Lymphoid Tissue Flashcards

1
Q

What are the functions of the lymphatic system?

A

1) Draining excess interstitial fluid
2) Transporting dietary lipids and lipid-soluble vitamins from GIT
3) Protecting against microbial invasion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are primary lymphoid tissue/organ?

A

Where lymphocytes originate
eg. bone marrow (B and T cells), Thymus (T cell maturation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where do B cells mature?

A

In the bone marrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where do T cells mature?

A

In the thymus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are secondary lymphoid tissue/organs?

A

Where lymphocytes aggregate and respond to Ags
eg. tonsil, spleen, lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are examples of diffuse and dense lymphoid tissue?

A

Diffuse: Lamina propria of GIT and RT
Dense: (i) MALT (ii) Discrete encapsulated organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

True or False. The thymus has both efferent and afferent lymphatic vessels?

A

False, it only has efferent vessels (no afferent lymphatics from circulation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the cell types present in the thymus?

A

1) T Lymphocytes
2) Epithelial reticular cells (thymic epithelial cells)
3) Macrophages
4) Endothelial cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the direction of T cell movement/maturation?

A

Immature T cells produced in bone marrow → transported via blood to thymus
→ enter cortex (outer region) via corticomedullary junction
→ moves towards medulla (inner region) of each lobule (separated by trabeculae)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where does positive selection of T cells occur?

A

In the cortex of thymus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where does negative selection of T cells occur?

A

In the medulla of thymus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do immature/naive T cells migrate into lymph nodes?

A

Naive T cells express L selectin and CCR7 which mediate homing to lymph nodes

Differentiated effector T cells lose expression of L selectin and CCR7 but express receptors for chemokines produces at sites of inflammation (eg. IL-2 receptor, LFA-1) → chemotaxis to sites of infection > migration to lymphoid tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the functions of epithelial reticular cells in the thymus?

A

1) Form the blood-thymus barrier → compartmentalise immature and mature thymocytes in cortex and medulla respectively

2) Provide structural and supportive framework for developing thymocytes (thymus lacks reticular fibres)

3) Produce hormones (eg. thymosin, thymopoietin) for thymocyte proliferation

4) Act as APCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The medulla has ____ epithelial reticular cells and ___lymphocytes than the cortex.

A

more EC
less lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where are Hassall’s corpuscles found in the thymus?

A

Medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which side of a lymph node is the hilum?

A

Concave surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What cells are primarily in the cortex of lymph nodes?

A

B cells arranged in lymphatic follicles with germinal centers

Other cell types present:
1) Plasma cells
2) Macrophages
3) Dendritic cells
4) Reticular cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

-

What cells are primarly in the paracortical zone (deeper cortex) of lymph nodes?

Paracortical zone: btwn cortical nodules and medulla

A

T cells

19
Q

How do T cells enter lymph nodes?

A

They enter the cortex (paracortical region) via high endothelial venules

20
Q

What are the 2 main components of the medulla and what cells are present in each?

A

1) Medullary cords: lymphocytes, plasma cells, reticular cells, dendritic cells

2) Sinuses: Subcapsular, trabecular/cotrical, medullary

21
Q

How do the paths lymphocytes from the blood and lymphatics take within the lymph nodes differ?

A

From lymphatics:
- enter through afferent lymphatic vessels → subcapsular sinus → trabecular sinus → medullary sinus

From blood:
- enter through high endothelial venules → cortex → paracortex → medulla

BOTH leave via efferent lymphatic vessel

22
Q

What are the functions of the spleen?

A

1) Immunologic filter of blood
2) Site of destruction of old RBCs
3) Haemopoiesis in normal fetus and adults in certain diseases

23
Q

What are the 2 types of pulp in the spleen?

A

White and red pulp

24
Q

Whare are the components of red pulp in the spleen?

A

1) Red pulp cords (Billroth’s cords)
- RBCs, Macrophages, Lymphocytes, Plasma cells, Reticular fibers

2) Splenic sinusoids
- wide and irregular lumen discontinuously lined by Stave cells

25
Q

What are the components of white pulp in the spleen?

A

1) Lymphoid follicles
- B cells and germinal centers

2) Periarterial lymphatic sheaths
- surround central arteries
- formed by T cells

26
Q

What is the difference between a germinal center/lymphatic follicle in a lymph node and in the spleen?

A

A lymphatic follicle in the spleen is perforated by an arteriole, forming a Malpighian corpuscle.

27
Q

What are 3 examples of MALT?

A

Tonsils
Peyer’s patches in intestine
Appendix

28
Q

What is MALT?

A

Mucosa Associated Lymphoid Tissue (MALT)
- comprised of large diffuse collections of lymphocytes (70% of body)

29
Q

What are the main functions of MALT?

A

1) Secrete IgA (by plasma cells)
2) Activate T and B cells (Lymphoid nodules + APCs)

30
Q

What is the precursor of all immune cells?

A

Multipotent haemopoietic stem cells (in bone marrow)

31
Q

What is the common precursor of lymphocytes and NK cells?

A

Lymphoid progenitor cell

32
Q

Where do immune cells derived from lymphoid progenitor cells complete their development?

A

1) B cell → bone marrow
2) NK cell → bone marrow
3) T cell → thymus

33
Q

What cells are derived from myeloid progenitor cells?

A

1) Neutrophils
2) Basophils
3) Eosinophils
4) Mast cells
5) Monocytes → (i) DC (ii) Macrophages

34
Q

Which of the immune cells derived from myeloid progenitor cell are polymorphonuclear?

A

BEN
1) Basophils
2) Eosinophils
3) Neutrophils

35
Q

Which of the immune cells derived from myeloid progenitor cells are granulocytes?

A

BEN + Mast
1) Basophils
2) Eosinophils
3) Neutrophils
4) Mast cells

36
Q

Which of the immune cells derived from myeloid progenitor cells are mononuclear?

A

Monocytes: Macrophages, DCs

37
Q

What are neutrophils?

A

Short-lived phagocytotic leukocytes that facilitate acute inflammation
- stain pink
- most numerous leukocyte
- polymorphonuclear
- tri-lobular nucleus

38
Q

What are Macrophages?

A

Phagocytotic APCs that secrete cytokines
- stay in connective tissue, lymphatics (not in blood)
- recruit and stimulate T cells
- recruit more leukocytes

39
Q

What are Basophils?

A

Non-phagocytotic granulocytes that mediate inflammation and allergic responses (contain histamine)
- stain blue (look like blackberries
- least numerous leukocyte

40
Q

What are Eosinophils?

A

Phagocytotic granulocytes that kill Ab-coated parasites
- present in mucosal linings of RT, GIT
- bi-lobular, crescent shaped nucleus

40
Q

What are Monocytes?

A

Precursor of macrophages and DCs
- only circulate in blood
- release cytokines to recruit other cells
- horseshoe nucleus

40
Q

What are Mast cells?

A

Non-phagocytotic granulocytes
- responsible for Type 1 HS
- defence against helminths and other microbes

41
Q

What are Dendritic cells?

A

Specialised phagocytotic APCs
- forms bridge between innate and adaptive immunity