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Hashimoto's thryroiditis
autoimmune disease
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lupus erythematosis
autoimmune disease
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scleroderma
autoimmune disease
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sentinel celss
aka solid tissues
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cellular immunity
immunocompetent celss react and destroy microorganisms, foreign cells (transplanted and tumor), and virus infected cells
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humoral immunity
immune response using circulating Ab (Ig and glycoprot)
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B lymphocytes
aka "bursa"
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parenchymal tissue
functional tissue
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stromal tissue
aka supportive tissue; FDC, mesenchyme, CT, fibroblasts, reticular cells
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What do reticular fibers provide?
connective tissue framework
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lymphoid cells
reticular cells, T and B lymphocytes, plasma cells, macrophages
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Langerhans cell
dendritic cell in skin
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Why are macrophages junky?
bc of primary, secondary, and tertiary lysosomes eating stuff
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components of non-encapsulated lymphatic tissue
- lamina propria
- solitary lymph NODULE
- aggregates of lymph nodules (aka Peyer's patches)
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solitary lymph nodule
dense aggregates of lymphatic tissue forming a spherical mass
contains-reticular cells, reticular fibers, lymphocytes (T or B)
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Where are lymph nodules usually found?
(not permanent structures); w/in LCT assoc w/ epithelium...aka cont w/ outside world (lamina propria of GI, urinary, respiratory); size and number increases during humoral responses and decrease when humoral response ends
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mantle
aka marginal zone or corona; outer, dense region of nodule containing small T and B lymphocytes
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germinal center
aka reactive center; lighter region in center of nodule w/ B cells undergoing prolif and differentiation; has light zone and dark zone
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light zone of germinal center
(in nodule) contains FDCs and centrocytes, mitotic figures (aka mult -cytes), apoptotic cells (cleaned up by macrophages)
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dark zone of germinal center
(in nodule) contains DCs and centroblasts
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FDC/DC structure
has long, motile processes to give more SA and increase efficiency of Ag presentation
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Where are FDCs derived from?
stem cells w/in mesenchyme or LCT
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B cell appearance
cleaved/folded nuc
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Where are aggregates of nodules usually found?
LP of -ileum opp the attachment of mesentery
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Tonsils
partially-encapsulated lymphatic organs; surrounded partially by CT capsule and partially by epithelium lining oral cavity
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What drains tonsils?
efferent vessels into deep cervical lymph nodes
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General characteristics of tonsils
- partially encapsulated
- ICT (trabeculae)
- infoldings of surface epithelium
- Waldeyer's ring
- participates in lymphopoiesis, Ab prod
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Palatine tonsils location
lateral walls btw palatoglossal arch and palatopharyngeal arch
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palatine tonsils lymphatic tissue
dense and nodular
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palatine tonsil CT
hemi-capsule from which trabeculae partition the tonsil
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palatine tonsil surface covering
stratified squamous epithelium which invaginates as mult crypts
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palatine tonsil assoc mucous glands
drained by ducts bypassing tonsular crypts to empty directly onto surface
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lingual tonsil location
root of tongue posterior to row of vallate papillae
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lingual tonsil lymphatic tissue
dense and nodular
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lingual tonsil surface covering
stratified squamous epi which invaginates into a SINGLE crypt (partially keratinized)
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lingual tonsil CT
hemi-capsule
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lingual tonsil assoc mucous glands
drained by duct draining directly into single tonsillar crypt
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pharyngeal tonsil location
posterior wall of nasopharynx
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pharyngeal tonsil lymphatic tissue
dense and nodular
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pharyngeal tonsil surface covering
pseudostratified columnar epithelium (aka respiratory) which makes mult FOLDS (NOT CRYPTS)
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pharyngeal tonsil CT
hemi-capsule
