The Lymphatic System and Body Defenses : The Lymphatic System and Body Defenses
The Lymphatic System : The Lymphatic System Consists of two semi-independent parts
Lymphatic vessels
Lymphoid tissues and organs
Lymphatic system functions
Transports escaped fluids back to the blood
Plays essential roles in body defense and resistance to disease
Lymphatic Characteristics : Lymphatic Characteristics Lymph—excess tissue fluid carried by lymphatic vessels
Properties of lymphatic vessels
One way system toward the heart
No pump
Lymph moves toward the heart
Milking action of skeletal muscle
Rhythmic contraction of smooth muscle in vessel walls
Relationship of Lymphatic Vessels to Blood Vessels : Relationship of Lymphatic Vessels to Blood Vessels Figure 12.1
Lymphatic Vessels : Lymphatic Vessels Lymph capillaries
Walls overlap to form flap-like minivalves
Fluid leaks into lymph capillaries
Capillaries are anchored to connective tissue by filaments
Higher pressure on the inside closes minivalves
Fluid is forced along the vessel
Lymphatic Vessels : Lymphatic Vessels Figure 12.2a
Lymphatic Vessels : Lymphatic Vessels Figure 12.2b
Lymphatic Vessels : Lymphatic Vessels Lymphatic collecting vessels
Collect lymph from lymph capillaries
Carry lymph to and away from lymph nodes
Return fluid to circulatory veins near the heart
Right lymphatic duct
Thoracic duct
Lymphatic Vessels : Figure 12.3 Lymphatic Vessels
Lymph : Lymph Harmful materials that enter lymph vessels
Bacteria
Viruses
Cancer cells
Cell debris
Lymph Nodes : Lymph Nodes Filter lymph before it is returned to the blood
Defense cells within lymph nodes
Macrophages—engulf and destroy foreign substances
Lymphocytes—provide immune response to antigens
Lymph Nodes : Lymph Nodes Figure 12.3
Lymph Node Structure : Lymph Node Structure Most are kidney-shaped and less than 1 inch long
Cortex
Outer part
Contains follicles—collections of lymphocytes
Medulla
Inner part
Contains phagocytic macrophages
Lymph Node Structure : Figure 12.4 Lymph Node Structure
Flow of Lymph Through Nodes : Flow of Lymph Through Nodes Lymph enters the convex side through afferent lymphatic vessels
Lymph flows through a number of sinuses inside the node
Lymph exits through efferent lymphatic vessels
Fewer efferent than afferent vessels causes flow to be slowed
Other Lymphoid Organs : Other Lymphoid Organs Several other organs contribute to lymphatic function
Spleen
Thymus
Tonsils
Peyer’s patches
Other Lymphoid Organs : Other Lymphoid Organs Figure 12.5
Other Lymphatic Tissues : Other Lymphatic Tissues Spleen
Located on the left side of the abdomen
Filters blood
Destroys worn out blood cells
Forms blood cells in the fetus
Acts as a blood reservoir
Thymus Gland
Located low in the throat, overlying the heart
Functions at peak levels only during childhood
Produces hormones (like thymosin) to program lymphocytes
Other Lymphatic Tissues : Other Lymphatic Tissues Tonsils
Small masses of lymphoid tissue around the pharynx
Trap and remove bacteria and other foreign materials
Tonsillitis is caused by congestion with bacteria
Peyer’s Patches
Found in the wall of the small intestine
Resemble tonsils in structure
Capture and destroy bacteria in the intestine
Mucosa-Associated Lymphatic Tissue (MALT) : Mucosa-Associated Lymphatic Tissue (MALT) Includes
Peyer’s patches
Tonsils
Other small accumulations of lymphoid tissue
Acts as a sentinel to protect respiratory and digestive tracts
Body Defenses : Body Defenses The body is constantly in contact with bacteria, fungi, and viruses
