lymphatic system Flashcards

1
Q

A group of cells, tissues, and organs that monitor body surfaces and internal fluid and reactants to potentially harmful substances

A

lymphatic system
- also known as lymphoid system

[example:
body surfaces - skin, mucous membrane
internal fluid - lymph, blood plasma
reactants - antibodies, wbc]

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2
Q

what is included in the lymphoid system

A

consist of a huge networks of
lymph nodes
lymphatic vessels
lymphatic/ lymphoid organs
lymphoid tissue cells

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3
Q

what are the organs and tissues that are part of the immune system

A

tonsil and adenoids
thymus
spleen
Peyer’s patches
lymph nodes
bone marrow
appendix

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4
Q

what are the functions of the lymphatic system

A

1.monitor body surfaces and fluid compartments [spacesbetween cells] (epidermis, mucosae, and interstitium)
[to see if have harmful substances]

2.immune defense: reacts to the presence of potentially harmful antigen as “non-self”
[fights harmful antigens (harmful germs) that enter the body]

  1. autoimmune disease response
    leads to
    - rheumatoid arthritis
    - type I diabetes
  2. transport large molecules such as - proteins
    - hormones
    - waste products

(maintain fluid balance, immune defense and liquid absorption)

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5
Q

what type of molecules does lymphatic system transport

A

large molecules such as
- proteins
- hormones
- waste products

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6
Q

A cell that helps in immune response

A

WBCs especially the lymphocytes
- helps the body’s immune system to fight against cancer, foreign virus and bacteria

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7
Q

What are the components of the lymphatic system

A

[made up of diff parts that work tgt to protect the body]

CELLS
Lymphocytes
APC, antigen-presenting cells
- dendritic cells
- Langerhans cells
- macrophages

LYMPHATIC TISSUE
Diffuse tissue
Nodular tissue

LYMPHATIC ORGANS
Lymph nodes
Spleen
Thymus

LYMPHATIC VESSELS
Carry the cell and fluid

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8
Q

it is known as the encapsulated bundles of lymphatic cells

A

diffuse tissue
- consist of lymphocytes and macrophages
[loosely packed w/o outer covering]

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9
Q

nodular tissue is commonly called as

A

MALT - Mucosa-Associated Lymphatic Tissue
[found in the intestines, lung and other mucosa areas to detect and fight infections]

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10
Q

classification of lymphatic system

A

Primary Lymphoid Organs:
➔ Responsible for the creation of special immune cells (Lymphocytes)
○ Thymus
○ Bone Marrow
○ Lymphatic nodules of the distal intestinal tract

Secondary Lymphoid Organs/ Tissue:
○ Spleen and Lymph nodes
○ Mucosa Associated Lymphoid Tissue (MALT)

[Primary organs = Create and train immune cells
Secondary organs = Store and activate immune cells to fight infections]

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11
Q

primary lymphoid organs

A

bone marrow, thymus, peyer’s patches
- these are the initial ‘education center’

thymus > T cells
bone marrow and gut > B cells
- lymphocytes will differentiate into immunocompetent cells
[able to recognize diff btwn self and non-self]

*this differentiation is said to be antigen-independent
[immune cells mature and get ready for action on their own]

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12
Q

It is the site where lymphocytes become mature and immunocompetent

A

pri lymphoid organs

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13
Q

site of T lymphocytes maturation and production

A

thymus

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14
Q

site where T and B lymphocytes develop from stem cells in red bone marrow

A

bone marrow

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15
Q

how does T cells and B cells developed

A

T CELLS
- T cells developed in bone marrow (not yet fully developed)
- travel to the thymus whr they will remain until they become functional cells (bcms fully functional immune cells)
- once it becomes fully immunocompetent, it will leave thymus and migrate to the lymphatic organs and tissues (lymph nodes, spleen and tonsils)

B CELLS
- unlike t-cells it will remain in bonne marrow until they are fully matured and functional
- after maturation, move to the lymphatic organs and tissues (particularly, lymph nodes in the BM and mucous membrane)

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16
Q

two types of T cells

A

Helper T cells:
- bind with specific antigens presented by the macrophages

Killer T cells:
- kill viruses that invaded the body cells and the cancerous body cells

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17
Q

what do B cells produce

A

palsma cells
- secrete antibodies

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18
Q

this is where immunocompetent lymphocytes differentiate into immune effectors and memory

