18  Lymphatic System

Figure 18.1 Lymphatic System, Female.

18.1 Objectives:

18.2 After studying this chapter, you will be able to:

  • Identify the components and anatomy of the lymphatic system.
  • Describe the structure and function of the lymphatic tissue (lymph fluid, vessels, ducts, and organs)
  • Describe the structure and function of the primary and secondary lymphatic organs.

18.3 Prelab Activities

18.4 Definitions:

The primary lymphoid organs are the bone marrow and thymus gland. The lymphoid organs are where lymphocytes proliferate and mature.

Secondary lymphatic organs are sites where the lymphocytes mount and adaptive response (e.g., lymphoid nodules, lymph nodes and the spleen).

18.5 Lymphatic System

  • Lymph node locations
    • Cervical
    • Axillary
    • Inguinal
  • Lymphatic vessels (general)
  • Thoracic duct
    • Cisterna chyli
  • Right lymphatic duct
  • Thymus
  • Spleen
  • Lymphatic tissue
  • Tonsils (only palatine is on models

18.6 Lymph Node

  • Cortex - contains denser nodules.
  • Medulla - more diffuse
  • Afferent lymphatic vessel
  • Efferent lymphatic vessel

18.7 Prelab Activity 18.1

18.8 Definitions

18.9 Lymphatic System

  • Primary Lymphatic System _______________________________________
  • Secondary Lymphatic System _____________________________________
  • Lymph nodes __________________________________________________
  • Cervical _______________________________________________________
  • Axillary _______________________________________________________
  • Inguinal _______________________________________________________
  • thoracic _______________________________________________________
  • Lymphatic vessels ______________________________________________
  • Cisterna chyli __________________________________________________
  • Thoracic duct __________________________________________________
  • Right lymphatic duct _____________________________________________
  • Thymus _______________________________________________________
  • Spleen _______________________________________________________
  • Lymphatic tissue ________________________________________________
  • Palatine Tonsils ________________________________________________
  • Pharyngeal tonsil _______________________________________________
  • Lingual tonsil ___________________________________________________

18.10 Lymph Node structures

  • Cortex ________________________________________________________
  • Medulla _______________________________________________________
  • Capsule ______________________________________________________
  • Afferent lymphatic vessel _________________________________________
  • Efferent lymphatic vessel _________________________________________
  • Hilum ________________________________________________________
  • Nodules (germinal centers) ________________________________________
  • Sinus (Medullary or Cortical) ______________________________________

18.11 Prelab Activity 18.2

18.12 Labeling

Label the following parts of the lymph node:

  • Cortex
  • Medulla
  • Capsule
  • Medullary Sinus
  • Cortical Sinus
  • Afferent lymphatic vessel
  • Efferent lymphatic vessel
  • Hilum
  • Nodules (germinal centers)

Figure 18.2 Unlabeled Lymph Node.

18.13 Lab Activities

18.13.1 Terms

18.14 Lymphatic System

  • Lymphatic vessels (general)

  • Lymph nodes

    • Cervical
    • Axillary
    • Inguinal
    • Thoracic
  • Right lymphatic duct

  • Thoracic duct

  • Cisterna chyli

  • Lymphatic tissue

    • Tonsils
      • Pharyngeal
      • Palatine
      • Lingual
    • Thymus
    • Spleen

18.15 Lab Activity 18.1:

  • In your assigned group. Obtain a 3-D model of the lymphatic system and a whole-body model from the classroom lab supplies.
  • Use the information from your text and the following pages to locate and identify the organs and features above. Also be able to identify the function of the organs and tissues.
  • Use some labelling tape to identify each bone’s markings and have another group check your work for correctness. Have your instructor review your material as well.
  • Remember to take some pictures of your work to include in your study guide.

18.16 Drainage

Figure 18.3 Drainage Pattern of the Lymphatic System.

18.17 Lymphatic System Structures

Figure 18.4 Lymphatic System Anatomy.

18.18 Lymph Capillaries

Figure 18.5 Lymph Capillaries.

