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Chapter 14
Lymphatic System and
Immunity
Lecture Outline
Seeley’s ESSENTIALS OF
ANATOMY & PHYSIOLOGY
Eleventh Edition
Cinnamon VanPutte
Jennifer Regan
Andrew Russo

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Functions of the Lymphatic System

1. Fluid balance

2. Fat Absorption

3. Defense

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Lymphatic System and Lymph Drainage

Figure 14.1
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Components of the Lymphatic System

Lymph:
• fluid that enters lymphatic capillaries composed of water
and some solutes
Lymphocytes
Lymphatic vessels
Lymph nodes
Tonsils
Spleen
Thymus gland

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Lymphatic Capillaries

Carries fluid in one direction from tissues to circulatory


system

Fluid moves from blood capillaries into tissue spaces

Lymphatic capillaries:
• tiny, closed-ended vessels

• fluid moves easily into capillaries

• in most tissues

• join to form lymphatic vessels

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Lymphatic Vessels 1

Lymphatic vessels:
• resemble small veins

• where lymphatic capillaries join

• One-way valves

Right lymphatic duct:


• where lymphatic vessels from right upper limb and right
head, neck, chest empty
• empties into right subclavian vein

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Lymphatic Vessels 2

Thoracic duct:
• collects lymph from the from remaining lymphatic vessels
which do not enter the right lymphatic duct.
• empties into left subclavian vein

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Lymph Formation and Movement

Figure 14.2
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Lymphatic Organs

Tonsils:

• palatine tonsils on each side of oral cavity

• pharyngeal tonsils near internal opening of nasal cavity


(adenoid)

• lingual tonsils posterior surface of tongue

• form a protective ring of lymphatic tissue around nasal and


oral cavities

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The Tonsils

Figure 14.3
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Lymph Nodes 1

Lymph nodes are:


• rounded structures that vary in size

• located near lymphatic vessels

• groin, armpit, neck

• lymph passes through lymph nodes before entering blood

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Lymph Nodes 2

• Lymph moves through and immune system

• Is activated (lymphocytes produced) if foreign substances


are detected

• Removes microbes by macrophages

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Lymph Node

Figure 14.4
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The Spleen 1

The spleen is:


• size of clenched fist

• located in abdomen

• filters blood

• detects and responds to foreign substances

• destroys old red blood cells

• serves as a blood reservoir

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The Spleen 2

• white pulp: lymphatic tissue surrounding arteries

• red pulp: contains macrophages and red blood cells that


connect to veins

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The Spleen 3

Figure 14.5
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The Thymus Gland 1

The thymus gland is:


• bilobed gland

• located in mediastinum behind the sternum

• stops growing at age 1

• at age 60 decreases in size

• produces and matures lymphocytes

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The Thymus Gland 2

(b) ©Trent Stephens

Figure 14.6
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Overview of the Lymphatic System

Figure 14.7
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Immunity

Immunity is the ability to resist damage from foreign


substances.

Immunity can protect against microbes, toxins, and cancer


cells.

Types of immunity:

• innate

• adaptive

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Innate Immunity

Innate immunity is:

• present at birth

• defense against any pathogen

• accomplished by physical barriers, chemical mediators,


cells, inflammatory response

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Physical Barriers

• First line of defense

• Skin and mucous membranes act as barriers to pathogens


and toxins

• Tears, saliva, urine wash away pathogens and toxins

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Chemical Mediators 1

• Chemical mediators are chemicals that can kill microbes


and prevent their entry into cells

• Lysozyme:

found in tears and saliva to kill bacteria

• Mucous membranes:

prevent entry of microbes

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Chemical Mediators 2

• Histamine:

promote inflammation by causing vasodilation

• Interferons:

proteins that protect against viral infections by stimulating


surrounding cells to produce antiviral proteins

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Cells of the Immune System 1

White blood cells:

produced in red bone marrow and lymphatic tissues

fight foreign substances

Phagocytic cells:

