Foundation - The Lymphatic System Flashcards

1
Q

Functions of the lymphatic system

A

2nd circulatory system essential for life

Supports 3 other systems in your body:

  1. Cardiovascular – unilaterally returning interstitial fluid (ISF) to the vascular system
  2. Immune – providing the environment that allows for initiation of an adaptive immune response
  3. Digestive – absorption of fat-soluble vitamins and fatty substance from the gastrointestinal tract
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2
Q

without lymphatic system

A

blood gets thicker
orgons swell

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3
Q

lymphatic system is parallel to

A

blood vessels
almost every microcapulary is intermixed with lympatic vessels (excpetion - BBB)

lymph - open system
blood - closed system

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4
Q

lymph from gut

A

chyle
milky because increased fat content

(contents of lymp changes with position in body)

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5
Q

lymph consolidates and drains back into

A

blood right before jugular (good place)
[function of the subclavian is to collect lymph fluid from the lymphatic system from the internal jugular vein.]

here and not aortia b/c high pressure at aorta would cause blood to go into lymph
jugular - low pressure

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6
Q

The fluid collected by the lymphatic vessels is called lymph and it contains

A
  • Mostly molecules derived from blood - but NO red blood cells
  • Immune cells
  • Cholesterol, fatty acids, and other fat and large products
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7
Q

movement of lymph at microcapilaries

A

special endothelial cells - close and water (also PAMPs and DAMPs) builds up - causing pressure increase - valve opens and drains - water comes back in (how moves in absence of pump)

opposite side - blind ended - open

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8
Q

Lymphocytes (T and B cells) constantly ___

Innate immune cells (macrophages, neutrophils, etc.) constantly ___

A

move between the blood and the lymph

survey tissues

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9
Q

Lymph collects ALL sort of molecules from blood and tissues including ____

All of these come together at lymph nodes where ____

A

pathogen-associated molecular patterns (PAMPs)
danger-associated molecular patterns (DAMPs)
Lymphocytes (T and B cells)
Innate immune cells (macrophages, neutrophils, etc.)

an adaptive response starts - activated
lymphocytes return to blood to target infection

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10
Q

lymph in blood is filtered by

A

node so (ex.) not spread bacteria

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11
Q

CNS lymphatics is imbedded

A

in dura matter - where large synuses vessles are
where B - menengial barrier is

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12
Q

In dura matter blood is

A

fenestrated
(Intradural vessels are leaky)

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13
Q

Direct mechanism of movement between layers (CSF, Dura matter) is

A

unknown

Indirect evidence indicate cells and large molecules do move between layers

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14
Q

How is CSF transported within the large cavity of the SAS?

A

SLYM (sub-arachnoid lymphatic-like membrane)

monolayer that covers the whole brain - separates areas

can only sample CSF on one side of the SLYM

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15
Q

SLYM (achronim) =

A

sub-arachnoid lymphatic-like membrane

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16
Q

SLYM is the

A

monolater dividing SAS

Phenotypically distinct from dura, arachnoid, and pia maters

Act as a barrier for molecules 3kDa and bigger

works with glymphatic system to organize SAS

17
Q

The glymphatic-lymphatic connection

A

Anatomically-continuous and functionally-related system (one works after the other)
(Glymphatic -> lymphatic)

Waste removal (into veins) / fluid removal (into lymph nodes)

18
Q

how does the The glymphatic-lymphatic connection compartmentalize waste

A

waste cannot be removed (via sinus/ arachnoid villi) because of SLYM speration

waste on that side is then removed by lympatics - sampled for PAMPs and DAMPs

19
Q

what regulates CSF to go to lymph

A

SLYM - waste compartmentalization

20
Q

Immune cells go in and out of
the brain through the

A

vasculature and the lymphatics

lymphatics (ONLY out - into nodes - cannot go into brain with lymphatics)

21
Q

CSF/ISF constantly absorbed by ____ and monitored at _____

A

lymphatics and monitored at
cervical lymph nodes

22
Q

if antigens are found at cervical lymph nodes

A

an immune response can be mounted

(antigens made because filter at nodes and SLYM ?)

23
Q

SLYM can support the role of dural lymphatics in CNS immunity b/c

A

Act as an immune hub

  • Closer to brain surfaces
  • Large number of resident immune cells
  • Can regulate influx of immune cells from dura/skull bone marrow
24
Q

CNS lymphatics role in autoimmune disease

A

If they control immune responses in the brain, then controlling that gate could hold promise to treat autoimmune diseases

open/activate - immune hub - more specific response

MS - dec regulation immune response - kill/attack olig. dec. # of olig.

25
Q

CNS lymphatic role in brain cancers

A

VEGF-C (Vascular endothelial growth factor C) promotes lymphogenesis - treat with - inc lymph vessiles and nodes

Increased lymphatics results in increased number of T cells and surveillance

inc. chance immune sees new/different protein expression in cancer cells - target cancer

26
Q

Why is brain cancer hard to treat?

A

1) Side effect of the brain barriers - protect the cancer (hard to survey, hard for immune cells to get in, hard for treatments to get in)

2) Cancers are not inflammatory - cancer is own cells - so many changes - eventually have different proteins that will be visible but cannot see.

3) Steal nutrients and blood away from normal cells