Term
what are the functions of the lymphatic system |
|
Definition
monitor body surfaces and internal fluids, react to harmful things |
|
|
Term
what type of cell is a lymphocyte what is its primary job |
|
Definition
effector cell of immune response. distinguish self from non self, destory antigens |
|
|
Term
what is another way to say lymphatic system |
|
Definition
|
|
Term
what are the organs of the lymphatic system |
|
Definition
immune survalence, diffuse lymphatic tissue, lymph nodules, lymph nodes, spleen, bone marrow, thymus |
|
|
Term
what are the primary lymphoid organs |
|
Definition
bone marrow, thymus (also gut associated lymph tissue but not so much) |
|
|
Term
what special happens in primary lymphoid organs |
|
Definition
1st stage of lymphatic differentation |
|
|
Term
what happens in the lymphoid tissue |
|
Definition
lymph cells differentate, proliferate, and mature. where lymphocytes are made |
|
|
Term
what organs have most of the lymphoid tissue |
|
Definition
bone marrow, thymus (also gut associated lymph tissue but not so much) |
|
|
Term
|
Definition
substance that initiates an immune response |
|
|
Term
what are the types of immune response |
|
Definition
non-specific (innate) and specific (adaptive) |
|
|
Term
in general, what is non-specific immune response |
|
Definition
pre-existing non-specific defences not generated to any specific antigen |
|
|
Term
what are the methods of non-specific immune response (give an example for each) |
|
Definition
physical barrier (mucus membranes, skin), chemicals (stomach acid), secretory substances (saliva), phagocytitc cells (macrophage), natural killer cells (lymphocytes) |
|
|
Term
in general, what is specific immune response |
|
Definition
targeted to a specific antigen, creates immune memory |
|
|
Term
what is immune memory, what is the effect of it |
|
Definition
body remembers antigen allowing for better response the more it is exposed to that antigen |
|
|
Term
what carries out specific immune response |
|
Definition
|
|
Term
what are the types of specific immune response |
|
Definition
|
|
Term
what happens in humoral immune response |
|
Definition
antibodies are produced and bind to invading antigen |
|
|
Term
what happens in cellular immune response |
|
Definition
antibody leads to proliferation and differentation of cytotoxic cells which fight antigen cells |
|
|
Term
what are the types of lymphocytes |
|
Definition
B cells, T cells, NK cells |
|
|
Term
what are the types of supporting cells of the lymphatic system |
|
Definition
monocytes (macrophages), neutrophils, basophils, esinophils, reticular cells, dentritic cells, follicular dendritic cells, langerhan cells, epithlioreticular cells |
|
|
Term
what do B cells differentate into |
|
Definition
|
|
Term
what type of immune response are T cells involved in |
|
Definition
|
|
Term
what disease do NK cells commonly target |
|
Definition
|
|
Term
what is the function of esinophils |
|
Definition
|
|
Term
what is the function of the reticular cells of the lymphatic system |
|
Definition
scaffolding of lymphatic stroma and nodules |
|
|
Term
|
Definition
surface markers on lymphocytes that identify them |
|
|
Term
what are the types of CD molecules |
|
Definition
|
|
Term
what is the primary transporter of lymphocytes |
|
Definition
|
|
Term
where are 70% of the lymphocytes located, what are they doing there |
|
Definition
in the blood doing immunosurvalence or in transit |
|
|
Term
where are 30% of the lymphocytes located, what are they doing there |
|
Definition
they are immature lymphoblasts or are activated and travling to or in the tissues |
|
|
Term
where do T cells differentiate |
|
Definition
|
|
Term
what makes up a majority of the circulating lymphocytes |
|
Definition
|
|
Term
what CD markers to T cells express |
|
Definition
CD 2, 3, 7 and T cell receptors on the surface |
|
|
Term
what are the types of T cells |
|
Definition
helper CD4+ T lymphocytes and cytotoxic CD8+ lymphocytes |
|
|
Term
