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Chapter 12 Textbook The Lymphatic and Immune Systems 3. Lymph nodes cleanse the lymph by trapping bacteria, viruses, and other harmful substances that are destroyed by white blood cells; they also store and produce infection-fighting T cells and B cells. 4. the spleen 5. in the spleen Chapter-Opening Question Caption Questions The lymphatic system works with the immune system to keep the body healthy by quickly recognizing and mounting a counterattack against infectious agents. As the lymphatic system reabsorbs fluid from the capillaries, it removes bacteria- and virus-infected cells from body tissues. It also “sounds the alarm” that activates specific immune defenses, providing protection against disease. Figure 12.1: Yes, lymph nodes are organs. Lesson 12.1 The Lymphatic System Before You Read What are the two primary functions of the lymphatic system? The lymphatic system (1) collects fluid from the interstitial spaces in the body tissues and transports it back to the cardiovascular system, and (2) protects the body from disease by recognizing and fighting infectious agents such as bacteria and viruses. What would happen to the human body if it did not have a lymphatic system? If the body did not have a lymphatic system, excess fluid leakage in the capillaries would cause a potentially fatal drop in blood pressure, and the body would lack an important mechanism in its constant battle against infectious agents. Check Your Understanding, page 415 1. The lymphatic system collects fluid from the interstitial spaces in the body tissues and transports it back to the cardiovascular system, and it protects the body from disease by recognizing and fighting infectious agents such as bacteria and viruses. 2. The lymphatic system resembles the cardiovascular system in that both systems extend throughout almost all parts of the body, and they both have a network of vessels that vary in size from microscopic capillaries to large vessels. Unlike the circulatory system, however, the lymphatic system is not a closed loop. 3. Lymph formation begins with fluid leakage from the blood vessel capillaries. 4. Muscular contractions and movement of organs compress the lymphatic vessels, propelling the lymph through the vessels. 5. The lymphatic trunks were named based on their location and the part of the body that they drain. Check Your Understanding, page 419 1. T lymphocytes and B lymphocytes 2. Lymphatic tissues are found in mucous membranes and certain organs throughout the body. Figure 12.3: Lymphatic ducts were named based on their location and the part of the body that they drain. Figure 12.4: Lymph nodes cleanse the lymph by trapping bacteria, viruses, and other harmful substances, which in turn are destroyed by white blood cells. They also store and produce infection-fighting T cells and B cells. When you have a throat infection, the lymph nodes in your neck may become swollen due to activation of an immune response. This immune response activation causes lymphocytes to multiply quickly, and as a result, the lymph nodes become enlarged. Figure 12.5: Although you can still lead a normal life without a spleen, you would have increased susceptibility to infection. Know and Understand 1. Lymphatic fluid is the fluid that leaks out of blood vessel capillaries, blood plasma is the fluid that is inside the blood vessels, and interstitial fluid is the fluid that leaks out into the space between the cells. 2. The lymphatic system reabsorbs fluid that leaks from the capillaries. If this excess fluid were not returned to the cardiovascular system, a potentially fatal drop in blood pressure would occur. 3. Endothelial cells form the lymphatic capillary walls. These cells overlap and are tethered in a way that makes it easy for fluid to enter the capillaries but hard for it to leave. 4. Blood plasma becomes lymphatic fluid when it leaks out of blood vessel capillaries. 5. The left and right jugular trunks are located in the left and right sides of the neck, the left and right subclavian trunks are located beneath the clavicle (collarbone), the left and right bronchomediastinal trunks are located in the middle of the chest, the intestinal trunk is located near the intestines, and the left and right lumbar trunks are located in the lower back. 6. Both T cells and B cells play a vital role in immune system function by fighting infection. T lymphocytes migrate to the thymus to complete their maturation, whereas B lymphocytes mature within the bone marrow. Analyze and Apply 7. Answers will vary. If students argue that the lymphatic system’s role as a “plumber” is more important, they should explain the lymphatic system reabsorbs 1 excess fluid from the capillaries and returns it to the cardiovascular system, thereby preventing a potentially fatal drop in blood pressure. If students maintain that its role as a “soldier” is more important, they should note that the lymphatic system protects the body from disease by recognizing and battling foreign invaders that could cause fatal infection or disease. 