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55 Cards in this Set

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Sentinel Cells
independent lymphatic cells in circulation or tissue
Types of lymphatic cells
sentinel
nonencapsulated
encapsulated lymphoid organs
Cellular immunity
T cell derived
thymus
virus infected cells
tumor cells
Humoral Immunity
circulating antibodies
B cells
bursa
plasma cells
Tissues w/o lymphatic drainage (5)
CNS
Bone marrow
Inner ear
Eye
Cartilage
Lymphoid organ description
connective tissue framework of reticular fibers
Reticular Cells
FIBROBLASTS that produce reticular fibers (type??)
type III
Macrophages
APCs
proteosome related processing of antigen
Non-encapsulated lymphatic tissues (3)
lamina propria
solitary lymph node
Peyer's Patch aggregates of nodules
Lamina propria
lymphocytes in connective tissue of digestive, urinary, and respiratory systems
Solitary lymph NODULE
dense aggregates of lymph tissue
contains--
reticular cells
reticular fibers
lymphocytes
NON PERMANENT
LOOSE CONNECTIVE TISSUE
size, number, location?
Size and number increase during humoral response
GALT
MALT
BALT
Lymph nodule structure (2)
Mantle (cortex)
Germinal center
Mantle of lymph nodule
Dark staining
small T and B cells
reticular cells
Germinal center of lymph nodule
reactive center
light staining
large cells undergoing proliferation
lymphoblast formation
B lymphocytes plasma cells reticular cells
Centrocyte
in germinal center
infolded nucleus
goes on to be plasma or B cell
differentiated post mitotically and go to immunoblasts (preplasma)
Tingible body
macrophage in light center germinal of nodule
centroblast
migrates to germinal center
Dendritic cells
on periphery in cortex
increased SA for AP to lymph cells
APCs that were once macrphpages found in skin as Langerhans cells. when they present with antigen they migrate to nodules to interact with T cells and immature B cells (centroblasts)
Follicular Dendritic cells
in germinal center
not from macromages but mesenchyme and LCT
assist in B cell maturation
includes class switching and proliferation
Peyer's Patche
groups of solitary lymph nodules
found in lamina propria of ileum opposite attachment to mesentry
Partially Encapsulate lymphatic organs (tonsils) (3)
Palatine tonsil
Lingual tonsil
Pharyngeal tonsils
general characteristics
partially encapsulated
internal connective tissue framework (trabeculae)
infodlings at surface
throat circle called Waldeyer's ring
fxn: lymphopoiesis and antibody production
Palatine tonsil (LLSCA)
Location: lateral walls between palatoglossal arch (A) and palatopharyngeal arch (P)
Lymphatic Tissue: Dense nodular
Surface: stratified squamous which invaginates into tonsil with MULTIPLE crypts (10-12)
Connective tissue: hemi capsule or partial with trabeculae partitioning
Associated glandsL drained by ducts bypassing crypts to empty on surface
Lingual Tonsil (LLSCA)
L: Root of tongue post to row of vallate papillae
L: dense and nodular
S: stratified squamous epithelium with single crypt into each tonsil
C: hemi or partial capsule
A: drained byduct directly into single crypt
Pharyngeal Tonsil (LLSCA)
L: Posterior wall of nasopharynx
L; dense and nodular tissue
S: pseudostratified columnar epithelium which invaginates into tonsil as multiple folds
C: hemi or partial capsule
A: drained by ducts into folds
Encapsulated Lymph organs (3)
Lymph NODE
Spleen
Thymus
Lymph Node general characteristics (5)
kidney bean shapes
complete connective tissue capsule
cortex and medulla
lymph sinuses
afferent and efferent lymph vessels
Lymph Sinuses
channels for movement of lymph through node
not lined by epithelium
interlaced by reticular cells
surrounded by reticular fibers
subcapsular
peritrabecular
medullary
Cortex of lymph node
lymph nodules with germinal centers
B lymphocytes
activated b cells large centroblasts
Paracortical Deep cortex
predominantly T lymphocytes
High Endothelial venules (HEV)
stimulated postcapillary venules T cell diapedesis
HEV
found in lymph node, spleen, thymus and areas of chronic inflammation
Lymph Node Medulla
medullary cords- B lymphocytes, plasma cells macrophages
medullary sinuses filtration
Lymphatic vessels of Lymph Node
Afferent vessel- drain into subcapsular sinus
efferent vessel- exit lymph node through HILUS
Blood vessels of lymph nodes
enter hilus and travel through trabeculae to reach parenchyma. NO COMMUNICATION BETWEEN SINUS AND VESSELS
Nerves
vasomotor only
innervate smooth muscle of vascular channels (size of HEV)
Function of lymph node
Lymphopoiesis
antibody production
filtration of lymph: phagocytosis of particles by pacmans living along sinuses
Spleen general
Lies in upper left abdomen
weighs about 150 grams in average adult
complete capsule
parencyhma red and white pulp
efferent lymph only
path of blood flow?
