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BIO 211: Lecture Exam 2: Chapter 21
Chapter 21: Lymphatic System
153
Biology
03/14/2011

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Term
Lymphatic and Immune Systems
Definition
•the body harbors about 10,000 times as many bacterial cells as human cells
•maintain fluid balance
•protect body from infection and disease
Term
immune system
Definition
not an organ system, but a population of cells that inhabit all of our organs and defend the body from agents of disease; composed of a large population of widely distributed cells that recognize foreign substances and act to neutralize or destroy them
Term
lymphatic system
Definition
especially concentrated in the true organ system
Term
fluid recovery
Definition
–fluid continually filters from the blood capillaries into the tissue spaces
•blood capillaries reabsorb 85%
•15% (2 –4 L/day) of the water and about half of the plasma proteins enters lymphatic system and then returned to the blood
Term
immunity
Definition
–excess filtered fluid picks up foreign cells and chemicals from the tissues
•passes through lymph nodes where immune cells stand guard against foreign matter
•activate a protective immune response
Term
lipid absorption
Definition
–lacteals in small intestine absorb dietary lipids that are not absorbed by the blood capillaries
Term
lymph
Definition
–the recovered fluid
–clear, colorless fluid, similar to plasma, but much less protein
–extracellular fluid drawn into lymphatic capillaries
Term
lymphatic vessels
Definition
–transport the lymph
-larger ones composed of three layers:
–tunica interna
–tunica media
–tunica externa
Term
lymphatic tissues
Definition
–composed of aggregates of lymphocytes and macrophages that populate many organs in the body
Term
lymphatic organs
Definition
–defense cells are especially concentrated in these organs
–separated from surrounding organs by connective tissue capsules
Term
lymphatic capillaries
Definition
–penetrate nearly every tissue of the body
•absent from central nervous system, cartilage, cornea, bone and bone marrow
•gaps between cells are large enough to allow bacteria and cells entrance to lymphatic capillary
–endothelium creates valve-like flaps that open when interstitial fluid pressure is high, and close when it is low
Term
tunica interna
Definition
endothelium and valves
Term
tunica media
Definition
elastic fibers, smooth muscle
Term
tunica externa
Definition
thin outer layer
Term
Route of Lymph Flow
Definition
•lymphatic capillaries
•collecting vessels
•six lymphatic trunks
•two collecting ducts:
–right lymphatic duct
–thoracic duct
•subclavian veins
Term
right lymphatic duct
Definition
receives lymph from right arm, right side of head and thorax; empties into right subclavian vein
Term
thoracic duct
Definition
larger and longer, begins as a prominent sac in abdomen called the cisterna chyli; receives lymph from below diaphragm, left arm, left side of head, neck, and thorax; empties into left subclavian vein
Term
cisterna chyli
Definition
larger and longer, begins as a prominent sac in abdomen
Term
Mechanisms of Lymph Flow
Definition
•lymph flows under forces similar to those that govern venous return, except no pump (heart)
•lymph flows at low pressure and slower speed than venous blood
•moved along by rhythmic contractions of lymphatic vessels
•flow aided by skeletal muscle pump
•valves prevent backward flow
•rapidly flowing blood in subclavian veins, draws lymph into it
•exercise significantly increases lymphatic return
Term
natural killer (NK) cells
Definition
–large lymphocytes that attack and destroy bacteria, transplanted tissue, host cells infected with viruses or have turned cancerous
–responsible for immune surveillance
Term
T lymphocytes (T cells)
Definition
–mature in thymus
Term
B lymphocytes (B cells)
Definition
–activation causes proliferation and differentiation into plasma cells that produce antibodies
Term
macrophages
Definition
–very large, avidly phagocytic cells of the connective tissue
–develop from monocytes
–phagocytize tissue debris, dead neutrophils, bacteria, and other foreign matter
–process foreign matter and display antigenic fragments to certain T cells alerting the immune system to the presence of the enemy
–antigen presenting cells (APCs)
Term
dendritic cells
Definition
–branched, mobile APCs found in epidermis, mucous membranes, and lymphatic organs
–alert immune system to pathogens that have breached their surface
Term
reticular cells
Definition
–branched stationary cells that contribute to the stroma of a lymphatic organ
–act as APCs in the thymus
Term
lymphatic (lymphoid) tissue
Definition
