Exam 2: Lymphatic & Respiratory Flashcards
Functions of the Lymphatic System
Fluid Recovery
Immunity
Lymph
Clear, colorless recovered fluid. It is similar to blood plasma but low in protein
Lymphatic Capillaries
Microscopic vessels that penetrate nearly every tissue of the body, picking up fluid near capillaries and tissues and sending it back to the lymph vessels.
Fluid enters the capillaries through small openings in the endothelium
How do valves in the lymphatic vessel endothelium function?
The valve-like flaps in the lumen open when interstitial fluid pressure is high, allowing fluid to flow in. They close when pressure is low.
Where are most lymph nodes found?
Areas where parts of the body connect
Ex. Elbow, groin, armpit, neck, knee, etc.
Why do lymph nodes become swollen?
When an infection is present, fluid flow in the lymph nodes is greater in an attempt to filter the fluid more
What are the primary methods of lymphatic flow? (3)
Respiratory Pump - Similar to the venous return chest pump
Muscular Pump - Skeletal muscles “massage” lymph nodes, pushing fluid back toward the heart
Gravity - Fluid in the lymphatic vessels above the heart flows downward
Natural Killer Cells
Large lymphocytes that patrol the body for pathogens or diseased cells
Upon recognition of an enemy cell, the NK cell binds to it and releases perforins, which polymerize a ring in the plasma membrane.
They pump protein-degrading granzymes into the cell, inducing apoptosis
T Lymphocytes (T cells)
Lymphocytes that mature in the thymus and depend on thymic hormones
B Lymphocytes (B cells)
Lymphocytes that mature in the bone marrow and turn into plasma cells
They make A & B antibodies
Macrophages
Large, avidly phagocytotic cells of the connective tissues
They are Antigen-Presenting Cells (APCs) that alert the immune system
Antigen-Presenting Cells (APCs)
Cells that phagocytize debris and process the foreign matter. The antigens of the foreign cells are then presented on the outside of the cell
Macrophages and Dendritic Cells are APCs
Dendritic Cells
Branched, mobile APCs found in the epidermis, mucous membranes, and lymphoid organs.
They alert the immune system to pathogens that have breached the body’s surface, engulfing foreign matter and migrating to lymph nodes to activate immune responses
Primary Lymphatic Organs
Red Bone Marrow - B cell maturation and immunocompetence
Thymus - T cell maturation and immunocompetence
Secondary Lymphatic Organs
Lymph Nodes
Tonsils
Spleen
Immunocompetent cells populate these tissues
Lymph Node Structure
Cortex - Comprised of the Subscapular Sinuses and the Lymphatic Nodules
Inner Medulla - Extends to the surface at the hilum
What cells are found in the Subscapular Sinuses?
Macrophages & Dendritic Cells (APCs)
What cells are found in the Lymphatic Nodule?
T cells that respond to the markers found on the APCs from the subscapular sinuses
What cells are found in the Inner Medulla?
B & T cells communicate with T cells from the lymphatic nodules; B cells become plasma cells and begin to produce antibodies
Tonsils
Lymphatic Tissue located near the pharynx that is full of WBCs. When substances come into contact with the tonsils, the immune system is alerted
Pharyngeal, Palatine, and Lingual
Spleen
The body’s largest lymphatic organ whose main function is to digest RBCs.
Red Pulp - Sinuses filled with RBCs
White Pulp - Contains lymphocytes (T & B) and macrophages that monitor the blood for foreign antigens
Metastasis
Cancer cells break free from their original tumors and travel to other sites where new tumors are established
Metastasizing cells easily enter lymphatic vessels and tend to lodge in the lymph nodes, multiplying and eventually destroying the node
First Line of Defense
Epithelial Barriers (skin & mucous membranes)
Second Line of Defense
Interior, non-learning defense (leukocytes, macrophages, antimicrobial proteins, NKCs, fever, inflammation)
Third Line of Defense
Adaptive Immunity. Mechanisms that defeat a pathogen and leave the body with a memory of it
Innate Defenses
Defense mechanisms that one is born with, they have no memory and guard against a broad range of pathogens. There are three kinds:
Protective Proteins
Protective Cells
Protective Processes
Adaptive Immunity
A mechanism through which the body develops separate immunity to each pathogen (specific)
Skin External Barrier
Difficult for microorganisms to enter the body because:
Tough keratin
Too dry and nutrient-poor for microbial growth
Acid Mantle - A thin film of lactic and fatty acids that inhibit bacterial growth
Dermicidin, defensins, and cathelicidins - Peptides in the skin that kill microbes
Mucous Membrane External Barrier
Mucus physically traps microbes
Lysozyme - An enzyme found in mucus, tears, and saliva that destroys bacteria
Innate Leukocytes
Neutrophils, Eosinophils, Basophils, Lymphocytes, and Monocytes
Neutrophils
Innate
They wander through connective tissues, killing bacteria via phagocytosis and digestion
By degranulating its lysosomes and discharging its enzymes into tissue fluid, it creates a respiratory burst/killing zone to eliminate viruses
Eosinophils
Found in mucous membranes
Kills tapeworms and roundworms by producing superoxide, hydrogen peroxide, and toxic proteins
Promotes the action of basophils and mast cells
Phagocytize antigen-antibody complexes
Secrete enzymes that degrade and limit the action of histamine and other inflammatory chemicals
Basophils
Secrete chemicals that aid mobility and actions of other leukocytes
Leukotrienes - activate and attract neutrophils & eosinophils
Histamine - a vasodilator, speeding the delivery of leukocytes to the area
Heparin - inhibits clot formation
Lymphocytes
T, B, and NK cells
T & B cells are part of adaptive immunity
NK cells are part of innate immunity
helper T cells function in both
Monocytes
Emigrate from the blood into connective tissues where they become macrophages
Macrophage System
Activated by Interferons
Macrophage System
All of the body’s avidly phagocytic cells that aren’t leukocytes. Includes:
Wandering Macrophages - Actively seeking pathogens, distributed throughout loose connective tissue
Fixed Macrophages - Phagocytize only pathogens that come to them
Fixed Macrophages (3)
Microglia - In the CNS, they originate in the immune system
Alveolar Macrophages - In the lungs
Hepatic Macrophages - In the liver, they fight off alcohols & other toxins
Interferons
Produced by infected cells, they bind to healthy cells to warn them of viruses.
