Chr. 22 - The Lymphatic System and Immunity Flashcards
[22.1] What is immunity?
The ability to ward off damage or disease through defenses.
[22.1] What is susceptibility?
Vulnerability or lack of resistance.
[22.1] What are the types of immunity?
Innate and adaptive.
[22.1] What is innate immunity?
External physical and chemical barriers of skin and mucous membranes. Defenses present at birth, not involving recognition of microbes. Indiscriminate in its reaction.
[22.1] What is adaptive immunity?
The defenses involving specific recognition of microbes once innate immunity has been breached.
[22.1] List the cells involved in adaptive immunity.
- T lymphocytes
- B lymphocytes
[22.2] List the components of the lymphatic system.
- Lymph
- Lymphatic vessels
- Lymphatic organs
- Red bone marrow
[22.2] What is lymph?
Interstitial fluid that has passed into lymphatic vessels.
[22.2] What is lymphatic tissue?
Specialized form of reticular connective tissue containing large numbers of lymphocytes.
[22.2] List and describe the functions of the lymphatic system.
- Drain excess interstitial fluid
- Transport dietary lipids
- Carry out immune response
[22.3] What are lymphatic capillaries?
Capillaries located between cells and closed at one end, disallowing for backflow into interstitial fluid. Greater permeability than blood capillaries, allow in proteins and lipids.
[22.3] What are lymphatic vessels?
Vessels resembling veins with greater amounts of valves and thinner walls.
[22.3] What are lacteals?
Specialized lymphatic capillaries carrying dietary lipids into lymphatic vessels/
[22.3] What is chyle?
Lymph from the small intestine, white in appearance due to the lipids within.
[22.3] What is a lymph trunk?
Larger lymph vessels formed by uniting of smaller vessels.
[22.3] List the principal lymphatic trunks.
- Lumbar
- Intestinal
- Bronchomediastinal
- Subclavian
- Jugular.
[22.3] What regions do the lumbar trunks drain?
Lymph from the lower limbs, wall and viscera of pelvis, kidneys, adrenal glands, abdominal wall
[22.3] What regions do the intestinal trunks drain?
Stomach, intestines, pancreas, spleen, and part of liver.
[22.3] What regions do the bronchomediastinal trunks drain?
Thoracic wall, lungs, and heart.
[22.3] What regions do the subclavian trunks drain?
Upper limbs
[22.3] What regions do the jugular trunks drain?
The head and the neck.
[22.3] What are the pumps that maintain flow of lymph?
Respiratory pump and skeletal muscle pump.
[22.4] What are primary lymphatic organs?
Sites where stem cells divide and become immunocompetent.
[22.4] List the primary lymphatic organs.
- Red bone marrow
- Thymus.
[22.4] What are secondary lymphatic organs?
The sites where immune responses occur.
[22.4] List the secondary lymphatic organs and tissues.
- Lymph nodes
- Spleen
- Lymphatic nodules.
[22.4] Describe the thymus.
Bilobed organ in the mediastinum between sternum and aorta. Contains a connective tissue capsule enclosing each lobe that features extensions separating the lobes into lobules. Consists of an outer cortex and medulla.
[22.4] Describe the composition of the cortex of the thymus.
Tissue of the thymus composed of immature T cells, scattered dendritic cells, epithelium, and macrophages.
[22.4] Describe the composition of the medulla of the thymus.
Tissue composed of mature T cells, epithelium, dendritic cells, and macrophages. Epithelium features thymic corpuscles.
[22.4] What are thymic corpuscles?
Concentric epithelial layers of flat cells filled with keratohyalin granules and keratin.
[22.4] Describe lymph nodes.
Small, long bean-shaped bodies covered by a capsule of connective tissue similarly sectioned like the thymus. Features supporting reticular fibers and fibroblasts deep of the capsule. Separated into the stroma and parenchyma.
[22.4] What is the stroma of a lymph node?
The supporting network region of the lymph node containing the capsule, trabeculae, reticular fibers, and fibroblasts.
[22.4] What is the parenchyma of a lymph node?
The functioning region of a lymph node divided into a cortex and medulla.
[22.4] What are lymphatic nodules?
Egg-shaped aggregates of B cells within the cortex of a lymph node
[22.4] What are primary and secondary lymphatic nodules?
Primary lymphatic nodules consist mainly of B cells and function to recognize antigens.
Secondary lymphatic nodules function to respond to antigens and form plasma cells and memory B cells.
[22.4] Describe the cortex of lymph nodes.
