1. Chapter 8 Lymphoid system Chapter 8 Lymphoid system Li Zhong Jie （李仲杰）, Ph. D School of Medicine,Zhejiang University

2. The immune system: consists of the lymphatic organs, lymphocytes of the blood and lymph, and collections of different types of lymphocytes dispersed throughout the connective tissue. consists of the lymphatic organs, lymphocytes of the blood and lymph, and collections of different types of lymphocytes dispersed throughout the connective tissue. is essential to the body’s immunological defense against pathogens, foreign substences, infectious agents(bacteria and viruses) and abnormal cells. is essential to the body’s immunological defense against pathogens, foreign substences, infectious agents(bacteria and viruses) and abnormal cells.

3. Immune response: Cellular immunity: involving mainly T-lymphocytesCellular immunity: involving mainly T-lymphocytes Humoral immunity: involving mainly B-lymphocytesHumoral immunity: involving mainly B-lymphocytes Mast cells, macrophages and otherMast cells, macrophages and other white blood cells are also involved in white blood cells are also involved in the immune response. Function: i. immunologic defense ii. immune surveillance iii. immune homeostasis

4. The cells of lymphatic system

5. 1) Lymphocyte : a. T-lymphocytes: cytotoxic T cell: Tc kill the tumor cell, virus infective cell and foreign cell cytotoxic T cell: Tc kill the tumor cell, virus infective cell and foreign cell helper T cell: Th stimulate the B-lymphocyte differentiate into plasma cell helper T cell: Th stimulate the B-lymphocyte differentiate into plasma cell suppressor T cell: Ts regulate the function of B-lymphocyte and T-lymphocyte suppressor T cell: Ts regulate the function of B-lymphocyte and T-lymphocyte b. B-lymphocytes: become into plasma cell c. NK cell: attack virus infective cell and tumor cell without previous stimulation

6. Lymphocytes B-cells mature in bone marrow then concentrate in lymph nodes and spleen B-cells mature in bone marrow then concentrate in lymph nodes and spleen T-cells mature in thymus T-cells mature in thymus B and T cells mature then circulate in the blood and lymph B and T cells mature then circulate in the blood and lymph Circulation ensures they come into contact with pathogens and each other Circulation ensures they come into contact with pathogens and each other

7. T-Lymphocytes Mature T-cells have T cell receptors which have a very similar structure to antibodies and are specific to 1 antigen. Mature T-cells have T cell receptors which have a very similar structure to antibodies and are specific to 1 antigen. They are activated when the receptor comes into contact with the antigen with another host cell (e.g. on a macrophage membrane or an invaded body cell) They are activated when the receptor comes into contact with the antigen with another host cell (e.g. on a macrophage membrane or an invaded body cell) Release perforin and granzyme Release perforin and granzyme

9. B -Lymphocytes There are circa 10 million different B- lymphocytes, each of which make a different antibody. There are circa 10 million different B- lymphocytes, each of which make a different antibody. There are a small group of clones of each type of B-lymphocyte There are a small group of clones of each type of B-lymphocyte

10. B -Lymphocytes

11. Some activated B cells  PLASMA CELLS these produce lots of antibodies Some activated B cells  PLASMA CELLS these produce lots of antibodies The antibodies travel to the blood, lymph, lining of gut and lungs. The antibodies travel to the blood, lymph, lining of gut and lungs.

12. B -Lymphocytes Some activated B cells  MEMORY CELLS. Some activated B cells  MEMORY CELLS. Memory cells divide rapidly as soon as the antigen is reintroduced. Memory cells divide rapidly as soon as the antigen is reintroduced. There are many more memory cells than there were clone cells. There are many more memory cells than there were clone cells. When the pathogen/infection infects again it is destroyed before any symptoms show. When the pathogen/infection infects again it is destroyed before any symptoms show.

