mtweb.mtsu.edumtweb.mtsu.edu/.../Stewart_Lecture_Notes/lymphaticPP.pdfSlide 15 Lacteals • Are...

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Slide 1 Chapter 22: The Lymphatic System Slide 2 What are the major components of the lymphatic system?

Transcript of mtweb.mtsu.edumtweb.mtsu.edu/.../Stewart_Lecture_Notes/lymphaticPP.pdfSlide 15 Lacteals • Are...

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Slide 1

Chapter 22: The Lymphatic System

Slide 2

What are the major components of the lymphatic system?

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Slide 3

Components of the Lymphatic System

1. Lymph: – a fluid similar to plasma– does not have plasma proteins

2. Lymphatic vessels (lymphatics): – network that carries lymph from peripheral tissues

to the venous system3. Lymphocytes, phagocytes, and other immune

system cells 4. Lymphoid tissues and lymphoid organs:

– found throughout the body

Slide 4

Organization of the Lymphatic System

Figure 22–1

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Slide 5

What are the major functions of the

lymphatic system?

Slide 6

Function of the Lymphatic System

• Collection of fluid and solutes lost by the capillaries – 3.6L/day

• Distribution– Hormones– Nutrients – Waste products

• Protects us against disease– Production, maintenance and distribution of

lymphocytes

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Slide 7

1. Lymphatic Vessels

Slide 8

Role of Lymphatic Vessels

• About 3.6L/day of fluid is lost from the capillaries each day– This fluid is termed lymph fluid

• Similar to plasma but with little proteins

• This fluid is returned to the venous system by the lymphatic vessels

• Also transports hormones, nutrients, and waste products in the process

Page 5: mtweb.mtsu.edumtweb.mtsu.edu/.../Stewart_Lecture_Notes/lymphaticPP.pdfSlide 15 Lacteals • Are special lymphatic capillaries in small intestine – Very large diameter • Transport

Slide 9

Lymphatic Vessels

• Formed from buds coming off the veins• Lymphatic system begins with smallest

vessels:– lymphatic capillaries (terminal lymphatics)

Slide 10

Distribution of Lymphatic Vessels

• Wide-spread originating from most capillary beds

• Absent from:– Bone– Teeth– Bone marrow– Nervous system

• Function is replaced by cerebral spinal fluid

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Slide 11

Lymphatic Capillaries

• Differ from blood capillaries in 4 ways:– start as pockets rather than tubes

• Originate in the capillary beds– have larger diameters– have thinner walls– flat or irregular in section

Slide 12

Figure 22–2

Lymphatic Capillaries

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Slide 13

Construction of Lymphatic Capillaries

• Endothelial cells loosely bound together with overlap

• Overlap acts as one-way valve:– Called minivalves– allows fluids, solutes, viruses, and bacteria to

enter• Can allow entry of cancer cells

– prevents return to intercellular space

Slide 14

Figure 22–3

Lymphatic Vessels and Valves

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Slide 15

Lacteals

• Are special lymphatic capillaries in small intestine– Very large diameter

• Transport lipids from digestive tract

Slide 16

Lymph Flow

• From lymphatic capillaries have minivalves• larger lymphatic vessels containing one-

way valves like seen in veins• Larger lymphatic vessels have smooth

muscle that contracts rhythmically• Movement also aided by respiratory and

muscular pump

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Slide 17

Figure 22–4

Lymphatic Ducts and the Venous System

Slide 18

Superficial and Deep Lymphatics

• Join to form large lymphatic trunks • Trunks empty into 2 major collecting

vessels: – thoracic duct – right lymphatic duct

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Slide 19

The lower portion of the Thoracic Duct

• Receives the lymph flow from structures inferior to the diaphragm

• Expands into cisterna chyli• Cisterna chyli receives lymph from:

– right and left lumbar trunks – intestinal trunk

Slide 20

The upper portion of the Thoracic Duct

• Receives lymph flow from structures on the left side but superior to the diaphragm

• Collects lymph from:– left bronchiomediastinal trunk– left subclavian trunk– left jugular trunk