18.19 Lymph Node

18.19.1 Terms

  • Afferent lymphatic vessel

  • Capsule

  • Cortex (contains denser nodules)

  • Medulla (more diffuse)

  • Sinus (Medullary or Cortical)

  • Nodules (germinal centers)

  • Efferent lymphatic vessel

  • Hilum

18.20 Lab Activity 18.2:

As a working group, obtain a 3-D model of the lymph node from the classroom lab supplies. Use the information from your text and figure 18.6.

  • Locate and identify features of the lymph node listed above. Also be able to identify the function of the features.
  • Use some labelling tape to identify each bone’s markings and have another group check your work for correctness. Have your instructor review your material as well.
  • Remember to take some pictures of your work to include in your study guide.

Figure 18.6 Lymph Node.

18.21 Lymph Node Histology

Figure 18.7 Lymph Node. Cross-section of a lymph node with sections labelled.1) Capsule; 2) Subcapsular sinus; 3) Germinal center; 4) Lymphoid nodule; 5) Trabeculae.

18.22 Tonsils and Throat

18.23 Lab Activity 18.3:

Obtain a 3-D model of the mid-sagittal section of the head from the classroom lab supplies.

  • Use the information from your text and the following pages to locate and identify the tonsils. Also be able to identify the function of the tonsils.
  • Use labelling tape to identify each bone’s markings and have another group check your work for correctness. Have your instructor review your material as well.
  • Remember to take some pictures of your work to include in your study guide.

Figure 18.8 Tonsils and throat.

18.24 Spleen

Figure 18.9 The Spleen.

18.25 Thymus

Figure 18.10 The Thymus.

18.26 Post Lab Activities

18.27 Test your understanding.

18.28 Post Lab Activity 18.1

18.29 Identification.

  • From the following microphotographs identify the following.
    • The organ in the picture.
    • The hormones it releases.
    • The target organ the hormones have an effect upon.

Figure 18.11

Answer: ________________________

Figure 18.12

Answer: ________________________

Figure 18.13

Answer: ________________________

18.30 Post Lab Activity 18.2

18.31 Labeling

• Label all of the structures of the lymph node

Figure 18.14 Unlabeled Diagram of the Lymph Node.

Identify and label the structures and organs of the lymphatic system.

Figure 18.15 Unlabeled Lymphatic System

18.32 Post Lab Activity 18.3

18.33 Crosswords

Complete the following crossword puzzles.

Figure 18.16 Lymphatic System, Anatomy

18.33.1 Across

  • 1 Lymphatic capillaries are extremely ___ and can collect not only fluid but also proteins or cells. (6)
  • 3 The walls of the lymphatic collecting vessels, like those of blood vessels, have (how many) tunics? (5)
  • 4 The fluid in the lymphatic system is called ___. (5)
  • 7 The ___ ___ collects lymph from the bulk of the body, including one entire side of the body and regions on the opposite side below the thorax. (8,4)

18.33.2 Down

  • 8 Lymph can only flow in onedirection because of ___-___ ___ in the lymphatic vessels. (3-3,6)
  • 9 ___ are specialized lymph capillaries in the ___ of the small intestine. (8,5)
  • 2 the ___ ___ ___ collects lymph only from a small portion of one side of the body. (5,9,4)
  • 5 One of the major functions of the lymphatic system is to ___ the interstitial fluid (6)
  • 6 Lymph from the legs, several abdominal organs and the lower torso enters the left lymphatic (a.k.a. thoracic) duct via a dilated sac called the ___ ___ (8,5)

Figure 18.17 Lymphatic System, Anatomy 2

18.33.3 Across

  • 4 The ___ tonsils are the tonsils found on each side of the pharynx. (8)

  • 5 One of the functions of the lymph nodes is to filter out ___ or ___. (10,14)

  • 7 The ___ or ___ tonsil is the tonsil found in the rear wall of the nasopharynx. (7,10)

