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Ch 22 Lymphatic

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Water plus solutes from plasma & cells; Returns to circulatory system via veins; essential for fluid balance.   lymph  
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Carry lymph away from tissues; valves insure one way flow   lymphatic vessels  
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More permeable than blood capillaries,Epithelium functions as series of one-way valves,found in all parts of the body except nervous system, bone marrow, and tissues without blood vessels   Lymphatic capillaries  
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distributed along vessels and filter lymph; Substances removed by phagocytosis or stimulate lymphocytes to proliferate in germinal centers; Cancer cells often migrate to lymph nodes, are trapped there, and proliferate.   lymph nodes  
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jugular, subclavian, bronchomediastinal, intestinal, lumbar   lymphatic trunks  
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drain tissues of body and move lymph into major veins   lymphatic ducts  
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drains right side of head, right-upper limb, right thorax   Right lymphatic duct  
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drains remainder of the body   Thoracic duct  
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contain lymphatic tissue (lymphocytes, macrophages, dendritic cells); fine collagen reticular fibers trap microorganisms and other particles   lymphatic organs  
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lymph nodes, spleen, thymus   Encapsulated lymph organs  
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mucosa-associated lymphoid tissue (MALT). Found beneath epithelium as first line of attack against invaders.   Unencapsulated lymph organs  
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dispersed lymphocytes, macrophages; blends with other tissues. Associated with other types of lymphatic tissue   diffuse lymphatic tissue  
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denser aggregations. Numerous in loose connective tissue of digestive (Peyer’s patches), respiratory, urinary, reproductive systems (MALT); Referred to as lymphatic follicles when found in lymph nodes and the spleen   Lymphatic nodules  
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Large groups of lymphatic nodules in nasopharynx and oral cavity; Provide protection against bacteria and other harmful material. Form a ring around the border between the oral cavity and the pharynx   tonsils  
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Destroys defective RBCs; Detects and responds to foreign substances; Limited reservoir for blood   spleen  
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Site of maturation of T cells: many T cells produced here, but most degenerate. Those that remain can react to foreign substances, but not to healthy body tissue.   thymus  
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Ability to resist damage from foreign substances such as microorganisms and harmful chemicals   immunity  
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Mechanical mechanisms: prevent entry or remove microbes. Skin, tears, saliva, mucous membranes, mucus. Considered the acid mantle;Chemical mediators: promote phagocytosis and inflammation; Cells: involved in phagocytosis and production of chemicals   Innate or nonspecific resistance  
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Specificity: ability to recognize a particular substance; Memory: ability to remember previous encounters with a particular substance and respond rapidly   Adaptive or specific immunity  
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20 proteins that circulate in blood in inactive form; become activated in cascade form & can form membrane attack complexes, make channel through plasma mem, attach to surface of bact cells, stim phagocytosis, attract immune syst cells to site of infectio   complement  
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part of innate immunity. C3 binds with foreign substance. Attract macrophages.   Alternative pathway  
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part of adaptive immunity. Requires antibodies bound to antigens   Classical pathway  
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Prevent viral replication; produced by infected cell, but cause neighboring cells to produce antiviral proteins, thus act as a paracrine.   Interferons  
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most important cellular components of immune system. Must be able to move into infected tissues and destroy infection   White blood cells  
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Phagocytic and first cells to enter infected tissue; last only a few hours; Regularly cross wall of gastrointestinal tract, providing protection. 126 billion/day   Neutrophils  
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large phagocytic cellsMonocytes that leave blood, enter tissues. Longer-lived than neutrophils, can ingest larger particles; Found beneath free surfaces within sinuses (spleen, bone marrow, liver, lymph nodes).   Macrophages  
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Promote inflammation when activated by innate or adaptive system.   Basophils and mast cells  
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leave blood and enter tissues; Reduce inflammation by breaking down chemicals produced by basophils and mast cells.Secrete enzymes that kill some parasites   Eosinophils  
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type of lymphocytes; Lyse tumor and virus-infected cells; Recognize whole classes of cells, not specific kind of cell.   Natural killer cells  
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Response initiated by chemical mediators that produce vasodilation, chemotactic attraction, increased vascular permeability. The latter allows fibrinogen and complement to enter tissue. Fibrinogen converted to fibrin, walls off infected area   Inflammatory Response  
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confined to a specific area of the body. Symptoms are redness, heat, swelling, pain, loss of function   Local Inflammatory Response  
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Increase in neutrophil #s released by RBM;Fever due to production of pyrogens; Improves performance of immune system.Widespread increased vascular permeability due to histamines. Large volume of plasma enters interstitial spaces leading to shock   Systemic Inflammatory Response  