aggregations of lymphocytes in the connective tissues of mucous membranes and various organs
Term
diffuse lymphatic tissue
Definition
–simplest form
–lymphocytes are scattered, rather than densely clustered
–prevalent in body passages open to the exterior
Term
lymphatic nodules (follicles)
Definition
–dense masses of lymphocytes and macrophages that congregate in response to pathogens
–Peyer patches
Term
Peyer patches
Definition
dense clusters in the ileum, the distal portion of the small intestine
Term
primary lymphatic organs
Definition
–red bone marrow and thymus
–site where T and B cells become immunocompetent
Term
immunocompetent
Definition
able to recognize and respond to antigens
Term
secondary lymphatic organs
Definition
–lymph nodes, tonsils, and spleen
–immunocompetent cells populate these tissues
Term
Red Bone Marrow
Definition
-involved in hemopoiesis and immunity
–as blood cells mature, they push their way through the reticular and endothelial cells to enter the sinus and flow away in the blood stream
Term
hemopoiesis
Definition
blood formation
Term
thymus
Definition
–member of the endocrine, lymphatic, and immune systems
–houses developing lymphocytes
–secretes hormones regulating their activity
–bilobed organ located in superior mediastinum between the sternum and aortic arch
–degeneration or involution with age
Term
cancer treatments
Definition
interleukins and interferon
Term
lymph nodes
Definition
–the most numerous lymphatic organs
–about 450 in typical young adult
–serve two functions:
•cleanse the lymph
•act as a site of T and B cell activation
Term
parenchyma
Definition
-divided into cortex and medulla
–germinal centers where B cells multiply and differentiate into plasma cells
Term
several afferent lymphatic vessels
Definition
-lead into the node along its convex surface
–lymph leaves the node through one to three efferent lymphatic vessels that leave the hilum
Term
cervical lymph nodes
Definition
–deep and superficial group in the neck
–monitor lymph coming from head and neck
Term
axillary lymph nodes
Definition
–concentrated in armpit
–receive lymph from upper limb and female breast
Term
thoracic lymph nodes
Definition
–in thoracic cavity especially embedded in mediastinum
–receive lymph from mediastinum, lungs, and airway
Term
abdominal lymph nodes
Definition
–occur in posterior abdominopelvic wall
–monitor lymph from the urinary and reproductive systems
Term
intestinal and mesenteric lymph nodes
Definition
–found in the mesenteries, adjacent to the appendix and intestines
–monitor lymph from the digestive tract
Term
inguinal lymph nodes
Definition
–in the groin and receive lymph from the entire lower limb
Term
popliteal lymph nodes
Definition
–occur on the back of the knee
–receive lymph from the leg proper
Term
lymphadenopathy
Definition
collective term for all lymph node diseases
Term
lymphadenitis
Definition
swollen, painful node responding to foreign antigen
Term
metastatic cancer
Definition
-lymph nodes are common sites for this type of cancer
–swollen, firm and usually painless
Term
metastasis
Definition
phenomenon in which cancerous cells break free from the original, primary tumor, travel to other sites in the body, and establish new tumors
Term
tonsils
Definition
patches of lymphatic tissue located at the entrance to the pharynx
Term
palatine tonsils
Definition
•pair at posterior margin of oral cavity
•most often infected
Term
lingual tonsils
Definition
•pair at root of tongue
Term
pharyngeal tonsil (adenoid)
Definition
•single tonsil on wall of nasopharynx
Term
spleen
Definition
-the body's largest lymphatic organ
-highly vascular and vulnerable to trauma and infection
Term
two types of tissue that the parenchyma exhibits
Definition
-red pulp
-white pulp
Term
red pulp
Definition
sinuses filled with erythrocytes
Term
white pulp
Definition
lymphocytes, macrophages surrounding small branches of splenic artery
Term
functions of the spleen
Definition
–blood production in fetus
–blood reservoir
–'erythrocyte graveyard' -RBC disposal
–white pulp monitors blood for foreign antigens
Term
splenectomy
Definition
ruptured spleen
Term
pathogens
Definition
–environmental agents capable of producing disease
–infectious organisms, toxic chemicals, and radiation
Term
first line of defense
Definition
–external barriers, skin and mucous membranes
Term
second line of defense
Definition
–several nonspecific defense mechanisms
-leukocytes and macrophages, antimicrobial proteins, immune surveillance, inflammation, and fever
-effective against a broad range of pathogens
Term
third line of defense
Definition
–the immune system
-defeats a pathogen, and leaves the body of a 'memory' of it so it can defeat it faster in the future
Term
