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Systems Exam II
Lymphatic System
36
Medical
Graduate
03/10/2009

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Cards

Term
What the primary lymphoid organs?
Definition
Bone marrow and the thymus
Term
What are the secondary lymphoid organs?
Definition
Spleen, lymph nodes, tonsils, Peyer's patches, appendix, and solitary lymphatic nodules
Term
B Lymphocytes are responsible for what type of immunity?
Definition
Humoral
Term
T Lymphocytes are responsible for what type of immunity?
Definition
Cell mediated
Term
NK Cells are responsible for what type of immunity?
Definition
Innate
Term
What are the functions of Macrophages?
Definition
Cytokine production, innate immunity, and antigen presentation
Term
What are the antigen presenting cells (APCs)?
Definition
Macrophages, B-lymphocytes, interdigitating dendritic cells (T-cell regions), and langerhans cells (skin)
Term
Bone marrow contains progenitor cells for _________.
Definition
B-lymphocytes, T-lymphocytes, and NK cells
Term
What is the organization of the thymus?
Definition

Capsule - connective tissue that surrounds the organ; septa from the capsule divide the organ into incomplete lobules

Cortex - contains immature T-lymphocytes (thymocytes), epithelial reticular cells, and macrophages; has a blood-thymus barrier

Medulla - contains mature T-lymphocytes (leave via postcapillary venules at cortical/medullary junction), epithelial reticular cells, and Hassel's corpuscles; NO blood-thymus barrier

Term
What are epithelial reticular cells?
Definition
Stellate shaped cells that form a supporting framework for maturing T-lymphocytes; joined together by desmosomes; component of the blood thymus barrier; present in both the cortex and medulla of the thymus
Term
In the thymus cortex, macrophages are responsible for what?
Definition
Antigen presentation of self-antigens during the maturation process; phagocytosis of apoptotic T-lymphocytes selected against during differentiation
Term
What are Hassel's corpuscles?
Definition
They are composed of concentrically arranged, flattened epithelial recticular cells that can be calcified; characteristic of thymus medulla; unknown function
Term

The thymus has efferent lymphatics, afferent lymphatics, both, or neither?

Definition
only efferent lymphatics, NO afferent lymphatics
Term

a.) Describe the structural basis of the blood thymus barrier.

 

b.) Why is it important?

Definition

a.) Non-fenestrated capillaries composed of endothelial cells with tight junctions; continuous basement membrane of capillary; adjacent associated macrophages

 

b.) Critical for the process of learning to distinguish self from non-self

Term

a.)What is the function of postcapillary venules in the thymus?

 

b.) Where are they located?

Definition

a.) Mature T-lymphocytes exit the thymus through postcapillary venules

 

b.) They are located at the cortex/medulla junction

Term
What are the differences between Primary and Seconday Lymphoid Nodules?
Definition

A primary nodule is a cluster of unstimulated lymphocytes

A secondary nodule develops froma primary nodule after antigenic stimulation; contains more cytoplasm and has blast and plasma cells

Term
What is a germinal center?
Definition
Lighter staining portion of a seconday lymphoid nodule
Term
What is diffuse lymphoid tissue?
Definition
T-lymphocyte rich area with poorly defined structure of diffuse, loosely organized cells; is found widely distributed in connective tissues
Term

a.) What is the humoral immune function in secondary lymphoid tissue?

 

b.) What is the cell-mediated immune function in secondary lymphoid tissue?

Definition

a.) Antigen stimulation, B-cell blast transformation and proliferation of lymphocytes, and antibody production and secretion

 

b.) Antigen stimulation, T-cell blast transformation and proliferation of lymphocytes; exit of cells from secondary organs/contact and destruction of antigen

Term
What is Mucosa Associated Lymphoid Tissue (MALT)?  What are some examples?
Definition

Unencapsulated lymphoid tissue found in the mucosa and submucosa of the gastrointestinal, respiratory and genitourinary tracts; it protects common sites of microbial invasion when lumens are open to the external environment

 

Examples include Gut Associated Lymphoid Tissue (GALT), tonsils, Peyer's patches, and appendix

Term

a.) What types of tonsils are lined with stratified squamous epithelium?