  • 8 ___ ___ are the small, roughly oval structures that occur along lymphatic vessels. (5,5)

  • 10 The ___ is a lymphatic organ located medial to the lungs, immediately anterior to the heart (6)

  • 11 T-cells are found in the center portion of the lymph node which is the ___. (7)

  • 12 Blood vessels and lymphatic vessels enter the spleen and the lymph nodes through the ___ or ___. (5,5)

18.33.4 Down

  • 1 The largest lymphatic organ is the ___. (6)

  • 2 The pair of tonsils at the base of the tongue are the ___ tonsils. (7)

  • 3 Encapsulated organs which contain both lymphatic nodules and diffuse lymphatic tissue are the ___ ___, ___ and ___. (5,5,6,6)

  • 6 The outer layer of the lymph node is called the ___. (6)

  • 9 The ___ consist of ___ (how many) clusters of lymphatic nodules, arranged in in a ring, in the mucosa of the larynx. (7,5)

18.34 Keys to the Crossword Puzzles.

18.35 Figure 18.16. Lymphatic system, anatomy

  • Across: 1 Porous, 3 Three, 4 Lymph, 7 Thoracic duct, 8 One-way valves, 9 Lacteals villi.
  • Down: 2 Right lymphatic duct, 5 Purify, 6 Cisterna chyli.

18.35.0.1 Figure 18.17. Lymphatic system, anatomy 2

  • Across: 4 Palatine, 5 Impurities microorganisms, 7 Adenoid pharyngeal, 8 Lymph nodes, 10 Thymus, 11 Medulla, 12 Hilum hilus.
  • Down: 1 Spleen, 2 Lingual, 3 Lymph nodes thymus spleen, 6 Cortex, 9 Tonsils seven.