8. Lymphatic fluid assumes a milky appearance upon draining from the small intestine because of the lipids that it collects while traveling through this part of the digestive tract. 9. Muscular contractions and movement of organs compress the lymphatic vessels, advancing the lymph along its route. This process is aided by lymphatic valves, tissue flaps that act as one-way valves inside the lymphatic vessels, ensuring that the lymph moves in only one direction. In the Lab 10. Models will vary, but students should demonstrate one or both of the following major differences between the lymphatic and cardiovascular systems: In the lymphatic system, lymph flows in an open circuit from body tissues into lymphatic vessels; once inside the vessels, lymph flows only in one direction. Also, lymph is either clear or milky. In the cardiovascular system, blood flows in a closed, continuous loop throughout the arteries, capillaries, and veins of the body. Also, blood contains liquid plasma through which red and white blood cells and platelets are transported. 11. Figures will vary, but lymphatic trunks and associated organs should be accurately labeled. Students may refer to Figure 12.3. Lesson 12.2 Nonspecific Defenses Before You Read What are phagocytes, and what role do they play in the defense systems of the body? Phagocytes are cells that engulf and consume bacteria, other foreign material, and debris. Phagocytes serve the extremely important of protecting the body against foreign invaders. Why does inflammation occur in the body? What important purpose does it serve? Inflammation occurs when tissues have been injured by bacteria, toxins, trauma, or another cause. Inflammation promotes the repair of damaged tissue. Check Your Understanding, page 425 1. Defenses against infectious agents begin with physical barriers to their entry—for example, the skin. 2. keratin 3. phagocytosis 4. 11 5. NK (natural killer) cells bind to abnormal cells and release perforins—proteins that destroy foreign cells—by exocytosis into the narrow space between the cells. The perforins embed themselves in the target cell membrane and self-assemble into Introduction to Anatomy and Physiology doughnut-shaped pores. This process causes perforations, or small holes, in the target cell, causing the cell to die soon thereafter. MACs (membrane attack complexes) are produced by the activation of complement proteins that insert themselves into bacterial cell membranes, creating large, lethal holes in the membranes. Check Your Understanding, page 428 1. alpha interferons, beta interferons, and gamma interferons 2. heat, redness, swelling, and pain 3. the hypothalamus Caption Questions Figure 12.6: The skin is not an effective barrier to infectious agents when it is not intact. Figure 12.7: Phagocytosis is the process by which cells engulf and destroy foreign matter and cellular debris. In phagocytosis, a cell such as a neutrophil or a monocyte (called a phagocyte) adheres to a foreign cell and forms a pseudopod, which engulfs the foreign cell particles and forms a phagosome, a membrane-bound compartment containing the ingested particles. This compartment protects the cell from damaging itself with the chemicals that it uses to destroy the engulfed material. A lysosome, which contains acid and lysosomal enzymes, fuses with the material engulfed by the phagocyte. The acid and lysosomal enzymes destroy the target, and the debris is released from the cell by exocytosis. Exocytosis is a process in which the cell membranes fuse and then push the debris from the cell vesicles to the outside of the cell. Figure 12.8: 11; they complement, or balance out, the effects of antibodies Figure 12.9: Inflammation promotes the repair of damaged tissue. Figure 12.10: the hypothalamus Know and Understand 1. The skin acts as a barrier against infectious agents in several ways. Its outer layer, the epidermis, is a stratified squamous epithelium, meaning that its cells are flattened and arranged in layers. This configuration makes skin an effective barrier as long as it is intact. The epidermis also contains keratin, a protein that is strong, flexible, and hard to penetrate. 2. The sweat glands and sebaceous glands secrete acidic substances that contain toxic chemicals, which help thwart bacterial growth and reduce the risk of infection. 