The body has two defense systems for foreign materials
Innate (nonspecific) defense system
Adaptive (specific) defense system
Immunity—specific resistance to disease
Immune System : Immune System Figure 12.6
Body Defenses : Body Defenses Innate defense system (nonspecific defense system)
Mechanisms protect against a variety of invaders
Responds immediately to protect body from foreign materials
Adaptive defense system (specific defense system)
Specific defense is required for each type of invader
Innate Body Defenses : Innate Body Defenses Innate body defenses are mechanical barriers to pathogens such as
Body surface coverings
Intact skin
Mucous membranes
Specialized human cells
Chemicals produced by the body
Innate Body Defenses : Innate Body Defenses Table 12.1 (1 of 2)
Surface Membrane Barriers:First Line of Defense : Surface Membrane Barriers:First Line of Defense Skin and mucous membranes
Physical barrier to foreign materials
Also provide protective secretions
pH of the skin is acidic to inhibit bacterial growth
Sebum is toxic to bacteria
Vaginal secretions are very acidic
Surface Membrane Barriers:First Line of Defense : Surface Membrane Barriers:First Line of Defense Stomach mucosa
Secretes hydrochloric acid
Has protein-digesting enzymes
Saliva and lacrimal fluid contain lysozymes, an enzyme that destroy bacteria
Mucus traps microogranisms in digestive and respiratory pathways
Cells and Chemicals:Second Line of Defense : Cells and Chemicals:Second Line of Defense Phagocytes
Natural killer cells
Inflammatory response
Antimicrobial proteins
Fever
Cells and Chemicals:Second Line of Defense : Cells and Chemicals:Second Line of Defense Phagocytes
Cells such as neutrophils and macrophages
Engulf foreign material into a vacuole
Enzymes from lysosomes digest the material
Phagocytes : Phagocytes Figure 12.7a
Slide 31 : Figure 12.7b Lysosome Microbe adheres to phagocyte Phagocyte engulfs the particle Phagocytic vesicle isfused with a lysosome Microbe in fused vesicleis killed and digested bylysosomal enzymes withinthe phagolysosome Indigestible andresidual materialis removed byexocytosis Phagocytic vesiclecontaining microbeantigen (phagosome) Phagolysosome Lysosomalenzymes (b)
Internal Innate Defenses: Cells and Chemicals : Internal Innate Defenses: Cells and Chemicals Natural killer (NK) cells
Can lyse (disintegrate or dissolve) and kill cancer cells
Can destroy virus-infected cells
Cells and Chemicals: Second Line of Defense : Cells and Chemicals: Second Line of Defense Inflammatory response
Triggered when body tissues are injured
Four most common indicators of acute inflammation
Redness
Heat
Swelling
Pain
Results in a chain of events leading to protection and healing
Cells and Chemicals: Second Line of Defense : Cells and Chemicals: Second Line of Defense Functions of the inflammatory response
Prevents spread of damaging agents
Disposes of cell debris and pathogens through phagocytosis
Sets the stage for repair
Cells and Chemicals: Second Line of Defense : Cells and Chemicals: Second Line of Defense Antimicrobial proteins
Attack microorganisms
Hinder reproduction of microorganisms
Most important
Complement proteins
Interferon
Cells and Chemicals: Second Line of Defense : Cells and Chemicals: Second Line of Defense Complement proteins
A group of at least 20 plasma proteins
Activated when they encounter and attach to cells (complement fixation)
Damage foreign cell surfaces
Release vasodilators and chemotaxis chemicals, cause open pores in the cell – destroy!
