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Lymphatic System Study Notes, Study notes of Anatomy

Subject: Biology Year: 2025 Course: Anatomy and Physiology Subtopics: Part I: The Lymphatic System: Structure and Components Part II: Body Defenses - Innate (nonspecific) Defenses - Adaptive (specific) Defenses Part III: Humoral (Antibody-Mediated) Immune Response Part IV: Organ Transplants and Rejection Part V: Disorders of Immunity Part VI: Developmental Aspects

Typology: Study notes

2024/2025

Available from 01/11/2025

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C.A.B.M. | 2024
1
The Lymphatic System and Body Defenses
Part I: The Lymphatic System
Structure and Components
Two parts:
1. Lymphatic Vessels: Transport lymph
(fluid) back to the blood.
2. Lymphoid Tissues and Organs: House
cells for body defense and fluid balance.
Functions
1. Fluid Balance:
o Returns ~3L of fluid/day from tissues to
the blood.
o Lymph consists of:
Water, solutes from blood
plasma (ions, nutrients, gases,
proteins), and cell waste
products.
2. Lipid Absorption:
o Lipids and substances absorbed via
lacteals in the small intestine.
o Lymph appears white due to lipid
content (chyle).
3. Defense:
o Filters pathogens from lymph (by
lymph nodes) and blood (spleen).
o Plays essential roles in body defense
and resistance to disease
Lymphatic Vessels
Lymph consists of excess tissue fluid and plasma
proteins carried by lymphatic vessels
If fluids are not picked up, edema occurs as fluid
accumulates in tissues
Lymphatic vessels (lymphatics) pick up excess fluid
(lymph) and return it to the blood
Structure:
o One-way system; lymph flows toward
the heart.
o Thin-walled with valves to prevent
backflow; larger vessels have valves
o Low-pressure, pumpless system;
transport aided by:
Skeletal muscle contraction.
Thoracic pressure changes
during breathing.
Smooth muscle contraction in
vessel walls.
Pathway:
o Lymph Capillaries: Weave between
tissue cells and blood capillaries,
allowing fluid entry through flaplike
minivalves; fluid leaks.
Capillaries are anchored to
connective tissue by filaments
Higher pressure on the inside
closes minivalves
Fluid is forced along the vessel
o Lymphatic Collecting Vessels: Transport
lymph to and away from lymph nodes.
Collect lymph from lymph
capillaries
o Lymphatic Ducts:
Return fluid to circulatory veins
near the heart
Right Lymphatic Duct:
Drains lymph from the
right upper body.
Thoracic Duct: Drains
lymph from the rest of
the body.
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The Lymphatic System and Body Defenses Part I: The Lymphatic System Structure and Components

  • Two parts:
    1. Lymphatic Vessels : Transport lymph (fluid) back to the blood.
    2. Lymphoid Tissues and Organs : House cells for body defense and fluid balance. Functions
  1. Fluid Balance : o Returns ~3L of fluid/day from tissues to the blood. o Lymph consists of: ▪ Water, solutes from blood plasma (ions, nutrients, gases, proteins), and cell waste products.
  2. Lipid Absorption : o Lipids and substances absorbed via lacteals in the small intestine. o Lymph appears white due to lipid content ( chyle ).
  3. Defense : o Filters pathogens from lymph (by lymph nodes ) and blood ( spleen ). o Plays essential roles in body defense and resistance to disease Lymphatic Vessels
  • Lymph consists of excess tissue fluid and plasma proteins carried by lymphatic vessels
  • If fluids are not picked up, edema occurs as fluid accumulates in tissues
  • Lymphatic vessels (lymphatics) pick up excess fluid (lymph) and return it to the blood
  • Structure : o One-way system ; lymph flows toward the heart. o Thin-walled with valves to prevent backflow; larger vessels have valves o Low-pressure, pumpless system ; transport aided by: ▪ Skeletal muscle contraction. ▪ Thoracic pressure changes during breathing. ▪ Smooth muscle contraction in vessel walls.
  • Pathway : o Lymph Capillaries : Weave between tissue cells and blood capillaries, allowing fluid entry through flaplike minivalves ; fluid leaks. ▪ Capillaries are anchored to connective tissue by filaments ▪ Higher pressure on the inside closes minivalves ▪ Fluid is forced along the vessel o Lymphatic Collecting Vessels : Transport lymph to and away from lymph nodes. ▪ Collect lymph from lymph capillaries o Lymphatic Ducts : ▪ Return fluid to circulatory veins near the heart ▪ Right Lymphatic Duct : Drains lymph from the right upper body. ▪ Thoracic Duct : Drains lymph from the rest of the body.

