REPORT Lymphatic Blood Vessel

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    ADVANCED

    PHYSIOLOGYLYMPHATICS

    &BLOOD VESSELS

    MR. REY P. SO-ONG

    MSciEd Biology

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    LYMPHATIC SYSTEMFunctions

    1) Maintenance of fluid balance inthe internal environment

    Drain interstitial fluid

    2) Transport lipids

    3) Carries out immune responses

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    Maintaining FluidBalance

    Plasma filters into the interstitialspaces from blood flowing through thecapillaries

    Much of this interstitial fluid is

    absorbed by tissue cells or reabsorbedby the blood before it flows out of thetissue

    A small amount of interstitial fluid isleft behind

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    Maintaining FluidBalance

    If this would continue over even a briefperiod of time, the increasedinterstitial fluid would cause massiveedema

    This edema would causes tissuedestruction or death

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    Maintaining FluidBalance

    This problem is avoided by thepresence of lymphatic vessels that actas "drains" to collect the excess fluidand return it to the venous blood just

    before it reaches the heart

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    Lymphatic System

    Consists of:1) lymphatic vessels

    2) lymph

    3) lymph nodes4) organs which

    contain lymph tissue

    5) red bone marrow

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    Lymphatic Vessels

    The lymphaticsystem is aspecializedcomponent of the

    circulatory systemLymphatic vessels

    parallel veins

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    Lymphatic Vessels

    The lymphatic system differs from thecirculatory system in that thelymphatics do not form a closed ring orcircuit

    Instead, begin blindly in theintercellular spaces of the softtissues of the body

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    Lymphatic Vessels

    Lymphatic capillaries flow to largerlymphatic vessels

    Drain lymph to right subclavian veinand thoracic duct

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    Lymphatic Vessels

    Lymph flows through lymph nodesscattered along lymphatic vessels

    Lacateals in villi of small intestineabsorbs and transports lipids to

    lymphatic vessels

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    St t f L h ti

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    Structure of LymphaticVessels

    Lymphatic vessels resemble veins instructure with these exceptions:

    have thinner walls

    contain more valves

    contain lymph nodes located atcertain intervals along their course

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    F ti f L h ti

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    Functions of LymphaticVessels

    The high degree of capillarypermeability permits large molecularweight substances which cannot beabsorbed by the blood capillary to be

    removed from the interstitial spacesProteins that accumulate in the

    interstitial spaces can return to theblood only via lymphatics

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    F ti f L h ti

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    Functions of LymphaticVessels

    Each day about 50% of the total bloodproteins leak out of the capillaries intothe tissue fluid and return to the bloodvia the lymphatic vessels

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    Lymphatic Pump

    no muscular pumping organ connectedwith the lymphatic vessels to force lymphonward

    Lymph flows through the thoracic duct and

    reenters the general circulation at the rateof 125 mL/hour

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    Lymphatic Pump

    Occurs despite the fact that most ofthe flow is against gravity or "uphill"

    Lymph moves through the system inthe right direction because of the large

    number of valves that permit fluid flowonly in one direction

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    Lymphatic Pump

    The movement is due to breathingmovements and skeletal musclecontractions

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    Lymph

    a moving fluid (lymph) derived fromthe blood and tissue fluid

    Fluid formed from excess plasma fluid

    App. 3L/day

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    Lymph and Interstitial

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    Lymph and InterstitialFluid

    Essentially the samefluid

    Lymph

    clear, watery fluid

    found in thelymphatic vessels

    Interstitial fluid

    fluid that fills thespaces around cells

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    Lymph Nodes

    Lymph nodes located alongthe paths of collectingvessels

    Isolated nodules of

    lymphatic patches in theintestinal wall

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    Structure of Lymph

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    Structure of LymphNodes

    Lymph nodes are oval-shaped of bean-shaped structures

    Some are as small as a pinhead andothers as large as a lima bean

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    Structure of Lymph

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    Structure of LymphNodes

    Each lymph node is enclosed by a

    fibrous capsuleThink of a lymph node as a biological

    filter placed in the channel of severalafferent lymph vessels

    Reticular fibers trap foreignsubstances

    Macrophages and lymphocytes

    destroy trapped material

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    Structure of Lymph

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    Structure of LymphNodes

    Once lymph enters the node, it"percolates" slowly through the spacesknown as sinuses before draining into asingle efferent draining vessel