A

secondary lymphoid organs
- aka peripheral lymphoid tissue

these lymphocytes carry out functions in
- CT
- sec lymphoid organs
- mucosal surface lining epithelia
- also participate in cell mediated immunity (mostly cytotoxic T cells)
- humoral responses (production of antibodies)

[B and T cells move to the secondary lymphoid organs to become fully active and start fighting infections
- immune effectors: fighters
- memory cells: rmbr past infection]

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19
Q

location of the peyer’s patches

A

wall of the small intestine

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20
Q

function of the peyer’s patches

A

macrophages of Peyer’s patches are in an ideal position to capture and destroy bacteria (always present in tremendous amt)
= prevent from penetrating the intestinal wall

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21
Q

Peyer’s Patches also known as

A

Aggregated Lymphatic Follicles
- covered by a specialized epithelium: follicle-associated epithelium (FAE) which differs from typical intestinal epithelium

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22
Q

what is peyer’s patched epithelium

A

covered by a specialized epithelium known as the follicle-associated
epithelium (FAE):
modified simple columnar
- lacks of typical villi
- fewer goblet cells (reduce mucous production)
- rich in M cells (Microfold cells)
- has erythrocytes

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23
Q

A secondary lymphoid structure where most immune cells (lymphocytes) get activated

A

MALT, mucosa-associated lymphoid tissue
- lymphocytes are activated by antigen presentation

Also includes: lymph nodes and spleen

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24
Q

this is one of the largest lymphoid organs, containing up to ___% of all the body’s immune cells

A

MALT, 70%
- most of the lymphocytes are B cells, among T cells, CD4+ Helper T cells predominates

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25
Q

function of the MALT

A

aguments (enhance)
- the mechanical (physical structure) and chemical (substance) barriers of surface mucosal epithelia

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26
Q

distribution of MALT

A

[location of MALT]
1. pharynx
- tonsils (palatine, lingual and pharyngeal)
2. small intestine
- aggregated lymphoid modules (peyer’s patches)
3. colon
- aggregate lymphoid nodules
4. tonsil
5. BALT, bronchus-associated lymph
6. GALT, gut-associated lymph tissue

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27
Q

where is thymus located

A
  • a bilobed organ
  • superior mediastinum (above the heart, behind the sternum).
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28
Q

cells present in the thymus gland

A
  1. lymphocytes
    - T cells
  2. epithelial reticular cells
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29
Q

it has a vascularized connective tissue capsule that extends septa into the parenchyma, dividing the organ into many
incompletely separate lobules

A

thymus
- vascularized connective tissue capsule (rich in blood vessels)
- divided into lobules by connective tissue (not completely separated)
* receive O2, nutrients and even immune cells
* heal relatively quickly

[each lobule has:
Cortex (outer dark-staining layer) – Contains immature T cells.
Medulla (inner lighter-staining layer) – Contains more mature T cells.
* outer darkly basophilic cortex surrounds a more lightly stained medulla]

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30
Q

function of thymus gland

A

Production of immunocompetent T
lymphocytes
Production of mature T cells for peripheral tissues and circulation
Regulations of T cell maturation, proliferation, and function via secretion of hormones
[thymus produces hormones that help T cells grow, multiply, and work properly to protect the body]

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31
Q

It is the outer layer of the thymus develop and grow.

A

Thymic Cortex
- contains many:
T lymphoblasts (young T cells)
along with macrophages
thymic epithelial cells (TECs) - that have certain features of both epithelial and reticular cells
*that help in their development

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32
Q

what are the 3 major types of TECs

A

● Squamous Thymic Epithelial Cells
○ Important in the formation of the thymus blood barrier
● Stellate Thymic Epithelial Cells
○ Forms the cytoreticulum
● Other Squamous Thymic Epithelial Cells
○ Form the corticomedullary barrier

33
Q

structure of the thymic cortex

A

Outer cortical zone: Densely packed with developing T lymphocytes (and associated support cells)

Inner medullary zone: Loosely packed with more mature T cells
- where the resident cells have greater amt of cytoplasm, so the dark staining nuclei are farther apart

34
Q

Special swirled cell structures found within the medulla of the thymus.

A

Hassall’s corpuscles
- derived from thymine reticular cells

35
Q

largest lymphatic organ

A

spleen
- usually measured 12cm or 5 inches

36
Q

where is the spleen located

A

left side of the abdominal cavity, just beneath the diaphragm
and curls around the anterior aspect of the stomach

37
Q

spleen is surrounded by?

