The Lymphatic Biology 2122 Chapter 20 Functions of the Lymphatic System 1. Drain Excess ‘interstitial’ fluid ◦ 2-3 L of fluid lost from the blood stream/day 2. Transport dietary lipids ◦ From GI tract to the blood (lipids and lipid-soluble vitamins) 3. Immune Response ◦ A. Cell-mediated response T-cell response (cytotoxic cells destroy antigens) ◦ B. Humoral – response Antibody-mediated (B-Cells) Basic Structure 1. Lymph Fluid ◦ Interstitial fluid ------ lymph capillaries 2. Lymph Vessels ◦ Capillaries, ducts, etc. 3. Lymph Tissue and Organs ◦ Specialized reticular tissue ◦ Large numbers of lymphocytes ◦ Organs: Thymus gland; Tonsils; Spleen Lost lymph fluid - returned to the heart. 1. Capillaries ◦ Endothelial Cells and mini-valves Supported by collagen One way pressure from the capillaries move lymph towards the capillaries ◦ Very permeable 2. Capillaries form vessels ◦ Skin follow veins; viscera follow path of arteries ◦ Lymph flows into the nodes ◦ No lymph vessels (cartilage, epidermis, cornea- all avacular); CNS and red bone marrow Tissues to the Heart Chyle and Lacteals Lipids absorption take place in the small intestine Lacteals ◦ Small capillaries in the absorptive cells ◦ Lipids transported from lacteals into the blood Specialized lipid absorption Chyle ◦ In small intestine lymph is white or creamy due to lipid presence (lymph is normally clear) Flow and Structure Capillaries ----- Collecting vessels ---- Nodes --- Trunks ------ Lymph ducts (thoracic and right lymphatic) ---- Internal jugular and Subclavian vein ---- Heart On the way to the heart 1. Trunks – lumbar, intestinal, bronchomediastinal, subclavian, jugular ◦ ◦ ◦ ◦ ◦ A. lumbar B. intestinal C. bronchomediastinal D. subclavian E. Jugular 2. Thoracic (left lymphatic) duct ◦ Cisterna chyli ◦ Main duct for return of lymph to blood from left side of body ◦ Drains into the L.internal jugular and L.subclavian vein On the way to the heart 3. Right lymphatic duct – Receives lymph from right side of the body – Drains blood into venous blood at junction of R. internal jugular and R. subclavian veins Flow of Lymph against Gravity Same problems as encountered by venous return Pumps ◦ 1. Skeletal system pump ◦ 2. Respiratory pump Organs and Tissues Organs and Tissues 1. Primary Organs – stem cell division produces mature cells – immunocompetent ◦ Red bone marrow B – cells; pre-T cells ◦ Thymus Pre-T cells migrate to thymus to become immunocompetent 2. Secondary Organs ◦ Site of immune system response ◦ Nodes, spleen, nodules Bi-lobed- surrounded by CT and separated by capsule Trabeculae -separates tissue into lobes Lobe ◦ Cortex -(T-cells and Dendritic cells, Epithelial cells and Macrophages) ◦ Medulla – mature T-cells, dendritic cells and macrophoges ◦ Thymic (Hassal’s corpusles) Thymus Lymphatic Nodules Lymph Nodes ◦ B-cells (primary lymphatic nodule) ◦ Plasma and memory B cells in outer cortex (secondary lymphatic nodule) B-cell in primary nodule recognizes antigen and transforms into a secondary nodule ◦ Germinal center ◦ B-cells, follicular dendritic cells, macrophages Antigen presented by APC (B-cell; dendritic , etc.) B- cells develop into plasma and memory cells Inner cortex and medulla Covered by Dense CT capsule Covered by Dense CT capsule Visceral peritoneum – serous membrane Stroma ◦ Trabeculae, reticular fibers and fibroblasts Parenchyma ◦ 1. White pulp – lymphocytes and macrophages around central arteries (splenic artery branches) ◦ 2. Red pulp – venous sinuses, cords of splenic tissue or splenic cords (RBCs, macrophages, lymphocytes, plasma cells, granulocytes Spleen Nodules No capsule Found in mucous membranes (near lamina propria) in GI tract, urinary, reproductive, respiratory airways ◦ “Mucosa-associated lymphatic tissue (MALT) Can be small or larger tissue ◦ Tonsils (5)-Pharyngeal area Pharyngeal (adenoid- posterior nasopharynx) Palatine (2)-posterior region of oral cavity (tonsillectomy) Lingual (2)-base of tongue