nonspecific resistance
Definition
–guards equally against a broad range of pathogens
–their effectiveness does not depend on prior exposure
–skin and mucous membranes
–leukocytes and macrophages, antimicrobial proteins, immune surveillance, inflammation, and fever
Term
immunity
Definition
–specific defense because it results from prior exposure to a pathogen
–usually provides future protection only against that particular one
Term
skin
Definition
–makes it mechanically difficult for microorganisms to enter the body
–toughness of keratin
–too dry and nutrient-poor to support microbial growth
–defensins
–acid mantle
Term
defensins
Definition
peptides that kill microbes by creating holes in their membranes
Term
acid mantle
Definition
thin film of lactic acid from sweat which inhibits bacterial growth
Term
mucous membranes
Definition
–digestive, respiratory, urinary, and reproductive tracts are open to the exterior and protected by mucous membranes
–mucus physically traps microbes
–lysozyme
Term
lysozyme
Definition
enzyme destroys bacterial cell walls
Term
subepithelial areolar tissue
Definition
–viscous barrier of hyaluronic acid
•hyaluronidase
Term
hyaluronidase
Definition
enzyme used by pathogens to make hyaluronic acid less viscous
Term
phagocytes
Definition
phagocytic cells with a voracious appetite for foreign matter
Term
The five types of leukocytes
Definition
–neutrophils
–eosinophils
–basophils
–monocytes
–lymphocytes
Term
Neutrophils
Definition
•wander in connective tissue killing bacteria –phagocytosis and digestion –produces a cloud of bactericidal chemicals •create a killing zone –degranulation •lysosomes discharge into tissue fluid –respiratory burst •toxic chemicals are created (O2.-, H2O2, HClO) –kill more bacteria with toxic chemicals than phagocytosis -the chief enemy of bacteria, accumulate at the injury site within an hour
Term
respiratory burst
Definition
neutrophils rapidly absorb oxygen
Term
Eosinophils
Definition
•found especially in the mucous membranes
•stand guard against parasites, allergens, and other pathogens
•kill tapeworms and roundworms by producing superoxide, hydrogen peroxide, and toxic proteins
Term
allergens
Definition
allergy causing agents
Term
Basophils
Definition
•secrete chemicals that aid mobility and action of WBC other leukocytes
–leukotrienes
–histamine
–heparin
•mast cells also secrete these substances
–type of connective tissue cell very similar to basophils
Term
leukotrienes
Definition
activate and attract neutrophils and eosinophils
Term
histamine
Definition
–a vasodilator which increases blood flow
•speeds delivery of leukocytes to the area
Term
heparin
Definition
–inhibits the formation of clots
•would impede leukocyte mobility
Term
monocytes
Definition
-emigrate from the blood into the connective tissue and transform into macrophages
-the primary agents of tissue cleanup and repair
Term
macrophage system
Definition
all the body's avidly phagocytic cells, except leukocytes
Term
wandering macrophages
Definition
–actively seeking pathogens
•widely distributed in loose connective tissue
Term
fixed macrophages
Definition
-phagocytize only pathogens that come to them
•microglia
•alveolar macrophages
•hepatic macrophages
Term
microglia
Definition
macrophages in the central nervous system
Term
alveolar macrophages
Definition
macrophages in the lungs
Term
hepatic macrophages
Definition
macrophages in the liver
Term
Antimicrobial Proteins
Definition
proteins that inhibit microbial reproduction and provide short-term, nonspecific resistance to pathogenic bacteria and viruses
Term
the two families of antimicrobial proteins
Definition
–interferons
–complement system
Term
interferons
Definition
-secreted by certain cells infected by viruses
–of no benefit to the cell that secretes them
–alert neighboring cells and protect them from becoming infected
–bind to surface receptors on neighboring cells
•activate second-messenger systems within
–alerted cell synthesizes various proteins that defend it from infection
•breaks down viral genes or preventing replication
–also activates NK cells and macrophages
•destroy infected cell before they can liberate a swarm of newly replicated viruses
–activated NK cells destroy malignant cells
Term
complement system
Definition
–a group of 30 or more globular proteins that make powerful contributions to both nonspecific resistance and specific immunity
–synthesized mainly by the liver
Term
phagocytosis
Definition
•neutrophils and macrophages cannot phagocytize “naked” bacteria, viruses, or other pathogens
•C3b assist them by opsonization
–coats microbial cells and serves as binding sites for phagocyte attachment
–makes the foreign cell more appetizing