3. cilia—tiny, hair-like structures 4. The process by which cells engulf and destroy foreign matter and cellular debris is called phagocytosis. The process begins when a cell such as a neutrophil or a monocyte (called a phagocyte) recognizes its target and binds to it. The phagocyte adheres to the foreign cell and forms a pseudopod, which engulfs the foreign cell particles and forms a phagosome, a membranebound compartment containing the ingested particles. This compartment protects the phagocyte from damaging itself with the chemicals that it uses Chapter 12 Answer Key 2 to destroy the engulfed material. A lysosome, which contains acid and lysosomal enzymes, fuses with the material engulfed by the phagocyte. The acid and lysosomal enzymes destroy the target, and the debris is released from the cell by exocytosis. Exocytosis is a process in which the cell membranes fuse and then push the debris from the cell vesicles to the outside of the cell. 5. Histamine is a compound that activates an inflammatory response. It attracts phagocytes and lymphocytes to the injured or diseased area. Analyze and Apply 6. The classical is a mode of complement system activation in which a circulating complement protein recognizes an antibody bound to a foreign target. The activated protein kicks off a cascade of complement protein activation. The alternative pathway is activated when a circulating complement protein recognizes foreign materials such as bacterial cell walls. 7. A virus is tiny, is not a cell, and cannot reproduce itself. To spread, a virus enters a cell and takes over the intracellular machinery, enabling the virus to make many copies of itself. Those copies, when released, can invade nearby cells, causing the infection to spread. 8. The inflammatory response is responsible for the sensation that the part of the body affected by injury or illness feels as though it is on fire. This response, characterized by redness, swelling, heat, and pain, is triggered when tissue has been injured by bacteria, toxins, trauma, or other affliction. In the Lab 9. Models will vary, but structures should be accurately labeled and adequately described. Lesson 12.3 Specific Defenses Before You Read Why is the specific immune system also called the adaptive immune system? It is able to recognize new challenges, adapt to those challenges, and “remember” what it has learned. What is an antibody, and what function does it serve? An antibody is a protein that recognizes particular antigens with great specificity; it interferes with antigen function and marks the antigens for destruction. Check Your Understanding, page 432 1. The immune system is also called the specific immune system because it is highly specific in its responses to foreign substances. 2. An antigen is a large, complex molecule (such as a protein, polysaccharide, glycolipid, or nucleic acid), or parts of a molecule on the surface of a cell. An antigen identifies a cell as either a “self” or “nonself” cell, making it possible for the body to distinguish between its own cells and foreign cells. 3. Examples: macrophages, dendritic cells, and B cells 4. MHC (major histocompatibility) proteins are a type of protein that displays antigens on the surfaces of cells. Introduction to Anatomy and Physiology There are two classes of MHC proteins: class I MHC proteins and class II MHC proteins. 5. For a lymphocyte not to be characterized as inactive, it has to “meet” its corresponding antigen. Caption Questions Figure 12.11: Answers will vary, but students might mention how they would be unable to leave their houses to attend school, go to work, or hang out with their friends, for example. Figure 12.12: Humoral immunity is effective against specific pathogens located outside of cells, such as extracellular viruses, bacteria, and bacterial toxins. Cellular immunity is not only assisted by T cells but also is directed at cells infected by a specific virus, bacterium, toxin, or cancer. Interferons, by contrast, are proteins released by cells that have been infected with a virus; they interfere with viral replication and spreading and, as such, do not help the already-infected cells. Instead, they help neighboring cells resist viral infection. In short, interferons work without regard for the specific identity of an infectious agent. The mechanisms of inflammation operate in a similar fashion. During the inflammatory response, cells release chemicals that cause the blood vessels to leak fluid into the tissues, resulting in swelling. This swelling helps isolate the foreign invader, preventing further contact with body tissues. Figure 12.14: If antibodies did not display specificity in targeting pathogens, they would not be able to interfere with antigen function and mark antigens for destruction. As a result, antibodies would not be able to neutralize viruses or otherwise protect the body from infection. Figure 12.15: Answers will vary and will depend on the antibody functions that students individually determine to be the most important. The following summaries, in conjunction with the material in this chapter, may help students answer this question. IgA