L5 - Lymphoid anatomy Flashcards

1
Q

What are the three anatomical requirements for an immune response?

A
  • To enable rare antigen-specific lymphocytes to encounter their antigen
  • To enable different types of antigen-specific lymphocytes (e.g. T cells and B cells) to make physical contact
  • To enable cells to go where they are needed e.g. site of infection
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2
Q

The movement of cells - the two components

A
  • Migration to a particular tissue/organ
  • Movement within tissue/organ
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3
Q

What is the general state of lymphocytes?

A

Circulate the body ‘looking’ for antigens

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4
Q

How do you enhance the chances of rare antigen-specific T and B cells interacting with each other?

A

1 - Have collections of T cells and immune cells in sites where infection is likely to happen

2 - Have cells circulate throughout the body and have specialised sites of antigen capture where lymphocyte/antigen interactions are enabled

These both involve the continuous movement of lymphocytes through the blood and lymphoid system

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5
Q

Lymphoid organs: what types are there and what do they do?

A

Primary Lymphoid Tissues:
Where B and T cells develop, Ag-independent:
* Thymus
* Bone marrow

Secondary Lymphoid Tissues:
Where lymphocytes migrate to:
* Lymph nodes
* Spleen
* MALT (mucosa-associated lymphoma tissue)

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6
Q

Lymphoid vessels: are they blood vessels, what do they do, what do they contain, and what is the heart’s role in pumping the vessels?

A

Not blood vessels! (but similar)

Connect most body tissues with lymph nodes and eventually the bloodstream

Contains Lymph fluid, lymphocytes and tissue-dendritic cells

Lymph not pumped by heart muscles and valves

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7
Q

Lymphocyte activation: what is the process?

A

When infection occurs in a site (skin, etc), free antigen and antigen-bearing dendritic cells travel from the site of infection through the afferent lymphatic vessels -> draining lymph nodes -> T and B cells are activated (selection, differentiation, proliferation) -> Once activated leave nodes via efferent lymphatic vessels -> Then into blood -> Back to tissue

This may take 4-6 days if a new antigen is presented to the immune system

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8
Q

Lymphocytes interacting with lymph nodes

A
  • Lymphocytes and lymph returns to the blood via the thoracic duct
  • Naive T-cells enter the lymph nodes from the blood
  • Antigens reach lymph nodes through lymph travel/dendritic cells
  • In lymph nodes, Naive T-cells become activated after binding with dendritic cells containing antigens
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9
Q

Lymph system anatomy

A

Adenoids - back of nasal cavity lymphoid tissue Tonsils - throat/mouth lymph nodes
Right lymphatic duct - terminal lymph vessel
Right subclavian vein - feeds into RLD
left subclavian vein - feeds directly into TD
Thoracic duct - Returns lymph to systemic venous Spleen -
Appendix -
Peyer’s patches -
Lymph vessels -
Lymph nodes -
Thymus -
Heart -

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10
Q

Lymph node structure: the components and their roles?

A

Afferent lymphatic artery - Lymph enters the LN through this

Efferent lymphatic artery - Lymph exits the LN through this

High endothelial venule (HEV) - where Naive T-cells enter LNs

Primary follicle -

Secondary follicle - site of extensive B-cell proliferation

Collagenous capsule -

Cortex - key part of antibody response, germinal centres for b cells

Paracortex - T-cell area, where they become activated

Medulla - Contains plasma cells, T-cells, and macrophages

Hilus -

Artery - normal function

Vein - normal function

Medullary cords -

Trabeculae -

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11
Q

MALT: what is it, what different forms does it have, and what does it do?

A

Mucosal-associated lymphoid tissues

It contains as many lymphocytes as the rest of the body

  • Gut-associated lymphoid tissue (GALT)
  • Nasal-associated lymphoid tissue (NALT)
  • Bronchus-associated lymphoid tissue (BALT)

Also, find specialised cells in the liver, reproductive tract, etc

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12
Q

GALT: what is it, where is it found, how does it interact with lymph nodes, and what does it do?