Cells and Chemicals: Second Line of Defense : Cells and Chemicals: Second Line of Defense Figure 12.10
Cells and Chemicals: Second Line of Defense : Cells and Chemicals: Second Line of Defense Interferon
Proteins secreted by virus-infected cells
Bind to healthy cell surfaces to interfere with the ability of viruses to multiply
Cells and Chemicals: Second Line of Defense : Cells and Chemicals: Second Line of Defense Fever
Abnormally high body temperature
Hypothalamus heat regulation can be reset by pyrogens (secreted by white blood cells)
High temperatures inhibit the release of iron and zinc from the liver and spleen needed by bacteria
Fever also increases the speed of tissue repair
Summary of Nonspecific Body Defenses : Summary of Nonspecific Body Defenses Table 12.1 (2 of 2)
Adaptive Defense System: Third Line of Defense : Adaptive Defense System: Third Line of Defense Three aspects of adaptive defense
Antigen specific—recognizes and acts against particular foreign substances
Systemic—not restricted to the initial infection site
Memory—recognizes and mounts a stronger attack on previously encountered pathogens
Adaptive Defense System: Third Line of Defense : Adaptive Defense System: Third Line of Defense Types of Immunity
Humoral immunity = antibody-mediated immunity
Provided by antibodies present in body fluids
Cellular immunity = cell-mediated immunity
Targets virus-infected cells, cancer cells, and cells of foreign grafts
Adaptive Defense System: Third Line of Defense : Adaptive Defense System: Third Line of Defense Antigens (nonself)
Any substance capable of exciting the immune system and provoking an immune response
Examples of common antigens
Foreign proteins (strongest)
Nucleic acids
Large carbohydrates
Some lipids
Pollen grains
Microorganisms
Adaptive Defense System: Third Line of Defense : Adaptive Defense System: Third Line of Defense Cells of the adaptive defense system
Lymphocytes respond to specific antigens
B lymphocytes (B cells)
T lymphocytes (T cells)
Macrophages help lymphocytes
Adaptive Defense System: Third Line of Defense : Adaptive Defense System: Third Line of Defense Immunocompetent—cell becomes capable of responding to a specific antigen by binding to it
Cells of the adaptive defense system
Lymphocytes
Originate from hemocytoblasts in the red bone marrow
B lymphocytes become immunocompetent in the bone marrow (remember B for Bone marrow)
T lymphocytes become immunocompetent in the thymus (remember T for Thymus)
Lymphocyte Differentiation and Activation : Lymphocyte Differentiation and Activation Figure 12.11
Adaptive Defense System: Third Line of Defense : Adaptive Defense System: Third Line of Defense Cells of the adaptive defense system (continued)
Macrophages
Arise from monocytes
Become widely distributed in lymphoid organs
Secrete cytokines (proteins important in the immune response)
Tend to remain fixed in the lymphoid organs
Humoral (Antibody-Mediated) Immune Response : Humoral (Antibody-Mediated) Immune Response B lymphocytes with specific receptors bind to a specific antigen
The binding event activates the lymphocyte to undergo clonal selection
A large number of clones are produced (primary humoral response)
Most B cells become plasma cells
Produce antibodies to destroy antigens
Activity lasts for 4 or 5 days
Some B cells become long-lived memory cells (secondary humoral response)
Humoral Immune Response : Humoral Immune Response Secondary humoral responses
Memory cells are long-lived
A second exposure causes a rapid response
The secondary response is stronger and longer lasting
Humoral Immune Response : Figure 12.12 Humoral Immune Response
Humoral Immune Response : Figure 12.13 Humoral Immune Response
Active Immunity : Active Immunity Occurs when B cells encounter antigens and produce antibodies
Active immunity can be
Naturally acquired during bacterial and viral infections
Artificially acquired from vaccines
Passive Immunity : Passive Immunity Occurs when antibodies are obtained from someone else
Conferred naturally from a mother to her fetus (naturally acquired)
Conferred artificially from immune serum or gamma globulin (artificially acquired)
Immunological memory does not occur
Protection provided by “borrowed antibodies”
Passive Immunity : Passive Immunity Monoclonal antibodies
Antibodies prepared for clinical testing or diagnostic services
Produced from descendents of a single cell line
Examples of uses for monoclonal antibodies