Divided into inner and outer cortex. Outer cortex features lymphatic nodules, inner cortex composed of dendritic cells and T cells.
[22.4] Describe the medulla of lymph nodes.
Composed of B cells and antibody-producing plasma cells embedded in a network of reticular fibers and reticular cells.
[22.4] What are afferent lymphatic vessels?
Vessels carrying lymph towards the lymph nodes
[22.4] What are lymph sinuses?
Series of irregular channels within a lymph node.
[22.4] List the sinuses of a lymph node.
- Subscapular sinus
- Trabecular sinus
- Medullary sinus.
[22.4] What are efferent lymphatic vessels?
Wider vessels carrying lymph away from lymph nodes.
[22.4] What is the hilum of lymph nodes?
A depression of the lymph node at the junction where efferent lymph vessels emerge from lymph nodes.
[22.4] Describe the spleen.
A soft, encapsulated organ in the left hypochondriac region between stomach and diaphragm. Covered by a visceral peritoneum, serous membrane, then capsule. The parenchyma consists of red and white pulp.
[22.4] What is white pulp?
Lymphatic tissue consisting mostly of lymphocytes and macrophages centered around the splenic artery.
[22.4] What is red pulp?
Blood-filled venous sinuses of the spleen featuring splenic cords.
[22.4] What is a splenic cord?
Cord consisting of red blood cells, macrophages, lymphocytes, plasma cells, and granulocytes.
[22.4] List the functions of red pulp related to blood cells.
- Removal of ruptured/old blood cells and platelets
- Storage of platelets
- Production of blood cells during fetal life
[22.4] Describe lymphatic nodules.
Egg-shaped masses of lymphatic tissue lacking a capsule. Scattered throughout lamina propria of mucous membranes in GI, urinary, and reproductive tracts, as well as the respiratory tissue.
[22.4] What is mucosa-associated lymphatic tissue?
Lymphatic nodules within the GI, urinary, and reproductive tracts, as well as in respiratory tissue.
[22.4] List the tonsils of the oral cavity and oropharynx.
- Singular pharyngeal tonsils
- Paired palatine tonsils
- Paired lingual tonsils
[22.6] List the lines of defense of innate immunity
- First line, skin and mucous membranes
- Second line, internal defenses
[22.6] What is the first line of defense?
The physical and chemical barriers discouraging pathogens from penetrating the body, formed by the skin and mucous membranes.
[22.6] Describe how the epidermis acts as a line of defense.
Featuring closely packed keratinized cells, the epidermis forms a physical barrier preventing entrance of microbes.
[22.6] Describe how mucous membranes act as a line of defense.
Secretion of mucus lubricates and moistens cavity surfaces, trapping microbes and foreign substances, typically found in conjunction with hair and cilia.
[22.6] List other fluids produced by organs that aid in protecting epithelial surfaces.
- Lacrimal fluid containing lysozyme
- Saliva
- Urine aids in cleaning the urethra and retarding microbial growth
- Vaginal secretions
[22.6] List chemicals contributing the resistance of skin and mucous to microbial invasion.
- Sebum
- Perspiration
- Gastric juice
[22.6] What are second line, internal defenses?
Internal antimicrobial substances, immune cells, and body reactions such as inflammation and fever.
[22.6] What are antimicrobial substances?
Substances discouraging microbial growth.
[22.6] List the types of antimicrobial substances found within the body.
- Interferons
- Complement
- Iron-binding proteins
- Antimicrobial proteins
[22.6] What are interferons?
Proteins produced by lymphocytes, macrophages, and fibroblasts infected with a virus. Diffuse into uninfected cells to induce synthesis of antiviral proteins inhibiting viral replication.
[22.6] What is complement?
Inactive proteins in blood plasma that enhance immune reactions when activated. Typically cause cytolysis of microbes, promote phagocytosis, and contribute to inflammation.
[22.6] Describe iron-binding proteins in terms of immune responses.
Proteins binding iron to inhibit growth of bacteria by reducing available iron.
[22.6] Describe antimicrobial proteins.
Short peptides with a wide variety of antimicrobial activity as well as attracting dendritic cells and mast cells.
[22.6] What are natural killer cells?
Cells with the ability to kill a wide variety of infected and tumor cells, lacking membrane identity molecules
[22.6] Describe how natural killer cells carry out an immune response.
Natural killer cells bind to a target cell, triggering release of granules containing toxic substances typically using perforin or granzymes.
[22.6] What is perforin?
A protein that inserts into the plasma membrane of a target cell creating a channel through which extracellular flows into the cell. This causes cytolysis.