immune system and lymphatic system Flashcards

1
Q

role of immune system

A

to defend the body against infectious microorganisms, pathogenic agents,
noninfectious foreign substances (grafts or tissues coming from other humans/ microorganisms),
transformed cells (cancer cells and any proteins that are produced by the cancer cells)

[body’s defense team.]

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2
Q

it is a morphological counterpart of the immune system.

A

lymphatic system

consists of:
- cells
- tissues
- organs
(it refers to the physiologic role the chiefly monitors the human body)

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3
Q

what are the 2 immunity that the immune response can be divided into

A

Nonspecific (innate) immunity:
Represents the first line of defense against microbial invasion.
Consists of:
- Physical barriers (skin & mucous membrane)
*under mucous membrane, we have your lamina propria which prevent foreign materials or foreign organisms from invading the deeper tissues
- Chemical barriers (chemical characteristics of certain tissues
ex: low pH in stomach due to secretion of acidic mol such as hydrogen ions, enzymes, chemicals that digest the food)
- low pH destroy invading microorganisms and prevent opportunistic pathogens from establishing infection in body
- Secretory substances(salivary substances, lysozymes which are enzymes that are encapsulated or stored inside granules of neutrophils )
- Cells of the immune system (pagocyte, monocyte, neutrphil, macrophage, mast cells, basophil and eosinophil, NK cells, gamma delta t cell, dendritic cells) - respond immediately to invadin infections

*JS HRS AFTER ANTIGEN EXPOSURES

Specific (adaptive) immunity:
Precisely targets antigens specific to invader.
Consists of:
-B and T lymphocytes.
(both provide specificity ( highly specific to organism) and immune memory (store memory that has alr been encountered))

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4
Q

they are the chief cellular constituents of lymphatic tissue.

A

circulating lymphocytes
the 3 major:
- T lymphocytes
- B lymphocytes
- Natural Killer cells.

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5
Q

it refers to the physiologic role the defense mechanism involved in fighting against these foreign material

A

immune system

*lymphatic system - performs the immune system

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6
Q

briefly explain the division of the lymphatic system

A

pri lymphatic organs:
thymus
bone marrow

  • this is whr lymphocytes r born and educated - production and maturation happens
  • learn hot too fight against foreign material

sec lymphatic organs:
lymph nodes & vessels

  • serves as connecting framework for the lymphatic or lymphocytes to travel the whole body

*both lymphatic organs r usually connected to the lymphatic vessels

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7
Q

difference between B and T lymphocytes

A

B lymphocytes:
humoral immunity
- immune response in an adaptive immune response
- mediated by proteins (antibodies)
[role of antibodies
- coat and neutralize invaders
- serve as markers for other immune cells]
- antibodies are produced by mature B lymphocytes, specifically plasma cells

T lymphocytes:
cell mediated immunity/ cell mediated response
- directly kill/ respond to the cells that has been infected by foreign microorganism
- does not produce any antibodies but can recognize this foreign material (MHC, major histocompatibility complex)

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8
Q

they differentiate in the thymus and account for the majority of circulating lymphocytes

A

T lymphocytes
(account 60-80% of circulating lymphocytes)
- comes from the common lymphoid progenitor (CLP) from the bone marrow
- however once they mature into a common lymphoid progenitor, it travels to the thymus for differentiation into T lymphocytes

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9
Q

how are T lymphocytes subclassified according to the presence or absence of two other important surface markers

A

*CD stands for clusters of differentiation

🔹 1. Helper T Lymphocytes (CD4+ T cells)
help activate other immune cells. divided into three main subsets based on the cytokines they produce and their specific roles:
➤ Th1 cells
Produce: Interferon-gamma (IFN-γ)
Function: Activate macrophages to destroy ingested microbes.

➤ Th2 cells
Produce: Interleukins 4, 5, 10, and 13
Function:
- activate eosinophils, basophils, and mast cells
- fight parasitic infections
- allergic responses

➤ Th17 cells
Produce: Cytokines (chemokines)
Function: Recruit neutrophils to the site of infection, especially against fungi and bacteria

🔹 2. Cytotoxic T Lymphocytes (CD8+ T cells)
killer T cells that destroy infected or abnormal cells.

