Organs and Tissues of the Immune System Flashcards

1
Q

What are the primary lymphoid organs of the B and T cells?

A

B cells mature in bone marrow

T cells mature in thymus (precursor cells migrate from bone marrow)

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2
Q

Once in the thymus, T cells begin expressing surface ____ molecules

A

TCR

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3
Q

These are the organs where lymphocytes respond to antigens by undergoing clonal selection and proliferation

A

secondary lymphoid organs

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4
Q

The most important secondary lymphoid organs are?

A

spleen, lymph nodes, MALT

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5
Q

What is the major site of hematopoiesis in adults?

A

bone marrow - especially sternum, vertebrae, iliac bones, and ribs

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6
Q

Hematopoietic stem cells express what two markers?

A

CD34 and Stem cell antigen-1

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7
Q

Stem cell differentiation is stimulated by cytokines secreted by bone marrow ___ cells

A

stromal

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8
Q

Give the stages of B cell maturation in the bone marrow

A

Stem cell - pro B cell - pre B cell - Immature B cell - Mature B cell - memory or plasma cell

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9
Q

The thymus is an encapsulated organ that develops from the epithelium of the ___ pharyngeal pouch. It is a bilobed structure that reaches its maximum size at ____ and then atrophies at age

A

third; puberty

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10
Q

Persons with a chromosome __ deletion are born with little or no thymus and suffer from ____ syndrome. These patients are highly susceptible to viral infections and cancer because they have few or no functional T cells

A

22; DiGeorge

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11
Q

The subscapular region of the thymus contains what?

A

double-negative thymocytes that expresses neither CD4 or CD8 and no TCR

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12
Q

At some point in the subscapular region, double-negative cells being partial expression of the TCR. At this point, they are called what?

A

pre T cells

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13
Q

The cortex region of the thymus contains what?

A

immature thymocytes and double-positive T cell precursors

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14
Q

The medulla of the thymus contains what?

A

mature single-positive T cells

note: medulla also contains Hassal’s corpuscles which may play a role in DC or T reg cell differentiation

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15
Q

Lymph nodes respond primarily to what?

A

antigens entering the body through the skin and subcutaneous tissues

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16
Q

What are the 3 functions of lymph nodes?

A

survey of the lymph by macrophages, storage and activation of B and T cells, antibody production

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17
Q

The lymph system’s primary function is what?

A

isolate infectious agents and cellular debris from the rest of the body

18
Q

Lymph filters through ___ where sentry ___ lie waiting to engulf and destroy any foreign particles in the fluid

A

nodes; macrophages

19
Q

Antigens processed by the macrophages in lymph nodes are presented to ___ cells, which secrete cytokines in response

A

T helper

note: activate B cells to make antibodies and Tc cells to kill infected host cells

20
Q

Efferent lymphatics from most of the body eventually converge in the ___ duct, which empties into the left subclavian vein and then into the superior vena cava

A

thoracic

note: in this way, lymphocytes re-enter the circulation

21
Q

Re-ciruclation of the lymphocytes increases the likelihood of what?

A

that a given lymphocyte will make contact with the pathogen for which it is specific

22
Q

The Cortex (B cell area) of the lymph node has primary and secondary follicles. What do each contain?

A

primary follicle: naive B cells that have never contacted antigen
secondary follicle: germinal centers composed of B cells undergoing mitosis in response to antigen stimulation

23
Q

The paracortex (T cell area) of the lymph node contains what?

24
Q

Lymphocytes in the blood enter the paracortex region of the lymph node through specialized post-capillary venues called ___ ____ ___

A

high endothelial venules (HEVs)

25
HEVs contain specialized cuboidal cells that express ____ molecules in high density
adhesion
26
The paracortex becomes greatly enlarged during extreme cellular responses. This area is poorly developed in ____ syndrome
DiGeorge
27
The medulla of the lymph node contains cords and sinuses. What do they contain?
medulllary cords contain closely packed lymphocytes and plasma cells medullary sinuses contain macrophages
28
Medullary sinuses communicate with ____ lymphatics
efferent
29
The spleen responds primarily to ___-___ antigens
blood-borne
30
The spleen is the major organ where ____ are synthesized and released into circulation
antibodies
31
Asplenic persons are highly susceptible to infection by ____ ____
encapsulated bacteria (strep, h flu, neisseria, salmonella) note: this is because antibodies are needed as opsonins to neutralize the anti-phagocytic property of bacterial capsules
32
The spleen is located in the what quadrant of the abdomen
upper left
33
The white pulp of the spleen comprises what region of the spleen? What does it contain?
lymphocyte-rich region; contains T cells arranged in PALS around central arteriole and B cell rich follicles occupying the space between the PALS and marginal sinus
34
The red pulp of the spleen contains what?
plasma cells, resident macrophages, erythrocytes, platelets, granulocytes, and lymphocytes
35
What is the main function of red pulp in the spleen?
hemocatheresis, the destruction of aged platelets and erythrocytes. Recycled iron is also stored here
36
Mucosa-associated lymphoid tissue (MALT) responds primarily to antigens that enter the body through ___ surfaces
mucosal
37
B lymphocytes in the MALT produce what?
secretory IgA
38
MALT accounts for > ___% of the body's lymphoid tissue
50
39
Bronchus-associated lymphoid tissue (BALT) lines what?
respiratory tract
40
Peter's patches are loose clusters of lymphoid tissue where?
small intestine
41
These are epithelial cells overlying Peyer's patches specialized for transcytosis o antigens from the lumen to sub epithelial T cells
M cells