    One-way valvesin both theafferent andefferent vessels

    keep lymphflowing in onedirection

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    Immune Functions

    filtration andphagocytosis

    The structure ofthe sinus channels

    within the lymphnodes slows thelymph flowthrough them

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    Immune Functions

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    Immune FunctionsAllows the phagocytic cells that line the

    channels time to remove microorganisms and

    other injurious particles (soot) from the lymphSometimes such large numbers of

    microorganisms enter the node that thephagocytes cannot destroy enough of them to

    prevent their injuring the node

    Swollenlymph

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    Immune Functions

    An infection of the nodecancer cells often

    break away from amalignant tumor

    and enter thelymphatics

    they travel to thenode, where theymay set up newgrowths

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    Norma

    l

    Cancerous

    Lymph Node Cancer

    h

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    Lymphocytes

    When an infection is present the nodebegins to release lymphocytes

    Lymphocytes mature in the lymphnodes

    Lymph nodes are lined with fixedmacrophages, capable of phagocytosis

    L h

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    Lymphocytes

    T-cells and macrophages contained onthe rim of the follicles

    B-cells proliferate in the centralgerminal centers

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    L h t

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    Lymphocytes

    The lymphatic tissue of lymph nodesserve as the sites of the final stages ofmaturation for some types oflymphocytes and monocytes that have

    migrated from the bone marrowT-cell attackingcancer cells

    L h O

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    Lymph Organs

    Primary lymphatic organs produce B-cells and T-cells and include:

    Red bone marrow

    Thymus gland

    Secondary lymphatic organs are:

    Tonsils

    Spleen

    R d b

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    Red bone marrow

    B-cells and pre-T-cells originate in thebone marrow

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    Th l d

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    Thymus gland

    Located behind sternumand between lungs

    Thymus performs twoimportant functions:

    Lymphocytedevelopment

    Secrete thymosin

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    Th l d

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    Thymus gland

    Pre-T-cells migrate from red bonemarrow to thymus

    Proliferate and mature due to thymichormone

    Thymus reaches maximum size atpuberty (10-12 months)

    As an individual

    matures thethymus glandatrophies

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    Tonsils

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    Tonsils

    Masses of lymphoid tissue located in aprotective ring under mucousmembranes in the mouth and back ofthe throat

    Help protect against bacteria that mayinvade tissues in the area around theopenings between the oral and nasalcavities

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    Tonsils

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    Tonsils

    The tonsils serve as the first line ofdefense from the exterior and as suchare subject to chronic infection

    tonsillitis

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    Spleen

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    Spleen

    Roughly ovoid in shape

    Largest mass of lymphatic tissue

    Does not filter lymph

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    Functions of the

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    SpleenPhagocytosis of RBC and bacteria

    Complete maturation of monocytesand lymphocytes

    Blood reservoir

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    Phagocytosis

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    Phagocytosis

    As blood passesthrough the spleen,macrophages liningthese venous spaces

    removemicroorganisms fromthe blood and destroythem by phagocytosis

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    Phagocytosis

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    Phagocytosis

    Macrophages lining the spleen removeworn-out red blood cells and imperfectplatelets from the blood and destroythem by phagocytosis

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    Blood reservoir

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    Blood reservoir

    Pulp of the spleenand its venoussinuses storeconsiderable blood

    which can be releasedduring hemorrhage

    Redpulp

    White

    pulp

    Trabeculae

    d i

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    Red pulp

    White pulp

    Trabeculae

    ood reservoir

    Splenectomy

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    Splenectomy

    Removal of thespleen

    Red bone marrowand liver perform

    functions of thespleen

    Disorders of the

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    Lymphatic System

    Tonsilitis

    Lymphangitis

    Elephantiasis

    Lymphedema

    Lymphomas

    Lymph nodecancer

    TONSILITIS

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    TONSILITIS

    bacterial or viral infection of thelymphoid tissue of tonsils

    soreness of the throat, high fever,difficulty swallowing

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    LYMPHANGITIS

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    LYMPHANGITIS

    bacterial infection that has spread from

    its initial site (skin cut, etc.) to nearbylymph glands

    chills, fever, swelling of the lymph glands

    if the lymphatics

    become inflamed, redlines may appear onthe arms or legsindicating

    concentration ofinflammation alongthe lymph channels

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    ELEPHANTIASIS

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    ELEPHANTIASIS

    filarial (worm) infestation that blocksthe lymphatics

    swelling of the area, skin discoloration,difficulty urinating, etc.