antibodies bind to antigens while they are still on the “outside” of the body, preventing them from crossing the epithelium and entering the body tissue. IgD antibodies signal the activation of B cells; by being activated, the B cells are ready to participate in the body’s humoral defense. IgE antibodies bind to mast cells and basophils, causing them to release histamine and other chemicals that mediate inflammation and allergic responses. IgG antibodies are the most common type of circulating antibodies; they provide resistance against many different infectious microorganisms. IgM antibodies are the first class of antibodies secreted by activated B cells; they activate the complement system. Because IgM antibodies have ten binding sites, they are effective at causing agglutination, or clumping up, of antigens. Figure 12.16: A secondary immune response to infection is larger and faster than the primary response because the secondary response mainly involves activation of memory cells. The body “remembers” the harmful invader from the initial exposure; therefore, its immune response is stronger during the second, or subsequent, exposure. Figure 12.17: The helper T cells will activate cytotoxic T cells (killer T cells). Chapter 12 Answer Key 3 Know and Understand 1. “Bubble boy” disease, or severe combined immune deficiency (SCID), is a genetic immune system deficiency. Patients with SCID have such a severely compromised immune system that they are susceptible to infections and diseases that never trouble those with a normal immune system. 2. macrophages, dendritic cells, and B cells 3. The thymus is the organ in which some lymphocytes travel to complete their maturation as T lymphocytes (T cells), upon which they move out to the blood and the rest of the body. 4. B cells and T cells 5. The T lymphocytes mature in the thymus, and the B lymphocytes mature in the bone marrow. Analyze and Apply 6. Some lymphocytes continually circulate throughout the body, and others settle in the lymph nodes, spleen, or lymphatic tissues. Only a fraction of lymphocytes will ever “meet” the antigen that binds to its particular antigen receptor; the other lymphocytes—those that settle in the lymph nodes, spleen, and lymphatic tissues—may never “meet” their specific antigen. 7. When a lymphocyte meets an antigen, the antigen binds to the antigen receptor on the lymphocyte. This binding process stimulates the lymphocyte to differentiate, or divide repeatedly, making many copies of itself. Each copy of the lymphocyte is an exact genetic duplicate (clone). These clones become short-lived effector cells that fight infectious invaders. 8. When a B cell encounters the antigen that binds to its particular antigen receptor, it undergoes clonal selection. The B cell divides repeatedly, making many copies of itself. Each copy is an exact genetic duplicate of the original B cell that was stimulated. Some of these clones, or daughter cells, become memory helper B cells; however, most become plasma cells. In the Lab 9. Project results will vary. 10. Essay content will vary. Lesson 12.4 Disorders and Diseases of the Immune System Before You Read What causes an allergy? an inappropriately strong response of the immune system to an environmental antigen, such as dust mites, pet dander, pollen, or certain foods What is the difference between the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS)? HIV is the virus that causes AIDS. Check Your Understanding, page 439 1. As a solid tumor grows, cancerous cells sometimes break free from the tumor and migrate to other areas of the body. Introduction to Anatomy and Physiology 2. Lymphedema is caused by a disruption in the lymphatic drainage system, leading to a buildup of lymphatic fluid in the interstitial space. This fluid buildup causes tissue swelling and damage. Check Your Understanding, page 440 1. an allergy—an overreaction of the body’s immune system to an antigen 2. Excessive amounts of histamine in the body can lead to life-threatening symptoms, including pulmonary obstruction and extremely low blood pressure. 3. an injection of epinephrine or antihistamine drugs 4. rheumatoid arthritis, multiple sclerosis, and type I diabetes Caption Questions Figure 12.18: Some people have a more sensitive or overactive immune system. There may also be a hereditary factor. Taking It Further, page 441 1. Report content will vary. Know and Understand 1. An oncologist surgically removes one or more lymph nodes or performs a needle biopsy using a syringe to determine whether cancer has spread. 2. Lymph node removal disrupts lymphatic drainage in the affected area of the body, causing a buildup of extracellular fluid, or lymphedema. 