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21 Cards in this Set

  • Front
  • Back
What are the primary and secondary lymphoid organs?
Primary: Thymus, bone marrow

Secondary: Lymph nodes, spleen, MALT, Tonsils
What are the functions of primary vs secondary lymphoid tissues?
Primary= production, differentiation, education

Secondary=Activation of lymphocytes due to antigen
Where does hematopoiesis take place in a fetus?
Yolk sac
What is the major function of the thymus?
Education of T cells aka T cell maturation
What decreases as the size of the thymus decreases over the course of a persons life?
Decrease in CD4+ cells
Loss of immune protection
Loss of immune regulation (Regulatory T cells)
How do lymphocytes vs DC's with and antigen enter the lymph node?
Lymphocytes enter via the HEV's
DC w\ antigen enter via the afferent lymphatic vessel
What is the force that drives lymph through the lymphatic system?
Muscular contraction and one way valves
Are the lymphatc vessels and systemic circulation 2 seperate networks?
No they are linked
What are the 2 functional areas of the spleen and their functions?
Red pulp- Old RBC destruction via macrophages(phagocyt)

White pulp- Lymphoid tissue
Where in white pulp to the 2 types of lymphoid cells reside?
B cells- follicles
T cells- Periarterial Lymphoid sheath(PALS)
When is asplenia a major concern?
In conditions where the antigen or infection is in circulating in the blood, b\c the blood filters at spleen. Tissue response intact via lymph nodes
What are the 3 bacteria that are of concern in splenia that were given? Tx?
Haemophilus influenzae
Streptococcus pneuomonia
Nisserria Menigitidis

Prophylactic antibiotics
Vaccines
What are the functions and locations of MALT and other lymphoid associated tissues?
Defends mucous lined tissues with large population of B cells, macrophages, granulocytes and mast cells
What is the structural difference between MALT and tonsils?
non-encapsulated vs partially encapsulated
What is immune cell trafficking?
When immune cells are moved via the blood to tissues and back via lymphatics
What are the 2 components of sucessful cell migration\trafficking?
Extravasation\ Chemotaxis
What are the cell adhesion molecules that facilitate extravasation?
CAMs=Integrins and Selectins
What are chemokines?
Chemotactic molecules that guide neutrophills and lymphocytes to place of inflammation
What are the paths of a lymphocyte through the spleen vs a lymph node?
Spleen= splenic artery-marginal sinuses- blood stream

Lymph node- HEV- efferent lymphatic vessel- blood at venous angle
What is the pathway of recirculation of naive B and T cells?
Through lymph nodes and spleen
Contrast the recirculatory pathways of acivated B and T lymphocytes?
Effector T cells go to site of infection
Memory T go to infection site and

B cells remain in lymphoid organs to secrete antibodies, some to bone marrow

Memory B recirculate through 2ndary lymphoid tiss