Learning Outcome 4 Lymphatic System Flashcards

1
Q

What is lymph?

A

Lymph is the term used to describe interstitial fluid once it has entered the lymphatic system.

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2
Q

What is transported within lymph?

A

the network of lymphatic vessels became convenient avenues for transporting the cells of the immune system. Additionally, the transport of dietary lipids and fat-soluble vitamins absorbed in the gut uses this system.

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3
Q

How is lymph similar to plasma and how is it different from plasma?

A

Plasma & lymph both contain:
* Water
* Small plasma proteins (Eg. Albumin)
* Dissolved substances
Only plasma contains:
* Erythrocytes
* Large plasma proteins

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4
Q

What purpose do lymph nodes serve?

A
  • Found along the lymphatic pathway
  • Specialized organs which filter lymph
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5
Q

Provide some examples of clusters of lymph nodes in the body and what areas they drain.

A
  1. Cervical Lymph Nodes (Neck) - Drains the head, scalp, face, and neck.
  2. Inguinal Lymph Nodes (Groin) - Drains the lower limbs, genital region, and lower abdominal wall.
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6
Q

Lymphatic vessels are blind ended. What does this mean and how is it different from blood capillaries?

A

Lymphatic vessels are blind-ended, meaning they are closed at one end rather than forming a continuous loop like blood vessels. This structure allows them to absorb excess fluid, proteins, and waste products from surrounding tissues but prevents fluid from leaking back out

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7
Q

Where does lymph flow to?

A

Afferent lymphatic vessels – outer cortex of
node – deep cortex – medulla – efferent
lymphatic vessel

Pathway of Lymph Flow:

Lymphatic Capillaries → Absorb excess interstitial fluid from tissues.
Larger Lymphatic Vessels → Transport lymph toward major lymph nodes.
Lymph Nodes → Filter pathogens, debris, and abnormal cells from lymph.
Lymphatic Trunks → Collect lymph from different regions of the body.
Lymphatic Ducts (Final Collection Points):
    Right Lymphatic Duct → Drains the right side of the head, chest, and right arm into the right subclavian vein.
    Thoracic Duct → Drains the rest of the body into the left subclavian vein.
Bloodstream → Lymph re-enters circulation and helps maintain fluid balance.
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8
Q

What three tissues are not involved in a lymphatic pathway?

A

NOT in cornea, bone marrow, CNS)

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9
Q

Where does the lymph come from that enters lymphatic capillaries?

A

Lymph originates from interstitial fluid, which is leftover plasma that has leaked out of blood capillaries.

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10
Q

What purpose do the flaps of overlapping cells serve in lymphatic capillaries?

A

The flaps of overlapping cells in lymphatic capillaries serve as one-way valves that allow interstitial fluid to enter but not leave.

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11
Q

How are lymphatic trunks formed?

A
  • Superficial & deep lymphatic vessels merge to form trunks
  • Drain lymph from large body regions
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12
Q

What parts of the body drain into the right lymphatic duct and the thoracic duct?

A

Collecting ducts:
* Lymphatic trunks merge to form one of the 2 collecting ducts:

Right lymphatic duct:
* Drains into the right subclavian vein
* Empties lymph from the right side of the body above the diaphragm
- Drains 1/4 of the body

Thoracic duct:
* Drains into the left subclavian vein
* Empties lymph from the body below the diaphragm & from the left side of the body above the diaphragm
-Drains 3/4 of the body

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13
Q

What blood vessel receives the lymph from the lymphatic ducts?

A

The subclavian veins receive the lymph from the lymphatic ducts and return it to the bloodstream.

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14
Q

What is the cisterna chyli?

A

Cisterna Chyli - a sac-like chamber that receives lymph from the lower abdomen, pelvis, and lower limbs by way of the left and right lumbar trunks and the intestinal trunk.

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15
Q

What is an example of a barrier defense?

A

Skin/Mucous Membranes, act instantaneously to prevent pathogenic invasion into the body tissues

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16
Q

What is the difference between a phagocytic cell and a lymphocyte?

A

Phagocytic Cells - Ingest Pathogens to destroy them (Innate Immunity)
Lymphocytes - Specialized cells that recognize, remember, and attack specific antigens (adaptive immunity)

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17
Q

Describe how undifferentiated lymphocytes become immunocompetent.

A

Both B cells and T cells become immunocompetent through a series of selection processes that ensure they can recognize foreign antigens and not react to self-antigens. This immunocompetence allows them to effectively participate in the adaptive immune response.

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18
Q

Both B and T cells develop in the bone marrow but they mature in different locations.

A

B cells mature in red bone marrow

T cells mature in the thymus

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19
Q

B cells produce __________

A

antibodies

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20
Q

What is an antigen?

A

Antigen (A chemical structure on the surface of a pathogen that binds to T or B lymphocyte antigen receptors)

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21
Q

What do T cells secrete?

A

secrete soluble factors that communicate with other cells of the adaptive immune response or destroy cells infected with intracellular pathogens

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22
Q

A plasma cell is a differentiated _____ cell.