• ingest and destroy foreign substances

• Example—neutrophils and macrophages

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Cells of the Immune System 2

Neutrophils:
• first to respond to infection but die quickly

Eosinophils:
• produced in red bone marrow
• release chemicals to reduce inflammation
Basophils:
• made in red bone marrow
• leave blood and enter infected tissues
• can release histamine

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Cells of the Immune System 3

Macrophages:
• initially were monocytes

• leave blood and enter tissues

• can ingest more than neutrophils

• protect lymph in lymph nodes and blood in spleen and liver

• given specific names for certain areas of body (Kupffer


cells in liver)

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Cells of the Immune System 4

Mast cells:
• made in red bone marrow
• found in skin, lungs, gastrointestinal tract, urogenital tract
• can release leukotrienes
Natural Killer Cells:
• type of lymphocyte
• produce in red bone marrow
• recognize classes of cells such as tumor cells or virus
infected cells
• release chemicals which lyse cells

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Inflammatory Response 1

The inflammatory response:


• involves chemicals and cells produced due to injury

• signaled by presence of foreign substance

• stimulates release of chemical mediators

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Inflammatory Response 2

Figure 14.9
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Adaptive Immunity

Adaptive immunity is defense that involves specific


recognition to a specific antigen.
This immunity:
• is acquired after birth
• reacts when innate defenses don’t work
• slower than innate immunity
• has memory
• uses lymphocytes (B and T cells)
• 2 types antibody-mediated and cell-mediated

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Terms Related to Adaptive Immunity

Antigen:
• substance that stimulates an immune response

• Example—bacteria, virus, pollen, food, drugs

Self-antigen:
• molecule produced by the person’s body that stimulates
an immune system response

Antibody:
• proteins the body produces in response to an antigen

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Origin and Development of Lymphocytes

Stem cells:
• Live in red bone marrow

• give rise to all blood cells

• give rise to some pre-T cells and pre-B cells

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Lymphocytes 1

Lymphocytes are:
• type of white blood cell

• involved in adaptive immunity

• develop from stem cells

• differentiate into specific lymphocytes such as B or T cells

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Lymphocytes 2

B cells:
• type of lymphocytes

• involved in antibody-mediated immunity

• originate from stem cells

• mature in red bone marrow

• move to lymphatic tissue after mature

• lead to production of antibodies

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Lymphocytes 3

T cells:
• type of lymphocyte

• involved primarily in cell-mediated immunity but also


participate in antibody-mediated immunity
• mature in thymus gland

• move to lymphatic tissue after mature

• 4 types

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Origin and Processing of B Cells and T Cells

Figure 14.10
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Antigen Recognition

• Lymphocytes have antigen receptors on their surface

• Called B-cell receptors on B cells and T-cell receptors on T


cells

• Each receptor only binds with a specific antigen

• When antigen receptors combine with the antigen, the


lymphocyte is activated and adaptive immunity begins

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The MHC Molecule

The major histocompatibility complex molecule (MHC):

• contain binding sites for antigens

• specific for certain antigens

• hold and present a processed antigen on the surface of


the cell membrane

• bind to antigen receptor on B or T cells and stimulate


response

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Cytokines

Cytokines are:

• proteins secreted by a cell that regulates neighboring cells

• Example—interleukin 1 released by macrophages


stimulates helper T cells

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Proliferation of Helper T Cells

Figure 14.11
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Lymphocyte Proliferation

1. After antigen is processed and presented to helper T


cells, helper T cells produce interleukin-2 and interleukin
2-receptors

2. Interleukin-2 binds to receptors and stimulates more


helper T cell production

3. Helper T cells are needed to produce B cells

4. B cells produce antibodies

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Proliferation of B Cells

Figure 14.12
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Dual Nature of the Immune System