Lymph Nodes

  • Filter lymph to remove harmful substances (bacteria, viruses, cancer cells, cell debris).
  • Defense cells within lymph nodes
  • Macrophages o Engulf and destroy bacteria, viruses, and other foreign substances in lymph
  • Lymphocytes o respond to foreign substances in lymph
  • Structure : o Kidney-shaped , ~1 cm long; surrounded by a capsule o Divided into compartments by trabeculae. o Cortex (outer part) : Contains lymphocyte-rich follicles. ▪ Germinal centers enlarge when antibodies are released by plasma cells ▪ T cells in transit ▪ Medullary cords contain both B and T cells o Medulla (inner part) : Contains macrophages for phagocytosis.
  • Lymph Flow : o Enters the convex side via afferent vessels, flows through sinuses , exits via efferent vessels. o Flow is slowed for effective filtration. Other Lymphoid Organs
  1. Spleen : o Located on the left side of the abdomen o Filters and cleans blood. o Recycles RBC components, stores platelets , and acts as a blood reservoir. o Provides a site for lymphocyte proliferation and immune surveillance o Forms blood cells in fetuses.
  2. Thymus : o Found overlying the heart o Functions at peak levels only during youth o Matures T lymphocytes for immunity.
  3. Tonsils : o Small masses of lymphoid tissue deep to the mucosa surrounding the pharynx (throat) o Trap and remove bacteria in the throat. o Tonsillitis : Inflammation due to bacterial congestion.
  4. Peyer’s Patches and Appendix : o Found in the wall of the small intestine o Similar lymphoid follicles are found in the appendix o Macrophages capture and destroy intestinal bacteria. o Together with tonsils, they form MALT (Mucosa-Associated Lymphoid Tissue). o Acts as a sentinel to protect respiratory and digestive tracts Part II: Body Defenses Immune System Overview
  • Divided into:
  1. Innate (Nonspecific) Defenses : ▪ Immediate, general protection.
  2. Adaptive (Specific) Defenses : ▪ Targeted response to specific pathogens.
  • Immunity —specific resistance to disease
  • Immune system is a functional system rather than an organ system in an anatomical sense

Adaptive (specific) Defenses

  • Third line of defense
  • Fights invaders that get past the innate system
  • Specific defense is required for each type of invader
  • The highly specific resistance to disease is immunity
  • Immune response is the immune system’s response to a threat
  • Antigens are targeted and destroyed by antibodies
    • Three aspects of adaptive defense : o Antigen Specific : Targets specific invaders. o Systemic : Immunity not restricted to infection site. o Memory : Quick and strong response upon re-exposure. Two Branches:
    • Humoral Immunity (Antibody-Mediated): o Provided by antibodies present in body fluids o B Cells : ▪ Produce antibodies after encountering antigens; and oversee humoral immunity ▪ Plasma Cells : Short-lived, secrete antibodies. ▪ Memory B Cells : Long-lived, ensure rapid secondary response. o Antibodies : ▪ Constitute gamma globulin part of blood proteins ▪ Soluble proteins secreted by activated B cells (plasma cells) ▪ Formed in response to a huge number of antigens ▪ Classes: IgM, IgA, IgD, IgG, IgE (each with distinct roles) or MADGE. ▪ Antibody structure: ▪ Each polypeptide chain has a variable (V) region and a constant (C) region ▪ Variable regions form antigen-binding sites, one on each arm of the T or Y ▪ Constant regions determine the type of antibody formed (antibody class) ▪ Functions: Neutralization, agglutination, precipitation, and complement fixation. ▪ Complement fixation : chief antibody ammunition used against cellular antigens ▪ Neutralization : antibodies bind to specific sites on bacterial exotoxins or on viruses that can cause cell injury ▪ Agglutination : antibody-antigen reaction that causes clumping of cells ▪ Precipitation : cross- linking reaction in which antigen-antibody complex settles out of solution
  • Cellular Immunity (Cell-Mediated): o Targets virus-infected cells, cancer cells, and cells of foreign grafts o T Cells : ▪ Constitute the cell-mediated arm of the adaptive defenses; do not make antibodies ▪ Activated by antigen- presenting cells (APCs) ▪ Help the lymphocytes but do not respond to specific antigens. ▪ Engulf antigens and then present fragments of them on their own surfaces, where they can be recognized by T cells ▪ Major types of cells behaving as APCs ▪ Dendritic cellsMacrophagesB lymphocytes ▪ When they present antigens, dendritic cells and macrophages activate T cells, which release chemicals o Types: ▪ Helper T Cells : Activate other immune cells.