• Thoracic duct empties into left subclavian vein

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Slide 21

Figure 22–4

Lymphatic Ducts and the Venous System

Slide 22

The Right Lymphatic Duct

• Receives lymph flow from structures on the right side but superior to the diaphragm

• Collects lymph from:– right jugular trunk– right subclavian trunk– right bronchiomediastinal trunk

• Empties into right subclavian vein

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Slide 23

Figure 22–4

Lymphatic Ducts and the Venous System

Slide 24

Lymphedema

• Blockage of lymph drainage from a limb• Causes severe swelling• Interferes with immune system function

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Slide 25

2. Lymphocytes

Slide 26

Lymphocytes

• Lymphatic system cells respond to:– environmental pathogens– toxins– abnormal body cells, such as cancers

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Slide 27

Lymphocytes

• Make up 20–30% of circulating leukocytes• Most are stored, not circulating

Slide 28

Lymphopoiesis

• Lymphocyte production involves:– bone marrow– thymus– peripheral lymphoid tissues

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Slide 29

Figure 22–5

Formation and Distribution of Lymphocytes

Slide 30

Lymphoid Stem Cells

• Group 1:– remain in bone marrow– produce B cells and natural killer cells

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Slide 31

Lymphoid Stem Cells

• Group 2:– migrate to thymus– produce T cells in environment isolated by

blood-thymus barrier

Slide 32

Differentiation

• B cells differentiate:– with exposure to hormone interleukin-7

• T cells differentiate:– with exposure to several thymic hormones

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Slide 33

3 Classes of Circulating Lymphocytes

1. T cells:– thymus-dependent

2. B cells:– bone–marrow derived

3. NK cells:– natural killer cells

Slide 34

T Cells

• Make up 80% of circulating lymphocytes

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Slide 35

3 Main Types of T Cells

1. Cytotoxic T cells2. Helper T cells3. Suppressor T cells

Slide 36

Cytotoxic T Cells

• Attack cells infected by viruses• Produce cell-mediated immunity

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Slide 37

Helper T Cells

• Stimulate function of T cells and B cells

Slide 38

Suppressor T Cells

• Inhibit function of T cells and B cells

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Slide 39

B Cells

• Make up 10–15% of circulating lymphocytes

• Differentiate into plasma cells

Slide 40

Plasma Cells

• Produce and secrete antibodies (immunoglobin proteins)

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Slide 41

Natural Killer (NK) Cells

• Also called large granular lymphocytes • Make up 5–10% of circulating lymphocytes• Responsible for immunological surveillance• Attack:

– foreign cells– virus-infected cells– cancer cells

Slide 42

T Cells and B Cells

• Migrate throughout the body:– to defend peripheral tissues

• Retain their ability to divide:– is essential to immune system function

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Slide 43

3. Lymphoid Tissues

Slide 44

Characteristics of Lymphoid Tissues

• Connective tissues dominated by lymphocytes

• Strategically located to intercept and react with foreign material (antigens)– Located where risk of infection is greatest

Page 23: mtweb.mtsu.edumtweb.mtsu.edu/.../Stewart_Lecture_Notes/lymphaticPP.pdfSlide 15 Lacteals • Are special lymphatic capillaries in small intestine – Very large diameter • Transport

Slide 45

Types of Lymphoid Tissues

Diffuse Lymphatic TissueLymphoid NodulesLymphoid Organs

Slide 46

Diffuse Lymphatic Tissue• Simple in construction• Loosely scattered lymphocytes located in

areolar connective tissue• Not enclosed by a capsule • Location of lymphocytes is not static• Located beneath the epithelia of most tissues

– Most common in GI, respiratory, genitourinary tracts

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Slide 47

Lymphoid Nodule

• Areolar tissue with densely packed lymphocytes

• Germinal center contains dividing lymphocytes

Slide 48

Figure 22–6

Lymphoid Nodules

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Slide 49

Distribution of Lymphoid Nodules

• Lymph nodes• Spleen• Respiratory tract (tonsils)• Along digestive and urinary tracts

Slide 50

Mucosa-Associated Lymphoid Tissue (MALT)

• Lymphoid tissues associated with the digestive system:– aggregated lymphoid nodules:

• clustered deep to intestinal epithelial lining• mass of fused lymphoid nodules

– Appendix:– Peyer’s patches

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Slide 51

The 5 Tonsils

• In wall of pharynx:– left and right palatine tonsils– pharyngeal tonsil (adenoid)– 2 lingual tonsils

• Contains crypts that trap infectious material

Slide 52

Figure 22–6

Lymphoid NodulesTonsils

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Slide 53

Lymphoid Organs

• Lymph nodes• Thymus • Spleen

Slide 54

Lymphoid Organs

• Typically constructed of large collections of lymphatic nodules

• Are separated from surrounding tissues by a fibrous connective-tissue capsule – Helps contain infectious material

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Slide 55

Figure 22–7

Lymph Nodes

Slide 56

Figure 22–7

Lymph Nodes

• Range from 1–25 mm diameter• Function as a filter for the lymph fluid• 600 bean-shaped lymph nodes scattered

throughout the body– Large numbers in the cervical, axillary, and

inguinal regions

Page 29: mtweb.mtsu.edumtweb.mtsu.edu/.../Stewart_Lecture_Notes/lymphaticPP.pdfSlide 15 Lacteals • Are special lymphatic capillaries in small intestine – Very large diameter • Transport

Slide 57

Lymph Glands

• Large lymph nodes at groin and base of neck

• Swell in response to inflammation

Slide 58

Function of Lymph Nodes

• A filter:– purifies lymph before return to venous

circulation• Lymph fluid will pass through at least one node

before returning to the circulation

• Removes:– debris– pathogens– 99% of antigens

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Slide 59

Flow of Lymph Fluid• Enters the node through afferent lymphatic vessel• Passes next to subcapsular sinus:

– Contains marophages• Engulfs cellular debris and infectious material

– Contains dendritic cells • Involved in initiation of immune response

– Antigen presentation

• Passes into the outer cortex:– Contains lymphoid nodules housing B cells

• Germinal center contains dividing B cells and lymphatic dendriticcells

– Lymphatic Dendritic cells assist in maturation of B cells

Slide 60

Flow of Lymph Fluid (cont.)

• Passes into the deep cortex:– Dominated by T cells

• Involved in cell-mediated immunity

• Passes into the medulla:– Contains B cells and Plasma cells

• Involved in antibody production (humoral immunity)– Are arranged in elongated masses called medullary cords

• Exits the node by the efferent lymphatic vessel

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Slide 61

Lymphadenopathy

• Chronic or excessive enlargement of lymph nodes may indicate infections, endocrine disorders, or cancer

Slide 62

Figure 22–8

The Thymus

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Slide 63

The Thymus

• Located in mediastinum• Deteriorates after puberty:

– diminishing effectiveness of immune system

Slide 64

Divisions of the Thymus

• Thymus is divided into 2 thymic lobes• Septa divide lobes into smaller lobules

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Slide 65

A Thymic Lobule

• Contains a dense outer cortex• And a pale central medulla

Slide 66

Lymphocytes

• Divide in the cortex• T cells migrate into medulla• Mature T cells leave thymus by medullary

blood vessels

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Slide 67

Reticular Epithelial Cells in the Cortex

• Surround lymphocytes in cortex • Maintain blood-thymus barrier• Secrete thymic hormones (Thymosins)

that stimulate:– stem cell divisions– T cell differentiation

Slide 68

Reticular Epithelial Cells in the Medulla

• Form concentric layers (Hassall’scorpuscles)

• The medulla has no blood–thymus barrier:– T cells can enter or leave bloodstream

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Slide 69

Figure 22–9

The Spleen

Slide 70

3 Functions of the Spleen

1. Removal of abnormal blood cells and other blood components by phagocytosis

2. Storage of iron recycled from red blood cells

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Slide 71

3 Functions of the Spleen

3. Initiation of immune responses by B cells and T cells:

– in response to antigens in circulating blood

Slide 72

Structure of the Spleen

• Inside fibrous capsule:– red pulp:

• which contains many red blood cells– white pulp:

• resembles lymphoid nodules

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Slide 73

Trabecular Arteries

• Branch of the splenic artery that radiate toward capsule

• Finer branches surrounded by white pulp• Capillaries discharge red blood cells into

red pulp