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pharyngeal tonsil assoc seromucous glands
drained by ducts emptying into epithelial folds
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encapsulated lymphatic organs
lymph nodes and spleen
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physical characteristics of LN
- kidney bean shaped
- COMPLETE CT capsule
- cortex
- medulla
- lymph sinuses
- afferent and efferent lymphatic vessels
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lymph sinuses
channels for mvmt of lymph through node; NOT lined by continuous endothelium but are laced by recticular cells and fibers instead
- 1. subcapsular
- 2. peritrabecular
- 3. medullary
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lymph node cortex
contains lymph nodules w/ germinal centeres
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paracortical region/deep cortex
w/in cortex of lymph nodes; mostly T lymphocytes, HEV, T-cell diapedesis
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HEV
in deep cortex of cortex of lymph nodes; are stimulated postcapillary venules; found in thymus gland, spleen, and areas of chronic inflammation
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medulla of lymph node
- no nodules
- looser lymphatic tissue
- medullary cords
- medullary sinuses
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medullary cords
in lymph node; mostly B lymphocytes, plasma cells, and macrophages
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lymphatic vessels
- afferent-drain into subcapsular sinus
- efferent-exit lymph node through hilus
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blood vessels of lymph node
enter at hilus and travel through trabeculae to parenchyma
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lymph node nerves
vasomotor only; innervate sm muscle of vascular channels
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lymph node function
- lymphopoiesis
- Ab prod
- filtration of lymph (phagocytosis of particles by macrophages lying along sinuses)
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Spleen
fully encapsulated lymphoid organ; parenchyma is red and white pulp; efferent lymphatic vessels only
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blood supply of spleen
splenic artery>capsular arteries>trabecular arteries>central arterioles>penicilliary arterioles>sinusoids>postcapillary venules>trabecular veins>splenic veins
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white pulp
in spleen; lymphoid cells surrounding central arterioles; mostly T cells; reactive B cells form nodules w/ reactive centers; central arterioles become eccentrically placed
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red pulp
in spleen; barrel-shapped splenic sinusoids surrounded by macrophages, reticular cells, lymphocytes (cords of Billroth....lymphocytes)
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splenic nerves
vasomotor only; innervates sm muscle of vascular channels
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splenic function
filters blood (phagocytic cells of sinusoids and splenic cords), hematopoiesis, phagocytosis of RBCs, Ab prod, blood reservoir
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thymus
completely encapsulated lymphoid; cortex and medulla in juvenile thymus, no lymphatic nodules, efferent lymphatic vessels only
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epithelial reticular cells of thymus
APCs; endodermal (3rd pouch), interconnected via desmosomes, support and isolate (blood-thymus barrier), synth and secrete thymopoietin and other paracrine factors to reg thymocyte dev
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structural syncytium
aka desmosomes
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paracrine factors
aka thymulin, alpha and beta thymosin
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Hassall's corpuscles
in spleen; degenreating epithelial reticular cells, in adult
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thymic cortex
comprised of epithelial reticular cells w/in which is dense lymphatic tissue, no lymphatic nodules
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thymic medulla
thicker layer of epithelial reticular cells than thymic cortex, therefore reduced density of lymphatic tissue; contains Hassall's bodies
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thymic vessels
blood vascular supply distributed via septae to capillaries in parenchyma; HEVs represent sites of margination and diapedesis of immature T cells
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thymic nerves
vasomotor only; innervates sm muscle of vascular channels
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thymic function
- lymphopoiesis
- maturation of T lymphocytes
- thymus involutes in adults although we still have T cells...somehow
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mononuclear phagocytic system cells
histiocytes, Kupffer cells, alveolar macrophages, DCs in lymph nodules, osteoclasts, pleural and peritoneal macrophages, microglia, Langerhans cells
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Langerhans cells
in epidermis
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Where do pleural and peritoneal macrophages live?
serous cavities
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Where do osteoclasts live?
bone surfaces
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What is another name for macrophages in lungs?
dust cells
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Where do Kupffer cells live?
liver sinusoids
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Where do histiocytes live?
LCT
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