Lymphoid Flashcards
What makes up the encapsulated lymph organs?
Lymph nodes, thymus, spleen
Functions of the lymphatic system
Defence/immune response
Maintenance of body fluids
Extramedullary hematopoiesis
What is the diffuse lymphoid system?
Not encapsulated parts of the lymphoid system
The lymphoid system does what?
Protects the body against foreign macromolecules, virus, bacteria, and other invasive micro-organisms, also kill virally transformed cells
Three types of body defence
Epithelial barriers
Innate immune system - macrophages, neutrophils, NK cells, complement
Adaptive immune system - T and B lymphocytes, antigen presenting cells (APC)
Function of lymphatic vessels
Collect excess interstitial fluid from cells/tissues and returns it to the cardiovascular system/general circulation
Moves lymph through lymph nodes
Describe the flow in lymphatic vessels
Passive fluid flow, no pressure
Valves to control back flow
Tissue deposits lymph into….
Lymphatic capillaries to the lymphatic vessels to the lymphatic ducts and then into the great veins of the neck
The smaller of the lymph ducts does?
Collects lymph from the upper right quadrant of the body and dumps into the right lymphatic duct and into the subclavian
The larger of the lymphatic ducts does?
Begins in the abdomen and ascends through the thorax/neck collects lymph from the remainder of the body then to the thoracic duct and then to the subclavian
Describe lymphatic vessels (compare to blood vessels)
Thinner walls, single layer of attenuated endothelial cells with an incomplete basal lamina, more valves, contains lymph, unfenestrated
Blood vessels are thicker walls with three tunicas, contains blood, fenestrated/unfenestrated
What is lymphedema (elephantitis)?
Blockage of lymph flow resulting in a build up of lymph fluid. Either inherited (primary) or caused by injury/disease of lymph vessels (secondary)
What is filariasis?
Tropical parasite infection that is common cause of secondary lymphedema when nematodes colonize the lymphatic system
What is cellulitis?
Inflammation/infection of the lymphatic system
T or F: Lymphedema can develop months-years post therapy in cancer patients
T
What is the treatment of lymphadema?
Varies on severity and degree of fibrosis includes compression and gradient pumps
What is lymphangitis?
Lymph vessel inflammation commonly seen with strep infection. Bacteria enter through ann injury and enter lymphatic system and multiply rapidly and spread. The infected vessels become inflamed causing red streaks below the skin surface. Growth is so rapid that immune system doesn’t respond fast enough.
Complications of lymphangitis
Abscess formation, cellulitis (generalized infection of the lower skin layers) or septicemia (blood poisoning). Can be secondary to malignancy like breast, lung, stomach, pancreas, and prostate cancers.
Who is most at risk for developing lymphangitis?
Radical mastectomy, leg vein removal for coronary bypass, recurrent lymphangitis caused by tinea pedis (fungal foot infection)
T or F: Lymphatic vessels are commonly used for cancer metastasis
T
What composes the innate immune system?
NK cells, neutrophils
Macrophages - differentiate in connective tissues like the histiocytes, macrophages kupffer cells, langerhans cells, or microglia
Mediate phagocytosis and present the antigen to lymhocytes
What composes the adaptive immune system
B cells - generated and differentiate in the bone marrow bursa,, produce antibody and participate in humoral immune response, plasma cells and memory B cells
T cells - generated in the bone marrow, differentiate in the thymus. Participate in cell-mediated immune response, cytotoxic, helper, suppressor, and memory T cells
List the nonspecific contributors to the innate immune system
Complement - a system of blood-borne macromolecules known as:
Macrophages and neutrophils - phagocytose invaders
Natural killer cells - kill tumor cells, virally infected cells, bacteria, and parasites
Describe the basic functions of the adaptive immune system
Reacts to a SPECIFIC antigentic component of the pathogen
Ability to react against that component improves with each subsequent confrontation
What are the four distinctive adaptive immune response properties?
Specificity
Diversity
Memory
Self/Non self recognition
What cells contribute to the adaptive immune system response?