3. a compression sleeve, physical therapy, and carefully designed, light exercise 4. IgE antibodies are a class of antibodies that interact with mast cells and basophils, which become sensitive to allergens. IgE antibodies are produced when allergen presentation activates a helper T cell, which in turn activates B cells. 5. basophils and mast cells 6. Allergen immunotherapy involves administration of allergy shots, a long-term treatment whose goal is to prevent allergic reactions before they occur. In allergen immunotherapy, a specific allergen is injected beneath the skin, starting with tiny amounts and gradually building up to larger amounts. This incremental approach often leads to the development of immune system tolerance of the antigen, thereby reducing or eliminating the allergic response. 7. HIV is a virus; AIDS is the disease caused by HIV. 8. A B lymphocyte and a cultured cell derived from a cancerous lymph cell are fused. This fused cell can divide without limit. It is allowed to divide, grow, and secrete its antibody product. The product is harvested from the fluid bathing the cells and is packaged as a drug. Analyze and Apply 9. Breast cancer often metastasizes to the axillary (underarm) lymph nodes. Students should label this area on a diagram of the human body. 10. Histamine could cause inflammation and swelling of the airways, or it could cause capillaries to become excessively leaky, leading to leakage of blood plasma into the interstitial space. Chapter 12 Answer Key 4 In the Lab 11. patient A: cancer; patient B: rheumatoid arthritis; patient C: allergies; patient D: AIDS 12. Poster content will vary. Chapter Assessments Lesson 12.1 The Lymphatic System 1. The lymphatic system (1) collects fluid from the interstitial spaces in the body tissues and transports it back to the cardiovascular system, and (2) protects the body from disease by recognizing and fighting infectious agents such as bacteria and viruses. 2. True 3. True 4. False 5. subclavian 6. False 7. The spleen has a thin covering and is soft inside, so it can be easily torn during contact sports. If a torn spleen cannot be repaired, the organ would need to be surgically removed. Although their son can still lead a normal life without a spleen, he would be much more susceptible to infections. 8. Lymph nodes cleanse the lymph by trapping bacteria, viruses, and other harmful substances, which in turn are destroyed by white blood cells. They also store and produce infection-fighting T cells and B cells. When you have a throat infection, for example, the lymph nodes in your neck may become swollen due to activation of an immune response. This immune response activation causes lymphocytes to multiply quickly, and as a result, the lymph nodes become enlarged. Lesson 12.2 Nonspecific Defenses 9. 10. 11. 12. 13. 14. 15. 16. True B Monocytes exocytosis complement system A True The classical pathway is activated when a circulating complement protein recognizes an antibody bound to a foreign target; the activated protein kicks off a cascade of complement protein activation. The alternative pathway is activated when a circulating complement protein recognizes foreign materials such as bacterial cell walls. Lesson 12.3 17. 18. 19. 20. 21. 22. 23. 24. 25. the lymphatic organs and tissues antigen B the thymus C True five antigens The first time the body is exposed to a virus or bacterium through a vaccine, a primary immune response occurs. If the body is exposed to the Introduction to Anatomy and Physiology same virus or bacterium a second or subsequent time, a secondary response occurs. The secondary response is larger and faster than the primary response because the secondary response mainly involves activation of memory cells. The body “remembers” the harmful invader from the initial exposure; therefore, its immune response is stronger during the second, or subsequent, exposure. 26. Clonal selection occurs when a lymphocyte meets the antigen that binds to its particular antigen receptor. This binding of antigen to antigen receptor causes the lymphocyte to differentiate, or divide repeatedly, making many copies of itself. These clones become short-lived effector cells that fight infectious invaders. Lesson 12.4 Disorders and Diseases of the Immune System 27. 28. 29. 30. 31. 32. 33. 34. metastatic 55% D allergy human immunodeficiency virus (HIV) tolerance anaphylaxis The patient is said be “HIV positive” after initial infection with HIV; the immune system is still able to replace CD4-positive cells almost as quickly as they are lost. When the concentration of T helper cells in the blood drops below 200/mm3, the patient is said to have AIDS. Building Skills and Connecting Concepts Analyzing and Evaluating Data 35 60% 36. Mozambique, Nigeria, United States, Argentina, Colombia, and Chile 37. Europe 38. C Communicating about Anatomy and Physiology 39. Argument content will vary. 40. Responses will vary. Lab Investigations 41. Recommended vaccine schedules and tracking tools will vary. 42. Information sheet content will vary. Workbook Lesson 12.1: Learning the Key Terms 1. 