what are the types of helper CD4+ T lymphocytes |
|
Definition
|
|
Term
what is the function of helper CD4+ T lymphocytes |
|
Definition
interact with other cells to initiate immune response |
|
|
Term
|
Definition
cytotoxic T cells, NK cells, macrophages |
|
|
Term
|
Definition
|
|
Term
what is the function of cytotoxic CD8+ lymphocytes |
|
Definition
kill target cells: virus infected cells, cancer cells, transplanted cells, cells infected with intracellular organisms |
|
|
Term
what are the types of T cells |
|
Definition
helper CD4+ T lymphocytes and cytotoxic CD8+ lymphocytes |
|
|
Term
what are the types of helper CD4+ T lymphocytes |
|
Definition
|
|
Term
what is the function of helper CD4+ T lymphocytes |
|
Definition
interact with other cells to initiate immune response |
|
|
Term
|
Definition
cytotoxic T cells, NK cells, macrophages |
|
|
Term
|
Definition
|
|
Term
what is the function of cytotoxic CD8+ lymphocytes |
|
Definition
kill target cells: virus infected cells, cancer cells, transplanted cells, cells infected with intracellular organisms |
|
|
Term
where do B cells differentiate |
|
Definition
|
|
Term
what type of immunity to B cells do |
|
Definition
|
|
Term
what percentage of circulating lymphocytes are B cells |
|
Definition
|
|
Term
what is the function of B cells |
|
Definition
produce antibodies (immunoglobins) |
|
|
Term
what are the markers on B cells |
|
Definition
B-cell receptors (TgM or IgD), MCH II, CD 9, 19, 20, 24 |
|
|
Term
what is an antibody made of |
|
Definition
4 polypeptides: 2 identical heavy chains, 2 identical light chains |
|
|
Term
what are the regions of an antibody |
|
Definition
two antigen binding regions, on FC region |
|
|
Term
what is the function of the FC region |
|
Definition
has properities specific to the class of antibody (IgG, IgA, IgM, etc) |
|
|
Term
what is the function of natural killer (NK) cells |
|
Definition
kill transformed cells (virus, cancer), innate immunity |
|
|
Term
describe the process of antigen-dependent activation of lymphocytes |
|
Definition
1. pre-lymphocyte is programmed to recognise a specific antigen 2. now immunocompitent, it enters the circulation 3. during secondary activation, baby lymphocyte is introduced to first antigen in lympoid tissue or organ 4. baby becomes effector cell or memory cell |
|
|
Term
explain the process of B cell development |
|
Definition
1. in bone marrow lymphoblast matures into B cell 2. B cell goes to blood 3. B cell goes to tissues |
|
|
Term
explain the process of T cell development |
|
Definition
1. in bone marrow lymphoblast matures into CD4-/CD8- T cell precursor 2. precursor goes to blood 3. precursor goes to thymys 4. precursor differentiates into CD4+/CD8+ T cells 5. mature cells go to tissues |
|
|
Term
explain the process of NK cell development |
|
Definition
1. in bone marrow lymphoblast matures into NK cell 2. NK cell goes to blood 3. NK cell goes to tissues |
|
|
Term
what is the first step in an immune response, what is the result |
|
Definition
inflammatory response to antigen, may control and stop the problem |
|
|
Term
what cells carry out the first step of immune response |
|
Definition
esinophils, neutrophils, other bacterial killer or phagocytotic cells |
|
|
Term
what happens if the initial inflammatory response does not work |
|
Definition
a specific immune response is needed |
|
|
Term
what is the primary immune response |
|
Definition
1st encounter with an antigen |
|
|
Term
what type of antibodies come to a primary immune response |
|
Definition
|
|
Term
what is a secondary immune response |
|
Definition
a repeat exposure to an antigen |
|
|
Term
compare the speed of primary and secondary immune response |
|
Definition
|
|
Term
what antibodies go to a secondary immune response |
|
Definition
|
|
Term
what are other ways to say humoral immunity |
|
Definition
passive immunity, antibody mediated immunity |
|
|
Term
what type of immunity is used in a vaccination |
|
Definition
|
|
Term
