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The Lymphatic and Immune Systems Chapter 20-21

Ch20-21lymphatic&immune system

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Page 1: Ch20-21lymphatic&immune system

The Lymphatic and

Immune Systems Chapter 20-21

Page 2: Ch20-21lymphatic&immune system

Objectives

• Lymphatic System– Lymphoid Organs– Lymphoid Circulation

• Immune System– Immune cells– Immune cell function

Page 3: Ch20-21lymphatic&immune system

The Lymphatic and Immune Systems

• Lymphatic system– Main function is to return excess tissue fluid to blood

vascular system– Lymphatic vessels collect tissue fluid

• Immune system– Protects our bodies from foreign organisms– Confers immunity to disease– Main components

• Lymphocytes, lymphoid tissue, and lymphoid organs

Page 4: Ch20-21lymphatic&immune system

The Lymphatic System

• Lymphatic vessels collect tissue fluid from loose connective tissue – Carry fluid to great veins in the neck– Fluid flows only toward the heart– Once tissue fluid is within lymphatic vessels it is termed

lymph

• Functions of lymphatic vessels – collect excess tissue fluid and blood proteins

• Return tissue fluid and blood proteins to bloodstream

Page 5: Ch20-21lymphatic&immune system

Orders of Lymphatic Vessels

• Lymph capillaries – smallest lymph vessels– First to receive lymph

• Lymphatic collecting vessels – collect from lymph capillaries– Lymph nodes are scattered

along collection vessels

Lymphatic system

Lymph duct

Lymph trunk

Lymph node

Lymphatic capillary

Blood capillaries

Lymphatic collectingvessels, with valves

(a) Structural relationship between a capillary bed of the blood vascular system and lymphatic capillaries

Heart

Arterial systemVenous system

Page 6: Ch20-21lymphatic&immune system

Orders of Lymphatic Vessels

• Lymph nodes – Scattered along collecting vessels

• Lymph trunks– Collect lymph from collecting vessels

• Lymph ducts– Empty into veins of the neck

Page 7: Ch20-21lymphatic&immune system

Lymphatic Capillaries

• Located near blood capillaries

• Receive tissue fluid from CT– Increased volume of tissue fluid • Minivalve flaps open and allow fluid to enter

• High permeability allows entrance of– Tissue fluid and protein molecules– Bacteria, viruses, and cancer cells

Page 8: Ch20-21lymphatic&immune system

Lymphatic Capillaries• Lacteals—specialized lymphatic capillaries– Located in the villi of the small intestines• Receive digested fats• Fatty lymph—chyle

Page 9: Ch20-21lymphatic&immune system

Distribution and Features of Lymphatic Capillaries

Figure 21.1

Lymphatic system

Lymph ductLymph trunkLymph node

Lymphatic capillary

Blood capillaries

Lymphatic collectingvessels, with valves

(a) Structural relationship between a capillary bed of the blood vascular system and lymphatic capillaries

HeartArterial systemVenous system

Filaments anchoredto connective tissue

Fibroblast in looseconnective tissue

Endothelial cell

Flaplike minivalve

(b) Lymphatic capillaries are blind-ended tubes in which adjacent endothelial cells overlap each other, forming flaplike minivalves.

Tissuefluid

Tissue cell Bloodcapillaries

Lymphaticcapillaries

Page 10: Ch20-21lymphatic&immune system

Lymphatic Collecting Vessels

• Accompany blood vessels

• Composed of the same three tunics as blood vessels

• Contain more valves than veins do – Helps direct the flow of blood

• Lymph propelled by– Skeletal muscles bulging– Nearby arteries pulsing – Tunica media of the lymph vessels

