Lymphatic and Immune System Flashcards

1
Q

What are the functions of the lymphatic system?

A
  1. fluid recovery: 15% of water and plasma proteins enter lymph system from capillaries and returns to blood or tissue spaces
  2. immunity: fluid passes through lymph nodes where immune cells guard and it activates immune responses
  3. lipid absorption: lacteals in small intestine to absorb dietary lipids
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2
Q

How does lymph flow and return to the bloodstream:

A

Lymphatic Capillaries: they penetrate every tissue in the body except cartilage, bone, bone marrow, and cornea. -The structure: a capillary wall overlapping endothelial cells and valve like flaps within the endothelium lined tube

Lymphatic Vessels: two collecting ducts
-right lymphatic duct: receives lymph from right arm, right head and thorax and empties into right subclavian vein
-thoracic ducts: larger and longer, receives lymph from below diaphragm, left arm, left hand, neck and thorax. It empties into left subclavian veins

-Subclavian veins collect from thoracic ducts

Flow of Lymph: lymph flows through lymphatic vessels with valves and prevents backwards flow.
-aided by skeletal muscle pump and thoracic pump
-arterial pulsing squeezes lymphatic vessels

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3
Q

Name the major cells of the lymphatic system and their function

A

NK Cells: large lymphocytes that attack bacteria, transplanted tissue, and host cells infected with virus or cancer

T lymphocytes: mature in thymus

B lymphocytes: activation produces antibodies

Macrophages: large cells that develop from monocytes. Also antigen presenting cells, and it cleans up debris and foreign matters

Dendritic cells: branched and mobile antigen presenting cells in empidermis, mucous membranes and lymphatic organs

Reticular cells: branched stationary cells that contribute to the stroma of a lymphatic organ

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4
Q

What are the types of lymphstic tissue?

A

Diffuse lymphatic tissue: mostly in body passges open to exterior and contains mucosa associated lymphatic tissue

Lymphatic Nodules: feature of the lymph nodes, tonsils and appendix

Lymphatic Organs: an organ with a connective tissue capsule that sperates lymph tissue from other tissues
1. primary lymph organs: red bone marrow, thymus
2. secondary lymph organs: lymph nodes, tonsils and spleen where immunocompetent cells live

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5
Q

Thymus

A

Member of the endocrine, lymphatic and immune system

Structure: bilobed organ in between sternum and aortic arch

Function: houses developing T lymphocytes and secretes hormones that regulate their activity

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6
Q

Lymph Nodes

A

Most numerous lymph organ with 450 in a young adult

Structure: fibrous capsule with trabeculae that divides the interior into compartments

Function: cleanse the lymph and is where T and B cells become activated

Extra: cancer cells can break free from tumor and enter lymph vessels where they make a new home in the first node they see

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7
Q

Tonsils

A

Patches of lymphatic tissues at the entrance of the pharynx

Structure:
1. palatine tonsils at the posterior end of oral cavity that is typically infected
2. lingual tonsils: pair at root of tongue
3. pharyngeal tonsil (adenoids): single tonsil on wall of nasopharynx

Function: guard against ingested or inhaled pathogens

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8
Q

Spleen

A

Largest lymphatic organ

Structure:
-red pulp: sinuses filled with erythrocytes
- white pulp: lymphocytesz and macrophages surrounding small branches of splenic artery
-the spleen is highly vascular and vulnerable to injury

Function: healthy RBC travel through but old RBC die here

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9
Q

Red Bone Marrow

A

Structue: contains hematopoietic cells as vascular tissue in bones

Function:
-produce all RBC
- T and B cells begin life here and become fully formed in lymphatic tissue

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10
Q

Innate Defenses vs. Adaptive Immunity

A

Innate Defenses: equally guard against pathogens without specificity and memory

Adaptive Immunity: body develops seperate immunity to each pathogen

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11
Q

Interferons

A

An antimicrobial protein that alerts neighboring cells and protects them from infection

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12
Q

Complement System

A

An activated complement brings 4 methods of pathogen destruction:
1. inflammation
2. immune clearance
3. phagocytosis
4. cytolysis

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13
Q

Fever

A

An abnormal increase in body temp. that has more benefits within moderation. It promotes interferon activities, elevates metabolic rate and tissue repair while inhibiting reproduction of bacteria and viruses

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14
Q

Processes and Signs of Inflammation

A

Process:
1. Mobilization of defenses: neutrophils move into and around vessel walls and tissue spaces
2. Containment and Destruction of Pathogens: neutrophils accumulate so much causing difficulty in the pathogen spreading around the body
3. Tissue Cleanup and Repair: monocytes do the cleaning and repair. Edema contributes to swelling and forces lymphatic drainage to occur, and pus may occur.

