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A&P II > Chapter 22: Lymphatic System > Flashcards

Chapter 22: Lymphatic System Flashcards

1
Q

List the functions of the lymphatic system

A
  1. drain interstitial fluid: returns interstitial fluid leaked from blood vessels back to blood
  2. transport dietary fats: absorbed by the GI tract
  3. carry out immune responses: initiates highly specific responses against particular microbes or abnormal cells
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2
Q

lymph

A

interstitial fluid that has entered the lymphatics

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3
Q

lymphatic vessels (lymphatics)

A

carry lymph from peripheral tissues to the venous system

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4
Q

lymphoid tissues and lymphoid organs

A
  1. houses lymphocytes, phagocytes and other immune cells

2. structures include spleen, thymus, tonsils, lymph nodes and other lymphoid tissue

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5
Q

lymphatic vessels include

A
  1. lymphatic capillaries

2. larger lymphatic vessels

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6
Q

List the four cardinal signs of inflammation

A
  1. Redness
  2. Heat
  3. Swelling
  4. Pain
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7
Q

Pus

A

creamy yellow mixture of dead neutrophils + tissue/cells + living/dead pathogens

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8
Q

Abscess

A

accumulation of pus in an enclosed tissue space collagen fibers may be laid down (walling off sac of pus) may need to be surgically drained

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9
Q

Ulcer

A

superficial infection (surface of organ or tissue) outer layers of tissue sloughs off resulting in open sore

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10
Q

Allergy

A

aka Immediate Hypersensitivity or Acute (type 1) hypersensitivities
Begin in seconds after contact with allergen
Activated IgE against antigen binds to mast cells and basophils
Later encounter with the same allergen causes flood of histamine release from IgE’s resulting in induced inflammatory response

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11
Q

Allergen

A

antigen that causes allergic reaction

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12
Q

Two types of adaptive/specific immunity

A
  1. Humoral Immunity

2. Cellular Immunity

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13
Q

Stages of inflammation

A
  1. inflammatory chemical release
  2. vasodilation and increased vascular permeability
  3. phagocyte mobilization
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14
Q

Humoral Immunity

A
  • Antibody-mediated immunity: antibodies, produced by lymphocytes, circulate freely in body fluids and bind temporarily to target cell, temporarily inactivate and mark for destruction by phagocytes or complement
  • B Lymphocyte involvement
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15
Q

Cellular Immunity

A

Cellular-mediated immunity

T Lymphocyte involvement: act against target cell either directly or indirectly

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16
Q

adaptive/specific immunity

A
  • a specific defensive system that eliminates almost any pathogen or abnormal cell in body.
  • Amplifies inflammatory response and activates complement
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17
Q

How does cellular-mediated immunity act against target cells directly?

A

by killing infected cells

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18
Q

How does cellular-mediated immunity act against target cells indirectly?

A

by releasing chemicals that enhance inflammatory response; or activating other lymphocytes or macrophages

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19
Q

Lymphoid organs

A

fibrous connective tissue capsule

lymph nodes, spleen and thymus

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20
Q

Lymphoid cells

A

consist of 1) immune system cells found in lymphoid tissue and 2) supporting cells that form lymphoid tissue structures.

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21
Q

Immune System Cells

A
  • Lymphocytes: T cells and B cells (protect against antigens)
  • Macrophages
  • Dendritic Cells
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22
Q

Macrophages

A

phagocytize foreign substances and help activate T cells

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23
Q

Dendritic Cells

A

capture antigens and deliver them to lymph nodes

help activate T cells

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24
Q

Supporting lymphoid Cell

A

-reticular cells: produce reticular fibers, called stroma, that act as scaffolding for immune cells in lymphoid organs.