• Lymph flow is unaided by heartbeat

Page 11: Ch20-21lymphatic&immune system

Lymph Nodes

• Cleanse the lymph of pathogens

• Human body contains around 500

• Superficial lymph nodes located in– Cervical, axillary, and inguinal regions

• Deep nodes are– Tracheobronchial, aortic, and iliac lymph nodes

Page 12: Ch20-21lymphatic&immune system

General Distribution of Lymphatic Collecting Vessels and Regional Lymph Nodes

Figure 21.2

Cervicalnodes

Entrance ofright lymphaticduct into vein

Internaljugular vein

Entrance of thoracic ductinto veinThoracicduct

Cisternachyli

Lymphaticcollectingvessels

Axillarynodes

Aorta

Inguinalnodes

Regionallymph nodes

Drained by the right lymphatic ductDrained by the thoracic duct

Page 13: Ch20-21lymphatic&immune system

Microscopic Anatomy of a Lymph Node

• Fibrous capsule—surrounds lymph nodes

• Trabeculae—connective tissue strands

• Lymph vessels– Afferent lymphatic vessels– Efferent lymphatic vessels

Page 14: Ch20-21lymphatic&immune system

Microscopic Anatomy of a Lymph Node

Figure 21.3a

Afferentlymphaticvessels

Efferent lymphaticvessels

CapsuleTrabeculae

Hilum

CortexLymphoid follicleGerminal centerSubcapsular sinus

MedullaMedullary cordMedullary sinus

(a) Longitudinal view of the internal structure of a lymph node and associated lymphatics

Page 15: Ch20-21lymphatic&immune system

Microscopic Anatomy of a Lymph Node

Figure 21.3b

Follicles

Trabecula

Subcapsularsinus

Capsule

Medullarycords

Medullarysinuses

(b) Photomicrograph of part of a lymph node (14X)

Page 16: Ch20-21lymphatic&immune system

Microscopic Anatomy of a Lymph Node

Figure 21.3c(c) Reticular tissue within the medullary sinus (540X)

Macrophage

MedullarysinusReticularfiber

Lymphocytes

Reticular cellson reticularfibers

Page 17: Ch20-21lymphatic&immune system

Lymph Trunks

• Lymphatic collecting vessels converge

• Five major lymph trunks – Lumbar trunks• Receives lymph from lower limbs

– Intestinal trunk• Receives chyle from digestive organs

– Bronchomediastinal trunks• Collects lymph from thoracic viscera

Page 18: Ch20-21lymphatic&immune system

Lymph Trunks

• Five major lymph trunks (continued)– Subclavian trunks• Receive lymph from upper limbs and thoracic wall

– Jugular trunks• Drain lymph from the head and neck

Page 19: Ch20-21lymphatic&immune system

The Lymphatic Trunks

Figure 21.4a

Left jugular trunk

Internal jugular veins

Left subclavian trunkLeft subclavian vein

EsophagusTrachea

Ribs

Left lumbar trunk

Left broncho-mediastinal trunk

Entrance of thoracic duct into vein

Thoracic duct

Hemiazygos vein

Intestinal trunkInferior vena cava

Right jugular trunkRight lymphatic ductRight subclavian trunk

Right subclavian veinRight broncho-mediastinal trunk

Brachiocephalic veinsSuperior vena cava

Azygos vein

Cisterna chyliRight lumbar trunk

(a) Major lymphatic trunks and ducts in relation to veins and surrounding structures, anterior view

Page 20: Ch20-21lymphatic&immune system

The Lymphatic Trunks

Figure 21.4b

(b) Thoracic duct (colored green) along the posterior thoracic wall

Azygos veinon vertebralbodies

Thoracic duct Aorta

Page 21: Ch20-21lymphatic&immune system

Lymph Ducts

• Cisterna chyli– Located at the union of lumbar and intestinal trunks

• Thoracic duct– Ascends along vertebral bodies– Empties into venous circulation • Junction of left internal jugular and left subclavian veins• Drains three quarters of the body

Page 22: Ch20-21lymphatic&immune system

Right Lymphatic Duct

• Empties into right internal jugular and subclavian veins

Internal jugular veinsRight jugular trunkRight lymphatic ductRight subclavian trunk

Right subclavian veinRight broncho-mediastinal trunk

Brachiocephalic veinsSuperior vena cava

Azygos vein

Cisterna chyliRight lumbar trunk

Page 23: Ch20-21lymphatic&immune system

The Immune System

• Recognizes specific foreign molecules• Destroys pathogens effectively• Key cells—lymphocytes• Also includes lymphoid tissue and lymphoid organs• Lymphoid organs– Lymph nodes, spleen, thymus, tonsils, aggregated

lymphoid nodules, and appendix

Page 24: Ch20-21lymphatic&immune system

Lymphocytes

• Infectious organisms attacked by inflammatory response– Macrophages, then lymphocytes

• Are effective fighters of infectious organisms– Each lymphocyte recognizes a specific foreign

molecule• Antigens are any molecules inducing a response from a

lymphocyte

Page 25: Ch20-21lymphatic&immune system

Lymphocytes

• B lymphocytes and T lymphocytes are the two main classes of lymphocytes

• Cytotoxic T lymphocytes – Attack foreign cells directly• Binds to antigen-bearing cells• Perforates cell membrane• Signals cell to undergo apoptosis• Destroy virus infected cells and some cancer cells

Page 26: Ch20-21lymphatic&immune system

Lymphocytes

• B lymphocytes– Become plasma cells– Secrete antibodies• Mark cells for destruction by macrophages

– Respond primarily to bacteria and bacterial toxins

Page 27: Ch20-21lymphatic&immune system

Lymphocyte Function

Figure 21.5

T lymphocyte binds to target cell, secretes proteins that lyse the cell’s membrane, and signals the cell to die.