what are examples of passive immunity |
|
Definition
vaccination, fetus getting antibodies through placenta, giving globin directly in bone marrow transplant |
|
|
Term
why do T cells need MHC molecules to work |
|
Definition
viral antigens are displayed by other cells with MHC cells to the T cells |
|
|
Term
where is a Class 1 MHC located |
|
Definition
on nucleated cells and platlets |
|
|
Term
|
Definition
cells take internal antigens and display them on MHC on their surface, if normal antigens, there is no response. if not normal T cells recognise them and destory |
|
|
Term
|
Definition
MHC is expressed on antigen presenting cells (phagocytitic cells) because the things they ate are processed and displayed on their surface. T cells recognise and destory |
|
|
Term
what T cells interact with Class 1 MHC |
|
Definition
|
|
Term
what T cells interact with class 2 MHC |
|
Definition
|
|
Term
how do B cells work, explain the process |
|
Definition
1. bind to antigen directly 2. processes antigen 3. puts antigen proteins on MHC II 4. helper T cells is stimulated by the MHC II and destorys |
|
|
Term
what are the ways antibodies stop antigens |
|
Definition
rodeo the antigen into a glob, bind to antigen and enhance phagocytosis, block receptor site the toxin needs to bind to to be effective |
|
|
Term
where is diffuse lymphatic tissue located in the body |
|
Definition
alimentary canal, respiratory passages, genitourinary tract |
|
|
Term
what is the function of the diffuse lymphatic tissue |
|
Definition
accumulates to gaurd the canals / passages it is located in, intercept antigen and initiate immune response |
|
|
Term
in what layer of the epithelium is diffuse lymphatic tissue located |
|
Definition
lamina propria (subepithelial) |
|
|
Term
what is another name for diffuse lymphatic tissue |
|
Definition
mucosa-associated lymphoid tissue (MALT) |
|
|
Term
what happens after diffuse lymphatic tissue encounters and antigen |
|
Definition
cells leave to proliferate and differentate elsewhere (lymph node) and effector B and T cells return |
|
|
Term
|
Definition
taken antigen to another lymphoid organ |
|
|
Term
what do primary lymph nodules contain |
|
Definition
|
|
Term
how can you tell a lymph nodule is secondary |
|
Definition
germinal center indicating an immune response is taking place |
|
|
Term
what is a lymphatic nodule |
|
Definition
collection of lymphocytes in association with a mucosal surface |
|
|
Term
what occurs in a germinal center |
|
Definition
proliferation and differentation of lymphocytes, differentation of plasma cells, antibody production |
|
|
Term
what is in a germinal center other than lymphocytes |
|
Definition
follicular dendritic cells and macrophages |
|
|
Term
how are molecules distributed in a MALT |
|
Definition
singly, in a random distribution |
|
|
Term
in the alimentary canal, where are aggregations of MALT molecules found |
|
Definition
tonsils, peyer's patches, vermiform appendix |
|
|
Term
what is waldeyer's ring, where is it located |
|
Definition
ring of lymphatic tissue at the enterance of the oropharynx made by the tonsils |
|
|
Term
what are the types of tonsils |
|
Definition
palatine, pharyngeal, lingual |
|
|
Term
where are the palatine tonsils located |
|
Definition
between the palatopharyngeal and alatoglossal arches on each side |
|
|
Term
what covers the palatine tonsils |
|
Definition
stratified squamous epithelium |
|
|
Term
what is the tonsillar crypts, where is it located |
|
Definition
stratified squamous epithelium that dips down into the palatine tonsils |
|
|
Term
what are located on the walls of tonsillar crypts |
|
Definition
|
|
Term
what is another name for the pharyngeal tonsils |
|
Definition
|
|
Term
where are the pharyngeal tonsils located |
|
Definition
on the roof of the pharynx |
|
|
Term
what covers the pharyngeal tonsils |
|
Definition
respitory epithelium (pseudostratified cilliated columnar) |
|
|
Term
where are the lingual tonsils located |
|
Definition
at the base of the tounge |
