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Fig. 14.1-1 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Tonsils Right lymphatic duct Cervical lymph node Thoracic duct Thymus Axillary lymph node Mammary plexus Subclavian veins Thoracic duct Spleen Lymphatic vessel (transports lymph) Bone marrow (a) Lacteals in intestinal wall Inguinal lymph node Fig. 14.2 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Arteriole (from heart) Blood capillary Venule (to heart) Valve closed (backflow of lymph is prevented) Lymph Fluid entering lymphatic capillary Valve open (lymph flows forward) Direction of lymph flow in capillary Fluid entering lymphatic capillary (a) To venous system Lymphatic capillary Tissue cells (b) Overlapping epithelial cells Fig. 14.1 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Tonsils Right lymphatic duct Cervical lymph node Thoracic duct Thymus Axillary lymph node Mammary plexus Area drained by right lymphatic duct Subclavian veins Thoracic duct Spleen Lymphatic vessel (transports lymph) Bone marrow (a) Lacteals in intestinal wall Inguinal lymph node (b) Area drained by thoracic duct Fig. 14.3 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Pharyngeal tonsil Palatine tonsil Lingual tonsil Fig. 14.4 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Capsule Trabecula Lymphatic tissue Cortex Lymphatic sinuses Lymphatic nodule Germinal center Afferent lymphatic vessel carrying lymph to the lymph node Efferent lymphatic vessel carrying lymph away from the lymph node Artery Vein Fig. 14.5 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Branch of splenic artery Branch of splenic vein White pulp Splenic artery Splenic vein Red pulp Trabecula (a) (b) Capsule Fig. 14.6-1 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Trachea Lymph nodes Thymus Adipose tissue Heart (a) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Fig. 14.7 Arterial circulation Venous circulation Heart 1 Lymphatic capillaries remove fluid from tissues. The fluid becomes lymph (see figure 14.2a). 2 Lymph flows through lymphatic vessels, which have valves that prevent the backflow of lymph (see figure 14.2b). Lymphatic capillary Lymphatic vessels Valves 1 2 Lymph 5 Fluid 3 Lymph nodes filter lymph (see figure 14.4) and are sites where lymphocytes respond to infections. Lymph node (filters lymph) 4 Lymph enters the thoracic duct or the right lymphatic duct. 3 5 6 Lymph enters the blood. Lacteals in the small intestine (see figure 16.14) absorb fats, which enter the thoracic duct. Thoracic duct or right lymphatic duct 4 Chyle 7 Small intestine Lacteals (absorb fats) 6 Thoracic duct 7 Chyle, which is lymph containing fats, enters the blood. 8 The spleen (see figure 14.5) filters blood and is a site where lymphocytes respond to infections. Spleen (filters blood) 8 9 Lymphocytes (pre-B and pre-T cells) originate from stem cells in the red bone marrow (see figure 14.9). The pre-B cells become mature B cells in the red bone marrow and are released into the blood. The preT cells enter the blood and migrate to the thymus. Red bone marrow B cells Pre-T cells Bone 9 10 The thymus (see figure 14.6) is where pre-T cells derived from red bone marrow increase in number and become mature T cells that are released into the blood (see figure 14.9). Pre-T cells T cells Thymus 11 B cells and T cells from the blood enter and populate all lymphatic tissues. These lymphocytes can remain in tissues or pass through them and return to the blood. B cells and T cells can also respond to infections by dividing and increasing in number. Some of the newly formed cells enter the blood and circulate to other tissues. 10 B and T cells All lymphatic tissues 11 Blood capillaries B and T cells Table 14.1a Table 11.2-6 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. TABLE 11.2 Cell Type Formed Elements of the Blood Illustration Description Function Red Blood Cell Biconcave disk; no nucleus; contains hemoglobin, which colors the cell red; 6.5–8.5 µm in diameter Transports oxygen and carbon dioxide White Blood Cells Spherical cells with a nucleus Five types of white blood cells, each with specific functions Nucleus with two to four lobes connected by thin filaments; cytoplasmic granules stain a light pink or reddish purple; 10–12 μm in diameter Phagocytizes microorganisms and other substances Granulocytes Neutrophil Basophil Eosinophil Nucleus with two indistinct lobes; cytoplasmic granules stain blue-purple; 10–12 μm in diameter Nucleus often bilobed; cytoplasmic granules stain orange-red or bright red; 11–14 μm in diameter Releases histamine, which promotes inflammation, and heparin, which prevents clot formation Participates in inflammatory response of allergic reactions and asthma; attacks certain worm parasites Agranulocytes Lymphocyte Round nucleus; cytoplasm forms a thin ring around the nucleus; 6–14 μm in diameter Monocyte Nucleus round, kidney-shaped, or horseshoe-shaped; contains more cytoplasm than does lymphocyte; 12–20 μm in diameter Produces antibodies and other chemicals responsible for destroying microorganisms; contributes to allergic reactions, graft rejection, tumor control, and