Term
cytolysis
Definition
•attract more complement proteins – membrane attack complex forms
–forms a hole in the target cell
–electrolytes leak out, water flows in rapidly, and cell ruptures
Term
immune surveillance
Definition
a phenomenon in which natural (NK) killer cells continually patrol the body on the lookout for pathogens and diseased host cells
Term
natural killer (NK) cells attack and destroy:
Definition
–bacteria, cells of transplanted organs, cells infected with viruses, and cancer cells
•release proteins called perforins
–polymerize a ring and create a hole in its plasma membrane
•secrete a group of protein degrading enzymes –granzymes
–enter through pore and degrade cellular enzymes and induce apoptosis
Term
fever
Definition
an abnormally elevation of body temperature; an adaptive defense mechanism, in moderation, does more good than harm
Term
Reye Syndrome
Definition
–serious disorder in children younger than 15 following an acute viral infection such as chicken pox or influenza
–swelling of brain neurons
–pressure of swelling brain
Term
inflammation
Definition
local defensive response to tissue injury of any kind, including trauma and infection; a priority is to prevent the pathogens from spreading throughout the body
Term
The general purposes of inflammation
Definition
–limit spread of pathogens, then destroys them
–remove debris from damaged tissue
–initiate tissue repair
Term
four cardinal signs of inflammation
Definition
-redness
-swelling
-heat
-pain
Term
cytokines
Definition
class of chemicals that regulate inflammation and immunity
Term
hyperemia
Definition
increasing blood flow beyond normal rate is a way to do this; delivers oxygen, amino acids, and other necessities for protein synthesis
Term
vasoactive chemicals
Definition
dilate local blood vessels
Term
heat
Definition
results from hyperemia; if it's increased, it increases metabolic rate, speeds mitosis, and tissue repair
Term
redness
Definition
due to hyperemia, and extravasated RBCs in the tissue
Term
swelling (edema)
Definition
-due to increased fluid filtration from the capillaries
-contributes to tissue cleanup
Term
pain
Definition
from direct injury to the nerves, pressure on the nerves from edema, stimulation of pain receptors by prostaglandins, bacterial toxins, and a kinin called bradykinin
Term
chemotaxis
Definition
attraction to chemicals such as bradykinin and leukotrienes that guide them to the injury site
Term
the two characteristics that distinguish immunity from nonspecific resistance
Definition
–specificity
–memory
Term
specificity
Definition
immunity directed against a particular pathogen
Term
memory
Definition
when re-exposed to the same pathogen, the body reacts so quickly that there is no noticeable illness
Term
the two types of immunity
Definition
–cellular (cell-mediated) immunity: (T cells)
–humoral (antibody-mediated) immunity: (B cells)
Term
cellular (cell-mediated) immunity: (T cells)
Definition
•lymphocytes directly attack and destroy foreign cells or diseased host cells
•means of ridding the body of pathogens that reside inside human cells, where they are inaccessible to antibodies
•kills cells that harbor them
Term
humoral (antibody-mediated) immunity: (B cells)
Definition
•mediated by antibodies that do not directly destroy a pathogen
•indirect attack where antibodies assault the pathogen
•can only work against the extracellular stage of infectious microorganisms
Term
natural active immunity
Definition
–production of one's own antibodies or T cells as a result of infection or natural exposure to antigen
Term
artificial active immunity
Definition
–production of one's own antibodies or T cells as a result of vaccination against disease
Term
natural passive immunity
Definition
–temporary immunity that results from antibodies produced by another person
Term
artificial passive immunity
Definition
–temporary immunity that results from the injection of immune serum (antibodies) from another person or animal
Term
antigen
Definition
any molecule that triggers an immune response
Term
haptens
Definition
-to small to be antigenic in themselves
–cosmetics, detergents, industrial chemicals, poison ivy, and animal dander
Term
The major cells of the immune system
Definition
–lymphocytes
–macrophages
–dendritic cells
Term
The three categories of lymphocytes
Definition
–natural killer (NK) cells –which is used in immune surveillance
–T lymphocytes (T cells)
–B lymphocytes (B cells)
Term
B Lymphocytes (B cells)
Definition
•site of development:
–group fetal stem cells remain in bone marrow
–develop into B cells
Term
Antigen-Presenting Cells (APCs)
Definition
•T cells can not recognize their antigens on their own
