carry dietary lipids into lymphatic vessels and ultimately the blood
What is chyle?
Lymph in the small intestine
- appears creamy white due to presence of lipids
What colour is lymph normally?
Clear, pale-yellow fluid
What happens after lymphatic vessels exit lymph nodes?
They unite to form lymph trunks
What are the five principal lymph trunks?
- Lumbar
- Intestinal
- Bronchomediastinal
- Subclavian
- Jugular
After lymph passes from lymph trunks, where does it go?
Into two main channels
- thoracic (left lymphatic) duct
- right lymphatic duct
What is the Thoracic (left lymphatic) duct?
THE main channels that lymph passes through before draining into venous blood
What is the cisterna chyli?
A dilation where the thoracic (left lymphatic) duct begins
Where does the thoracic (left lymphatic) duct receive lymph from?
- left side of the head, neck, chest
- left upper limb
- entire body inferior to the ribs
Where does the thoracic duct drain lymph into venous blood?
At the junction of the left internal jugular and subclavian veins
Where does the right lymphatic duct receive lymph from?
- right side of the head, neck, chest
- right upper limb
Where does the right lymphatic duct drain lymph into venous blood?
At the junction of the right internal jugular and right subclavian veins
How is lymph formed?
More fluid filters out of capillaries than returns to them be reabsorption (approx. 3 liters), so it drains into lymphatic vessels and becomes lymph
What is the sequence of fluid flow in the lymphatic system?
Blood capillaries –> interstitial spaces (interstitial fluid) –> lymphatic capillaries (lymph) –> lymphatic vessels –> lymphatic ducts –> junction of the internal jugular and sublcavian veins –> returns to blood
What maintains the flow of lymph?
- Skeletal muscle pump
2. Respiratory pump
How does the skeletal muscle pump aid in the flow of lymph?
“Milking action” of skeletal muscle contractions compresses lymphatic vessels and forces lymph toward the junction of the internal jugular and subclavian veins
How does the respiratory pump aid in the flow of lymph?
Maintained by the pressure changes that occur during inhalation
- lymph flows from abdominal region (high pressure) towards the thoracic region (low pressure)
- valves prevents back-flow during exhalation
What are the two groups of classifications of lymphatic organs and tissues?
- Primary lymphatic organs
2. Secondary lymphatic organs and tissues
What are primary lymphatic organs?
Sites where stem cells divide and become immuno-competent
What does immuno-competent mean?
Capable of mounting an immune response
What are the names of the primary lymphatic organs?
- red bone marrow (in flat bones and epiphyses of long bones in adults)
- thymus
What happens at the secondary lymphatic organs and tissues?
Sites where most immune responses occur
What are the names of the secondary lymphatic organs and tissues?
- lymph nodes
- spleen
- lymphatic nodules (follicles)
What is the function of the thymus in the lymphatic system?
Vital role in the training and development of T-lymphocytes (T cells)
- a type of white blood cell
What is the route taken by lymph as it flows through a lymph node?
Afferent lymphatic vessel –> Subcapsular sinus –> Travecular sinus –> Medullary sinus –> Efferent lymphatic vessel
Approximately how many lymph nodes do we have?
600
Where are the areas of the body that have a large number of lymph nodes grouped together?
- Mammary glands
- Axillae
- Groin
What is a capsule?
What does it cover?
Dense connevtive tissue that covers lymph nodes
What are trabeculae?
Capsule extensions
- divide the node into compartments, provide support, provide route for blood vessels into the vessel
What is within the outer cortex of lymphatic nodes?
Aggregates of B cells (lymphatic nodules)
What are lymphatic nodules (follicles)?
Small, localized collection of lymphatic tissue
What is a primary lymphatic nodule?
A lymphatic nodule consisting mainly of B cells
What is the function of dendritic cells?
Assist in the maturation process of T cells in the thymus
What is the function of thymic macrophages?
Help clear out the debris of dead and dying cells
- T cells that did not manage to mature
What does the inner cortex consist of?
in a lymph node
- T cells
- Dendritic cells that enter a lymph node from other tissues
What is the function of a B cell?
A lymphocyte not processed by the thymus gland, and responsible for producing antibodies.
What is the function of a T cell?
A lymphocyte of a type produced or processed by the thymus gland and actively participating in the immune response.
What does the medulla of a lymph node consist of?
- B cells
- antibody producing plasma cells
- macrophages
What is the function of afferent lymphatic vessels?
Contain valves that open toward the center of the node, directing lymph INWARD
- penetrate the convex surface of the node at several points
What are sinuses?
lymph nodes
A series of irregular channels that contain branching reticular fibers, lymphocytes and macrophages
What is the function of efferent lymphatic vessels?
Contain valve that open away from the center of the node, directing lymph AWAY from the node
- wider and fewer in number than afferent vessels
What is a hilum?
A slight depression where efferent lymphatic vessels emerge from one side of the lymph node
What is the single largest mass of lymphatic tissue in the body?
Spleen
What two kinds of tissue does the spleen consist of?
- White pulp
2. Red pulp
What is white pulp?
Lymphatic tissue of the spleen
- mostly lymphocytes and marcrophages
What is red pulp?
Blood-filled venous sinuses and cords of splenic tissue
What is the function of red pulp as related to blood cells?
- Removal by macrophages of ruptured, worn-out, or defective blood cells
- Storage of platelets (1/3 of body supply)
- Production of blood cells during fetal life
What are lymphatic nodules (follicles)?
Egg-shaped masses of lymphathic tissue that are not surrounded by a capsule
- scattered throughout gastrointestinal, urinary, reproductive tracts, respiratiory
What are lymphatic nodules (follicles) also referred as?
MALT
- mucosa-associated lymphatic tissue
How many tonsils do we have?
5
What is the function of tonsils?
Participate in immune responses against inhaled or ingested foreign substances
What are tonsils?
Aggregation of lymphatic nodules
Name the 5 tonsils.
- Single Pharyngeal tonsil (x1)
- Two palatine tonsils (x2)
- Paired lingual tonsils (x2)
What is the first line of defense against pathogens?
Skin and mucous membrane
How does the epidermis contribute to the skins’ defenses?
Closely packed keratinized cells provide a formidable physical barriers
- not effective if the surface is broken (cut, scrape, burn)
Where are mucous membranes found and what do they secrete?
Line body cavities
- secrete mucous
What is the function of mucous?
Lubricates and moistens the cavity surface
- traps microbes and foreign substances
What does the nose contain that helps protect against foreign objects, microbes and pollutants?
Mucous-coated hairs
- trap and filter inhaled air
How do the cilia in the upper respiratory tract remove foreign objects?
Waving action of cilia propels inhaled dust and microbes towards the throat
- coughing and sneezing accelerate this movement
How does the lacrimal apparatus help protect the body?
Manufactures and drains away tears in response to irrantants
- blinking spreads tears over the surface of the eye, continual washing dilutes microbes
What is lysozyme? How does it help to protect the body?
An enzyme that is capable of breaking down the cell walls of certain bacteria
- present in saliva, perspiration, nasal secretions and tissue fluids
How does saliva help protect the body?
Washes microbes from the surface of teeth and from mucous membrane of the mouth
- flow of saliva reduces colonization of microbes
How does the urethra remain clean?
By the flow of urine
- slows microbial colonization in the urinary system
How does defecation and vomiting help protect the body?
By expelling microbes
What is sebum? How does it protect the body?
Secretion from oil glands
- forms a protective film over the surface of the skin