    LYMPHEDEMA

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    LYMPHEDEMA

    blockage or dysfunction of lymph

    vessels or nodesoften associated with lymphatic

    disorders following surgery forbreast cancer, prostate cancer, etc.

    swelling of arms

    breast cancer surgery,radiation

    swelling of legsprostate cancer and

    gynecologic cancer surgery,with or without radiation

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    CANCER OF LYMPHG S

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    GLANDSSymptoms include:

    loss of energy, appetite, and weight

    swelling and hardening of glands

    surgical removal, radiation therapy,

    chemotherapy

    Cancerous tissue

    Blood Vessels

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    Blood Vessels

    Arteries

    Arterioles

    Capillaries

    Venules

    Veins

    Arteries

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    Arteries

    Three coats (tunics) line the vessels

    Intima (tunica interna)

    Media (tunica media)

    Adventia (tunica externa)

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    Intima

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    Intima

    Inner layer

    Endothelium lining

    Basal layer

    Elastic layer

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    Intima

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    Intima

    Inner layer

    Endothelium lining

    Basal layer

    Elastic layer

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    Tunica media

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    Tunica media

    Middle layer

    Elastic fibers

    Smooth muscle fibers

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    Tunica media

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    Middle layer

    Elastic fibers

    Smooth muscle fibers

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    Adventia

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    Outer layer

    Elastic fibers

    Collagen fibers

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    Adventia

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    Outer layer

    Elastic fibers

    Collagen fibers

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    ArteryA - adventiaM - tunica media

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    y

    I

    M

    A

    I - intima

    Vasoconstriction

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    Smooth muscle contracts

    Arterial lumen size decreases

    Clickmouse to

    seeanimation

    Vasodilation

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    Smooth muscle relaxes

    Arterial lumen size increases

    Clickmouse to

    seeanimation

    Elastic Arteries

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    Large

    Tunica media contains more elasticfibers, less smooth muscle

    Elastic Arteries

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    Walls stretch and

    momentarily storesome of the energy ofsurging blood

    During relaxation ofthe heart they recoilconverting stored(potential) energy into

    kinetic energy

    Muscular Arteries

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    Tunica media

    contains moresmooth muscle andfewer elastic fibers

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    Anastomoses

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    Union of branches of two or more

    arteries supplying the same bodyregion

    Provide alternate routes for blood to

    reach a tissue

    Arterioles

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    Fewer elastic fibers than arteries

    Arterioles

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    Function in

    regulating bloodflow from arteriesinto capillaries

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    Capillaries

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    Microscopic single cell layer (endothelium)

    thickFunction in exchange of substances

    between blood and interstitial fluids

    Capillaries

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    Three types of capillaries

    Continuous

    Fenestrated

    Sinusoid

    Continuous capillaries

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    Small gaps between endothelial cells

    Muscle, lungs

    Fenestratedcapillaries

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    capillariesMore openings (pores) than continuous

    capillaries

    Kidneys, small intestine, brain

    Sinusoid capillaries

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    Large openings

    Basement membrane is incomplete

    Liver, spleen, bone marrow

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    Venules

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    Veinsi i

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    Tunics same as arteries

    Intima is thinner in veinsTunic externa (adventia) is thicker in

    veins

    Veins

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    Blood pressure lower in veins, thus

    thinner walls

    V

    A

    Vein Artery

    Veins

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    Veins

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    Lumens contain flap like cusps (valves)

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    Veins

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    Valves prevent back flow of blood

    Muscular contraction forces bloodthrough veins

    Disorders of BloodVessels

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    VesselsAtherosclerosis

    Aneurysm

    Varicose veins

    Atherosclerosis

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    Cholesterol plaque builds up on the

    arterial wallConstricts flow of blood

    Atherosclerosis

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    Atherosclerosis

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    Atherosclerosis

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    Treatments

    Arthrectomy

    Angioplasty

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    Aneurysm

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    A weakening of the arteriole wall

    causes an out pouching of the artery

    Varicose VeinsB l i f i d b li f

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    Bulging of veins caused by a pooling of

    blood behind the venous valvesOut pouching of the walls brings veins

    closer to the surface of the skin

    EndLymphatics and Blood

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    Lymphatics and Blood

    Vessels

    Living with