▪ Interact directly with B cells bound to an antigen , prodding the B cells into clone production ▪ Release cytokines , chemicals that act directly to rid the body of antigens ▪ Cytotoxic T Cells : Kill infected or cancerous cells using perforin and granzymes. ▪ Regulatory T Cells (formerly suppressor T cells) : Suppress immune response to prevent overactivity.

  • Lymphocytes o Arise from hemocytoblasts of bone marrow o Whether a lymphocyte matures into a B cell or T cell depends on where it becomes immunocompetent o T cells develop immunocompetence in the thymus and oversee cell-mediated immunity o Identify foreign antigens; those that bind self-antigens are destroyed o Self-tolerance is important part of lymphocyte “education” o B cells develop immunocompetence in bone marrow and provide humoral immunity
  • Immunocompetence o The capability to respond to a specific antigen by binding to it with antigen- specific receptors that appear on the lymphocyte’s surface
  • Immunocompetent T and B lymphocytes migrate to the lymph nodes and spleen, where encounters with antigens occur
  • Differentiation from naïve cells into mature lymphocytes is complete when they bind with recognized antigens
  • Mature lymphocytes (especially T cells) circulate continuously throughout the body
  • Antigens - any substance capable of exciting the immune system and provoking an immune response
  • Examples of common nonself antigens o Foreign proteins provoke the strongest response o Nucleic acids o Large carbohydrates o Some lipids o Pollen grains o Microorganisms (bacteria, fungi, viruses)
  • Self-antigens o Human cells have many protein and carbohydrate molecules
  • Self-antigens do not trigger an immune response in us o The presence of our cells in another person’s body can trigger an immune response because they are foreign ▪ Restricts donors for transplants
  • Haptens , or incomplete antigens , are not antigenic by themselves o When they link up with our own proteins, the immune system may recognize the combination as foreign and respond with an attack o Found in poison ivy, animal dander, detergents, hair dyes, cosmetics Humoral (Antibody-Mediated) Immune Response
  • Most of the B cell clone members (descendants) become plasma cells o Produce antibodies to destroy antigens o Activity lasts for 4 or 5 days o Plasma cells begin to die
  • Some B cells become long-lived memory cells capable of mounting a rapid attack against the same antigen in subsequent meetings (secondary humoral response) o These cells provide immunological memory
  • Active immunity o Occurs when B cells encounter antigens and produce antibodies
  • Active immunity can be: o Naturally acquired during bacterial and viral infections o Artificially acquired from vaccines
  • Passive immunity o Occurs when antibodies are obtained from someone else o Naturally acquired from a mother to her fetus or in the breast milk
  • Artificially acquired from immune serum or gamma globulin (donated antibodies)
  • Immunological memory does not occur
  • Protection is short-lived (2–3 weeks)
  • Monoclonal antibodies o Antibodies prepared for clinical testing for diagnostic services