|
|
Term
what covers the lingual tonsils |
|
Definition
stratified squamous epithelium |
|
|
Term
where are peyer's patches located |
|
Definition
distal part of the small intestines in the ileum |
|
|
Term
what covers peyer's patches |
|
Definition
mucosal surface by special dome shaped M cells |
|
|
Term
|
Definition
sample luminal antigens and transport them to the lymphoid tissue below |
|
|
Term
what shape are lymph nodes |
|
Definition
|
|
Term
where are lymph nodes located in general |
|
Definition
along the path of lymphatic vessels |
|
|
Term
what portion of the body lymph goes through a lymph node before returning to the blood |
|
Definition
all of it goes through at least one |
|
|
Term
where do afferet lymphatic vessels enter the lymph node at |
|
Definition
various points along the convex surface |
|
|
Term
where do efferent lymph vessels leave the lymph node at |
|
Definition
|
|
Term
what makes up the supporting structure of the lymph node |
|
Definition
capsule, trabeculae, reticular tissue |
|
|
Term
what cells do reticular tissue of lymph nodes contain |
|
Definition
reticular cells, dendritic cells, macrophages, follicular dendritic cells |
|
|
Term
what do the reticular cells of lymph nodes do |
|
Definition
synthesize and secrete reticular fibers and ground substance |
|
|
Term
what do dendritic cells of the lymph nodes do, why are they good at it |
|
Definition
they are good APCs, they can present any antigen on MHC 1 or 2. on the cell surface for a long time |
|
|
Term
where are dendritic cells of the lymph nodes derived from |
|
Definition
|
|
Term
where are dendritic cells of the lymph nodes located near |
|
Definition
|
|
Term
what do follicular dendritic cells do |
|
Definition
they bind antigen antibody complexes and retain them |
|
|
Term
where are follicular dendritic cells located |
|
Definition
|
|
Term
what is the cortex of a lymph node made of |
|
Definition
dense lymphatic tissue: reticular framework, dendritic cells, follicular dendritic cells, lymphocytes, macrophages, plasma cells, lymphatic sinuses |
|
|
Term
what are the layers of hte lymph node cortex |
|
Definition
superificial (nodular) cortex, deep (para) cortex |
|
|
Term
what is in the superficial / nodular cortex |
|
Definition
lymphatic nodules (B cell area) |
|
|
Term
what is in the deep / paracortex |
|
Definition
most of the T cells, endothelial venules |
|
|
Term
what is in the medulla of a lymph node |
|
Definition
lymphocytes (mostly B), macrophages, dendritic cells, plasma cells |
|
|
Term
what is the function of the medullary sinuses in lymph nodes |
|
Definition
drain lymph towards hilum of node |
|
|
Term
what are the types of lymph node sinuses |
|
Definition
subcapsular, trabecular, medullary |
|
|
Term
what happens in the subcapsular sinus |
|
Definition
|
|
Term
where is the trabecular sinus located |
|
Definition
extends from the subcapsular sinus through the cortex along the trabeculae |
|
|
Term
where is the medullary sinus located |
|
Definition
extends from the trabecular sinuses through the medulla to the efferent lymph vessels at the hilum |
|
|
Term
what causes filtration in the lymph node sinuses, how is it orientated |
|
Definition
reticular fibers criss cross sinuses, slowing flow and enhancing filtration |
|
|
Term
once in the lymph node sinus, are lymphocytes on a one way path to the exit? explain |
|
Definition
no, lymphocytes (and macrophages) can pass freely between the sinus and the parenchyma of the node |
|
|
Term
what occurs in high endothelial venules |
|
Definition
lymphocytes enter the lymph node from the blood |
|
|
Term
do all lymphocytes enter the node through the high endothelial venules? explain |
|
Definition
|
|
Term
how do lymphocytes leave the node |
|
Definition
efferent lymphatic vessels |
|
|
Term
what are some of the functions of the lymph node |
|
Definition
phagocytosis, initiation of immune response, concentration of substances in the lymph efficiently presents antigens to lymphocytes, |