Signs:
1. heat
2. redness
3. swelling (edema)
4. pain

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15
Q

What are three characteristics of adaptive immunity?

A
  1. systemic effect throughout the body
  2. specificity against a particular pathogen
  3. memory, where the immune system can recognize the pathogen a second time and destroy it quickly
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16
Q

Active vs Passive Immunity

A

-Active immunity is when our own immune system protects us from pathogens

-Passive immunity is when we are protected from a pathogen through someone else’s immunity that we gained (vaccine)

17
Q

Cell-mediated vs Humoral Immunity

A

Cell-mediated: lymphocytes directly attack viral or diseased cells that antibodies cannot reach. Usually T-cells (t cells attack tissues)

Humoral: mediated by antibodies that tag a pathogen for destruction and is most useful in infectiongs by microorganisms. Usually B-cells (antibodies travel through blood)

18
Q

Natural Passive vs Artificial Passive Immunity

A

Natural Passive: temporary immunity where the antibody is gained from another person. Ex: placenta and fetus

Artifical Passive: temporary immunity after injection of immune serum (antibodies)

19
Q

Describe an antigen

A

Any molecule that triggers an immune
response
– Complex molecules with structures unique to the
individual
– Proteins, polysaccharides, glycoproteins, glycolipids
– Characteristics enable body to distinguish “self” molecules from foreign ones
* Epitopes (antigenic determinants)—certain regions
of an antigen molecule that stimulate immune
responses

20
Q

Describe an antibody

A

Antibodies vary, but there are 5 main types. The two most common are IgG and IgE.

21
Q

T-cell Development

A

Life stages:
- Born in bone barrow
– Educated in thymus (become immunocompetent)
– Deployed to carry out immune function (Naive lymphocyte leave thymus and colonize lymphatic tissues)

22
Q

B-cell Development

A

-B cells develop in bone and some fetal stem cells remain in bone marrow to become B cells.
-B cells that react to self-antigens undergo either anergy
or clonal deletion, same as T cell selection
-Self-tolerant B cells synthesize antigen surface receptors,
divide rapidly, produce immunocompetent clones
-Leave bone marrow and colonize same lymphatic tissues and organs as T cells

23
Q

Antigen Processing and Antigen Presenting Cells

A

The function of APC is dependent on MHC protein complex.
– MHC-I proteins
* Constantly produced by nucleated cells,
transported to, and inserted on plasma membrane
– MHC-II proteins (human leukocyte antigens, HLAs)
* Occur only on APCs and display only foreign
antigens

Antigen processing
– APC encounters antigen
– Internalizes it by endocytosis
– Digests it into molecular fragments
– Displays relevant fragments (epitopes) in the grooves of the MHC protein

Antigen presenting
– Wandering T cells inspect APCs for displayed antigens
– If APC only displays a self-antigen, the T cell disregards it
– If APC displays a nonself-antigen, the T cell initiates an
immune attack
– APCs alert the immune system to presence of foreign
antigen

24
Q

Antibodies Four Mechanisms of Action

A
  • Neutralization
    – Antibodies mask pathogenic region of antigen
  • Complement fixation
    – IgM or IgG bind to antigen, change shape and initiate
    complement binding which leads to inflammation,
    phagocytosis, immune clearance, or cytolysis
    – Primary defense against foreign cells, bacteria, and
    mismatched RBCs
  • Agglutination
    – Antibody has 2 to 10 binding sites; binds to multiple
    enemy cells, immobilizing them from spreading
    – Enhances phagocytosis by creating “bigger bites”
  • Precipitation
    – Antibody binds antigen molecules (not cells); creates
    antigen–antibody complex that precipitates, allowing
    them to be removed by immune clearance or
    phagocytized by eosinophils