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25
Q

Lymphoid tissue

A

largely composed of reticular connective tissue

  • macrophages live on reticular fibers
  • Spaces between fibers offer a place for lymphocytes to occupy when they return from patrolling body
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26
Q

diffuse lymphoid tissue

A

loose arrangement of lymphoid cells and some reticular fibers
found in virtually every body organ
larger collections in lamina propria of mucous membranes

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27
Q

lymphoid follicles (nodules)

A

-consisting of tightly packed lymphoid cells and reticular fibers
-contain germinal centers of proliferating B cells
may form part of larger lymphoid organs
-isolated aggregations: tonsils, peyer’s patches (intestinal wall) and appendix

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28
Q

Structure of a Lymph Node

A
  • vary in shape and size but most are bean shaped: small, less than 2.5 cm
  • Surrounded by external fibrous capsule
  • Capsule fibers extend inwards as trabeculae
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29
Q

2 Main Functions of Lymph Nodes

A
  1. Cleansing the lymph: act as lymph “filters”
    - macrophages remove and destroy microorganisms and debris that enters the lymph
    • prevents unwanted substances from being delivered to blood
  2. immune system activation: offer a place for lymphocytes to become activated and mount an attack against antigens
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30
Q

Lymph nodes have 2 histologically distinct regions:

A
  1. cortex

2. medulla

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31
Q

Cortex

A
  • superficial outer cortex contains follicles with germinal centers that are dense with dividing B cells
  • deep inner cortex houses T cells in transit: t cells circulate continuously among blood, lymph nodes and lymph
  • abundant number of dendritic cells are closely associated with both T and B cells
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32
Q

Medulla

A

medullary cords extend inward from cortex and contain B cells, plasma cells and macrophages

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33
Q

lymph sinuses

A
  • found throughout lymph node
  • consist of large lymphatic capillaries spanned by crisscrossing reticular fibers
  • macrophages reside on fibers, checkin for phagocytizing any foreign matter
34
Q

General Structure of Antibodies

A

consists of four looping polypeptide chains linked by disulfide bonds

                      4 chains consist of:
  • Two identical heavy (H) chains with hinge region at “middles”
  • Two identical light (L) chains
  • Variable (V) regions at one end of each arm combine to form two identical antigen-binding sites
  • Stems makeup constant (C) regions
35
Q

What are the 3 innate/non-specific defences of the human body?

A
  1. Nonspecific Barrier
  2. Nonspecific Cellular Defense
  3. Nonspecific Chemical Defense
36
Q

What are the 2 nonspecific barriers?

A
  1. Physical Nonspecific Barrier

2. Chemical Nonspecific Barrier

37
Q

Physical Nonspecific Barrier

A
  • skin
  • mucous membrane (lines the respiratory, digestive, reproductive and urinary)
  • resident bacteria/normal flora that inhabit the body use available nutrients and space thus prevent pathogens from taking up a residence.
38
Q

Chemical Nonspecific Barrier

A
  • secretions of the oil and sweat glands (dermicidin)
  • lysozyme (found in saliva, tear, sweat)
  • acidity of stomach and vagina
  • urine
  • defensins (antimicrobial peptides - inhibits microbial growth)
  • mucin: sticky mucus (traps microorgansim)
39
Q

Nonspecific Cellular Defense

A
  • phagocytes: white blood cells that ingest and digest (eat) foreign invaders (neutrophils and macrophages)
  • natural killer cells: Kill by inducing apoptosis in cancer cells and virus-infected cells and secrete potent chemicals that enhance inflammatory response
40
Q

Nonspecific Chemical Defense

A
  • inflammation
  • protective (antimicrobial) proteins: interferon and complement
  • fever
41
Q

What occurs in this stage of inflammation: inflammatory chemical release?

A
  • Chemicals are released into ECF by injured tissues, immune cells, or blood proteins.
  • Include Kinins, Prostaglandins (PGs), Leukotrienes (LTs) and Complement
42
Q

What occurs in this stage of inflammation: vasodilation and increased vascular permeability?

A
  • Vasodilation: hyperemia—congestion with blood—which leads to redness and heat
  • Increased capillary permeability: exudate—fluid containing clotting factors, antibodies, microbes —to leak into tissue
    - Results in local swelling (edema)
    - Swelling also pushes on nerve endings, resulting in pain
43
Q

What occurs in this stage of inflammation: phagocyte mobilization?