A

Gut-associated lymphoid tissue

Directly underneath the epithelia - Peyer’s patches

No afferent lymphatic, only efferent lymphatic vessels

  • Big role in producing IgA antibodies using M cells to allow antibody transport across the gut membrane (? IM NOT SURE?)
  • Take up antigens from the gut and allow immediate reaction to these antibodies (cells must still follow the efferent vessels and enter the bloodstream that way)
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13
Q

M cells

A

Contains dendritic cells, T-cells, and B-cells directly underneath them and M cells allow these cells to receive antigens immediately from the gut

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14
Q

The spleen: what is it, what does it do, how does lymph travel through it, and what are its key features?

A

Lymphatic organ

  • Filters antigen from the blood
  • Helpful in defending against blood-borne pathogens
  • Recycle old, damaged red blood cells

Blood - splenic arteries - trabecular arteries - central arteries - arterioles - red pulps

Has no afferent lymphatics

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15
Q

The different pulps

A

Red pulp regions - filter red blood cells

White pulp regions - immune roles

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16
Q

Lymphocyte recirculation

A

Spleen - filters the blood

Lymph nodes - receive lymph through afferent vessels and sends it away through efferent vessels
- High Endothelial Venules - let lymphocytes leave bloodstream & enter lymph node

Thoracic duct - terminal lymphatic structure, returns lymph back into the bloodstream

17
Q

Control of lymphocyte migration

A
  • Adhesion molecules (ie selectin, Ig superfamily, integrin, and mucin-like vascular addresin)
  • Chemokines
18
Q

Adhesion molecules: what are some examples, what cells are they involved with, and what endothelial ligands do they bind with?

A

L- selectin - all leukocyte types - CD34

aₗb₂ integrin (LFA-1) - T cells, monocytes, macrophages, and dendritic cells - ICAM-1/2/3

a₄B₁ (VLA-4) - T-cells, monocytes, and neutrophils - VCAM-1 and fibronectin

CR3 - Monocytes, macrophages, and neutrophils - ICAM-1

PSGL-1 - neutrophils - E/P-selectin

19
Q

Migration: the multi-step process

A

1 - Selectin driven:
* P-selectin induced on vessels in response to a signal
* TNF and LPS also induce E-selectin a few hours later
* E-selectin recognises sulphate sialyl-Lewis X structures on immune cells and weakly interacts
* Mediated reversible movement occurs
* “Rolling”

2 - Firm attachment:
* ICAM-1 and ICAM-2 (intracellular adhesion molecule) are induced on vessels (ie TNF)
* These bind to LFA-1 and CR3 on leukocytes
* Rolling is stopped
* Firm attachment

3 - Extravasation:
* Leukocyte crosses endothelial wall
* Extravasation occurs - involves LFA-1/CR3
* CD31 (PECAM) interactions (on both cells) also facilitate movement
* Movement (diapedesis) typically through cell junctions

20
Q

Chemokines: what are they, what types are there, and what do they do?

A

Cytokines - may control the movement of cells

  • CXCL8 and CCL2 are produced at the infection site
  • CXCL8 is released by macrophages and attracts neutrophils
  • CCL2 is produced by e.g. Epithelial cells and stromal cells and attracts monocytes
  • CXCL8 (IL8) is produced by macrophages and epithelial cells and mobilises naive T cells
21
Q

Chemokine gradient

A

By following a chemokine gradient, cells can know where the infection is - higher chemokine concentration means closer to infection

22
Q

Lymphocyte traffic

A

High endothelial venules - allow naive t cells to travel into lymph nodes to hopefully be activated

  • Dependent on L-selectin (CD62L) expression on naïve T cells and P-/E-selectin on endothelium
23
Q

Do T-cells enter the lymphatic system from the bloodstream through the thoracic duct?

A

No, they enter the bloodstream through the thoracic duct

They enter the lymphatic system by HEVs(?)

24
Q

Which of the following are not secondary lymphoid tissue:

  • Thoracic duct
  • Appendix
  • Spleen
  • Peyer’s patches
A

Thoracic duct

25
Q

Following activation, do T cells enter lymph nodes via HEVs?

A

Only naive cells go to lymph nodes

Activated t cells only go to infection sites

26
Q

The paracortex is the area of the lymph node largely containing:

  • T-cells
  • B-cells
  • Plasma cells
  • B-cells and marginal zone macrophages
A

T-cells

27
Q

Migration is a multistep process involving:

  • P-selectin mediated rolling
  • ICAM-mediated firm attachment
  • LFA-1 mediated extravasation
  • All of the above
A

All of the above