A

B

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23
Q

Natural Killer (NK) cells participate in what part of the immune response?

A

Immune surveillance, destroys virally infected cells
- Part of innate immunity

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24
Q

What are the two primary lymphoid organs?

A

Bone marrow and thymus gland

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25
Do B or T cells complete most of their development in bone marrow?
B cells
26
Thymocytes leave the bone marrow and mature in the ______________.
Thymus Gland
27
What is the purpose of primary lymphoid organs?
* Formation and maturation of B & T lymphocytes
28
Where is the thymus located?
In the space between the sternum and the aorta of the heart
29
What is the purpose of secondary lymphoid organs?
* Lymph nodes, spleen, tonsils, lymphatic nodules and MALT * House immune cells (‘battle stations’) * Site where an immune response occurs
30
What is a naïve lymphocyte?
is one that has left the primary organ and entered a secondary lymphoid organ.`
31
What is the function of lymph nodes?
Function to remove debris and pathogens from the lymph, and are thus sometimes referred to as the “filters of the lymph”
32
What role do dendritic and macrophages play?
Dendritic cells (DCs) and macrophages are crucial antigen-presenting cells (APCs) that bridge innate and adaptive immunity. Their main role in secondary lymphoid organs (such as lymph nodes and the spleen) is to process and present antigens to activate T cells and B cells, initiating a targeted immune response.
33
What are the pathways into and out of lymph nodes?
✅ Afferent vessels bring lymph into lymph nodes. ✅ Lymph flows through the cortex, paracortex, and medulla, activating immune cells. ✅ Efferent vessels carry filtered lymph out, with activated immune cells ready to respond.
34
What is primarily found in the red pulp of the spleen?
* RBC’s, platelets * Filters blood using phagocytes (pathogens, damaged blood cells)
35
Clusters of lymph nodes:
* Cervical * Drain head & neck * Axillary * Drain arms & breast * Inguinal * Drain lower limb & pelvi
36
Where are lymphoid nodules found?
These nodules are located in the respiratory and digestive tracts, areas routinely exposed to environmental pathogens.
37
Why are tonsils important?
important in developing immunity to oral pathogens
38
Which tonsils are paired and which one is not?
2 palatine tonsils * back of oral cavity 1 pharyngeal tonsil (adenoid) * nasopharynx 2 lingual tonsils * deep to mucous epithelium at base of tongue
39
What is MALT (mucosa-associated lymphoid tissue) and where is it found?
* Clusters of nodules in epithelial layer: * digestive, respiratory, urinary and reproductive tracts * Defend against pathogens in organs or in air we inhale or food we eat * E.g. Peyer’s patches in sm. intestine
40
What are the two overlapping mechanisms that the body uses to destroy a pathogen?
Innate immunity * Present at birth * Immediate response to harmful agents * Nonspecific Adaptive immunity * Delayed response to specific antigens by specific immune cells
41
How do barrier defenses handle infections?
42
What is phagocytosis, and how is it used as part of the immune response?
- A process where a phagocyte is a cell that is able to surround and engulf a particle or cell - Phagocytes are the body’s fast acting, first line of immunological defense against organisms that have breached barrier defenses and have entered the vulnerable tissues of the body
43
What are the three major phagocytic cells of the immune system?
Macrophages, neutrophils, and dendritic cells are the major phagocytes of the immune system.
44
How are neutrophils different from macrophages?
Neutrophils phagocytosis in the blood Macrophages phagocytosis in body cavities/organs
45
Natural Killer (NK) cells can induce apoptosis. What is apoptosis, and why is it useful in the immune process?
* Formed in red bone marrow * Immunosurveillance * ‘Patrol’ the blood * Destroy cells via perforins (create holes in the cell membranes) and granzymes (apoptosis)
46
What is a cytokine? What are the functions of cytokines?
Signaling molecule that allows cells to communicate with each other over short distances
47
What is opsonization, and how does it help the body to deal with an infection?
is the tagging of a pathogen for phagocytosis by the binding of an antibody or an antimicrobial protein.
48
Why is complement not considered part of the early immune response?  What are the two pathways to activate the complement cascade?  What is the membrane attack complex?
49
Provide examples of the first line of defense in the body. How is each first line of defense helpful?
Physical, Chemical and Biological Barriers
50
Provide examples of the second line of defense in the body. What is the function of each one?
The second line of defense is nonspecific and responds immediately to infections. It includes: ✔ Phagocytes (destroy pathogens) ✔ Inflammation (recruits immune cells) ✔ Fever (slows pathogen growth) ✔ Antimicrobial proteins (enhance immunity) ✔ Clotting (prevents pathogen spread)
51
What are the four parts of the inflammatory response?
1. Tissue Injury 2. Vasodilation 3. Increased Vascular Permeability 4. Recruitment of Phagocytosis
52
Why is the adaptive immune response necessary?
3rd line of defense The primary cells that control the adaptive immune response are the lymphocytes, the T and B cells. The specificity of the adaptive immune response—its ability to specifically recognize and make a response against a wide variety of pathogens—is its great strength.
53
How is the adaptive immune response different from the innate immune response?