2. 3. 4. 5. A B M I Q Chapter 12 Answer Key 5 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. N G K D S J R C P E F O H L Lesson 12.1: Study Questions 1. The lymphatic system reabsorbs fluid leaking from the capillaries, removes bacteria and virus-infected cells from body tissues, and activates specific immune defenses. 2. Lymph is a fluid collected from tissues through the body and flows in the lymphatic vessels. It is normally clear, transparent, or sometimes faintly yellow. 3. Both systems extend throughout almost all parts of the body, and also have a network of vessels that vary in size from microscopic capillaries to large vessels. Unlike the circulatory system, however, the lymphatic system is not a closed loop. 4. The normal leakage rate is 2 to 3 mL per minute. This tiny amount could cause all of a person’s blood plasma to be lost in a single day if it were not returned to the cardiovascular system. 5. Answers may vary. As the fluid leaks out of the capillaries, it gathers in the space between cells called the interstitial space. The fluid, now called interstitial fluid, builds in the interstitial space, eventually moving into the lymphatic capillaries via the endothelial cells that form the walls of these lymphatic capillaries. Once the fluid, or lymph as it is now know, enters the lymphatic capillaries, it begins flowing into the lymphatic trunks. Muscular contracts, organ movements, and lymphatic valves help move the lymph through the lymphatic vessels and trunks. 6. When inside the blood vessels, it is called blood plasma. When it leaks out and enters the spaces between cells, it is called interstitial fluid. Once the fluid is in the lymphatic capillaries or the larger lymphatic vessels, it is called lymph. 7. an enlarged chamber through which lymph flows; located just in front of the vertebral column, at the diaphrahm level 8. Lymphocytes are white blood cells. Lymphocytes make up about 20% to 30% of the white blood cells in whole blood and are abundant in lymphatic tissues, such as lymph nodes and the spleen. 9. B lymphocytes and T lymphocytes 10. When a white blood cell called a monocytes migrates out of lymphatic circulation and into the surrounding tissue, it becomes a macrophage. Macrophages are cells that phagocytize (surround and destroy) foreign cells and substances. Introduction to Anatomy and Physiology 11. Lymphatic tissue is loose connective tissue that contains many lymphocytes. Lymphatic tissue is present in mucous membranes that line the respiratory, digestive, urinary, and reproductive tracts. Lymphatic tissue is also found in certain organs in the body, including the lymph nodes, spleen, and thymus. 12. Lymph nodes cleanse the lymph by trapping bacteria, viruses, and other harmful substances, which in turn are destroyed by white blood cells. Lymph nodes also store and produce T cells and B cells that help fight infection. 13. They often become enlarged. 14. the blood 15. a disease-causing agent 16. the endocrine system 17. The thymus is not a site where lymphocytes wait to fight off infectious agents. Rather, the thymus functions as a nursery for T cells. Lesson 12.1: Labeling the Lymphatic System 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. E K G C L D J A O F N B I H M Lesson 12.1: Lymphatic Ducts and Vessels 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. D G I F P O C E H K B A J L N M Lesson 12.2: Learning the Key Terms 1. Phagocytosis 2. classical pathway Chapter 12 Answer Key 6 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. exocytosis interferons Mast cells opsonins Prostaglandins Fever Complement proteins alternative pathway Monocytes Pyrogens neutrophils inflammatory response Phagocytes complement system Lesson 12.2: Study Questions 1. physical barriers; cellular and chemical barriers; inflammation; and fever 2. Answers may vary. skin, hair, mucous membranes, cilia in the respiratory tract 3. keratin; a protein 4. a cellular defense 5. phagocytosis 6. Virus-infected and cancer cells often have unusual proteins on their surface, or fail to show typical proteins on the surface. 7. Perforins are proteins released by NK cells that destroy foreign cells. The perforins embed themselves in the target cell membrane and create perforations in the target cell. The target cell soon becomes full of holes and dies. 8. 11 9. The process of making cells attractive to phagocytes is called opsonization, and opsonins are proteins that make cells more attractive to phagocytes. 10. Both NK cells and complement proteins penetrate and create holes in their targets. NK cells do this directly, while complement proteins form a membrane attack complex (MAC), which creates a large, lethal hole in the cell membrane. 