Lecture 23: Cells Of The Lymphatic System Flashcards

1
Q

Define and explain the functions of lymphatic system

A

1) Protect body against pathogens or antigens

Basis for this self-defense – distinguish self from non-self

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2
Q

Describe the morphology and functions of cells of the lymphatic system including CD4+ & CD8+ T cells, B cells & plasma cells
and natural killer cells.

A

1) Helper CD4+ –> T-cells, mature in thymus = immunocompetent, Presents on MSC2,
Types:
-TH1: Produces interleukin 2 (IL2) to interact w CD8+ –> Destroy INTRAcellular antigens
-TH2: Produces IL4, IL5, IL10, IL13 to activate B-lymphocytes –> destroy EXTRAcellular antigens

2) Cytotoxic CD8+ –> T-cells, mature in thymus = immunocompetent, Destroys antigens, Presents on MSC2

4) B cells –> Carried in blood, spleen, connective tissue, when activated by CD4+
- -> Plasma cells

5) Plasma cells –> Produce antibodies against specific antigens
6) Natural killer cells. –> Attack virus- infected cells and cancer cells

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3
Q

List and describe the types of immune response.

A

1) Innate Response (Non-specific):
- neutrophils, macrophages, mast cells
- Fast and nonspecific
- No memory cells

2) Adaptive Response (Specific Immunity):
- B and T cells
- Slower and specific
- Produces memory cells” Primary and secondary response

3) Antibody mediated Immunity
- Helper T-cells, B-cells, plasma cells
- Releases antibodies that invade organ

4) Cell Mediated Immunity
- Specific T cells that specialize in cytotoxicity (Granzymes, Perofins)

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4
Q

List and compare the primary and secondary lymphoid organs.

A

1) Primary organs
- Bone marrow
- Thymus
- GALT

2) Secondary lymphoid organs
- Lymph nodes
- Spleen
- Tonsils

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5
Q

Compare primary and secondary lymphatic nodules and describe their structural organization

A

Nodule = collection of lymphocytes

1) Primary nodule
- Small lymphocytes
- Not challenged by antigen

2) Secondary nodule:
- Consists of germinal center (GC)- area where lymphocytes undergo proliferation (Paler region)
- GC –> indicated lymphatic tissue response to antigen(Called mantle zone/corona)

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6
Q

Explain concepts of BALT, MALT and GALT.

A

1) MALT (mucosa associated
lymphoid tissue)
-Diffused lymphoid tissue

2) BALT

3) GALT
- Primary lymphoid Organ

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7
Q

Identify & describe the structures and function of the thymus.

A

Function:

  • Lymphocytes differenciate and enlarge, Mature T Cells migrate into medulla blood vessels and efferent lymphatics
  • Primary lymphoid organ

Location:
-superior mediastinum
(Origin = 3rd pharyngeal pouch)

Structure:
1) Capsule

2) Trabequle

3) Cortex:
- Tightly packed lymphocytes and support cells (Reticular cells)
- Outside

4) Inner Medulla:
- Lymphocytes less concentrated
- Pale staining (ERC–> Eosinophilic)

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8
Q

Describe the formation of the blood thymus barrier and its significance

A
  • ERC Type 1 form a sheath preventing antigens in the blood from contacting the thymocytes
  • In the cortex
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9
Q

Identify & describe the structures and function of a lymph node

A

Identify Structure:

  • Kidney/bean shaped
  • Made up of B-lymphocytes

1) Capsule
- dense connective tissue, pierced by afferent lymphatics

2) Outer Cortex
- Abundance of B Lymphocytes

3) Inner Cortex/Para cortex
- No nodules
- T-lyphocytes
- High endothelial venules (HEV)–> allows transition of lymphocytes from the blood stream to lymph tissue within lymph nodes

4) Medulla
-Cords –> contain primarily B lymphocytes,
plasma cells, reticular cells and
macrophages
-Sinuses –> Space separating chords, contains: Lymph/macrophages/(May have granulocytes during draining of infected region)

5) Hilum (Efferent lymphatics)
-blood vessels and nerves
(enter and leave) : lymphatics exit

Function:
-Filters lymphatic fluid as it passes through them

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10
Q

Describe the flow of lymph through a lymph node and explain the significance of subcapsular sinus.

A

Flow:
Afferent lymphatic vessels –> Subcapsular (cortical) sinus –>Trabecular sinus –> Medullary sinus –> Efferent lymphatic vessel

Subscapular sinus:
-Space under the capsule
-Composed of loose reticular cells and fibers- slowing down of lymph
-Foreign antigens are captured by
macrophages in this region.
Present the antigens to lymphocytes
-Activation of lymphocytes
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11
Q

Describe the cellular distribution in a lymph node and explain the significance of the stroma.

A
  • Reticular cells (modified fibroblasts) produce the stroma

- Silver stain used to identifiy reticular fribers

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12
Q

What are the cells in a lymphatic nodule

A

1) Lymphocytes :
➢ B lymphocytes
➢ Activated > proliferate >plasma cells
& memory cells

2) Reticular cells:
➢ Produce reticular fibers (stroma)

3) Dendritic follicular cells:
➢ Most efficient APCs
➢ Present antigens on MHC I & II
molecules

4) Macrophages:
➢ Phagocytic & APC (contain MHC I
& II molecules)

5) Follicular dendritic cells:
➢ Dendritic in nature: lack MHC II
molecules: harbors Ag-Ab complexes

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