Recognize and kill cells presenting specific foreign antigens (like virus-infected or cancer cells)
Mechanism of killing:
- Release perforins (form pores in target cells)
- Release granzymes (enter through pores and induce cell death)

Function:
- Eliminate infected cells
- Reject transplanted (foreign) tissues

🔹 3. Regulatory T Lymphocytes (Tregs)
help control and regulate the immune response to prevent overactivity.

Markers: Express CD4+, CD25+, and FOXP3
Are a diverse subset of CD4+ T cells

Functions:
- Suppress the activity of other T lymphocytes
- Inhibit helper T cells from releasing cytokines
- Prevent maturation and activation of cytotoxic T cells
- Help maintain immune tolerance (preventing autoimmunity)

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10
Q

it serve as peptide display molecules for recognition by T lymphocytes

briefly explain the 2 types

A

Major Histocompatibility Complex (MHC) molecules
- once detected by the T cell receptors, foreign materia will be destroyed

1 MHC I
- expressed on the surface of all nucleated cells and platelets.
2. MHC II
- expressed on the surface of all APCs (hence directly attacked by helper t cells specifically)
- critical in immune interactions

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11
Q

it differentiate in the bursa-equivalent organ and participate in humoral immunity

A

B lymphocytes
- production of antibodies, also called immunoglobulins (Ig)
- the immune protein associated with humoral immunity

*bursa-equivalent organ is the bone marrow
*humoral immunity aka antibodies (immunoglobulins)

[Bursa-Equivalent Organ:
In birds, B cells mature in the bursa of Fabricius.
In humans (and other mammals), this organ doesn’t exist, so the bone marrow serves as the bursa-equivalent, meaning B cells develop and mature there.]

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12
Q

briefly explain the different antibody classes in humans
[G, M, A, D, E]
- antibody percentage in the plasma
- presence in the psites other than blood, CT and lymphoid organs
- known functions

A

percentage (%):
IgG - 75-85 MONOMER
IgM - 5-10 PENTAMER (has 10 antigens and its the largest)
IgA - 10-15 DIMER WITH J CHAIN AND SECRATORY COMPONENT
IgD - 0.001 MONOMER
IgE - 0.002 MONOMER

sites:
IgG - fetal circulation in preggy
IgM - B lymphocyte surface (as a monomer)
IgA - secretions saliva, milk, tears
IgD - surface of B lymphocytes
IgE - bound to surface of mast cells and basophils (these creates this specific Ig to neutralize and destroys )

known functions:
IgG -
activates phagocytosis
neutralize antigens

IgM -
first antibody in initial immune response
activates complements

IgA -
protects mucosae
hence, important to breastfeed babies as it wi build their immune system

IgD -
antigen receptor triggering initial B cell activation

IgE -
destroys parasitic worms and participates in allergies

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13
Q

it is part of innate immunity, but share similarities with adaptive immunity as they are specialized to kill certain types of target cells

briefly explain its function

A

NK cells

  • Programmed to recognize transformed cells through natural cytotoxicity receptors. After recognition, NK cells directly eliminate these cells by releasing perforins (enzymes that r pore-formers that facilitates the formation of pores in infected cells = increase permeability - apocytosis) and granzymes (stimulate production or activation of enzymes caspaces).
  • Can kill cells indirectly by secretion of pro-inflammatory cytokines, and perform antibody dependent cell-mediated cytotoxicity.
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14
Q

it interacts with helper CD4+ T cells to facilitate immune response.

A

Antigen-presenting cells (APCs)

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15
Q

what system does APCs belong to

A

mononuclear phagocyte system:
- Macrophages
- Kupffer cells (liver)
- Langerhans cells (epidermis)
- Dermal macrophages (dermis)
- Dendritic cells (lamia propria)

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16
Q

what are the other APCs that do not belong to the MPS

A

B lymphocytes
type II and III epithelioreticular cells
- involved in thymic education

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17
Q

how does t lymphocytes responds to other type of cells

A

Cytotoxic (CD8+) T Cell

Main Role:
Kill infected or abnormal cells

Recognizes Antigen Presented By: MHC Class I molecules

Activation Requirements:
1. Antigen + MHC I recognition
2. Co-stimulation via B7–CD28

Killing Mechanism:
Perforins and Granzymes

Target Cells:
virus-infected cells
cancer cells
foreign tissue grafts

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18
Q

this can recognize the specific type of major histocompatibility complex

A

CD4 and CD8
CD8+ - only recognizes the MHC1 CD4+ - only recognizes the MHC2 mol.