Once the interferon binds to a healthy cell, it turns on genes to code for antiviral proteins that block viral reproduction
They are specific and have no memory
Complement System
A group of 30+ defensive proteins that amplify all aspects of the inflammatory response, kill bacteria through lysis, and can be used in both learning and non-learning systems
Fever
An adaptive defense mechanism
Initiated by exogenous pyrogens, fever-producing agents that originate outside the body
These pyrogens stimulate neurons of the anterior hypothalamus to increase body temp.
It is a negative feedback system that raises the homeostatic temperature
Metabolic & reproductive functions are increased so the body can fight off the virus
Inflammation & the major processes (3)
A local response to tissue injury or infection. Three major processes:
Mobilization of Body Defenses
Containment& Destruction of Pathogens
Tissue Cleanup & Repair
Inflammation: Mobilization of Body Defenses
The goal is to get defensive leukocytes to the site quickly
Achieved by local hyperemia (increased blood flow)
Vasoactive chemicals increase capillary permeability, allowing larger cells to escape (clotting, complement, and antibody proteins)
Selectins recruit leukocytes and cause margination (WBCs “smelling” the chemicals of the injury site)
Margination
WBCs “smell” the injury chemicals, change in shape, and “crawl” along the capillary wall as they get closer to the site of injury
During this process, they look for places on the capillary walls where they can escape
Chemotaxis is the process of following the chemical trail
If the WBC is a macrophage, it will begin to digest the bacteria
Inflammation: Containment and Destruction of Pathogens
Neutrophils respond within an hour of the injury, secreting cytokines for further recruitment of macrophages and neutrophils
Macrophages and T cells secrete colony-stimulating factors that stimulate leukopoiesis, further raising WBC counts
Inflammation: Tissue Cleanup & Repair
Monocytes are the primary agents of cleanup and repair, arriving in 8-12 hrs and becoming macrophages. They destroy bacteria, damaged, and dead cells
Edema (swelling) compresses veins and reduces venous drainage and forces lymphatic capillary valves open
Pus is comprised of dead neutrophils, bacteria, and cellular debris
Increased heat increases the metabolic rate which speeds mitosis and repair
Cardinal Signs of Inflammation/Signs of Healing
Pain, Redness, Swelling, & Heat
Cytokines
Small proteins that serve as a chemical communication network among immune cells
Defining Characteristics of Adaptive Immunity
Systemic Effect - When an adaptive response occurs, it acts throughout the body
Specificity - Adaptive immunity is sharply focused on a specific invader
Memory - Reexposure produces a quicker reaction
Forms of Adaptive Immunity (2)
Cellular
Humoral
Cellular Adaptive Immunity
Cell-mediated/T cell immunity employs lymphocytes that directly attack and destroy foreign cells or diseased host cells that house pathogens
Humoral Adaptive Immunity
Antibody-mediated/B cell immunity employs antibodies that don’t directly destroy pathogens, but rather tags them for destruction
Natural Active Immunity
Immunity acquired by the natural exposure to an antigen
Artificial Active Immunity
Immunity acquired by the result of a vaccination
Natural Passive Immunity
Temporary immunity that results from acquiring antibodies produced by another person
Artificial Passive Immunity
Temporary immunity that results from the injection of an immune serum obtained from another person or animals with those antibodies
Active vs. Passive Immunity
The active immune system has memory
The passive immune system doesn’t
Antibodies
AKA immunoglobulins, they are proteins in the gamma globulin class that help with defense