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TRANSCRIPT
Lymphatic SystemHandout
An Introduction to Cytology of the
Lymphatic System
By Noel Ways
HemopoieticStem Cells
MyloidStem Cells
LymphoidStem Cells
Erythrocytes Thrombocytes Basophils Eosinophils Neutrophils Monocytes
Macrophages
B Lymphocytes(Humeral Immunity)
T Lymphocytes(Cellular Immunity)
Gas Transport & Hemostasis Nonspecific Host Immunity
Conferance ofImmunocompotence
in Bone Marrow
Conferance ofImmunocompotence
in Thymus Gland
SpecifcHost
Immunity
Plasma B CellsAntibodies
Memory B Cells
Helper T Cells
Cytotoxic T Cells
Regulator T Cells
Memory T Cells
HematopoiesisFlow Chart
Page 2
A
V
Inflammation and Fluid Exchange
At the arterial end of a capil-lary (A) hydrostatic pressure (blood pressure) exceeds osmotic pressure and �uid leaves that capillary and baths interstitial cells. This brings nutrients and oxygen to the interstitium.
At the venous end of the capillary (V) osmotic pressure exceeds hydrostatic pressure and the interstitial �uid returns to the blood bringing waste and CO2.
As not all �uid returns to the venous end, the lymphatic system functions as a “drainage system” receiving the balance of interstitial �uid. When the �uid enters lymphatic vessels it is called lymph and it will be returned to general circulation. Note that a lymph node �lters the lymph before it enters general circulation.
If trauma or infection occurs, mast cells secrete histamine inducing an in�ammatory response, the purpose of which is to control bacterial growth and enhance immune responses. Hista-mine causes vasodilatation of capillaries, which become increasingly porous resulting in increases in both pressure and �uid movement. This brings resources and creates an environ-ment to promote resolution of the infection and healing. Due to the increase in intersti-tial �uid pressures, there is increased �uid drainage into the lymphatic system. This results in the infectious agent being brought to the lymph nodes, where the immune system in large part resides.
As the agents of infection collect in the lymph nodes, this “informs” the immune system that there is an infec-tion, and a speci�c immune response ensues. Note that in this scenario, the bacteria are not entering general circula-tion.
HemopoieticStem Cells
MyloidStem Cells
LymphoidStem Cells
Thrombocytes Basophils Eosinophils Neutrophils
Monocytes
Nonspecific Host Immunity
Specific HostImmunity
B T“Incompetent”Lymphocytes
“Competent”Lymphocytes
ThymusGlandBone
Marrow
Conferance ofImmunocompetence
in Bone Marrowand
Thymus Gland
B T T TBB
ETC ETC
LymphaticOrgans
Lymphatic CellDevelopment
HumeralImmunity
CellularImmunity
Page 3
B T
TT
T
Tc
Tc
TcTc
B B
B
Bp
Tc TcTc Tc
Tc
Tc
Tc
Infection
Subclavian Vein to Right Heart to General Circulation Site of Infection
Introduction to Humoral and Cellular Immunity
Page 4