B lymphocyte gives rise to plasma cell, which secretes antibodies.

Antibodies bind to antigens on bacteria, marking the bacteria for destruction.

Antibody-coated bacteria are avidly phagocytized.

T lymphocyte detaches from target cell.

Target cell dies by apoptosis.

T lymphocyteTarget cell,bearing antigen Dead target cell

Antigen

(a) Action of cytotoxic T lymphocyte

(b) Differentiation and activity of B lymphocyte

B lymphocyte Plasma cell

Macrophage

Surface antigenAntibodies Bacterium

1 2 3

1 2 3

Page 28: Ch20-21lymphatic&immune system

Lymphocyte Activation

• Lymphocytes originate in bone marrow

• Some travel to the thymus gland – T lymphocytes

• Some stay in bone marrow – B lymphocytes

• Able to recognize a unique antigen– Gain immunocompetence• Travels through blood stream–Meets and binds to a specific antigen

Page 29: Ch20-21lymphatic&immune system

Lymphocyte Activation

• During activation– Lymphocyte is presented its antigen by• A macrophage• Or a dendritic cell

Page 30: Ch20-21lymphatic&immune system

Lymphocyte Activation

• Both T and B lymphocytes produce clones of– Effector lymphocytes• Respond immediately, then die

– Memory cells• Wait until the body encounters the antigen again• Basis of acquired immunity• Prevent subsequent infections of the same illness

Page 31: Ch20-21lymphatic&immune system

Lymphocyte Activation

Figure 21.6

Red bonemarrow

Bonemarrow

Immaturelymphocytes

Red bone marrow: site of lymphocyte origin

Secondary lymphoid organs: site of antigen encounter, and activation to become effector and memory B or T cells

Primary lymphoid organs:site of development of immuno-competence as B or T cells

Lymphocytes destined to become T cellsmigrate (in blood) to the thymus and develop immunocompetence there. B cells develop immunocompetence in red bone marrow.

Immunocompetent but still naive lymphocytes leave the thymus and bone marrow. They “seed” the lymph nodes, spleen, and other lymphoid tissues where they encounter their antigen.

Antigen-activated immuno-competent lymphocytes (effector cells and memory cells) circulate continuously in the bloodstream and lymph and throughout the lymphoid organs of the body.

1

2

3

Thymus

Lymphnodes, spleen, and other

lymphoid tissues

Page 32: Ch20-21lymphatic&immune system

Lymphoid Tissue

• Most important tissue of the immune system

• Two general locations– Mucous membranes of• Digestive, urinary, respiratory, and reproductive

tracts–Mucosa-associated lymphoid tissue (MALT)

• Lymphoid organs (except thymus)

Page 33: Ch20-21lymphatic&immune system

Lymphoid Tissue

Figure 21.7

Lymphoidfollicle

Mucousmembranelining smallintestine

LumenMusclelayers

Intestine

Germinalcenter

Lumen of intestine

Lymphoid tissue from mucosa of smallintestine (14)

Page 34: Ch20-21lymphatic&immune system

Lymphoid Organs

• Primary lymphoid organs– Bone marrow– Thymus

• Secondary lymphoid organs– Lymph nodes, spleen, tonsils– Aggregated lymphoid nodules– Appendix

Page 35: Ch20-21lymphatic&immune system

Lymphoid Organs• Designed to gather and destroy infectious microorganisms and to

store lymphocytes

Figure 21.8

Tonsils (in pharyngealregion)

Thymus (in thorax; most active during youth)

Spleen (curves around left side of stomach)

Aggregated lymphoidnodule (in intestine)

Appendix

Page 36: Ch20-21lymphatic&immune system

Thymus• Immature lymphocytes develop into T lymphocytes

• Secretes thymic hormones

• Most active in childhood

• Functional tissue atrophies with age

• Composed of cortex and medulla– Medulla contains Hassall’s corpuscles (thymic corpuscles)