13. 2) Plasma cell 3) Antigen presenting cell: a. dendritic cell b. macrophage ---mononuclear ---mononuclear ---phagocytic system ---phagocytic system Antigen processing is a necessary preliminary step for activation of T cell.

14. 4) other cells: granulated cell granulated cell mast cell mast cell blood platelet blood platelet blood-borne stem cell blood-borne stem cell

15. –2 types Diffuse lymphatic tissue Diffuse lymphatic tissue –No capsule present –Found in connective tissue of almost all organs Lymphatic nodules Lymphatic nodules –No capsule present –Oval-shaped masses –Found singly or in clusters Lymphoid tissue

16. General organization of lymphoid tissue: ---components: ---components: Reticular tissue: stellate-shaped with processes to form network Reticular tissue: stellate-shaped with processes to form network Cells: Cells: Lymphocyte (chiefly) Lymphocyte (chiefly) Plasma cell Plasma cell antigen presenting cell antigen presenting cell other cells other cells

17. a. Diffuse lymphoid tissue: no clear boundary no clear boundary mainly consists of T-lymphocyte mainly consists of T-lymphocyte postcapillary venules: postcapillary venules: -high endothelial venules, lining of tall cuboidal cells -high endothelial venules, lining of tall cuboidal cells -opening for lymphocyte enter lymphoid tissue from blood -opening for lymphocyte enter lymphoid tissue from blood Diffuse LT Lymphoid nodule

18. b. Lymphoid nodule: spherical or ovoid spherical or ovoid have clear boundaries have clear boundaries mainly composed of B- lymphocyte mainly composed of B- lymphocyte germinal center: lighter- stained central zone, these cells produce antibody- synthesizing plasma cells germinal center: lighter- stained central zone, these cells produce antibody- synthesizing plasma cells * primary LN → secondary LN

19. Lymph Nodules

20. Lymphatic organs: central lymphatic organs: ---produce the lymphocyte ---antigen-independent proliferation ---contain: thymus---T-lymphocyte bone marrow---B-lymphocyte peripheral lymphatic organs: ---receive the lymphocyte and perform the immune response ---antigen-dependent proliferation ----contain: lymph node spleen tonsils

21. Thymus – Location – behind the sternum in the mediastinum – Is a flat, capsule divides it into 2 lobes – Development Infant – conspicuous Infant – conspicuous Puberty – maximum size Puberty – maximum size Maturity – decreases in size Maturity – decreases in size – Function Differentiation and maturation Differentiation and maturation of T cells of T cells

22.  Capsule ( C.T.) interlobular septa (trabecula)  Cortex  Cortex: Endothelial reticular cell (ERC) Lymphocyte: thymocyte Medulla:  Medulla: ERC Lymphocyte: few Thymic corpuscles Structure:

23. Thymus Cortex Medulla

24. Cortex medulla

25. Cortex thymocytes: the T cells in different developing stages. thymocytes: the T cells in different developing stages. epithelial reticular cells: provide a meshwork. Secret thymosin and thymopoietin epithelial reticular cells: provide a meshwork. Secret thymosin and thymopoietin A very active site of lymphocyte production A very active site of lymphocyte production

26. Thymic cortex epithelial reticular cells thymocytes

27. Blood-thymus barrier:  endothelial cell of continuous capillary  very thick basement membrane of EC  perivascular space with macrophage in it  basement membrane of ERC  ERC or their processes with desmosome Consists of : Function: provide a stable environment for lymphocytes developing in the cortex---prevents circular antigens from reaching the thymic cortex

28. Medulla Thymocytes:few Thymocytes:few epithelial reticular cells: A large number epithelial reticular cells: A large number thymic corpuscles:A distinguishing feature of the thymic medulla. thymic corpuscles:A distinguishing feature of the thymic medulla.