*this specificity is impt to regulate the activity of the T lymphocytes so that they can be

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19
Q

what are the 2 types of cells that B lymphocytes can mature to

A
  1. plasma cells
    - directly produce antibodies
  2. memory B cells
    - which are the cloned version of the B lymphocytes
    - exposed to certain characteristics f foreign material
20
Q

activation of B lymphocytes

A
  1. Antigen Binding
    Antigen binds to B cell receptor (BCR) on the surface
  2. Internalization & Presentation
    B cell presents antigen via MHC Class II
  3. Co-stimulation
    CD4+ T cell binds to MHC II + TCR and provides help
  4. Full Activation
    B cell becomes plasma cell (makes antibodies) or memory B cell
    It proliferates to make more copies
    *soluble B cell receptors - soluble in blood
21
Q

appearance of the antibody

A

y-shaped
- consists of FC fragment and antigen binding site or FAB fragment
- each protein of antibody or immunoglobulins has 2 antigen binding site (bind to foreign material)
- FC fragment can bind to compliment

22
Q

composition of lymphatic tissue

A

lymphatic tissues and organs:
Lymphatic vessels
Diffuse lymphatic tissue and lymphatic nodules
Lymph nodes
Thymus
Spleen

23
Q

are the route by which cells and large molecules pass from the tissue spaces back to the blood.

A

Lymphatic vessels
- begin as networks of blind capillaries in loose CT (areolar tissue - interspersed with blood capillaries)

24
Q

it is produced from interstitial fluid that enters the lymphatic capillaries

A

lymph
- present in the tissue
- composition: same w plasma from the blood

25
Q

where does the lymphocytes circulate

A

through both lymphatic and blood vessels
- lymphocytes conveyed in lymph enter lymph nodes via afferent lymphatic vessels
- it conveyed in blood enter the node through the walls of high endothelial venules, HEV

26
Q

it is accumulations of lymphatic tissue found in alimentary canal, respiratory passages, and genitourinary tract

A

diffuse lymphatic tissue
- aka as MALT
- found in the lamina propria (loose CT of mucosa)

27
Q

they are discrete concentrations of lymphocytes contained in a meshwork of reticular cells.

A

Lymphatic nodules
lymphatic nodules consiting of small lymphocytes is called pri nodules

28
Q

what are the distinctive features of the Secondary lymphatic nodules

A

Germinal center
- lighter stain portion of sec lymphatic modules
- characterized by the presence of actively proliferating B lymphocytes
- exposed to antigen

Mantle zone or corona
- composed of naive lymphocytes (not yet exposed to any antigens)

29
Q

where are lymphatic nodules usually found

A

in structures w alimentary canal:
tonsils
peyer patched
vermiform
appendix

30
Q

form a ring of lymphatic tissue at the entrance of the oropharynx

A

tonsils

types:
Pharyngeal tonsils - aka adenoids
Palatine tonsils - aka tonsils
Lingual tonsils - base of the tongue

31
Q

they are located in the ileum and consists of numerous aggregations of lymphatic nodules containing T and B cell

A

Peyer’s patches

32
Q

it arises from the cecum. The lamina propria is heavily infiltrated with lymphocytes and contains numerous lymphatic nodules.

A

Vermiform Appendix
- highly present during the newborn stage and when newborn matures into a child

*its gone once reaches adult
*studies have made that appendix is a major lymphatic tissue which involves the immune system of the gut

33
Q

it filter lymph along the pathway of
lymphatic vessels and initiate adaptive immune responses to antigens

A

Lymph nodes
- present in whole body but high no. in neck, axilla and groins, mesentery

supporting elements of lymph nodes:
Capsule (dense CT that covers the lymph nodes)
Trabeculae
Reticular tissue (framework)

34
Q

it contains several types of cells that perform different functions in generating immune responses.