• Differs from other lymphoid organs– Functions strictly in lymphocyte maturation– Arises from epithelial tissue

Page 37: Ch20-21lymphatic&immune system

Thymus

Figure 21.9

Cortex

Medulla

Thymic corpuscle

(b) Micrograph of thymic tissue showing part of a lobule

Thymus

(a)Thymus located in the superior mediastinum

Page 38: Ch20-21lymphatic&immune system

Lymph Nodes

• Function – Lymph percolates through lymph sinuses– Most antigenic challenges occur in lymph nodes– Antigens destroyed and activate B and T

lymphocytes

Page 39: Ch20-21lymphatic&immune system

Spleen

• Largest lymphoid organ

• Two main blood-cleansing functions– Removal of blood-borne antigens– Removal and destruction of old or defective blood cells

• Site of hematopoiesis in the fetus

Page 40: Ch20-21lymphatic&immune system

Spleen

• Destruction of antigens

• Site of B cell maturation into plasma cells

• Phagocytosis of bacteria and worn-out RBCs, WBCs and platelets

• Storage of platelets

Page 41: Ch20-21lymphatic&immune system

Spleen

• White pulp– Thick sleeves of lymphoid tissue– Blood-borne antigens are destroyed as they activate the

immune response– Provides the immune function of the spleen

• Red pulp– Surrounds white pulp– Composed of• Venous sinuses • Splenic cords• Responsible for disposing of worn out RBCs

Page 42: Ch20-21lymphatic&immune system

Spleen

Figure 21.10a, b

Splenic arterySplenic vein

Hilum(a) Diagram of the spleen, anterior view

Arteriolesandcapillaries

CapsuleTrabecula

Venous sinuses

Red pulp

Splenic cords

White pulpCentral artery

Splenic arterySplenic vein

(b) Diagram of spleen histology

Page 43: Ch20-21lymphatic&immune system

Spleen

Figure 21.10c, d

(c) Photograph of the spleen in its normal position in the abdominal cavity, anterior view

Diaphragm

Spleen

Adrenalgland

SplenicarteryPancreas

Leftkidney

(d) Photomicrograph of spleen tissue (7). The white pulp, a lymphoid tissue with many lymphocytes, is surrounded by red pulp containing abundant erythrocytes.

Capsule

White pulp

Red pulp

Page 44: Ch20-21lymphatic&immune system

Tonsils

• Simplest lymphoid organs

• Four groups of tonsils– Palatine, lingual, pharyngeal, and tubal tonsils

• Arranged in a ring to gather and remove pathogens

• Underlying lamina propria consists of MALT

Page 45: Ch20-21lymphatic&immune system

Tonsil

Tonsillar cryptGerminal centers in lymphoid follicles

Pharyngeal tonsil

Palatine tonsilLingual tonsil

Palatine Tonsil

Figure 21.11

Page 46: Ch20-21lymphatic&immune system

Aggregated Lymphoid Nodules & Appendix

• MALT—abundant in walls of intestines

• Fight invading bacteria

• Generate a wide variety of memory lymphocytes– Aggregated lymphoid nodules (Peyer’s patches)• Located in the distal part of the small intestine

– Appendix—tubular offshoot of the cecum

Page 47: Ch20-21lymphatic&immune system

Smooth muscle inthe intestinal wall

Aggregatedlymphoid nodules(Peyer’s patch)

Aggregated Lymphoid Nodule

Figure 21.12

Page 48: Ch20-21lymphatic&immune system

Disorders of the Lymphatic and Immune Systems

• Chylothorax– Leakage of fatty lymph into the thorax

• Lymphangitis– Inflammation of a lymph vessel

• Mononucleosis– Viral disease caused by Epstein-Barr virus– Attacks B lymphocytes

Page 49: Ch20-21lymphatic&immune system

Disorders of the Lymphatic and Immune Systems

• Hodgkin’s disease– Malignancy of lymph nodes

• Non-Hodgkin’s lymphoma – Uncontrolled multiplication and metastasis of

undifferentiated lymphocytes

Page 50: Ch20-21lymphatic&immune system

The Lymphatic and Immune Systems Throughout Life

• Lymphatic vessels and lymph nodes– Develop from lymphatic sacs

• Thymus originates as an outgrowth of the endoderm

• Spleen, lymph nodes, and MALT – Arise from mesodermal mesenchyme

Page 51: Ch20-21lymphatic&immune system

Lymphatic System Video

• http://www.youtube.com/watch?v=BX8fBlme9vQ