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not produced by body, introduced from outside; Bacteria, viruses, other microorganisms that cause disease; Pollen, animal dander, feces of mites, foods, drugs cause overreaction of immune system called allergic reaction   foreign antigens (adaptive immunity)  
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produced by body. Used as markers to allow adaptive immune response to differentiate self from non-self. Response to self tumor antigens helpfulResponse to self-antigens resulting in tissue destruction: auto immune diseases   Self-antigens (adapt imm)  
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small molecules, combine with large proteins and producing an adaptive immune response   Haptens (adapt imm)  
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Humoral or Antibody-mediated   B cells  
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Cell-mediated   T cells  
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Ensures survival of lymphocytes that react against antigens. These then proliferate and form clones   Positive selection  
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Eliminates clones of lymphocytes that react against self-antigens   Negative selection  
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state of unresponsiveness of lymphocytes to a specific antigen, usually to self antigens. Provoked by deletion of self-reactive lymphocytes, preventing activation of lymphocytes that encounter self antigens, activation of suppressor T cells   tolerance  
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lymphocytes interact with each other, antigen-presenting cells and antigens to produce the immune response; Diffuse lymphatic tissue, lymphatic nodules, tonsils, lymph nodes, spleen   Secondary lymphatic organs and tissues  
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Lymphocytes must be able to recognize the antigen. After recognition, lymphocytes must increase in number to effectively destroy antigen   Activation of Lymphocytes  
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specific regions of a given antigen recognized by a lymphocyte   Antigenic determinants  
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attach to plasma membrane; Have variable region that can bind to foreign and self antigens   major histocompatibility complex  
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Found on surface of nucleated cells. In concert with antigens that were produced inside the cell from, for example, digested virus particles. Like displaying a flag saying “Kill me!” MHC-restricted: both MHCI and foreign antigen are displayed together   Class I MHC  
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Found on surface of antigen-presenting cells. B-cells, macrophages, monocytes and dendritic cells. Display of MHCII with foreign antigen is like “Rally round the flag”, stimulates other immune system cells to respond to the antigen.   Class II MHC  
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Released by the macrophage of a cytokine that binds to a receptor on the helper T cell.   Costimulation By cytokines  
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Binding of two molecules (B7 and CD28) on the macrophage and Helper T cell. Helps to hold the cells together.   Costimulation By surface molecules  
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B or T cell does not respond to an antigen; occurs when T cell encounters a self antigen   anergy  
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Cells from original clones must proliferate before antigen can be attacked effectively:Proliferation of Helper T cells;Proliferation of B cells and effector T cells   Proliferation of Lymphocytes  
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Effective against extracellular antigens including bacteria, viruses, protozoans, fungi, parasites, and toxins when they are outside cells   Antibody-Mediated Immunity  
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Part that combines with antigenic determinant of antigen   Variable region of antibody  
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Responsible for activities of antibodies like activating complement or attaching to various kinds of WBCs   Constant region of antibody  
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occurs when a B cell is first activated by an antigen. B cell proliferates to produce plasma cells (antibody production) and memory cells.   Primary response  
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occurs during later exposure to same antigen. Memory cells divide rapidly to form plasma cells and additional memory cells. Faster and greater response.   Secondary response  
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Function of T cells; most effective against intracellular microorganisms: viruses, fungi, intracellular bacteria, parasites   Cell-Mediated Immunity  
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Lyse virus-infected cells, tumor cells, and tissue transplants. Major lysin is perforin, which forms a hole in the plasma membrane of the target cell. Produce cytokines, which promote phagocytosis and inflammation   Cytotoxic T cells function  
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Involved in allergic reactions; e.g., poison ivy. Hapten that binds to proteins in the skin, then antigen processed by Langerhans cells (APCs) of the skin and presented to delayed hypersensitivity T cells   Delayed hypersensitivity T cells  
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natural exposure to an antigen   Active natural immunity  
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natural exposure to an antigen   Active natural immunity  
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natural exposure to an antigen   Active natural immunity  
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deliberate exposure to antigen or antibody   Immunization  
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vaccination. Deliberate exposure to an antigen (vaccine)   Active artificial immunity  
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transfer of antibodies from a mother to her fetus or baby   Passive natural immunity  
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transfer of antibodies (or cells) from an immune animal to a nonimmune one; antiserum; ie. rabies, hepatitis, snake bites   Passive artificial immunity  
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