11. Interferons received their name because they interfere with viral replication and spreading. 12. Alpha interferons are produced by virus-infected leukocytes. Beta interferons are produced by virusinfected fibroblasts (connective tissue cells). Both alpha and beta interferons can bind to receptors on neighboring cells, causing those cells to express proteins that slow down protein synthesis and hinder the reproduction of viral particles. Gamma interferons are produced by NK cells and T cells that have been activated by detection of foreign materials. Gamma interferons help macrophages to resist viral infection and attack virus-infected cells more quickly. 13. Interferons are useful for treating certain diseases, including hepatitis C, some forms of leukemia, and certain types of lymphoma because they tend to hinder cell growth and division, including the rapid growth and division of cancer cells. 14. Inflammation occurs when tissues have been injured by bacteria, toxins, trauma, or another cause. 15. heat, redness, swelling, and pain Introduction to Anatomy and Physiology 16. the maintenance of body temperature at a higherthan-normal level 17. the hypothalamus 18. Pyrogens are chemicals that raise the set-point temperature of the neurons in the hypothalamus, which increase the temperature of the body. Lesson 12.3: Learning the Key Terms 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. F I A K M D N L H C E J B G Lesson 12.3: Study Questions 1. the specific immune system, or the adaptive immune system 2. a successful bone marrow transplant 3. Antigens identify cells as either “self” or “nonself” cells, thereby making it possible for the body to distinguish between its own cells and any nonself, or foreign, cells. This in turn makes it possible for the immune system to recognize foreign cells and produce antibodies that bind to and mark the foreign antigens. 4. macrophages, dendritic cells, and B cells 5. B lymphocytes complete their maturation in bone marrow (thus the “B”), while T lymphocytes complete their maturation in the thymus (thus the “T”). 6. Each lymphocyte has many antigen receptors in its membrane. But all the receptors in a lymphocyte membrane recognize one—and only one—antigen; thus the idea of “specific” defenses. 7. During differentiation, the lymphocyte divides repeatedly, making many copies of itself. Each copy is an exact genetic duplicate, or clone, of the original cell. Their purpose is to become short-lived effector cells that fight the infectious invader. 8. MHC proteins display antigens on the surfaces of cells in order for an immune response to be activated. There are two classes of MHC proteins—Class I MHC and Class II MHC. 9. Humoral immunity, or antibody-mediated immunity, is effective against pathogens located outside of cells such as extracellular viruses, bacteria, and bacterial toxins. 10. RER is a membranous network in the cytoplasm of plasma cells that are involved in protein synthesis in humoral immunity. 11. Antibodies are y-shaped proteins that recognize particular antigens with great specificity. Antibodies are also called immunoglobulins. Although they Chapter 12 Answer Key 7 12. 13. 14. 15. 16. 17. do not directly destroy antigens, they interfere with antigen function and mark the antigens for destruction. Answers may vary. A. An antibody can neutralize a virus or toxin by occupying the binding site that the virus/toxin would use to attach to a target cell. B. Precipitation causes small antigen molecules to clump together, forming antigen complexes that are too big to remain dissolved in the bloodstream. C. Agglutination causes cells, viruses, and bacteria to clump together. D. The antibody can bind to its target, exposing the binding sites of the antigen and activating the complement system. The antibodies and complement proteins make the pathogen more appealing to phagocytes. E. Antibody-antigen complexes stimulate inflammation by causing mast cells and basophils to release histamine and other chemicals. The primary immune response occurs when the body is first exposed to a foreign invader. When the same virus or bacterium enters the body for a second time, the secondary immune response occurs. This is a strong response to a lesser amount of antigen and mainly involves memory cells. Answers may vary. The secondary immune response explains why vaccination works—the secondary immune response, through its memory cells, learns how to fight specific antigens. When a vaccine is administered, an individual receives the first dose of a virus or bacterium, initiating the primary response. Then, when the individual naturally encounters the virus or bacterium, the strong, secondary immune response is initiated. In active immunity, antibodies are actively produced by the body’s blood plasma cells; in passive immunity, antibodies are received from an outside source. Cellular immunity is immunity that arises from the activation of T cells by antigen-presenting cells. The division of cytotoxic T cells produces active cytotoxic T cells, which seek out and destroy antigendisplaying cells that initiated the immune response. It also creates memory cytotoxic T cells and suppressor T cells, which prevent the cellular response from being too strong or too long lasting. Lesson 12.3: Antigen Presentation 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. C H G F B D E A 4 2 3 Introduction to Anatomy and Physiology 12. 