|
|
Term
|
Definition
swolen lymph nodes due to their enlargement in response to an antigen as a result of lymphocyte proliferation |
|
|
Term
where is the thymus located |
|
Definition
|
|
Term
what important developmental step occurs in the thymus |
|
Definition
T cells develop into immunocompetent T cells |
|
|
Term
when is the thymus the largest |
|
Definition
|
|
Term
what happens to the sinus as one ages |
|
Definition
it is replaced with adipose tissue |
|
|
Term
what covers and seperates the thymus, in what organization |
|
Definition
connective tissue capsule covers it, trabecular divide it into incomplete lobules, parenchyma is divided into cortex and medulla |
|
|
Term
what does the cortex of the thymus contain |
|
Definition
developing T cells called thymocytes, epithelioreticular cells, macrophages |
|
|
Term
what do epithelioreticular cells do |
|
Definition
provide supporting framework for the lymphocytes in the thymus |
|
|
Term
where do epithelioreticular cells originate from, what is the evidence for this |
|
Definition
epithial in origin, intracellular junctions and intermediate fibers present |
|
|
Term
explain the orgization of the reticular cells in the thymic parenchyma |
|
Definition
there are none, or their fibers |
|
|
Term
what decides if a cell in the thymus cortex is rejected, what happens if it is |
|
Definition
the developing T cells are selected by their ability to recognize self MHC molecules, if they fail they do apoptosis or are phagocytosed by macrophages |
|
|
Term
do most T cells succede in development in the thymus, what percent |
|
Definition
no, 98% fail and never leave the cortex |
|
|
Term
what is in the thymus medulla |
|
Definition
eputhelioreticular cells, loosly packed T calls, hassall's corpuscles |
|
|
Term
what is another name for hassall's corpuscles |
|
Definition
|
|
Term
what are thymic corpuscles |
|
Definition
isolated masses of concentrically arranged epithelioreticular cells that may have keritinization of calcification |
|
|
Term
what happens in the thymus medulla |
|
Definition
T cells that react against self antigens are eliminated, cells that survuve are matured |
|
|
Term
what is the function of the blood thymus barrier |
|
Definition
protect developing T cells from uncontrolled antigen exposure during development |
|
|
Term
what are the components of the blood thymus barrier |
|
Definition
endothelium with occluding junctions, basal lamina (endothelial and paricyte), macrophages, epithelioreticular cells with occluding junctions and basal lamina |
|
|
Term
what is the largest lymphoid organ |
|
Definition
|
|
Term
what quadrent is the spleen located in |
|
Definition
|
|
Term
what is the function of the spleen |
|
Definition
filter blood, react immunogically to blood borne antigens |
|
|
Term
what does the spleen contrain |
|
Definition
lymphocytes, vascular channels, reticular cells and fibers, macrophages, dendritic cells |
|
|
Term
describe the structure of the spleen: outer, divisions, by what |
|
Definition
outer fibrous capsule, trabeculae that extend into the parenchyma |
|
|
Term
|
Definition
the substance of the spleen |
|
|
Term
how is the splenic pulp divided |
|
Definition
into functionally and morphologically different regions: white pulp and red pulp |
|
|
Term
what does the white pulp consist of, in what organization |
|
Definition
lymphocytes accumullated surrounded an artery which is a branch of the splenic artery |
|
|
Term
what is the periarterial lymphatic sheath |
|
Definition
the accumulation of lymphocytes around an artery in the white pulp of the spleen |
|
|
Term
|
Definition
the artery in the spleen white pulp that is surrounded by an accumulation of lymphocytes |
|
|
Term
what does the periarterial lymphatic sheath do to the central artery, why |
|
Definition
it contains lymphoid nodules with germinal centers that displace the central artery to an eccentric position |
|
|
Term
what are in the nodules of the periarterial lymphatic sheath |
