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Dr. Vince Scialli BSC 1086 Rev. 12/28/06 LYMPHATIC SYSTEM Lymph ~ fluid similar to plasma Lymphatic Vessels ~ lymphatics Tissue & Organs ~ spleen, tonsils, lymph nodes, appendix Lymphoid Cells ~ lymphocytes & macrophages FUNCTIONS Produce, maintain, & distribute lymphocytes Protects body by removing ANY foreign substances Provides site for immune surveillance ~ Immune Ready Returns excess interstitial fluid from cells to blood Transport fats from digestive system to blood LYMPHATIC VESSELS Large system of drainage conduits for interstitial fluid Excess tissue fluid is filtered out of capillary beds Lymph Vessels return fluid to bloodstream One way network ~ fluid flows ONLY toward heart Similar in structure & size to veins ~ slight differences Closely follow arteries & veins around body Lymphatic System ~ Chapter 22 ~ 5/5/2017 1 Dr. Vince Scialli BSC 1086 LYMPHATIC VESSELS ~ Structure and Distribution LYMPH CAPILLARIES ~ “terminal lymphatics” Blind-ending ~ ONE WAY capillaries Weave between tissue cells & blood capillaries Widespread throughout body Located where blood capillaries exist Exception: not near bone or teeth Special Features ~ differ from blood capillaries Much more Permeable than capillaries Endothelial cells ~ are loosely joined cells Form “flap-like mini valves” ~ one-way flow Loose connective tissue “filaments” Anchor flaps of lymph capillaries to tissue interstitial fluid volume & pressure ---> tension on filaments ----> flaps to open Allows fluid & substances to enter lymph capillaries Tissue Inflammation ---> large lymphatic openings which allow the lymph capillaries to absorb large particles: Debris . . . Bacteria . . . Viruses . . . WBC’s . . . Cancer Cells Lymphatic System ~ Chapter 22 ~ 5/5/2017 2 Dr. Vince Scialli BSC 1086 LYMPH CAPILLARIES Have Large lymphatic openings ~ good & bad Allows spread of inflammatory cells throughout body through the lymphatic stream Metastasis ~ cancer spread Infection spread Lacteals ~ “specialized” lymph capillaries Found in small intestinal mucosa ~ drains CHYLE CHYLE ~ Lymph fluid containing fats Transports lipids absorbed in digestive tract LYMPHATIC COLLECTING VESSELS Large & thick walled ~ Receive lymph from capillaries via small lymphatic vessels Have three tunics ~ similar to blood vessels Similar to Veins but ~ Many more internal valves Superficial Lymphatics ~ smaller ~ drain superficial tissue & membranes Deep Lymphatics ~ larger ~ accompany arteries & veins Drain muscles of neck, limbs, trunk & major organs Lymphatic System ~ Chapter 22 ~ 5/5/2017 3 Dr. Vince Scialli BSC 1086 LYMPHATIC TRUNKS Formed by union of largest lymphatic collecting vessels Superficial & Deep Lymphatic vessels form trunks Trunks empty into Lymphatic Ducts LYMPHATIC DUCTS Drain lymph from lymphatic system into blood vascular system at junction of the internal jugular & subclavian veins in neck Right Lymphatic Duct Drains lymph from right arm & right side of upper body Empties lymph into right subclavian vein Thoracic Duct Drains lymph from left side & rest of body Cisterna Chyli ~ sac like chamber at base of thoracic duct Receives lymph from lower abdomen, pelvis & lower limbs via lumbar trunks Empties lymph into left subclavian vein Lymphatic System ~ Chapter 22 ~ 5/5/2017 4 Dr. Vince Scialli BSC 1086 Order of Lymphatic Drainage Lymph Capillaries ---> Small Lymph Vessels ---> Larger Lymph Collecting Vessels ---> Lymph Trunks ---> Lymph Ducts ---> Subclavian Veins ---> Vena Cava ---> Heart Lymph Transport Low Pressure – Slow Pumpless System Factors Promoting Lymph Transport: 1. Milking action of skeletal muscles Similar to venous circulation 2. Thoracic pressure changes during breathing Similar to venous circulation 