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83 Cards in this Set

  • Front
  • Back
Tonsil general features
ring of lymphoid tissue in pharynx
Incompletely Encapsulated
Efferent Lymphatic vessels present, NO Afferent
Tonsil Fxn
removal of Ags
Pharyngeal Tonsils
Single tonsil in roof of pharynx
Ciliated pseudostratified epithelium
NO Crypts
Adenoid
Inflamed Pharyngeal Tonsil
Palatine Tonsil
2 at junction of oral cavity and pharynx
Stratified Squamous wet Epi
crypts, which contain debris
Lingual Tonsils
base of tongue
smaller and more numerous
SINGLE crypt
Encapsulated Lymph Organs
Lymph Nodes, Thymus and Spleen
Lymph Node Morphology
bean shaped organ located along Lymphatic vessel pathway
Lymph must cross node before entering circulation
Lymph Node Fxn
filter lymph and fight infection
maintain B and T Cells and contain memory cells
Lymph node vessels:
Afferent
located on convex surface
carries lymph toward
Lymph node vessels:
Efferent
carries lymph away from node
located at Hilum
what do reticular cells secrete?
type 3 collagen
Dendritic Cells
APCs found only in Bone Marrow
use both MHC 1 and 2 to present foreign antigens
3 regions of the Lymph Node
Cortex
Paracortex (deep cortex)
Medulla
Lymph Nodes:
Cortex
outer portion containing nodules
B cells found here
covered by CT Capsule
Lymph Nodes:
Paracortex
T cells present here
contains High Endothelial Veins
Thymus Dependent Region
paracortex of Lymph Node
will not develop well w/o Thymus
High Endothelial Veins
site of entry/exit lymphocytes from circulation
lined w/ cuboidal-columnar endothelial cells
Lymph Nodes:
Medulla
contain lymphatic cords and Medullary Sinuses
all converge near hilum and drain into Efferent
Lymph Node Sinuses
Subscapular
Trabecular
Medullary
Lymph Node Sinus:
Subscapular
b/t CT capsule and cortical lymphocytes
contains Afferent Lymph
Lymph Node Sinus:
Trabecular
contain lymph
drains into medullary sinus
Lymph Node Sinus:
Medullary Sinus
contain Lymph AND blood
converge at Hilum
drain into Efferent Lymphatic Vessels
Characteristics of Lymphatic Sinuses
macrophages present for lymph monitoring
NOT OPEN SPACES
contains reticular fibers
Phagocytosis and immune response in Lymph Node
MO are phagocysitized
activation and differentiation of B cells
memory cells proliferate and spread in response to specific Ag
Thymus Morphology
Bilobed, encapsulated
ONLY LOBULATED Lymphoid Organ
functional at birth
grows until puberty
NO AFFERENT vessels
Thymus germ cell derivation?
3rd pharyngeal pouch
Endoderm and Mesoderm
Thymus Trabeculae
continuous w/ capsule, Efferent Lymphatic
Thymus Cortex
outer Parenchyma, Basophilic
Developing T cells found here
Education and transfer of T cells
Thymus Medulla
inner region of Parenchyma
Eosinophilic
Large Lymphocytes
THYMIC CORPUSCLES
T cell education complete here
Epitherlioreticular Cells
characteristics of reticular and epithelial cells
3 in cortex
3 in medulla
are there reticulocytes in Thymus?
NO
Epitherlioreticular Cells:
Type 1
boundary of cortex and CT Capsule
Occluding Jxns b/t cells
DO NOT express MHC 1 or 2
Epitherlioreticular Cells:
Type 2
involved in T Cell education
Expresses both MHC 1 and 2
Epitherlioreticular Cells:
Type 3
Involved in T Cell education
boundary b/t cortex and medulla
create barrier b/t cortex and medulla
expresses MHC 1 and 2
Macrophages in the Cortex of Thymus?
