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ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

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Page 1: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

ELAINE N. MARIEB

EIGHTH EDITION

12

ESSENTIALSOF HUMANANATOMY

& PHYSIOLOGY

The Lymphatic System and Body Defenses

Page 2: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 1

Describe the structure and function of the structures composing

the lymphatic system.

Objective 2

Describe the composition of lymph, and explain its formation and transport

Page 3: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

The Lymphatic System Lymphatic system functions

Transport fluids back to the blood

House the cells/chemicals involved with immunity

Page 4: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymph Lymph –fluid that leaks from other

cells/blood. Carried by lymphatic vessels

Properties of lymphatic system

One way system toward the heart

No pump

Page 5: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic Vessels

Figure 12.2

Lymph capillaries collect fluid from around blood vessels

Page 6: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymph Materials returned to the blood

Water

Red/White Blood cells

Proteins

Page 7: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymph Harmful materials that can enter lymph

vessels

Bacteria

Viruses

Cancer cells

Cell debris

Page 8: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymph Nodes offer protection Filter lymph before it is returned to the blood

Defense cells within lymph nodes

Macrophages – engulf and destroy foreign substances

Lymphocytes – provide immune response to antigens

Page 9: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymph Nodes

Figure 12.3

Page 10: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Other Lymphoid Organs Several other organs

contribute to lymphatic function

Spleen

Thymus

Tonsils

Peyer’s patches

Figure 12.5

Page 11: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

The Spleen Located on the left side of the abdomen

Filters blood

Destroys worn out blood cells

Acts as a blood reservoir

Page 12: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

The Thymus Located low in the throat, overlying the heart

Produces hormones (like thymosin) to program lymphocytes during childhood

Page 13: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Tonsils Small masses of lymphoid tissue around the

pharynx

Trap and remove bacteria and other foreign materials

Page 14: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Peyer’s Patches Found in the wall of the small intestine

Resemble tonsils in structure

Capture and destroy bacteria in the intestine

Page 15: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses
Page 16: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Body Defenses The body is constantly in contact with

bacteria, fungi, and viruses

The body has two defense systems for foreign materials

Nonspecific defense system

Specific defense system

Page 17: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Body Defenses Nonspecific defense system

protect against a variety of invaders

Responds immediately

Specific defense system

Specific defense is required for each type of invader

Also known as the immune system

Page 18: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Body Defenses

Figure 12.6

Page 19: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 3

Describe the protective functions of skin and mucous membranes

Page 20: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Surface Membrane Barriers – First Line of Defense The skin

Physical barrier to foreign materials

pH of the skin is acidic to inhibit bacterial growth

Sebum is toxic to bacteria

Vaginal secretions are very acidic

Page 21: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Surface Membrane Barriers – First Line of Defense Stomach mucosa

Secretes hydrochloric acid

Has protein-digesting enzymes

Saliva and lacrimal fluid (tears) contain lysozyme

Mucus traps microogranisms in digestive and respiratory pathways

Page 22: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 4Explain the importance of phagocytes and natural killer cells

Page 23: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Defensive Cells – 2nd Line of Defense Phagocytes

(neutrophils and macrophages)

Engulfs foreign material into a vacuole

Enzymes from lysosomes digest the material

Figure 12.7a

Page 24: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Events of Phagocytosis

Figure 12.7b

Page 25: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Defensive Cells Natural killer cells

(yes…that is really their name…)

Can lyse and kill cancer cells

Can destroy virus- infected cells

Page 26: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 5

Describe the inflammatory process

Page 27: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Inflammatory Response - Second Line of Defense Triggered when body tissues are injured

Produces four cardinal signs

Redness Heat

Swelling Pain

chain of events leads to protection and healing

Prevents spread of damaging agents

Disposes of cell debris and pathogens

Sets the stage for repair

Page 28: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Steps in the Inflammatory Response

Figure 12.8

Page 29: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 6

Name antimicrobial substances produced in the body

Page 30: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Antimicrobial Chemicals Complement

A group of at least 20 plasma proteins

Activated when they encounter and attach to cells (complement fixation)

Damage foreign cell surfaces Figure 12.10

Page 31: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Antimicrobial Chemicals Interferon

Secreted proteins of virus-infected cells

Bind to healthy cell surfaces to inhibit viruses binding

Page 32: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Pyrogens Cause abnormally high body temperature =

Fever

Resets hypothalmus’ heat regulation system

Secreted by white blood cells

High temperatures inhibit the release of iron and zinc from liver and spleen needed by bacteria

Fever also increases the speed of tissue repair

Page 33: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses
Page 34: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Specific Defense: The Immune System – Third Line of Defense1. Antigen specific – recognizes and acts

against particular foreign substances

2. Systemic – not restricted to the initial infection site

3. Has memory – recognizes and mounts a stronger attack on previously encountered pathogens

Page 35: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 7

Define antigen and hapten, and name substances that act as complete antigens

Page 36: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Antigens (Nonself) Any substance capable of exciting the

immune system and provoking an immune response

Examples of common antigens

Foreign proteins

Pollen grains

Microorganisms

Page 37: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Self-Antigens Human cells have many surface proteins

Our immune cells do not attack our own proteins

Our cells in another person’s body can trigger an immune response because they are foreign

Restricts donors for transplants

Page 38: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses
Page 39: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Activation of Lymphocytes

Figure 12.11

Page 40: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 8

Name the two arms of the immune response and relate each to a specific lymphocyte type.