A

the reticular meshwork of the lymph nodes

diff cells:
1. Reticular cells
synthesize and secrete type III collagen (reticular fibers) and the associated ground substance.

  1. Dendritic cells
    bone marrow-derived APCs.
    present antigens to T cells
    bone marrow derived antigen presenting cells
    express high levels of MHC2 molecules
  2. Macrophages
    phagocytic cells and APCs.
    contain both MHC1 and MHC2
    - MHC2 higher in conc. of dendritic cells compared to macrophages
  3. Follicular dendritic cells (FDCs) have multiple, thin, hair-like branching cytoplasmic processes where the antigen-antibody complexes adhere.
    - traps antigens
35
Q

General Architecture of Lymph Nodes

A
  1. Cortex
    - Superficial (modular) cortex
    lymphatic nodules present
    - Deep cortex (paracortex)
    T cells present
    *development paracortex is highly dependent on the thymus
    aka thymus-dependent cortex
  2. Medulla
    - Medullary cords
    - Medullary sinuses
    lymph travels here
    follicular dendritic cells traps antigen that comes from the lymph
36
Q

a bilobed lymphoepithelial organ located in the superior mediastinum.

A

thymus
- normally undergoes involution during puberty
(SIZE OF THYMUS DECREASES AS WE AGE)

37
Q

The primary organ in which T cells emerge

38
Q

General Architecture of Thymus

A

thymus possess a thin connective tissue capsule from which trabeculae extend into the parenchyma.

The thymic parenchyma contains developing T cells in an extensive mesh work formed by epithelioreticular cells.

6 types of epithelioreticular cells in the thymus:
IN CORTEX
Type I:
serve to separate the thymic
parenchyma from the connective tissue of the organ.
high no. of occluding junctions - separation barrier btwn CT

Type II:
compartmentalize the cortex into isolated areas for developing T cells.
high no. of desmosomes - serve as localized anchors for neighboring cells
cellular framework for the developing T cells

Type III:
create a functional barrier between cortex and the medulla.
high no. of occluding junctions - serve as barriers

!!TYPE 2 AND 3 = has MHC1&2 MOLECULES!!

IN MEDULLA
Type IV:
in cooperation with type III, also forms a barrier at the corticomedullary junction.
high occluding junctions

Type V:
compartmentalize groups of lymphocytes at the medulla.
high no. of desmosomes

Type VI:
form the most characteristic feature of the thymic medulla, the Hassall corpuscles. (HC contains keratin granules which aka keratohyalin granules)
- developed from the oropharyngeal epithelium

39
Q

it is where thymocytes must pass two sequential life and-death tests to survive.
briefly explain the 2 steps

A

Thymic Cell Education
- approx 98% of T cells are degraded/ did not pass this process
- approx 2% become helper T cells and cytotoxic T cells

2 steps:
1. Positive Selection:
Survival dependent on ability to bind to MHC molecule.
when the T cell mature, it will exhibit CD4 and CD8 - called double positive stage

  1. Negative Selection:
    Survival dependent on not recognizing self- antigen
    Self-tolerance: ability of the immune system to not affect the self antigen present - in order to inhibit autoimmune responses
40
Q

It is about the size of a clenched fist and is the largest lymphatic organ. Located at the upper left quadrant of the abdominal cavity and has a rich blood supply.

A

spleen
- filters blood and initiates adaptive immune responses to blood-borne antigens.

41
Q

briefly explain the 2 splenic plup

A

White pulp:
- consists of a cylindrical mass of
lymphocytes arranged around a central artery, and splenic nodules.

Red pulp:
- contains large numbers or RBCs
that it filters and degrades. (contains splenic sinuses separated by cords of Billroth.)

42
Q

an endothelial cells that line the splenic sinuses

A

stave cells
- extremely long
- contain actin filaments that can contract (control the passage of blood)

in the arteries, RBC are ejected towards the splenic cord

43
Q

summary of lymphatic organs

A

refer to table

44
Q

it is the first immunoglobulins that usually encounter

A

IgM
- as they are involved in the early response of the immune system towards the invading microorganisms

if IgG- and IgM+ = infection started
if IgG+ and IgM- = no current infection but patient has past infections

45
Q

where are reticular fibers present

A

bone marrow
lymphatic tissue
associated ground substance