•These are required to help
Term
cellular (cell-mediated) immunity
Definition
a form of specific defense in which the T lymphocytes directly attack and destroy diseased or foreign cells, and the immune system remembers the antigens and prevents them from causing disease in the future
Term
These are thought of as the 'three Rs of immunity'
Definition
–recognize
–react
–remember
Term
Attack : Role of Helper T (TH) Cells
Definition
•helper and cytotoxic T cells play different roles in the attack phase
Term
cytotoxic T (TC) cell
Definition
-the only T cells directly attack other cells
–delivers a lethal hit of toxic chemicals
•tumor necrosis factor (TNF)
Term
tumor necrosis factor (TNF)
Definition
aids in macrophage activation and kills cancer cells
Term
T cell recall response
Definition
–upon re-exposure to same pathogen later in life, memory cells launch a quick attack so that no noticeable illness occurs
–the person is immune to the disease
Term
immunoglobulin (Ig)
Definition
an antibody is a defensive gamma globulin found in the blood plasma, tissue fluids, body secretions, and some leukocyte membranes
Term
Antibody Diversity
Definition
•human immune system capable of as many as 1 trillion different antibodies
•accustomed to "one gene, one protein" thinking
•35,000 genes in human genome
Term
neutralization
Definition
–antibodies mask pathogenic region of antigen
Term
complement fixation
Definition
–antigen binds to IgM or IgG, antibody changes shape, initiates complement binding which leads to inflammation, phagocytosis, immune clearance, or cytolysis
–primary defense against foreign cells, bacteria, and mismatched RBCs
Term
agglutination
Definition
–antibody has 2-10 binding sites; binds to multiple enemy cells immobilizing them from spreading
Term
precipitation
Definition
–antibody binds antigen molecules (not cells); creates antigen-antibody complex that precipitates, phagocytized by eosinophils
Term
primary immune response
Definition
immune reaction brought about by the first exposure to an antigen
Term
secondary (anamnestic) response
Definition
if re-exposed to the same antigen
Term
hypersensitivity
Definition
an excessive immune reaction against antigens that most people tolerate
Term
Type I (acute) Hypersensitivity
Definition
examples: food allergies and asthma–local inflammatory reaction to inhaled allergens
Term
anaphylaxis
Definition
–immediate, severe reaction Type I reaction
–if it's local, it can be relieved with antihistamines
Term
anaphylactic shock
Definition
–severe, widespread acute hypersensitivity that occurs when an allergen is introduced to the bloodstream of an allergic individual
–characterized by bronchoconstriction, dyspnea (labored breathing), widespread vasodilation, circulatory shock, and sometimes death
–epinephrine relieves the symptoms by dilating bronchioles, increasing cardiac output, and restoring blood pressure
Term
Type II Hypersensitivity (Antibody- Dependent Cytotoxic)
Definition
examples: blood transfusion reaction, pemphigus vulgaris, and some drug reactions
Term
Type III Hypersensitivity (Immune Complex)
Definition
examples: autoimmune diseases -acute glomerulonephritis and in systemic lupus erythematosus, a widespread inflammation of the connective tissues
Term
Type IV Hypersensitivity (Delayed)
Definition
examples: haptens in cosmetics and poison ivy, graft rejection, TB skin test, beta cell destruction that causes type I diabetes mellitus
Term
autoimmune diseases
Definition
-failures of self-tolerance
•immune system fails to distinguish self-antigens from foreign ones
–produces autoantibodies that attack the body's own tissues
Term
Immunodeficiency Diseases
Definition
immune system fails to react vigorously enough
Term
Severe Combined Immunodeficiency Disease (SCID)
Definition
–hereditary lack of T and B cells
–vulnerability to opportunistic infection and must live in protective enclosures
Term
Acquired Immunodeficiency Syndrome (AIDS)
Definition
–nonhereditary diseases contracted after birth •group of conditions that involve and severely depress the immune response •caused by infection with the human immunodeficiency virus (HIV) •by destroying TH cells, HIV strikes at the central coordinating agent of nonspecific defense, humoral immunity, and cellular immunity •incubation period ranges from several months to 12 years –person susceptible to opportunistic infections (Toxoplasma, Pneumocystis, herpes simplex virus, cytomegalovirus, or tuberculosis)
Term
HIV Transmission
Definition
•through blood, semen, vaginal secretions, breast milk, or across the placenta
•most common means of transmission
–sexual intercourse (vaginal, anal, oral)
–contaminated blood products
–contaminated needles