Page 41: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Types of Immunity Humoral immunity

Cells produce chemicals for defense

Antibody immunity

Cellular immunity

Cell-mediated immunity

Cells target virus infected cells

Page 42: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Humoral (Antibody-Mediated) Immune Response B lymphocytes with specific receptors bind to

a specific antigen

The binding event activates the lymphocyte to undergo clonal selection

A large number of clones are produced (primary humoral response)

Page 43: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Humoral (Antibody Mediated) Immune Response Most B cells become plasma cells

Produce antibodies to destroy antigens

Activity lasts for four or five days

Some B cells become long-lived memory cells (secondary humoral response)

Page 44: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Humoral Immune Response

Figure 12.12

Page 45: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Secondary Response Memory cells are

long-lived

A second exposure causes a rapid response

The secondary response is stronger and longer lasting

Figure 12.13

Page 46: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 11

List the 5 antibody classes and describe their specific roles

Page 47: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Antibodies (Immunoglobulins) (Igs) Soluble proteins secreted by B cells (plasma

cells)

Carried in blood plasma

Capable of binding specifically to an antigen

Figure 12.15a

Page 48: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Antibody Structure Four amino acid chains

Two identical amino acid chains are linked to form a heavy chain

The other two identical chains are light chains

Specific antigen-binding sites are present

Figure 12.15b

Page 49: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Antibody Classes Antibodies of each class have slightly

different roles

Five major immunoglobulin classes

IgM – can fix complement

IgA – found mainly in mucus

IgD – important in activation of B cell

IgG – can cross the placental barrier

IgE – involved in allergies

Page 50: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Antibody Function Antibodies inactivate antigens in a number of

ways

Complement fixation – lyse cell (bacteria)

Neutralization – block/mask harmful effects (viruses)

Agglutination – clump together

Precipitation – settle out of solution, easier for body to break it down

Page 51: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Antibody Function

Figure 12.16

Page 52: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Back to Cell Mediated Immunity…

Page 53: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Cells of the Immune System Lymphocytes

Originate from the red bone marrow

B lymphocytes become immunocompetent in the bone marrow

T lymphocytes become immunocompetent in the thymus

Macrophages

Arise from monocytes

Become widely distributed in lymph organs

Page 54: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Cellular (Cell-Mediated) Immune Response Antigens must be presented by macrophages

to an activated T cell (antigen presentation)

T cells must recognize nonself and self (double recognition)

After antigen binding, clones form as with B cells, but different classes of cells are produced

Page 55: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Cellular (Cell-Mediated) Immune Response

Figure 12.17

Page 56: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

T Cell Clone Classes Cytotoxic T cells

Specialize in killing infected cells

Insert a toxic chemical (perforin)

Helper T cells

Recruit other cells to fight the invaders

Interact directly with B cells

Page 57: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

T Cell Clones Suppressor T cells

Release chemicals to stop the activity of T and B cells

Stop the immune response to prevent uncontrolled activity

A few members of each clone are memory cells

Page 58: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Summary of the Immune Response

Figure 12.19

Page 59: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Organ Transplants and Rejection Major types of grafts

Autografts – tissue transplanted from one site to another on the same person - “skin graft”

Isografts – tissue grafts from an identical person (identical twin) – hence very rare

Allografts – tissue taken from an unrelated person (most connon)

Xenografts – tissue taken from a different animal species (pig heart valves)

Page 60: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Organ Transplants and Rejection Autografts and isografts are ideal donors

Xenografts are never successful for long

Allografts are more successful with a closer tissue match

Page 61: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 12

Distinguish between active and passive immunity

Page 62: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Active Immunity Your B cells

encounter antigens and produce antibodies

Active immunity can be natural (from an infection) or artificial (vaccine/dead pathogen) acquired

Figure 12.14

Page 63: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Passive Immunity Antibodies are obtained from someone else

Conferred naturally from a mother to her fetus

Conferred artificially from immune serum or gamma globulin

Immunological memory does not occur

Protection provided by “borrowed antibodies”

Page 64: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Lymphatic System & Body Defenses

Objective 13

Distinguish between types of immunodeficiencies, allergies, and autoimmune diseases.

Page 65: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Disorders of Immunity: Allergies (Hypersensitivity) Abnormal, vigorous immune responses

Types of allergies

Immediate hypersensitivity

Triggered by release of histamine from IgE binding to mast cells

Reactions begin within seconds of contact with allergen

Anaphylactic shock – dangerous, systemic response

Page 66: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Disorders of Immunity: Allergies (Hypersensitivity) Types of allergies (continued)

Delayed hypersensitivity

Triggered by the release of lymphokines from activated helper T cells

Symptoms usually appear 1–3 days after contact with antigen

Page 67: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Allergy Mechanisms

Figure 12.20

Page 68: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Disorders of Immunity: Immunodeficiencies Production or function of immune cells or

complement is abnormal

May be congenital (at birth) or acquired

Includes AIDS – Acquired Immune Deficiency Syndrome

Page 69: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Disorders of Immunity: Autoimmune Diseases The immune system does not distinguish

between self and nonself

The body produces antibodies and sensitized T lymphocytes that attack its own tissues

Page 70: ELAINE N. MARIEB EIGHTH EDITION 12 ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY The Lymphatic System and Body Defenses

Disorders of Immunity: Autoimmune Diseases Examples of autoimmune diseases

Multiple sclerosis – white matter of brain and spinal cord are destroyed

Myasthenia gravis – impairs communication between nerves and skeletal muscles

Juvenile diabetes – destroys pancreatic beta cells that produce insulin

Rheumatoid arthritis – destroys joints