The innate immune system provides the first line of defense, acting quickly but without specificity or memory. The adaptive immune system provides a second, more specialized response, with the ability to remember and mount stronger attacks on previously encountered pathogens.
54
What is different between a primary and secondary adaptive response?
Primary - Immune systems 1st exposure to a pathogen Secondary - Subsequent exposures, stronger and faster
55
What role does immunological memory play?
protects us from getting diseases repeatedly from the same pathogen.
56
Why is self-recognition important?
Self-recognition is essential for a functional adaptive immune response. It ensures the body attacks only harmful invaders while tolerating its own tissues, preventing autoimmune disorders and unnecessary immune responses.
57
2 types of adaptive immunity:
Cell-mediated immunity * T lymphocytes Humoral immunity * B lymphocytes, plasma cells, antibodies
58
What is the difference between the variable and constant regions of T cells?
Variable region domain is furthest away from the T cell membrane and is so named because its amino acid sequence varies between receptors. Constant region domain has less variation
59
What is an antigen presenting cell, and why is it important for T cells to recognize antigens?
60
What is MHC, and how does it help in antigen presentation?
Major Histocompatibility Complex (MHC) The antigen fragments are then brought to the cell’s surface and associated with a specialized type of antigen-presenting protein known as a major histocompatibility complex (MHC) molecule.
61
MHC class II molecules process what type of antigen?
extracellular (exogenous) antigens, such as bacteria and toxins.
62
Professional antigen presenting cells express MHC class _____ molecules.
II
63
What is positive selection of T cells?
Double-negative thymocytes bind to the MHC molecules they observe on the thymic epithelia, and the MHC molecules of “self” are selected.
64
When is a mature T cell activated?
65
What is clonal expansion?
The proliferation of T cells and is necessary to make the immune response strong enough to effectively control a pathogen
66
What T cells proliferate in clonal selection?
Helper T cells (CD4⁺) and Cytotoxic T cells (CD8⁺) both proliferate through clonal selection after recognizing specific antigens.
67
Why are both memory T cells and effector T cells needed for a primary adaptive immune response?
68
CD4 T cells are associated with __________ functions and CD8 T cells are associated with ____________.
CD4 T cells are associated with helper functions, and CD8 T cells are associated with cytotoxic (killing) functions.
69
How do helper T cells (Th) functions?
function by secreting cytokines that act to enhance other immune responses.
70
Why is it important for a cytotoxic T cell (Tc) to induce apoptosis in a virally infected cell prior to virus replication?
are T cells that kill target cells by inducing apoptosis using the same mechanism as NK cells. They either express Fas ligand, which binds to the fas molecule on the target cell, or act by using perforins and granzymes contained in their cytoplasmic granules.
71
Why do regulatory T cells (Treg) modulate the immune response?
or suppressor T cells, are the most recently discovered of the types listed here, so less is understood about them.
72
What is an immunoglobin?
An immunoglobulin is an antibody that plays a crucial role in the immune system by recognizing and neutralizing foreign antigens (such as pathogens). There are different classes of immunoglobulins (IgG, IgA, IgM, IgE, and IgD), each with a specific function to help defend the body from infections.
73
What secretes antibody?
Plasma cells, which are differentiated B cells, are responsible for secreting antibodies (also known as immunoglobulins).
74
What are the two chains that compose an antibody?
glycoproteins consisting of two types of polypeptide chains with attached carbohydrates.
75
What are the five classes of antibodies found in humans?
1. IgG: The most common antibody in the blood; provides long-term immunity and protection against pathogens. 2. IgA: Found in mucosal areas (like the respiratory and digestive tracts), as well as in saliva, tears, and breast milk; protects body surfaces 3. IgM: The first antibody produced in response to an infection; found mainly in the blood and is very effective at activating the complement system. 4. IgE: Involved in allergic reactions and defense against parasitic infections; triggers the release of histamine from mast cells. 5. IgD: Primarily found on the surface of immature B cells; plays a role in B cell activation.
76
What are the two functions of antibodies?
77
IgM is the largest of the antibody molecules. What is the structure of this antibody?
IgM is primarily found in a pentameric structure, composed of five monomer units
78
IgA is unique that it is the only antibody that leaves the body. Why is this useful?
protects body surfaces
79
IgE is associated with __________, and the severe reaction of anaphylaxis.
allergic reactions
80
What B cells are selected and expanded during clonal selection?
Immature
81
What is the difference between a primary and secondary B cell response to a pathogen?
Primary Response to an antigen (representing a pathogen) is delayed by several days. Secondary Response overwhelms the pathogens quickly and, in most situations, no symptoms are felt.
82
What are two ways a person can acquire active immunity?
Vaccines and exposed to a pathogen (Virus)
83
What is passive immunity, and how can a person receive passive immunity?
Trans-placental antibodies/breastfeeding Immune globulin injections