Outline
I. Lymphatic System
[FAP 22-1, 22-2]
A.
Constituents - fluid, cells, vessels, aggregations & organs
B. Functions
- drainage, lipid transport, immune system, filtration
C. Lymph fluid
- plasma w/o the proteins
D. Lymph
tissue
fibers
- reticular
cells
motile - B & T lymphocytes, macrophages
fixed - reticuloendothelial cells, plasma cells
E. Lymph
vessels
lymph
capillaries, lacteals, veins, & ducts
lymph
"pumps"
lymphatic flow in body
F. Lymphatic
drainage
F. Lymphocytes
[FAP Fig. 22-6]
T cells
B cells
NK cells
II. Lymphoid
Tissue and Organs [FAP 22-2]
A. Lymph
nodules (aggregations) - e.g. Peyer's patches, "MALT"
locations - loose C.T. of transitions zones in G.I. and
respiratory tracts
structure - reticular cells & fibers, peripheral B lymphocytes,
germinal centers
B. Tonsils
three
locations
palatine (pair); pharyngopalatine arches - tonsillectomy
lingual (pair); back of tongue
pharyngeal (single); post. wall of nasopharynx - adenoidectomy
function - defense
structure
C.T capsule and septae
lymphatic nodules
crypts
epithelial covering
moist strat. squamous
epithelium - palatine and lingual
respiratory
epithelium - pharyngeal
C. Thymus
paired
lobes
location in body - mediastinum
large
at birth, grows until puberty, regresses after puberty
functions
maturation of T-lymphocytes
maturation of spleen & lymph nodes via thymosin
structure
C.T. capsule, trabeculae
cortex & medulla
epithelial reticular cells, Hassal's corpuscles, lymphocytes
circulation: arteries-->capillaries(blood-thymic
barrier)-->veins
D. Lymph nodes
spherical or bean shaped
locations - along path of lymph vessels - superficial and deep
nodes
function - filter lymph, produce lymphocytes
structure
dense C.T. capsule
cortex - trabeculae, subcapsular sinuses, cortical nodules,
germinal centers
medulla - trabeculae, medullary cords, medullary sinuses,
reticular cells & fibers,
hilus
circulation:
afferent & efferent lymph vessels
filtration by reticular cells & macrophages
E. Spleen
bean
shaped
location in body - in blood stream, not lymphatic stream
functions - blood filter & reservoir, lymphocyte production
structure
dense C.T. capsule, trabeculae
red pulp - reticular tissue, venous sinuses, RBC's
white pulp - reticular tissue, central arteries, lymphocytes
hilus
circulation: splenic artery-->central arterioles-->terminal
arterial capillaries-->
intracellular spaces of red pulp-->venous sinuses-->pulp
veins-->
splenic vein
III. Immune System Function
A. Immune challenges [FAP 22-1]
pathogen classes
autoimmunity
antigens
B. Nonspecific immunity [FAP 22-3; Fig 22-11]
physical barriers
inflammation [FAP Fig 22-15]
basophils
mast cells
fever (pyrogenic response)
monocytes and macrophages
microphages: neutophils and eosinophils
immunological surveillance, NK cells [FAP
Fig 22-12]
interferons [FAP Fig 22-13]
complement system [FAP Fig 22-14]
C. Specific Immunity [FAP 22-4, Fig 22-16, 22-17]
adaptive vs. innate
passive vs. active immunity
naturally-acquired vs. artificially-acquired
cell-mediated vs. humoral immunity
primary vs. secondary response
D. T cells & cell-mediated immunity [FAP 22-5]
role of thymus
MHC and anitigen presentation
T cell types and roles
cytotoxic T cells
helper T cells
suppressor t cells
memory cells
E. B cells and humoral immunity [FAP 22-6]
sensitization and activation
B cell types
plasma cells
memory cells
antibodies
structure
antigen interaction
antibody effects
neutralization
agglutination
complement activation
inflammation
phagocytosis stimulation
F. Abnormal immune responses [FAP 22-7]
hypersensitivity and allergens
stress effects
immunosuppression
immune deficiency and HIV/AIDS
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