Notes on the Lymphatic System
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Transcript of Notes on the Lymphatic System
Notes on lymphatics C. Riedinger 2011
1
LYMPHATIC SYSTEM Consists of:
lymph - lymphocytes - lymphatic vessels - lymph nodes - lymphatic organs Function:
- maintains fluid balance (prevent oedema) - absorbs facts from small intestine - proliferation, development and storage of immune cells - defends against microorganisms and foreign substances - =part of circulatory and immune system!
Lymph:
- formed from interstitial fluid (derived from blood) - consistency similar to blood plasma (cellular components of blood cannot
leave the capillaries) - taken up by passive diffusion and transient negative pressures in their lumina,
generated by contractile activity of smooth muscles in largest lymphatic vessel walls (or by movement of other tissues)
- clear and colourless, but from small intestine: dense and milky due to chylomicrons
- lymph in lacteals (because lymph here is white!) of small intestine is called chyle
Lymphatic vessels:
- parallel circulatory system - originates in peripheral tissues as blind-ended endothelial tubes (simple
squamous with valves) - not present in cornea, cartilage, thymus, CNS, PNS, bone marrow, epidermis
and very few in endomysium of skeletal muscles - collect excess fluid form the interstitial spaces (10%) - smallest = lymph capillaries
o resemble capillaries but endothelial lining permeable to larger molecules, such as colloidal proteins and particulate material (cell debris, microorganisms)
o have funnel-shaped valves o area between two valves: lymphangion o intercellular junctions lack tight junctions o no intrinsic contractility o extrinsic forces for propulsion: respiratory movement, muscle
contraction, pulse pressure of adjacent arteries - terminal lymphatic vessels in mucosa of small intestine: lacteals - lymphatic capillaries join into larger vessels which pass to local lymph nodes - lymph passes through series of nodes until it reaches a major collecting duct
(few drain directly, such as thyroid, oesophagus, coronary and triangular ligaments of liver to thoracic duct)
- largest lymphatic vessels (200um) like small veins, but with more valves (semilunar)
- lymph drains into large veins in the root of the neck - almost all reach either thoracic or right lymphatic duct
Notes on lymphatics C. Riedinger 2011
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Right lymphatic duct: - Drains right half of head and neck, right arm and right hemithorax
Thoracic duct:
- Similar to medium-sized vein, but more prominent smooth muscle in tunica media.
- Drains rest of body - Ascends in the posterior mediastinum between the descending thoracic aorta
and the azygos vein - Length 38-45cm - From L2 to root of the neck
capillaries afferent vessels lymph node efferent vessels lymph trunk
terminal vessels (TD, right lymphatic duct) great veins Lymph nodes:
- filter lymph - have convex cortex into which afferent vessels open - also have medulla and hilum (concave surface), through which efferent vessel
exits - are encapsulated centres of antigen presentation and lymphocyte activation,
differentiation and proliferation - generate antigen-primed B and T cells - filter particles (i.e. microbes) from the lymph by phagocytic macrophages - ~450 in total
o 60-70 head and neck o 100 thorax o 250 abdomen and pelvis
- mainly close to viscera, in mesenteries - lymph flows through channels in lymph nodes after entering from afferent
vessels - reticulin to support sinus macrophages - superficial lymph nodes: inguinal region, axilla, neck
o receive lymph from skin, mucous membranes, serous linings o superficial system drains to the deep system
- deep lymphatic vessels: preaortic, para-aortic, bronchomediastinal o drain organs o accompany arteries or veins
Lymphatic organs:
- clusters of lymphocytes and other cells (macrophages) in framework of short branching connective tissue fibres
- lymphocytes from bone marrow, but proliferate within lymphatic organs - tonsils, spleen, thymus gland
Spread of disease:
- easy for tumour to enter, slow flow does little damage to foreign cells - presence of metastases in lymph nodes indicates metastases to distant organs - lymphadenitis: inflammation, lymphangitis: infection of vessels (red line
under skin) lymphoma: cancer of lymphocytes