A
  • Neutrophils flood area first; macrophages follow
  • If inflammation is due to pathogens, complement is activated; adaptive immunity elements arrive (pus, abscess and ulcers)
44
Q

Kinin stimulates

A
  • vasodilation of local arterioles
  • increase capillary permeability
  • attract leukocytes to area (positive chemotactic agent)
45
Q

Leukotrienes stimulate

A
  • increase capillary permeability

- attract leukocytes to area (positive chemotactic agent)

46
Q

Prostaglandins stimulate

A
  • attract leukocytes to area (positive chemotactic agent)
  • triggering pain receptors (inducing pain)
  • stimulating release of more inflammatory chemicals & intensifying effects (histamine & kinins)
47
Q

Complement

A

complements the action of antibodies

48
Q

How are B cells activated?

A
  • when antigens bind to B cell receptors, cross-linking them
  • Triggers receptor-mediated endocytosis of cross-linked antigen-receptor complexes (clonal selection), leading to proliferation and differentiation of B cell into effector cells
49
Q

How are B cells developed?

A
  • Most clone cells become plasma cells, antibody-secreting effector cells
  • Clone cells that do not become plasma cells become memory cells: Provide immunological memory and mount an immediate response to future exposures to same antigen
50
Q

Major Histocompatibility (MHC) Proteins

A
  • Self-antigens
  • Contain groove that can hold piece of self-antigen or foreign antigen
  • T lymphocytes can recognize only antigens that are presented on MHC proteins
51
Q

2 classes of MHC proteins:

A
  1. Class I MHC proteins: present in plasma membrane of all nucleated cells (except RBCs)
  2. Class II MHC proteins: present in plasma membrane of Antigen Presenting Cells (APCs): B lymphocytes, dendritic cells, macrophages
52
Q

Function of MHC molecules

A

bind peptide fragments derived from pathogens and display them on the cell surface for recognition by the appropriate T cells.

53
Q

Actions of antibodies in human immunity

A
  • Antibodies do not destroy antigens; they inactivate and tag them for destruction
  • Form antigen-antibody (immune) complexes
54
Q

Defensive mechanisms used by antibodies

A
  1. Neutralization
  2. Agglutination
  3. Precipitation
  4. Complement fixation
55
Q

What are the five major classes of Antibodies?

A

IgM, IgA, IgD, IgG, and IgE

56
Q

Primary immune response

A
  • cell proliferation and differentiation upon exposure to antigen for the first time
  • Lag period: 3 to 6 days
  • Peak levels of plasma antibody are reached in 10 days
  • Antibody levels then decline
57
Q

Secondary Immune response

A

Re-exposure to same antigen gives faster, more prolonged, more effective response

- Sensitized memory cells provide immunological    memory
 - Respond within hours, not days
  - Antibody levels peak in 2 to 3 days at much higher levels 
   - Antibodies bind with greater affinity
   - Antibody level can remain high for weeks to months
58
Q

How are human T cells activated?

A

Activation is a 2-step Process:

  1. Antigen binding
  2. Co-stimulation
59
Q

Antigen binding

A
  • T cell antigen receptors (TCRs) bind to antigen-MHC complex on APC surface
  • TCR must perform double recognition by recognizing both MHC and foreign (nonself) antigen it displays
  • Binding of TCR to antigen-MHC complex triggers multiple intracellular signaling pathways that start T cell activation
  • Other T cell surface proteins are involved in T cell activation: CD4 and CD8 (help maintain coupling during antigen recognition)
60
Q

Co-stimulation

A
  • The release of cytokines: co-stimulatory signals
  • Without co-stimulation, anergy occurs, in which T cells:
    • Become tolerant to that antigen
    • Are unable to divide
    • Do not secrete cytokines
61
Q

Development of human T Cells

A
  • Activated TH cells enlarge and proliferate in response to cytokines
  • Primary TH cell response peaks within a week
  • TH cell apoptosis occurs between days 7 and 30
  • Activated T cells are a hazard because they produce large amounts of inflammatory cytokines
  • Could result in hyperplasia or cancer if not cleared from system
  • Memory TH cells remain and mediate secondary responses
62
Q

Steps involved in cell mediated immunity

A

…

63
Q

What are the 2 populations of T Cells?

