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The Lymphatic System What is the lymphatic system?  An extensive drainage network that helps keep bodily fluid levels in balance and defends the body against infections.  Together with lymphoid organs and tissues, provide the structural basis of the immune system Lymphatic characteristics  One way system to the heart  Carries clean fluids back to the blood  Drains excess fluid from tissues  Lymph is a clear, watery fluid that contains protein molecules, salts, glucose, urea, and other substances — throughout the body.  Removes antigens from the body and exposes antigens to the immune system  Lymph may contain macrophages, viruses, bacteria, cellular debris and even traveling cancer cells. What type of vessels make up the lymphatic system?  Vessels are called lymphatics  Thin walled and analogous to veins  2 large ducts  Right lymphatic duct  Thoracic duct  Both empty into the right and left subclavian veins Drained by the right lymphatic duct Drained by thoracic duct Lymphatic Organs  Lymph nodes  Spleen  Thymus  Tonsils  Peyer’s patches Lymph nodes  Principal lymphoid organs of the body  Most are bean shaped organs along lymphatic collecting vessels  Up to 1 inch in size  Grouped together at various parts of the body  Clusters of both superficial LNs deep Lymph nodes  Superficial  Cervical  Axillary  Inguinal  Deep  Tracheobronchial  Aortic  Iliac Circulation in the lymph nodes  Lymph Afferent vessels  Enters via afferent lymphatic vessels Efferent vessels  Travels through large subcapsular sinus and smaller sinuses  Exits the node at the hilus via efferent vessels Critical Thinking Question  Why are there more afferent lymphatic vessels carrying lymph to the lymph nodes than there are efferent lymphatic vessels?  Answer:  Fewer efferent vessels, causing flow of lymph to stagnate, allowing lymphocytes and macrophages time to carry out functions What function do lymph nodes have?  Filter lymph  macrophages destroy microorganisms and debris  Immune system—lymphocytes are activated and mount an attack against antigens Lymphangiogram Spleen  Largest lymphoid organ  Filters blood (lymph nodes filter lymph)  Filters blood of bacteria, viruses, and other debris (blood-borne antigens “white pulp”  Removes and destroys worn out red blood cells (RBCs)  Stores platelets  Site of lymphocyte production and immune surveillance and response  In fetus only: RBC are made in the spleen  Susceptible to injury; splenectomy increases risk of bacterial infection Spleen Thymus  Differs from other lymphoid organs in important ways  It functions strictly in T lymphocyte maturation  T cells become Immunocompetent  It does not directly fight antigens  Size with age  In infants, it is found in the inferior neck and extends into the mediastinum, where it partially overlies the heart  Increases in size and is most active during childhood  Stops growing during adolescence and then gradually atrophies Critical Thinking Question  Why does the thymus increases in size and is MOST active during childhood, stops growing during adolescence and then starts getting smaller?  Answer:  The thymus produces a large amount of T cells so by the time a person reaches puberty, the body has a lot of lymphocytes. The thymus also produces a variety of hormones and plays an important role in the development of immunologic competence in fetus and child. Tonsils  Simplest lymphoid organs  Form a ring of lymphatic tissue around the pharynx  Crypts trap and destroy bacteria and particulate matter Mucosa-associated lymphoid tissue (MALT)  Mucosal surfaces within the body are protected by the mucosal immune system consisting of the mucosaassociated lymphoid tissue or MALT  An extensive diffuse system of small concentrations of lymphoid tissue found in various sites of the body such as the gastrointestinal tract, thyroid, breast, lung, salivary glands, eye, and skin to protect from foreign matter. MALT  Examples:  GALT (gut-associated lymphoid tissue, such as the Peyer's patches in the lining of the small intestines, as well as the adenoids, tonsils, and appendix)  BALT (bronchial-associated lymphoid tissue in the bronchi)