Lymphoid System Flashcards

(25 cards)

1
Q

Where do B cells and where do T cells mature

A

B - Bone Marrow

T - Thymus

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2
Q

Secondary Lymphoid Tissue

A

Lymph Nodes
Spleen
Mucosa associated lymphoid tissue (MALT) (e.g. tonsils or other diffuse cells throughout various systems)

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3
Q

What is lymph

A

Interstitial fluid from capillary beds that is not picked up by venules - 20% of interstitial fluid

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4
Q

How is lymph returned to the circulatory system

A

Via Lymphatic Vessels

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5
Q

Why does the body not pick up all the interstitial fluid instead of going via lymphatic vessels

A

On the way to the venules, they go through lymph nodes

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6
Q

Lymphoedema

A

Blocked lymph vessels causing swelling

Can be side effect of radiotherapy

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7
Q

What kinds of surfaces have antigen presenting cells and what are they

A

Exposed surfaces - Digestive system, Respiratory System, Skin

Dendritic Cells/Macrophages

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8
Q

Shape of lymph nodes and their structure

A

Bean Shaped

Composed of a cortex and medulla supported by a reticular network and surrounded by a connective tissue capsule

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9
Q

How does lymph enter, travel through and leave lymph nodes

A

Via afferent lymphatics into a network of sinuses (subcapsular, corticular and medullary) which ultimately drain into efferent lymphatics

Macrophages and dendrites enter through lymphatics as well

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10
Q

Where are lymphoid follicles relative to the lymph nodes

A

On the superficial cortex/outside of the lymph nodes

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11
Q

Where does lymph node blood supply enter and leave

A

At the hilum along with the lymphocytes

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12
Q

What happens to lymphocytes in a lymph node if they do not recognise any antigen

A

They leave within a few hours and might go to another lymph node to find antigens there

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13
Q

How often does an average lymph node turn over its lymphocyte population in a day

A

About 10-48 times per day - note that lymphocytes really are not static

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14
Q

Annotate

A
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15
Q

Describe Antigen Presenting Cells

A

Macrophages or dendritic cells that phagocytose intruders and present ingested proteins on MHC [Major Histocompatibility Complex] on their surface

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16
Q

Describe immunity in the lymph node

A

APCs travel to paracortex to present protein fragments leading to T cell activation and proliferation

B Cells pick up the antigen in the follicle, ingest it and move to B/T cell zone interface

Activated T & B cells meet at B/T cell zone interface and the specific T helper cell activates the B cell to proliferate and mature

Activated B cell moves back to cortex to proliferate and mature resulting in a germinal centre

17
Q

What happens to the size of lymph nodes with higher proliferative activity

18
Q

When do lymph nodes enlarge

A

When there is an infection in the body
When they are infected
Tumour of the lymphoid system (Lymphoma)
When tumour metastasises to nearby lymph nodes

19
Q

Which cells are generally associated with Lymphomas

A

Lymph nodes and spleen cells

Lymphocytes in bone marrow and blood are sometimes involved but more commonly so in leukemia

20
Q

What does the spleen do

A

Does to blood what lymph nodes to for lymph
Filters circulating blood through sinusoids to remove effete RBCs (approx 3 months) and platelets

Phagocytoses blood borne microorganisms and mounts an immune response to antigens in the blood

21
Q

What happens following a splenectomy

A

Infection and an increased number of deformed RBCs/Platelets

22
Q

Describe the structure of the spleen

A

Comprised of a collagenous capsule surrounding a reticulin network (which supports many sinusoids [red pulp] and lymphoid aggregates [white pulp])

White pulp equivalent to paracortex and superficial cortex of lymph node

Blood supply through hilum via splenic artery and vein

23
Q

What happens to blood entering the spleen

A

Ends up in sheathed capillaries lined with macrophages

Bad cells can’t squeeze through gaps of venous sinuses and are phagocytosed; good cells pass into sinuses which pass drain into veins

24
Q

Describe tissue of Mucosa Assosciates Lymphoid Tissue (MALT)

A

Single cells or aggregates of lymphocytes;

contains lymph follicles or nodules just underneath epithelia with no distinct connective tissue capsule

25
Where is MALT frequently seen and what commonly occurs in it
Frequent in airways and digestive tract It is the primary site of antigen presentation and B- and T cell activation/proliferation