5 13. 1 Lesson 12.4: Learning the Key Terms 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. acquired immune deficiency syndrome (AIDS) Lymphedema allergen human immunodeficiency virus (HIV) autoimmune disorder opportunistic infection tolerance Anaphylaxis metastasis immunotherapy Lesson 12.4: Study Questions 1. Normal control of cell division (mitosis) fails, and a cell starts to divide quickly and without limit. 2. Cancerous cells from the original tumor break free and migrate to other areas of the body. 3. to see if the cancer has spread; metastasizing cancers are carried through lymphatic vessels to the lymph nodes 4. Lymphatic drainage in the affected area of the body could be disrupted, and as a result, fluid that leaks out of blood capillaries builds up in the interstitial space, causing tissue swelling and damage. This extracellular fluid buildup is caused lymphedema. 5. Answers may vary. sneezing, coughing, itchy and watery eyes 6. An allergy is an inappropriately strong response of the immune system to an environmental antigen; the problem is not really the antigen, but an overactive immune system. 7. T cells 8. histamine 9. anaphylaxis 10. with an injection of epinephrine, or doses of antihistamine 11. In autoimmune disorders, the antigen is part of the body’s own tissue, but in the case of an allergy, the antigen comes from outside the body. 12. more than 80 different types 13. Answers may vary. rheumatoid arthritis, multiple sclerosis, type I diabetes 14. It causes immune deficiency, compromising the body’s ability to fight disease-causing organisms. 15. Antibody-based drugs bind very specifically, limiting the side effects that affect their usefulness because the drug is only treating the specific disease mechanism for which it is intended. 16. T cells are essential for strong activation of both the humoral and cellular immune responses. Lesson 12.4: Diagramming an Allergic Reaction 1. 2. 3. 4. 5. initial contact with allergen allergen B cell plasma cell released IgE antibodies Chapter 12 Answer Key 8 6. 7. 8. 9. 10. 11. mast cell IgE receptor subsequent contact with allergen granule histamine and other chemicals allergic reaction Drainage Regions 1. right lymphatic duct 2. thoracic duct Lymphatic Organs 1-2. Lesson 12.4: Researching Autoimmune Disorders Answers will vary. Chapter 12: Spelling Challenge 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. allergen metastasis lymphedema humoral immunity apoptosis complement proteins exocytosis interferons neutrophils opsonins phagocytes pyrogens interstitial fluid lymphatic nodules macrophages pharyngeal tonsil spleen spleen antigen perforin capillaries Chapter 12 Lab Investigation: Lymphatic System Lymphatic Vessels 1-3. Lymphatic vessel 3. 3 Conclusions 1. lymph 2. the circulatory system 3. Lymph nodes serve a dual purpose. They cleanse the lymph by trapping bacteria, viruses, and other harmful substances, which in turn are destroyed by white blood cells. Lymph nodes also store and produce T cells and B cells that help fight infection. 4. mucosa associated lymphatic tissue 5. blood plasma, interstitial fluid, lymph. 6. left and right jugular trunks 7. left and right subclavian trunks 8. left and right bronchomediastinal trunks 9. intestinal trunk 10. left and right lumbar trunks Chapter 12 Practice Test 4. to prevent back flow Introduction to Anatomy and Physiology 1. spleen 2. Keratin Chapter 12 Answer Key 9 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Vaccination immune system human immunodeficiency virus (HIV) F T F F F B D A B B G J H F E D I B C A Introduction to Anatomy and Physiology 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. C A D E F J B H G I The lymphatic system reabsorbs fluid leaking from the capillaries, removes bacteria and virus-infected cells from body tissues, and activates specific immune defenses. 37. The primary immune response occurs when the body is first exposed to a foreign invader, such as a virus or bacterium. The secondary immune response occurs when the virus or bacterium enters the body for a second or subsequent time, with a stronger response to a lesser amount of antigen. The secondary immune response mainly involves memory cells, which developed during the body’s initial exposure to the potentially harmful invader. Chapter 12 Answer Key 10