Chapter 18: Lymphatic System Glossary

Terms Definitions
active immunity immunity developed from an individual’s own immune system
acute inflammation inflammation occurring for a limited time period; rapidly developing
adaptive immune response response relatively slow but extremely specific and effective immune response controlled by lymphocytes
afferent lymphatic vessels vessels lead into a lymph node
antibody antigen-specific protein secreted by plasma cells; immunoglobulin
antigen molecule recognized by the receptors of B and T lymphocytes
antigen presentation binding of processed antigen to the protein-binding cleft of a major histocompatibility complex molecule
antigen processing internalization and digestion of antigen in an antigen-presenting cell
antigen receptor two-chain receptor by which lymphocytes recognize antigen
antigenic determinant (also, epitope) one of the chemical groups recognized by a single type of lymphocyte antigen receptor
B cells lymphocytes that act by differentiating into an antibody-secreting plasma cell
barrier defenses antipathogen defenses deriving from a barrier that physically prevents pathogens from entering the body to establish an infection
bone marrow tissue found inside bones; the site of all blood cell differentiation and maturation of B lymphocytes
bronchus-associated lymphoid tissue (BALT) lymphoid nodule associated with the respiratory tract
central tolerance B cell tolerance induced in immature B cells of the bone marrow
chemokine soluble, long-range, cell-to-cell communication molecule
chronic inflammation inflammation occurring for long periods of time
chyle lipid-rich lymph inside the lymphatic capillaries of the small intestine
cisterna chyli bag-like vessel that forms the beginning of the thoracic duct
class switching ability of B cells to change the class of antibody they produce without altering the specificity for antigen
clonal anergy process whereby B cells that react to soluble antigens in bone marrow are made nonfunctional
clonal deletion removal of self-reactive B cells by inducing apoptosis
clonal expansion growth of a clone of selected lymphocytes
clonal selection stimulating growth of lymphocytes that have specific receptors
clone group of lymphocytes sharing the same antigen receptor
complement enzymatic cascade of constitutive blood proteins that have antipathogen effects, including the direct killing of bacteria
constant region domain part of a lymphocyte antigen receptor that does not vary much between different receptor types
Cortex (of lymph node) contains denser nodules
cytokine soluble, short-range, cell-to-cell communication molecule
cytotoxic T cells (Tc) T lymphocytes with the ability to induce apoptosis in target cells
delayed hypersensitivity (type IV) T cell-mediated immune response against pathogens infiltrating interstitial tissues, causing cellular infiltrate
early induced immune response response includes antimicrobial proteins stimulated during the first several days of an infection
effector T cells immune cells with a direct, adverse effect on a pathogen
efferent lymphatic vessels lead out of a lymph node
erythroblastosis fetalis disease of Rh factor-positive newborns in Rh-negative mothers with multiple Rh-positive children; resulting from the action of maternal antibodies against fetal blood
fas ligand molecule expressed on cytotoxic T cells and NK cells that binds to the fas molecule on a target cell and induces it do undergo apoptosis
Fc region (in an antibody molecule) the site where the two termini of the heavy chains come together; many cells have receptors for this portion of the antibody, adding functionality to these molecules
germinal centers clusters of rapidly proliferating B cells found in secondary lymphoid tissues
graft-versus-host disease (in bone marrow transplants) occurs when the transplanted cells mount an immune response against the recipient
granzyme apoptosis-inducing substance contained in granules of NK cells and cytotoxic T cells
heavy chain larger protein chain of an antibody
helper T cells (Th) T cells that secrete cytokines to enhance other immune responses, involved in activation of both B and T cell lymphocytes
high endothelial venules vessels containing unique endothelial cells specialized to allow migration of lymphocytes from the blood to the lymph node
histamine vasoactive mediator in granules of mast cells and is the primary cause of allergies and anaphylactic shock
IgA antibody whose dimer is secreted by exocrine glands, is especially effective against digestive and respiratory pathogens, and can pass immunity to an infant through breastfeeding
IgD class of antibody whose only known function is as a receptor on naive B cells; important in B cell activation
IgE antibody that binds to mast cells and causes antigen-specific degranulation during an allergic response
IgG main blood antibody of late primary and early secondary responses; passed from carrier to unborn child via placenta
IgM antibody whose monomer is a surface receptor of naive B cells; the pentamer is the first antibody made blood plasma during primary responses
immediate hypersensitivity (type I) IgE-mediated mast cell degranulation caused by crosslinking of surface IgE by antigen
immune system series of barriers, cells, and soluble mediators that combine to response to infections of the body with pathogenic organisms
immunoglobulin protein antibody; occurs as one of five main classes
immunological memory ability of the adaptive immune response to mount a stronger and faster immune response upon re-exposure to a pathogen
inflammation basic innate immune response characterized by heat, redness, pain, and swelling
innate immune response rapid but relatively nonspecific immune response
interferons early induced proteins made in virally infected cells that cause nearby cells to make antiviral proteins
light chain small protein chain of an antibody
lymph fluid contained within the lymphatic system