3. Presence of internal valves Prevents back flow Similar to venous circulation 4. Lymph capillaries are bundled with blood vessels in connective tissue sheaths Pulsating arteries promote lymph flow 5. Smooth muscle in walls (tunica media) of lymphatic trunks & thoracic ducts contract rhythmically . . . Similar to arteries Lymphatic System ~ Chapter 22 ~ 5/5/2017 5 Dr. Vince Scialli BSC 1086 LYMPHOID CELLS ~ several types Fight foreign invaders ~ “immunocompetence” Lymphocytes 20 ~ 30% of circulating WBC’s Produced in bone marrow, thymus, & lymph tissue Survive 4 to 20 years ~ long lasting~ lymphopoiesis T-lymphocytes ~ T-cells ~ thymus dependent cell Majority of circulating lymphocytes ~ 80% Controls Immune Response ~ “cell mediated” Activate B-lymphocytes Phagocytic activity stimulated B-lymphocytes ~ B-cells ~ bone marrow derived 10-15% of circulating lymphocytes Produce Plasma Cells ~ Release antibodies NK Cells ~ natural killer cells 5-10% of circulating lymphocytes Immune surveillance ~ “ready position” Attack foreign cells, cancer cells, infected cells Lymphatic System ~ Chapter 22 ~ 5/5/2017 6 Dr. Vince Scialli BSC 1086 LYMPHOID TISSUE Lymphocyte Producing Tissue Lymph Flow Tissue Lymph Filtering Tissue COMPOSITION OF LYMPHOID TISSUE Reticular Fibers ~loose “parenchyma” fibers Forms percolating filtering network within tissue Lymphocytes ~ within matrix of reticular tissue Continually changing population of B & T cells In circulation ~ “ready position” ~ army Lymphoid Nodules ~ lymphatic follicle Packed B & T lymphocytes in parenchyma Germinal Centers ~ areas of B-cell proliferation Macrophages ~ phagocytes present on reticular fibers Diffuse Lymphatic Tissue ~ not lymphatic organs Scattered areas of lymphatic tissue present in all body organs & in lymphoid organs Concentrate in mucous membranes areas ~ MALT Lymphatic System ~ Chapter 22 ~ 5/5/2017 7 Dr. Vince Scialli BSC 1086 MALT TISSUE ~ mucosal associated lymphatic tissue Prevent pathogens in respiratory & digestive tract from penetrating mucous membranes Destroy excess bacteria in intestinal & respiratory tract Prevent bacteria from breaching intestinal wall & respiratory tree Germinate “memory” lymphocytes for long term immunity Ready “MEMORY” Position PEYER’S PATCHES ~ intestinal walls Large isolated clusters of lymph follicles in wall of distal portion of ileum (small intestine) Follicle or nodule aggregates in small intestinal wall APPENDIX ~ vermiform appendix Blind pouch at junction of small & large intestine Tubular off-shoot of the first part of large intestine (cecum) at ileal cecal junction Contains large numbers of lymph follicles BRONCHIAL WALL FOLLICLES ~ respiratory tract Lymphatic System ~ Chapter 22 ~ 5/5/2017 8 Dr. Vince Scialli BSC 1086 MALT TISSUE ~ Lymphoid Tissue TONSILS Part of MALT ~ not really organs Large nodues on wall of pharynx ~ 5 tonsils 2 Palatine Tonsils ~ posterior pharynx ~ Removed 1 Pharyngeal Tonsil ~ Adenoids ~ nasopharynx 2 Lingual Tonsils ~ base of tongue ~ 2 Sit in Crypts or pockets Crypts ~ invagination on exterior surface of tonsils Crypts trap bacteria which enters lymphatic tissue Have nodules that are composed of germinal centers Germinal centers surrounded by loose aggregate of lymphocytes Function: childhood immune response Produce memory cells (T-lymphocytes) stimulating immunity later on Tonsilitis ~ inflammation of the tonsils Lymphatic System ~ Chapter 22 ~ 5/5/2017 9 Dr. Vince Scialli BSC 1086 LYMPHOID ORGANS Discrete encapsulated collections of diffuse lymphoid tissue & lymphoid follicles Lymph Nodes . . . Thymus . . . Spleen Lymph Nodes Discrete Organs ~ clustered along lymph vessels Filters Lymph Macrophages remove & destroy debris & microorganisms (bacteria) in the lymph Activated when needed