A

by a capsule of dense CT from which emerge trabeculae to penetrate the parenchyma or splenic pulp

38
Q

what are the 2 main regions inside the spleen

A

White Pulp
– contains compact muscle of lymphocytes

Red Pulp
– contains a network of erythrocyte-filled sinuses and the phagocytic cells

39
Q

functions of the spleen

A
  1. remove abnormal blood cells and particulate matter via phagocytosis (spleen filters blood, macrophage in spleen will remove bacteria and other pathogens including cellular debris and aged blood cells)
  2. storage of iron from recycles RBC
    - reservoir of blood
    - destroys old RBCs and recycles their parts
    ○ iIt removes the iron from the heme group of the RBC and bonds the iron to the storage proteins
  3. initiation of the immune response byy B cells and T cells in response to antigen circulating in the blood
    - spleen is active in immune responses
    ○ T cells proliferate in the white pulp before returning to the blood to attack the non-self cells when necessary
  4. Hematopoiesis in fetus and sometimes adult
    - spleen produces or remove blood cells
    ○ RBC and WBC that are produced in the spleen during fetal development
  5. spleen provides a reservoir of blood, ⅓ of the blood platelets are stored in the spleen
40
Q

How does the spleen help in removing old or damaged blood cells?

A

macrophages in the spleen break down and remove old RBCs, pathogens, and debris from circulation.

41
Q

role of the spleen in iron storage

A

stores iron by recycling it from old red blood cells and binding it to storage proteins.

42
Q

Two Components of Splenic Pulp

A

● White Splenic Pulp
○ Consists of lymphoid
nodules and periarteriolar lymphoid
sheath (PALS)
○ Site of immune reaction to blood-borne pathogens

● Red Splenic Pulp
○ Consists of blood-filled sinusoids and splenic cord
○ Responsible for filtering blood foreign materials and old or damaged RBCs

[red pulp: removes aged RBCs and acts as a blood reservoir.
white pulp: contains B & T cells that help fight infections.]

43
Q

How does the spleen act as a platelet reservoir?

A

spleen stores about 1/3 of the body’s platelets, which can be released when needed

44
Q

what are the parts of the spleen

A

● Capsule
- dense CT enclosing organ
a. trabecula

● White pulp
- composed of ymphatic tissue
- appears basophilic sue to the large no. of nuclei

a. splenic nodules
b. central arterioles
c. PALS (periarteriolar lymphatic sheath)

● Red Pulp
- filters and degrades RBC
- appears eosinophilic due to the large no. of RBCs

● Marginalized Zone
- region between white and red pilp where macrophages, dendritic cells and lymphocytes interact

45
Q

substance or structure or tissue component that stains dark blue or purple with the basic or alkaline dyes such as Hematoxylin.

A

Basophilic
- This staining occurs because the
basophilic structures are rich in negatively charged molecules

46
Q

CT that extends inward from the
capsule through which blood vessels enter the pulp

47
Q

clusters of B lymphocytes located on central arterioles. They usually contain a germinal center of activated B lymphocytes

A

Splenic Nodules

48
Q

branches of trabecular arteries coated by PALS and adjacent to nodules

A

Central Arterioles

49
Q

cylindrical mass of mature T lymphocytes that surrounds central
arterioles

A

PALS (Periarteriolar Lymphatic Sheath)

50
Q

region between white and red pulp
where macrophages, dendritic cells, and lymphocytes interact

A

marginalized zone

51
Q

a dense CT enclosing the spleen

52
Q

Large, irregular masses of lymphoid tissue that ring the pharynx (the throat), where they are found in the mucosa

A

tonsil
- clusters of lymphatic tissue in the throat
- function: trap and remove any bacteria or other foreign pathoges entering the throat

53
Q

where are the tonsils located

A

in the mucosa around the pharynx

54
Q

Chronic inflammation of the pharyngeal lymphoid tissue and tonsils of children often produces hyperplasia and enlargement of the tonsils to form “adenoids”, which can obstruct the eustachian tube and lead to middle ear infections

A

tonsilitis
- more common in children than adults
- adenoids: Chronically swollen tonsils in children can grow larger (hyperplasia) and become “adenoids”.