lymph node one of the bean-shaped organs found associated with the lymphatic vessels
lymphatic capillaries smallest of the lymphatic vessels and the origin of lymph flow
lymphatic system network of lymphatic vessels, lymph nodes, and ducts that carries lymph from the tissues and back to the bloodstream.
Lymphatic tissue Tissue making up the lymphatic system.
lymphatic trunks large lymphatics that collect lymph from smaller lymphatic vessels and empties into the blood via lymphatic ducts
lymphocytes white blood cells characterized by a large nucleus and small rim of cytoplasm
lymphoid nodules unencapsulated patches of lymphoid tissue found throughout the body
macrophage ameboid phagocyte found in several tissues throughout the body
macrophage oxidative metabolism metabolism turned on in macrophages by T cell signals that help destroy intracellular bacteria
major histocompatibility complex (MHC) gene cluster whose proteins present antigens to T cells
mast cell cell found in the skin and the lining of body cells that contains cytoplasmic granules with vasoactive mediators such as histamine
Medulla (of lymph node) more diffuse nodules
memory T cells long-lived immune cell reserved for future exposure to a pathogen
MHC class I found on most cells of the body, it binds to the CD8 molecule on T cells
MHC class II found on macrophages, dendritic cells, and B cells, it binds to CD4 molecules on T cells
MHC polygeny multiple MHC genes and their proteins found in body cells
MHC polymorphism multiple alleles for each individual MHC locus
monocyte precursor to macrophages and dendritic cells seen in the blood
mucosa-associated lymphoid tissue (MALT) lymphoid nodule associated with the mucosa
naive lymphocyte mature B or T cell that has not yet encountered antigen for the first time
natural killer cell (NK) cytotoxic lymphocyte of innate immune response
negative selection selection against thymocytes in the thymus that react with self-antigen
neutralization inactivation of a virus by the binding of specific antibody
neutrophil phagocytic white blood cell recruited from the bloodstream to the site of infection via the bloodstream
opsonization enhancement of phagocytosis by the binding of antibody or antimicrobial protein
passive immunity transfer of immunity to a pathogen to an individual that lacks immunity to this pathogen usually by the injection of antibodies
pattern recognition receptor (PRR) leukocyte receptor that binds to specific cell wall components of different bacterial species
perforin molecule in NK cell and cytotoxic T cell granules that form pores in the membrane of a target cell
peripheral tolerance mature B cell made tolerant by lack of T cell help
phagocytosis movement of material from the outside to the inside of the cells via vesicles made from invaginations of the plasma membrane
plasma cell differentiated B cell that is actively secreting antibody
polyclonal response response by multiple clones to a complex antigen with many determinants
positive selection selection of thymocytes within the thymus that interact with self, but not non-self, MHC molecules
primary adaptive response immune system’s response to the first exposure to a pathogen
primary lymphoid organ site where lymphocytes mature and proliferate; red bone marrow and thymus gland
psychoneuroimmunology study of the connections between the immune, nervous, and endocrine systems
regulatory T cells (Treg) (also, suppressor T cells) class of CD4 T cells that regulates other T cell responses
right lymphatic duct drains lymph fluid from the upper right side of body into the right subclavian vein
secondary adaptive response immune response observed upon re-exposure to a pathogen, which is stronger and faster than a primary response
secondary lymphoid organs sites where lymphocytes mount adaptive immune responses; examples include lymph nodes and spleen
sensitization first exposure to an antigen
seroconversion clearance of pathogen in the serum and the simultaneous rise of serum antibody
severe combined immunodeficiency disease (SCID) genetic mutation that affects both T cell and B cell arms of the immune response
spleen secondary lymphoid organ that filters pathogens from the blood (white pulp) and removes degenerating or damaged blood cells (red pulp)
T cell lymphocyte that acts by secreting molecules that regulate the immune system or by causing the destruction of foreign cells, viruses, and cancer cells
T cell tolerance process during T cell differentiation where most T cells that recognize antigens from one’s own body are destroyed
T cell-dependent antigen antigen that binds to B cells, which requires signals from T cells to make antibody
T cell-independent antigen antigen binds to B cells, which do not require signals from T cells to make antibody
Th1 cells cells that secrete cytokines that enhance the activity of macrophages and other cells
Th2 cells cells that secrete cytokines that induce B cells to differentiate into antibody-secreting plasma cells
thoracic duct large duct that drains lymph from the lower limbs, left thorax, left upper limb, and the left side of the head
thymocyte immature T cell found in the thymus
thymus primary lymphoid organ, where T lymphocytes proliferate and mature
tissue typing typing of MHC molecules between a recipient and donor for use in a potential transplantation procedure
tonsils lymphoid nodules associated with the nasopharynx
type I hypersensitivity immediate response mediated by mast cell degranulation caused by the crosslinking of the antigen-specific IgE molecules on the mast cell surface
type II hypersensitivity cell damage caused by the binding of antibody and the activation of complement, usually against red blood cells
type III hypersensitivity damage to tissues caused by the deposition of antibody-antigen (immune) complexes followed by the activation of complement
variable region domain part of a lymphocyte antigen receptor that varies considerably between different receptor types