29. thymic corpuscles

30. Hassall’s ( thymic) corpuscles a characteristic feature of the thymus a characteristic feature of the thymus their significance is as yet unknown their significance is as yet unknown

31. Hassall’s ( thymic) corpuscles spherical or ovoid body, 20-150um in diameter, composed of concentrically-arranged epithelial reticular cells, the central cells often show degeneration spherical or ovoid body, 20-150um in diameter, composed of concentrically-arranged epithelial reticular cells, the central cells often show degeneration /peripheral cell: inmature /near centra: mature /center cell: keratinased- eosinophilic

32. the thymic epithelial reticular cells can secrete thymic hormones (thymosin, thymolin, thymopoietin)  the thymic epithelial reticular cells can secrete thymic hormones (thymosin, thymolin, thymopoietin)  induce the stem cell to differentiate into T-lymphocyte  More than 90% of the thymocyte degenerate in this area, only less than 10% of thymocyte will mature and leave the thymus as T-lymphocytes through the postcapillary venules. Thymus function:

33. Adult thymus has high infiltration of adipose tissue (A)

34. Older adult thymus has large amounts of adipose tissue

35. Lymph node A mass of lymphatic tissue enclosed in a capsule of connective tissue A mass of lymphatic tissue enclosed in a capsule of connective tissue Widely scattered along the course of lymph vessels Widely scattered along the course of lymph vessels Concentrated in area in neck, axilla (arm pits), and groin. Concentrated in area in neck, axilla (arm pits), and groin.

36. Structure ---capsule: CT, trabeculae or septa ---cortex: outer densely-stained part ---medulla: inner paler-stained part hilum

37. Structure:  capsule trabecula several afferent lymph vessels several afferent lymph vessels cortex  cortex out cortex: (superficial cortex) lymphoid nodule (B-LC) internodule zone inner cortex: diffuse lymphoid tissue (T-LC) (paracortical zone) cortical lymphatic sinuses subcapsular sinus: peritrabecular sinus macrophage

38. Lymph node

39. Afferent lymph vessels GC

40. Superficial cortex(Nodular cortex) The outer cortex,situated under the capsule,consists of many Lymph nodules with or without germinal center. The outer cortex,situated under the capsule,consists of many Lymph nodules with or without germinal center.

41. Lymph nodule primary LN → secondary LN *Germinal center: central pale area /dark zone: large, immature BLC, Th /light zone: medium-sized BLC, Th C, macrophage, FDC /cap:small BLC:

42. paracortex zone (deep cortex) Composed of diffuse lymphatic tissue occupied by T cells. Also called deep cortex unit. Superficial cortex paracortex zone

43. outer cortex inner cortex capsule

44. SS: subcapsular sinus T: trabecular

45. subcapsular sinus peritrabecular sinus cortical lymphatic sinuses

46. Subcapsular sinuses Trabeculae Capsule peritrabec ular sinus

47. high endothelial venules （ venules-postcapillary ） ---opening for lymphocyte enter lymphoid tissue from blood

48. high endothelial venules （ venules- postcapillary ）

49. Medulla ---medullary cord: LT cord: LT cord: B-lymphocyte, plasma cell, macrophage, mast cell B-lymphocyte, plasma cell, macrophage, mast cell ---medullary sinus: similar to cortical sinus and connect with them similar to cortical sinus and connect with them more macrophagemore macrophage

50. Passage of lymph in lymph node Afferent lymph vessels Subcapsular sinus Cortical sinuses Medullary sinuses Efferent lymph vessels

51. Efferent lymph vessels in hilum

52. Recirculation of lymphocytes: Lymphoid tissue Efferent lymphatic vessel Postcapillary venules Blood circulation

53. Functions of lymph node Filter the lymph Filter the lymph Place to perform the immune response Place to perform the immune response Involve in the recirculation of lymphocyte Involve in the recirculation of lymphocyte