|
Definition
B cells, in other areas they contain T cells |
|
|
Term
what does the red pulp contain |
|
Definition
splenic sinuses and splenic cords |
|
|
Term
what is another name for splenic cords |
|
Definition
|
|
Term
|
Definition
reticular networks with RBC, macrophages, lymphocytes, and granulocytes |
|
|
Term
what are splenic sinuses, what forms them |
|
Definition
special venous sinuses formed by rod shaped endothelial cells with the long axis oriented along the direction of the snius |
|
|
Term
what does the endothelial cell arrangement of the splenic sinus allow |
|
Definition
for space that connect to the splenic cords and passage of cells in and out of the sinuses |
|
|
Term
how are macrophages arranged in the splenic sinuses, what do they do as a result |
|
Definition
they extend processes into the sinuses to monitor passing blood for forigen antigens |
|
|
Term
what are the marginal sinuses formed by, where are they located |
|
Definition
central arterioles send branches into the white pulp that end in sinuses at the perimeter of the pump |
|
|
Term
what cells are rich around thr marginal sinuses |
|
Definition
|
|
Term
what are penicillar arterioles |
|
Definition
branches of the central arterioles in the spleen that are straight |
|
|
Term
what forms the arterial capillaries |
|
Definition
penicillar arterioles in the spleen |
|
|
Term
where do arterial capillaries drain into |
|
Definition
|
|
Term
where does blood enter after the splenic cords |
|
Definition
|
|
Term
what does the passage of blood in the spleen (central arterioles > penicillar arterioles > arterial capillaries > splenic cords > splenic sinuses) function form |
|
Definition
open circulation that allows for better immunological surveillance of the blood because it provides closer exposure to macrophages |
|
|
Term
what type of lymphatic tissue is present tissue of external surfaces, where microbes are likley |
|
Definition
diffuse lymphatic or MALT |
|
|
Term
what are the types of diffuse lymphatic tissue |
|
Definition
GALT (gut), MALT (mucosal) |
|
|
Term
what happens to lymph cells that are stimulated in MALT |
|
Definition
the leave the area and move to lymph node where they can differentate |
|
|
Term
|
Definition
|
|
Term
|
Definition
take antigen back to lymphoid organ to train other cells to fight it |
|
|
Term
usually lymph nodes are solo, but when they are together what are they along |
|
Definition
the GI tract: tonsils, pyer's patachs, appendix |
|
|
Term
which tonsils are the ones you can see and are removed in kids a lot |
|
Definition
|
|
Term
what causes palatine tonsils to be infected so often |
|
Definition
|
|
Term
|
Definition
sample material from the lumen, macrophages process it, immune response takes place without it ever entering your body.they secrete IgA into the lumen of the SI, attacking the antigen before it ever causes a problem |
|
|
Term
where are follicular dendeiric cells located |
|
Definition
|
|
Term
what do dendritic cells do |
|
Definition
keep antigen on the surface for a long time to stymulate lymphocytes continously |
|
|
Term
which part of the cortex of a lymph node has nodules |
|
Definition
|
|
Term
how do most lymphocytes get into the lymph node |
|
Definition
endothelial venules in the deep cortex |
|
|
Term
where are B cells vs T cells located in the white pulp |
|
Definition
the B cells are in nodules hanging off the sides, the T cells are in the rest of it |
|
|
Term
what are splenic sinuses classified as |
|
Definition
|
|
Term
where are splenic sinuses located |
|
Definition
|
|
Term
describe the path of circulation in the spleen |
|
Definition
splenic cord to splenic sinus to splenic vein to circulation |
|
|
Term
explain how RBC are selected for destruction or not |
|
Definition
RBC need to leave the splenic cord through the holes into the sinus to make it back into circulation. if their too old, they are not flexible enough to get through so evuntally a mocrophage will come eat them |
|
|