to fight infection Lymph Node Structure Capsule ~ Outer fibrous layer provides support Trabeculae ~ Connective tissue strands Extend inward ~ Compartmentalize node Cortex ~ Outer portion Contains densely packed follicles Germinal Centers ~ B-lymphocytes Surrounded by macrophages T-lymphocytes ~ throughout cortex circulate on guard ~ for MEMORY Lymphatic System ~ Chapter 22 ~ 5/5/2017 10 Dr. Vince Scialli BSC 1086 Lymph Node Structure Medulla - Central portion of lymph node Medullary cords Thin processes ~ extend from cortex Mostly macrophages ~ engulf & destroy Some B-lymphocytes & plasma cells Medullary Sinuses ~ lymph sinuses Large lymph capillaries Contain reticular fibers ~ connective tissue Macrophages on fibers ~ phagocytize Lymph Node Circulation ~ very slow Lymph fluid percolates into reticular tissue Circulating antigens activate lymphocytes Lymph enters node via afferent lymphatic vessels ----> subcapsular sinus ----> smaller sinus of cortex & medulla ----> exits node via efferent lymphatic vessels at hilus Many more afferent vessels than efferent vessels Causes lymph flow stagnation Slow circulation allows macrophage cleansing Lymphatic System ~ Chapter 22 ~ 5/5/2017 11 Dr. Vince Scialli BSC 1086 OTHER LYMPHATIC ORGANS Thymus & Spleen DO NOT filter lymph as lymph nodes do ~ other functions NO afferent supply of lymph, but ALL have efferent drainage Both contain macrophages & lymphocytes THYMUS Location ~ lower neck area near base of heart Active in infants to adolescence Fibrous tissue & fat in adults ~ NOT ACTIVE Two Thymic Lobes . . . Lobules separated by Septa Outer Cortex & Central Medulla Thymocytes release thymus hormones ~ Thymosin Stimulate T-lymphocyte maturation Promotes immunocompetence in infants ~ T-cells only Stimulates T- lymphocyte maturation ~ NO B-cells Blood-Thymus Barrier ~ Prevents premature maturation & release of lymphocytes Lymphatic System ~ Chapter 22 ~ 5/5/2017 12 Dr. Vince Scialli BSC 1086 SPLEEN Largest Lymphoid Organ ~ 5 inches long, 3 inches wide Left side of abdominal cavity ~ Beneath diaphragm Large Blood Supply: Splenic Artery & Vein Several Functions: Site for lymphocyte growth Immune surveillance/response ~ READY POSITION Stores T-cells & B-cells Blood cleansing ~ RBC graveyard Removes defective blood cells & platelets Removes debris, foreign matter, viruses, toxins Stores RBC breakdown products for later reuse by liver & bone marrow hemoglobin, Fe, Heme Site for Fetal Erythropoiesis ~ RBC production Thrombocyte storage ~ platelets Spleenectomy ~ spleen removal Can live ok without spleen ~ often injured Lymphatic System ~ Chapter 22 ~ 5/5/2017 13 Dr. Vince Scialli BSC 1086 Spleen Structure: Capsule ~ Fibrous Connective Tissue Have trabeculae extending inward ~ similar to lymph nodes White Pulp White areas that surround central arteries of spleen Many lymphocytes ~ suspended in reticular fibers gives white color Red Pulp Remaining splenic tissue Many RBC’s & macrophages gives red color Hilus Groove on spleen surface Marks border between gastric & renal arteries Splenic blood vessels & lymphatic vessels contact spleen at hilus Many blood vessels Easily hemorrhage due to injury & rupture Lymphatic System ~ Chapter 22 ~ 5/5/2017 14 Dr. Vince Scialli BSC 1086 Homeostatic Imbalances ~ Lymphoid Tissue Lymphadenopathy ~ swollen lymph nodes Lymphedema ~ swollen lymph vessels Lymphoma ~ cancer of lymph nodes ~ many forms Appendicitis ~ bacterial infection Tonsilitis ~ bacterial or viral infection Spleenomegaly ~ enlarged spleen Hodgkins Disease Auto-immune Diseases Heart Failure & Cirrhosis Splenic Damage ~ Removed by splenectomy Spleen easily damaged due to blow to left abdomen Not well protected ~ tears easily ~ internal bleeding Lymphatic System ~ Chapter 22 ~ 5/5/2017 15