• Lymphocytes give rise to 2 types of immune responses:


antibody-mediated and cell-mediated

• Antigens can trigger both types of responses

• Both types are able to recognize self versus non-self, use


specificity, and have memory

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Antibody-Mediated Immunity

Antibody-mediated immunity is:

• effective against antigens in body fluids (blood and lymph)

• effective against bacteria, viruses, toxins

• uses B cells to produce antibodies

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Antibody Structure 1

Letter Y shape

Variable region:

• V of Y

• bind to epitopes of antigen using antigen-binding site

Constant region:

• stem of Y

• each class of immunoglobulin has same structure

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Antibody Structure 2

Figure 14.13
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Antibody Structure 3

• Antigen-binding site:

site on antibody where antigen binds

• Valence:

number of antigen-binding sites on antibody

• 5 classes of immunoglobulins used to destroy antigens:

IgG, IgM, IgA, IgE, IgD

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Antibody Structure 4

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Antibodies 1

IgG

• 80 to 85% in serum

• activates compliment and increases phagocytosis

• can cross the placenta and provide protection to the fetus

• responsible for Rh reactions, such as hemolytic disease of


the newborn

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Antibodies 2

IgM

• 5 to 10% in serum

• activates compliment

• acts as an antigen binding receptor on the surface of B


cells

• responsible for transfusion reactions in the ABO blood


system

• often the first antibody produced in response to an antigen

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Antibodies 3

IgA

• 15% in serum

• secreted into saliva, into tears, and onto mucous


membranes

• protects body surfaces

• found in colostrum and milk to provide immune protection


to the newborn

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Antibodies 4

IgE

• 0.002% in serum

• binds to mast cells and basophils and stimulates the


inflammatory response

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Antibodies 5

IgD

• 0.2% in serum

• functions as an antigen-binding receptor on B cells

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Effects of Antibodies 1

• Inactivate antigen

• Bind antigens together

• Active complement cascades

• Initiate release of inflammatory chemicals

• Facilitate phagocytosis

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Effects of Antibodies 2

Figure 14.14
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Antibody Production 1

The primary response


• 1st exposure of B cell to antigen

• B cell undergoes division and forms plasma cell and


memory cells

Plasma cells:
• produce antibodies

• 3 to 14 days to produce enough antibody to be effective


against antigen
• meanwhile person develops disease symptoms

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Antibody Production 2

The secondary response involves Memory cells:


• occurs when immune system is exposed to antigen that
has been seen before
• Memory B cells quickly divided to form plasma cells which
produce antibodies
• produces new memory cells

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Antibody Production 3

Figure 14.15
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Cell-Mediated Immunity

• Cell-mediated immunity is used against antigens in cells


and tissues.

• It is effective against intracellular bacteria, viruses, fungi,


and protozoa.

• It uses different types of T cells.

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Types of T Cells for Cell-Mediated Immunity 1

Helper T cells (TH):

• activate macrophages

• help form B cells

• promote production of Tc

Cytotoxic T cells (Tc):

• precursor to cytotoxic T lymphocytes (CTL)

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Types of T Cells for Cell-Mediated Immunity 2

Cytotoxic T lymphocytes (CTL):

• destroys antigen on contact

Regulatory T cells (Tr):

• turn off immune system response when antigen is gone

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Proliferation of Cytotoxic T Cells

Figure 14.16
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Stimulation and Effects of T Cells

Figure 14.17
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Types of Adaptive Immunity 1

Naturally Acquired Immunity


Active:
• natural exposure to antigens causes production of
antibodies
• can be lifelong immunity
• Example—mononucleosis
Passive:
• transfer of antibodies from mother to child
• Example—breast milk or placenta

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Types of Adaptive Immunity 2

Artificially Acquired Immunity

Active:

• injection of antigens using vaccines which cause the


production of antibodies

• immunization is a process of introducing killed, live, or


inactivated pathogen

Passive:

• injection of antibodies from another person or animal

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Ways to Acquire Adaptive Immunity

Figure 14.18
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