Diagnosis of pregnancy
Treatment after exposure to hepatitis and rabies
Types of Acquired Immunity : Types of Acquired Immunity Figure 12.14
Antibodies (Immunoglobulins or Igs) : Antibodies (Immunoglobulins or Igs) Soluble proteins secreted by B cells (plasma cells)
Carried in blood plasma
Capable of binding specifically to an antigen
Antibodies : Antibodies Antibody classes
Antibodies of each class have slightly different roles
Five major immunoglobulin classes (MADGE)
IgM—can fix complement
IgA—found mainly in mucus
IgD—important in activation of B cell
IgG—can cross the placental barrier and fix complement
IgE—involved in allergies
Antibodies : Antibodies Antibody function
Antibodies inactivate antigens in a number of ways
Complement fixation
Neutralization
Agglutination
Precipitation
Antibody Function : Antibody Function Figure 12.16
Cellular (Cell-Mediated) Immune Response : Cellular (Cell-Mediated) Immune Response Antigens must be presented by macrophages to an immunocompetent T cell (antigen presentation)
T cells must recognize nonself and self (double recognition)
After antigen binding, clones form as with B cells, but different classes of cells are produced
Cellular (Cell-Mediated) Immune Response : Cellular (Cell-Mediated) Immune Response Figure 12.17
Cellular (Cell-Mediated) Immune Response : Cellular (Cell-Mediated) Immune Response T cell clones
Cytotoxic (killer) T cells
Specialize in killing infected cells
Insert a toxic chemical (perforin)
Helper T cells
Recruit other cells to fight the invaders
Interact directly with B cells
Cellular (Cell-Mediated) Immune Response : Cellular (Cell-Mediated) Immune Response Figure 12.18
Functions of Cells and Molecules Involved in Immunity : Functions of Cells and Molecules Involved in Immunity Table 12.3 (1 of 2)
Functions of Cells and Molecules Involved in Immunity : Functions of Cells and Molecules Involved in Immunity Table 12.3 (2 of 2)
Summary of Adaptive Immune Response : Figure 12.19 Summary of Adaptive Immune Response
Disorders of Immunity: Allergies (Hypersensitivity) : Disorders of Immunity: Allergies (Hypersensitivity) Abnormal, vigorous immune responses
Types of allergies
Immediate hypersensitivity
Triggered by release of histamine from IgE binding to mast cells
Reactions begin within seconds of contact with allergen
Anaphylactic shock—dangerous, systemic response
Disorders of Immunity: Allergies (Hypersensitivity) : Disorders of Immunity: Allergies (Hypersensitivity) Types of allergies (continued)
Delayed hypersensitivity
Triggered by the release of lymphokines from activated helper T cells
Symptoms usually appear 1–3 days after contact with antigen
Allergy Mechanisms : Allergy Mechanisms Figure 12.20, step 3
Allergy Mechanisms : Allergy Mechanisms Figure 12.20, step 6
Allergy Mechanisms : Allergy Mechanisms Figure 12.20, step 7
Disorders of Immunity: Immunodeficiencies : Disorders of Immunity: Immunodeficiencies Production or function of immune cells or complement is abnormal
May be congenital or acquired
Includes AIDS (Acquired Immune Deficiency Syndrome)
Autoimmune Diseases - Self Tolerance Breakdown : Autoimmune Diseases - Self Tolerance Breakdown Inefficient lymphocyte programming
Appearance of self-proteins in the circulation that have not been exposed to the immune system
Eggs / Sperm
Proteins in the thyroid gland
Cross-reaction of antibodies produced against foreign antigens with self-antigens
Rheumatic fever
Disorders of Immunity: Autoimmune Diseases : Disorders of Immunity: Autoimmune Diseases The immune system does not distinguish between self and nonself
The body produces antibodies and sensitized T lymphocytes that attack its own tissues
Disorders of Immunity: Autoimmune Diseases : Disorders of Immunity: Autoimmune Diseases Examples of autoimmune diseases
Multiple sclerosis—white matter of brain and spinal cord are destroyed
Type I diabetes mellitus—destroys pancreatic beta cells that produce insulin
Rheumatoid arthritis—destroys joints
Glomerulonephritis—impairment of renal function
Developmental Aspects of the Lymphatic System and Body Defenses : Developmental Aspects of the Lymphatic System and Body Defenses Except for thymus and spleen, the lymphoid organs are poorly developed before birth
A newborn has no functioning lymphocytes at birth, only passive immunity from the mother
If lymphatics are removed or lost, severe edema results, but vessels grow back in time