54. Spleen –Largest lymphatic organ –Located between the stomach & diaphragm –Structure is similar to a node Capsule present Capsule present But no afferent vessels or sinuses But no afferent vessels or sinuses –Histology Red pulp contains all the components of circulating blood Red pulp contains all the components of circulating blood White pulp is similar to lymphatic nodules White pulp is similar to lymphatic nodules –Functions Filters blood Filters blood Stores blood Stores blood

55. Spleen  located in the passages of blood structure  structure capsule parenchyma white pulp red pulp marginal zone

56. Structure:  capsule: D.C.T. containing smooth muscle----trabecular; capsule is covered by mesothelium D.C.T. containing smooth muscle----trabecular; capsule is covered by mesothelium The splenic artery branch into trabecular arteries

57. White pulp : gray-white spots gray-white spots --- Isolated and randomly distributed. periarterial lymphatic sheath: periarterial lymphatic sheath: - diffuse lymphoid tissue : T-lymphocyte, macrophage - diffuse lymphoid tissue : T-lymphocyte, macrophage - central artery - central artery splenic corpuscle: splenic corpuscle: -lymphoid nodules: B-lymphocyte, macrophage -lymphoid nodules: B-lymphocyte, macrophage

58. Marginal zone: between White pulp and Red pulp between White pulp and Red pulp T-, B-lymphocyte, macrophage, less erythrocyte T-, B-lymphocyte, macrophage, less erythrocyte marginal sinus: central artery’s branch- channel for antigen and lymphocyte enter lymphoid tissue marginal sinus: central artery’s branch- channel for antigen and lymphocyte enter lymphoid tissue function: first capture, recognize antigen and induce immune reaction function: first capture, recognize antigen and induce immune reaction

59. Red pulp: splenic cord: Lymph tissue cord Lymph tissue cord B-,T-lymphocyte, macrophage, erythrocytes B-,T-lymphocyte, macrophage, erythrocytes function: filter blood function: filter blood splenic cord splenic sinus

60. splenic sinus: Blood sinus; 12-14um endothelial cell: rod-liked, gap Reticular fiber basal lamina: incomplete Abundant macrophage splenic sinus endothelial cell splenic cord

61. splenic sinus:

62. Blood supply of spleen Study by yourself splenic A→trabecular A→central A branches → marginal sinuses → splenic A→trabecular A→central A branches → marginal sinuses → penicillar arterioles (including: pulp arteriole→ sheathed capillary→ arterial capillary) → splenic sinus→ pulp venule→ trabecular vein→ splenic vein penicillar arterioles (including: pulp arteriole→ sheathed capillary→ arterial capillary) → splenic sinus→ pulp venule→ trabecular vein→ splenic vein

63. Blood supply of spleen

64. Function: a. filter the blood a. filter the blood b. immunological defence b. immunological defence c. production of blood cells in fetus c. production of blood cells in fetus d. blood storage: 40 ml d. blood storage: 40 ml

65. 5.Tonsil (Study by yourself) ---palatine tonsil ---palatine tonsil ---pharyngeal tonsil ---pharyngeal tonsil ---lingual tonsil ---lingual tonsil

66. structure Mucosa  Mucosa Epithelium stratified squamous epithelium form crypts lymphocyte infiltration Lamina propria lymphatic nodules diffuse lymphatic tissue Capsule: C.T.  Capsule: C.T.

67. Tonsil

68. Mononuclear phagocyte system (Study by yourself) Bone marrow young monocyte Blood monocyte Tissues or organs CT: macrophage Liver: Kuffer cell Lung: dust cell Nerve tissue: microglia Osseous tissue: osteoclast Skin: Langerhans cell

69. Function of MPS: phagocytosis  phagocytosis  participate in immune reaction  secrete bioactive substances

70. Immunodeficiency Diseases Severe Combined Immunodeficienc y Disease Severe Combined Immunodeficienc y Disease –hereditary lack of T and B cells –vulnerability to opportunistic infection

71. Disorders of Immunity: Autoimmune Diseases Examples of 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

72. Thanks for your attention!