regulation of immune system Phagocytic cell in the blood; leaves the blood and becomes a macrophage, which phagocytizes bacteria, dead cells, cell fragments, and other debris within tissues Fig. 14.8 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Bacteria enter tissue. Tissue damage occurs. Chemical mediators are released. Chemotaxis, increased vascular permeability, increased blood flow Increased numbers of white blood cells and chemical mediators at site of tissue damage Bacteria are contained, destroyed, and phagocytized. Bacteria gone Tissue repair Bacteria remain Additional chemical mediators activated Fig. 14.9 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Stem cell Red bone marrow Pre-B cell Pre-T cell B cell Circulation Circulation B cell Pre-T cell T cell T cell Circulation Thymus Lymph node Fig. 14.12 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Antigen-binding site Variable regions of light and heavy chains Heavy chain Light chain Complement-binding site Site of binding to macrophages, basophils, and mast cells Constant regions of light and heavy chains Table 14.2 Fig. 14.13 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Antigen (a) Inactivate the antigen. An antibody binds to an antigen and inactivates it. Antibody (b) Bind antigens together. Antibodies bind several antigens together. (c) Activate the complement cascade. An antigen binds to an antibody. As a result, the antibody can activate complement proteins, which can produce inflammation, chemotaxis, and lysis. (d) Initiate the release of inflammatory chemicals. An antibody binds to a mast cell or a basophil. When an antigen binds to the antibody, it triggers the release of chemicals that cause inflammation. Complement cascade activated Inflammation, chemotaxis, lysis Chemicals Inflammation Mast cell or basophil (e) Facilitate phagocytosis. An antibody binds to an antigen and then to a macrophage, which phagocytizes the antibody and antigen. Macrophage Fig. 14.14 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. More memory B cells Memory B cells B cell 1 Fewer plasma cells Memory B cells 2 More plasma cells More antibodies Magnitude of response Fewer antibodies Secondary response First exposure Primary response Second exposure Longer response time (3–14 days) 1 Primary response. The primary response occurs when a B cell is first activated by an antigen. The B cell proliferates to form plasma cells and memory cells. The plasma cells produce antibodies. Shorter response time (hours to a few days) 2 Secondary response. The secondary response occurs when another exposure to the same antigen causes the memory cells to rapidly form plasma cells and additional memory cells. The secondary response is faster and produces more antibodies than the primary response. Fig. 14.16 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cytotoxic T cells Activation of a cytotoxic T cell by antigen on the surface of a cell (see figure 14.15) Release cytokines Produce inflammation, initiate phagocytosis, and activate T cells Kill cells on contact Cytotoxic T cell Target cell T cell Memory T cells Target cell lyses. Fig. 14.17 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Acquired adaptive immunity Active immunity Passive immunity Immunity is provided by the individual’s own immune system. Natural Antigens are introduced through natural exposure. Artificial Antigens are deliberately introduced in a vaccine. Immunity is transferred from another person or an animal. Natural Antibodies from the mother are transferred to her child across the placenta or in milk. Artificial Antibodies produced by another person or an animal are injected. Fig. 14.18 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Antigen INNATE IMMUNITY General response that does not improve with subsequent exposure Physical barriers Neutrophils, macrophages, basophils, and eosinophils Chemical mediators Interferons prevent viral infections. Inflammation and phagocytosis cause destruction of the antigen. ADAPTIVE IMMUNITY Specific response that improves with subsequent exposure; begins with a macrophage presenting an antigen to a helper T cell Macrophage Macrophage presents processed antigen to helper T cell (see figure 14.10). Helper T cell Cytokines and antibodies enhance inflammation and phagocytosis. Helper T cell proliferates and secretes cytokines. Helper T cell Helper T cell Helper T cell can activate a cytotoxic T cell (see figure 14.15). Helper T cell can activate a B cell (see figure 14.11). Cytotoxic T cell B cell B cell proliferates and differentiates. Plasma cell Antibodies Direct effects against antigen Cytotoxic T cell proliferates and differentiates. Memory B cell Memory T cell Responsible for adaptive immunity secondary response Antibody-mediated immunity Antibodies act against antigens in solution or on the surfaces of extracellular microorganisms. Cytotoxic T cell Lysis of cells expressing antigen Cytokines Cell-mediated immunity Cytotoxic T cells act against antigens bound to MHC molecules on the surface of cells; they are effective against intracellular microorganisms, tumors, and transplanted cells.