T lymphocytes
B lymphocytes
Antigen presenting cells (APC)
How do adaptive immune response cells communicate?
Signaling molecules known as cytokines which are released in response to encounters with foreign antigens
Humoral immunity is mediated by?
Antibodies
What is Ig-A?
Secretory antibody in tears, saliva, gut, nasal
Structure of antibody?
Two heavy chains connected with disulfide bonds, two light chains attached to heavy chain by disulfide bonds. Variable regions on both chains
What is Ig-D?
Activates B cells
What is Ig-E?
Degranulates mast cells and basophils
What is Ig-G?
Opsonin, NK cytotoxicity (most common)
What is Ig-M?
1st isotype formed in the primary response
Lymphoid immune cells participate in:
Eliminating non-self organisms, eliminating cancerous cells (surveillance theory), rejection of implants/transplants, autoimmune diseases, lymphoma (cancer of lymphoid tissue)
What factors weaken the immune response mediated by lymphoid immune cells?
Cancer treatment, AIDS, stress
Function of the primary lymphoid organs?
Responsible for the development and maturation of lymphocytes into mature immunocompetent cells
Examples of primary lymphoid organs? Function?
Thymus - T cells mature here
Pre/postnatal bone marrow - B cells mature here in the bursa
Fetal liver
What are secondary lymphoid organs?
Mature distribution of lymphoid cells. Responsible for the appropriate environment for immunocompetent cells to interact with each other, antigens, and with other cells to mount an immune response to invading pathogens
Examples of secondary lymphoid organs
Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT) postnatal bone marrow
Two categories of lymphatic organs (structural). Examples?
Encapsulated (dense) - bound by connective tissue capsules like the thymus, spleen, lymph nodes
Unecapsulated (diffuse) - MALT, BALT, GALT, tonsils
What is the thymus?
Primary lymphoid organ
Site of T cell maturation
Located in the superior mediastinum and extending over the vessels of the heart
Functions of the thymus?
Responsible for immunological competence of T cells
Elimination of self-reactive T cells (establishing and maintaing self-tolerance)
Structure of the thymus
Lobes and lobules
2 lobes that arise separately during embryonic development
lobules are formed by incomplete divisions of lobes and formed by septa (trabeculae) extending into the lobes from the dense collagenous connective tissue of the thymus capsule
What are thymocytes?
Immature immuno-incompetent T cells that migrate from the bone marrow.
Leave the vasculature at the corticomedullary junction and migrate to the periphery of the cortex - moving deeper with maturation
Thymocytes migrate into the…
Cortex
What does the thymus cortex contain?
macrophages, APCs, and epithelial reticular cells
What happens to the thymocytes once in the cortex of the thymus?
They proliferate (cortex stains DARK, lots of thymocytes) They mature and are instructed.
What color does the cortex stain?
Dark due to lots of thymocytes present
What is the blood thymus barrier?
Present ONLY in the cortex and is essential for the thymocyte instruction (o interaction with the blood)
After maturation and instruction of thymocyte in the cortex, what happens?
IF recognition of MHC I/II by CD4/CD8 molecules present by the APC it is positively selected and sent to the medulla as a immuno-competent naive T cell
IF not, then pruning by anergy or apoptosis
IF recognition of self antigens presented by APC undergoes negative election and is pruned. IF not, then migrates to medulla
Describe positive selection in the thymus cortex
Recognition of SELF-MHC I/II by CD4/CD8 molecules presented by APC results in positive selection and sent to medulla
IF fails it is pruned
Describe negative selection in the thymus cortex
IF recognition of self-antigens presented by APC then the thymocyte is pruned
IF not, sent to the medulla as immuno-competent naive T cell
What percent of thymocytes survive to be immunocompetent naive T-cells?
2 %
This is why the medulla of the thymus stains light
What color does the medulla stain in the thymus?
Light due to few thymocytes
After making it to the medulla, what happens to the immunocompetent naive T cells?
Exit the medulla via venules and efferent lymphatic vessels to migrate to secondary lymphatic organs