A
  1. CD4 Cells

2. CD8 Cells

64
Q

CD4 Cells

A

-become helper T cells (TH)
- activate B cells, other T cells, and macrophages - direct adaptive immune response
• Some become regulatory T cells, which moderate immune response
• Can become memory T cells

65
Q

CD8 Cells

A

become cytotoxic T cells (TC) - capable of destroying cells harboring foreign antigens
• Can become memory T cell

66
Q

Helper T cells function

A

• Play central role in adaptive immune response
• Activate both humoral and cellular immunity
• Once primed by APC presentation of antigen, helper T cells:
- Help activate B cells and other T cells
- Induce T and B cell proliferation
- Secrete cytokines that recruit other immune cel

67
Q

Class II MHC protein function

A
  • Bind with longer fragments (14–17 amino acids) of exogenous (extracellular) antigens
  • Recognized by helper T cells
    • Signal CD4 cells that help is required
68
Q

Class I MHC protein function

A
  • Bind with short fragment (8–9 amino acids) of endogenous antigen: protein synthesized inside cell
  • Crucial for CD8 cell activation
    • Act as antigen holders; form “self” part that T cells recognize
    • Inform cytotoxic T cells of microorganisms hiding in cells (cytotoxic T cells ignore displayed self-antige
69
Q

Self-antigen

A

normal proteins of cell

70
Q

Nonself antigen

A

abnormal proteins found in infected or abnormal cell

71
Q

Cytotoxic T Cell Function

A
  • Directly attack and kill other cells
  • Activated TC cells circulate in blood and lymph and lymphoid organs in search of body cells displaying antigen they recognize
72
Q

Activated TC cells target:

A
  • Virus-infected cells
  • Cells with intracellular bacteria or parasites
  • Cancer cells
  • Foreign cells (transfusions or transplants)
73
Q

What two mechanisms do TC cells use?

A
  1. TC cell releases perforins and granzyme by exocytosis
    • Perforins create pores through which granzymes enter target cell
    • Granzymes stimulate cytolysis
  2. TC cell binds specific membrane receptor on target cell, release granulysin and stimulates apoptosis
74
Q

What are the 3 types of immunodeficiencies?

A
  1. Severe combined immunodeficiency (SCID)
  2. Hodgkin’s Disease
  3. AIDS
75
Q

Severe combined immunodeficiency

A

genetic defect with marked deficit in B and T cells
• Defective adenosine deaminase (ADA) enzyme allows accumulation of metabolites lethal to T cells; fatal if untreated
• Treatment: bone marrow transplants

76
Q

Hodgkin’s Disease

A
  • an acquired immunodeficiency that causes cancer of B cells
  • depresses lymph node cells and thus leads to immunodeficieny
77
Q

Immunodeficiency

A

Congenital or Acquired conditions that impair function or production of immune cells or molecules

78
Q

Acquire Immune Deficiency Syndrome (AIDS)

A
  • Human immunodeficiency virus (HIV) cripples immune system by interfering with activity of helper T cells
  • Characterized by severe weight loss, night sweats, and swollen lymph nodes
  • Opportunistic infections occur, including Pneumocystis pneumonia and Kaposi’s sarcoma
79
Q

Autoimmune diseases

A

when immune system loses ability to distinguish self from foreign

80
Q

Autoimmunity

A

production of autoantibodies and sensitized TC cells that destroys body tissue

81
Q

List examples of autoimmune diseases

A
  • Rheumatoid arthritis: destroys joints
  • Myasthenia gravis: impairs nerve-muscle connections
  • Multiple sclerosis: destroys white matter myelin
  • Graves’ disease: causes hyperthyroidism
  • Type 1 diabetes mellitus: destroys pancreatic cells
  • Systemic lupus erythematosus (SLE): affects multiple organs
  • Glomerulonephritis: damages kidney
82
Q

Hypersensitivities

A

immune responses to perceived (otherwise harmless) threat that cause tissue damage
• Antibodies cause Immediate and Subacute Hypersensitivities
• T cells cause Delayed Hypersensitivity

A&P II (9 decks)

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