55
Q

what is the complication of tonsilitis

A

Adenoids can block the eustachian tube (connects throat to ear), causing ear infections.
- adenoids: Chronically swollen tonsils in children can grow larger (hyperplasia) and become “adenoids”.

56
Q

part of tonsil

A

● Palatine Tonsils
- posteriorly on the soft palate
- covered by stratified squamous epithelium
- has 10-20 deep crypts (folds) to trap germs.

● Lingual Tonsils
-base of the tongue
- covered by stratified squamous epithelium w crypts
- lack distinct capsules

● Pharyngeal Tonsils
- situated in the posterior wall of the nasopharynx
- covered by pseudostratified ciliated columnar epithelium
- has thin underlying capsule

57
Q

The surface area of each is enlarged with 10-20 deep invaginations or tonsillar crypts in which the epithelial lining is densely infiltrated with lymphocytes and other leukocytes

A

palatine tonsils

58
Q

what are the parts of the palatine tonsil

A

● Stratified Squamous Non-Keratinized Epithelium
○ Covers the numerous nodules that comprise the palatine tonsil

● Nodules
○ Spherical aggregations of lymphocytes that usually have geminal centers

● Crypts
○ Infoldings of the epithelium into the underlying CT

● Plasma Cells
○ Large numbers of plasma cells are usually seen in the underlying CT near the epithelium

59
Q

shape of the lymph nodes

A

tiny oval-shaped structures

60
Q

location of lymph nodes and what is it covered by

A

located: superior mediastinum
covered: capsule of fibrous connective tissue

*Bilobed organ

61
Q

true or false:
lymph nodes produces lymphocytes

62
Q

it filters potentially harmful particles from the lymph

A

lymph nodes

63
Q

what are the 3 functional but not physically separate compartments in the lymph nodes

A

the outer cortex
the underlying paracortex
the inner medulla adjacent to the hilum and the efferent lymphatic

64
Q

What happens when lymphatics enter the cortex of a lymph node?

A

🔹 B cells in the cortex encounter antigens (foreign invaders).
🔹 They proliferate (multiply) in lymphoid nodules.
🔹 Activated B cells then move deeper into the lymph node for further immune response.

65
Q

function of the lymph nodes

A

● They filter the lymph, preventing the spread of microorganisms and toxins that enter the interstitial
fluids
● They destroy bacteria, toxins, and particulate matter through the phagocytic action of macrophages
● They produce antibodies through the activity of B cells

66
Q

parts of the lymph nodes

A

● Capsule
- dense CT enclosing the node
a. Subcapsular Sinus
b. Trabecula
- CT that extends inwards from the capsule
c. Trabecular Sinuses

● Cortex
- outer region of the node

a. Outer Cortex
- nodules
b. Inner Cortex (paracortex)

● Medulla
- inner part of the node

a. Medullary Cords
- contain antibody-secreting
plasma cells, macrophages, and B lymphocytes
b. Medullary Sinuses
- intervening spaces in which lymph flows before exiting the node via efferent lymphatic vessels

67
Q

space underneath the capsule that receives lymph from different
lymphatic vessels

A

Subcapsular Sinus

68
Q

Spaces alongside trabeculae in which lymph flows from the subcapsular sinus into the cortex

A

Trabecular Sinuses

69
Q

spherical clusters of B lymphocytes. The lighter center is the germinal center where B lymphocytes differentiate into plasma cells

70
Q

region between the outer cortex and the medulla that is free of nodules

A

Inner Cortex (paracortex)

71
Q

inflammation of the lymph nodes

A

Lymphadenitis

72
Q

Inflammation of the tonsils

A

Tonsillitis

73
Q

Swelling of the tissue due to an abnormal collection of lymph

A

Lymphedema

74
Q

disease caused by the Epstein-Barr Virus

A

Infectious monouceosis

75
Q

Cancer of lymphocytes where lymphocytes change and grow out of control, and often begins in the lymph nodes

A

Lymphoma

Two types:
■ Hodgkin’s Lymphoma
■ Non-Hodgkin’s Lymphoma

76
Q

important histologic comparison of the major lymphoid organs

77
Q

Secondary lymphoid organs is also known as

A

Peripheral lymphoid tissue

78
Q

these are the ‘educational center’ of the immune system

A

bone marrow
thymus
peyer’s patches

  • they’re the pri lymphoid organs