Blood from splenic---capsular arteries---trabecular----central arterioles----penicilliary arterioles---sinusoids--postcapillary venules---trabecular veins---splenic vein
Periarteriolar lymphatic sheath
macrophage derived cytokine stimulation
around PALS lymph nodules
blue in cross section
White Pulp
lymphoid cells surrounding central arterioles. Mostly T cells from diapedesis from HEV)
Reactive B cells form nodules with reactive centers
central arterioles displaced peripherally by these nodules ( ECCENTRIC CENTRAL arterioles)
Red pulp
barrel shaped slenic sinusoids surrounded by macrophages, reticular cells, lymphocytes
Lymphocytges comprise so called splenic cords of Billroth
Circulation in spleen
combination of both open and closed sinusoidal connections--dep upon pathophysiologic demands
Nerves of Spleen
vasomotor only-smooth muscle of vascular channels
Functions of Spleen (5)
filters blood:phagocytic cells of sinusoids and Billroths
hematopoeisis, lymph and monocytes
phagocytosis of RBCs
antibody production
blood resevoir
Thymus general characteristics
Bilobed organ starting at 1-15g goes to 30-40 at teens, atrophies
complete connective capsule and septae
cortex and medulla in child but not adult
no lymphatic nodules (no antibody)
efferent lymph only
epithelial reticular cells: APCS?
Hassall's corpuscles
Epithelial reticular cells thymus
APCs of endodermal origin (3 pharyngeal pouch)
connected via desmosomes as a syncytium
function to support and isolate (blood-thymus barrier) the thymocytes
syntesize and secrete thymopoietin and thymulin, alpha and beta thymosin which reg thymocyte development
Hassalls corpuscles
degenerating epithelial reticular cells--post adolescent and adult
Thymic Cortex
matrix comprised of epithelial reticular cells
dense lymphaic tissue thymocytes
no nodules
Thymic Medulla
thicker network of epithelial reticular cells
reduced density of lymphatic tissue
degenerating epi retics make Hassalls corpuscles
Thymic Vessels
blood vascular supply distributed via septae to capillaries in parenchyma
HEVs rep sites of margination and diapedesis of immature T cells
Nerves
vasomotor only-smooth muscle of vessels
Functions of Thymus
Lymphopoeisis- fetus and infant
maturation of T cells
removal at birth is not good
fatty infliltration complete in adult
Mononuclear phagocytic system characteristics (3)
common origin (monocytes)
phagocytic
shared receptors for immunoglobulins and complement
Development of monocytes(4)
Stem cells (in marrow)--
promonocyte (in marrow)---
monocyte(in circulation)___
macrophage (in tissue)
Loose connective tissue monocytes(2)
macrophages and histiocytes
Liver sinusoid monocyte
Kupffer cells
Lung alveolar monocytes
dust cells/alveolar macrophage