 

b.) What types of tonsils are lined with ciliated pseudostratified columnar epithelium?

Definition

a.) Palatine and Lingual tonsils

 

b.) Pharyngeal tonsils

Term
What are the functions of lymph nodes?
Definition
Filter lymph, Non-specific filtration of microorganisms and particulate matter, antigen recognition/trapping and immune cell interactions, and activation and proliferation of T and B cells
Term
Describe the capsule of lymph nodes
Definition
Made of connective tissue that is pierced by afferent lymphatic vessels; gives rise to connective tissue trabeculae that penetrate into the interior of the node
Term
What is the subcapsular sinus?
Definition
A region of loosely organized, diffuse lymphatic tissue subjacent to the capsule in a lymph node; recieves lymph from the afferent lymphatic vessels; also contains a loose network of reticular fibers and reticular cells
Term
Describe the lymph node cortex
Definition

Outer cortex - contains diffuse lymphatic tissue rich in T-lymphocytes; contains nodular lymphatic tissue with and/or without germinal centers

Inner cortex - rich in diffuse lymphatic tissue; lacks nodular lymphatic tissue

 The cortex contains the intermediate sinus

Term
Describe the lymph node medulla
Definition

Medullary cords - branched extensions of dense lymphatic tissue arising in the cortex; contain primarily B lymphocytes, plasma cells, and macrophages

 

Medullary sinuses - dilated spaces continuous with intermediate sinus that seperate cords; often bridged by reticular fibers and cells; join at the hilum to deliver lymph to the efferent lymphatic vessels

Term
What is the flow of lymph entering the lymph node and exiting?
Definition
Afferent lymphatics -> Subcapsular sinus -> Intermediate sinus -> Medullary sinuses -> Efferent lymphatics
Term
What are the functions of the spleen?
Definition
Filter blood, immune response, removal of damaged red blood cells, sequester monocytes, hematopoiesis, storage of blood/platelets, and recycling of iron
Term
What is the general organization of the spleen?
Definition

Surrounded by a dense connective tissue capsule; trabeculae arise from the capsule and subdivide the splenic pulp into incomplete compartments; large trabeculae arise from at hilum and carry arterial supply and nerves into spleen, venous drainage and lymphatics out of the spleen

 

Pulp is divided into white and red pulp

Term
Describe the white pulp of the spleen
Definition
Maximizes the interaction between blood antigens and cells of the immune system; contains nodular and diffuse lymphoid tissue; central artery is surrounded by a T-lymphocyte rich sheath (periarterial lymphatic sheath or PALS); periodically, the central artery and PALS become associated with B lymphocyte rich nodular lymphatic tissue
Term
What is the marginal zone?
Definition
Surrounds the lymphatic nodules of the white pulp; consists of blood sinuses and loose lymphoid tissue with many active macrophages; contains an abundance of blood antigens and therefore has a key role in the immune function of the spleen
Term
Describe the red pulp organization of the spleen
Definition

Sinusoids - elongated, discontinuous endothelial cells; discontinuous basal lamina; filtration slits

 

Splenic (Billroth's) cords - loose connective tissue/reticular fibers; capillaries; red blood cells, macrophages, platelets, plasma cells, and reticular cells

 

Term
What is the venous drainage of the spleen?
Definition
Pulp veins -> Trabecular veins -> Splenic veins
Term
Trace the flow of blood in the spleen
Definition

Splenic artery

Trabecular artery

Central artery (PALS)

Penicillar arteriole (PALS is lost; in white pulp)

Sheathed capillaries

Splenic cords (cells migrate through tissue)

Sinusoids

Pulp

Trabecular

Splenic veins

Term
What stains more darkly, the cortex or the medulla of the thymus?  Why?
Definition
The cortex stains more darkly; it is more densely packed with immature T lymphocytes than the medulla
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