remove T cells that fail thymic education
Crosstalk in Thymus
T Cells control architecture of Thymic Epithelioreticular cells
both influence each other
Epitherlioreticular Cells:
Type 4
b/t cortex and medulla in medulla
Occluding Jxns
Function as Barrier
Epitherlioreticular Cells:
Type 5
medulla
Desmosomes b/t cells
compartmentalize and framework medulla
Epitherlioreticular Cells:
Type 6
Forms Thymic Corpuscles
Thymic Corpuscles
produce IL-4 and IL-7
fxn in T cell education
produce thymosin and thymopoietin
T Cell Education
expression and deletion of specific Antigens
Education in cortex and medulla is seperate
T Cell education in Cortex
positive selection for cells expressing MHC and any Ag
T Cell education in Cortex:
Double negative stage
CD2 and CD7 expressed
T Cell education in Cortex:
Middle Stage
CD1
T Cell education in Cortex:
Double Positive Stage (3rd)
TCR, CD3 and CD4 and CD8 expressed
T Cell education in Cortex:
Positive Selection Process
If a cell expresses Self MHC and any Ag, it survives
if not, undergoes apoptosis
T Cell education in Medulla:
Negative Selection for self Ag displayed by self MHC
T Cell education in Medulla:
Single positive Stage
surviving cells lose one CD marker-either CD4 CTL or CD8 CTL
Hormones required for T Cell Maturation
Thymosin
Thymopoietin
Thymulin
Somatotropin
Thymic Humoral Factor
Thyroxin
Adrenocorticosterioids
Hormones required for T Cell Maturation:
Thymosin
produced by epithelioreticular cells
Hormones required for T Cell Maturation:
Thymopoietin
produced by epithelioreticular cells
Hormones required for T Cell Maturation:
Thymulin
produced by epithelioreticular cells
Hormones required for T Cell Maturation:
Somatotropin
Produced by Pituitary
Hormones required for T Cell Maturation:
Thymic Humoral Factor
produced by epithelioreticular cells
Hormones required for T Cell Maturation:
Thyroxin
from thyroid
induces thymulin production from epithelioreticular cells
Hormones required for T Cell Maturation:
Adrenocorticosteriods
from adrenal gland
depresses T cell formation in Thymus
Blood-Thymus Barrier importance
protects immature T cells from Ag contact
Components of Blood-Thymus Barrier:
Endothelium of Capillary Wall
impermeable to macromolecules
major structural component
Components of Blood-Thymus Barrier:
Macrophages
phagocytose Ag that escape from capillary
Components of Blood-Thymus Barrier:
Type 1 Epithelioreticular Cells
Occluding Jxns
isolate developing T Cells
Effects of absence of Thymus
abnormal development of 3rd and 4th pharyngeal pouches
abnormal Cell-Mediated immunity
Normal Humoral Immunity
patients die of tetany or infection
Thymus Involution
expands as aging
T Cell differentiation and proliferation decrease
does not become totally nonfunctional
Spleen General Features
lacks a cortex and medulla
reticular fibers present
Immune Fxns of Spleen
Ag presentation by APCs
Activation and Proliferation of B an T Cells
Production of Abs
Removal of Macromolecular Ags from blood
Production of Abs by plasma cells
Hemopoietic Function of Spleen (red pulp)
formation RBC
Filter Blood
Phagocytose damaged RBC
retrieve Iron from RBC Hgb
Where is Heme broken down into Bilirubin?
Red Pulp of Spleen
Is the spleen essential for life?
no, Bone marrow and liver can take over fxn
Spleen Histology
Covered by Visceral Peritoneum (simple squamous)
capsule of dense irregular CT
Trabeculae CT extensions
Hilum on concave surface
what is found in the hilum of the spleen?
Splenic Artery and Vein
nerves and Lymphatic vessels
Red Pulp of Spleen
red due to RBC
Splenic Sinuses and cords present, filled w/ blood
Red Pulp Sinuses:
lining endothelial cells
few contact points b/t cells
allows easy passage of cell in and out of sinus
Red Pulp Sinuses:
Macrophages
extend b/t endothelial cells into lumen
monitors passing blood for foreign Ags
Red Pulp Sinuses:
Basil Lamina
NO continuous basal lamina present
strands present and wrap outside of sinus
Red Pulp Sinuses:
Reticular Cells
processes extend to basal side of endothelium
How do Macrophages ID abnormal RBC?
RBC morphologic and biochemical change
coated w/ specific Abs
causes phagocytosis
Breakdown of Hgb from RBC
macrophages and lysozomes
Iron is transported to Bone Marrow
Heme is changed to Bilirubin, sent to liver
Spleen White Pulp General Features
mostly lymphocytes
Basophilic
What artery is found in white pulp of spleen?
Central Artery
What is the Lymphocytic aggregation around the central artery in white pulp of spleen?
Periarterial Lymphatic Sheath (PALS)
Splenic Circulation
Splenic Artery--> white pulp trabeculae-->red pulp trabeculae-->pulp arteriole-->terminal capillaries-->empty in splenic cords
how does blood in the spleen return to circulation?
through the walls of the splenic sinuses (Open Circulation)
what is the only route of blood to return to circulation from the Spleen?
Open Circulation Only