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AL3 - Histology of Lymphatic System

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9 views39 pages

AL3 - Histology of Lymphatic System

lymphatic system preclinical

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Ace Lines
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© © All Rights Reserved
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HISTOLOGY OF Dr.

Pradeep Palanisamy
LYMPHATIC SYSTEM
LEARNING OBJECTIVES

At the end of this session, you would be able to

Describe the forms and distribution of lymphoid tissue

Describe the salient microscopic features of primary and


secondary lymphoid organs
INTRODUCTION
The immune system –

- Differentiates between self (own) and foreign structures


specificity

- Immune response - fights against pathogens

- Remember antigens over long period of time

Cells of the immune system:


– Lymphocytes :T, B
– Antigen presenting cells (APC): Dendritic cells, macrophages
LYMPHOCYTES

T cells B cells

•Thymus-processed •Function of B cells is


lymphocytes production of antigen-specific
antibody (immunoglobulin).
•2 subdivisions based on
expression of specific surface •Once activated B cells
markers. terminally differentiate into
plasma cells
CD4 - Helper T cells

CD8 - Cytotoxic T cells


LYMPHATIC SYSTEM

Includes lymphoid organs, lymphatic vessels, lymphocytes & lymph.

 Lymph capillaries – Thin walled, collect lymph. Absent in cornea, hair,


nail & bone marrow.

 Lymph – transudate from blood, contains same proteins as in plasma,


in smaller amounts.

 Lymphocytes are suspended in lymph.

 Lymphoid tissues & organs

 Lymph capillaries unite to form larger lymph vessels which drain into
veins.
LYMPHOID TISSUE

Two types of lymphoid tissues:

Encapsulated: connective tissue capsule

spleen, thymus, lymph nodes

Unencapsulated (or partly encapsulated)

Tonsils, Peyer’s patches, lymphoid nodules in GI tract,


Respiratory tract, Urinary & Reproductive tracts
LYMPHOID ORGANS
Central (primary)
lymphoid organ: where
lymphoid precursor cells
undergo antigen
independent proliferation
and differentiation
– T cells in thymus

– B cells in bone marrow


LYMPHOID ORGANS
Peripheral (secondary) lymphoid organ: where functional
lymphocytes go - including lymph nodes, spleen, MALT
(mucosa associated lymphoid tissue) - lymphoid nodules of
Gastro intestinal (Peyer’s patches),Respiratory & Urogenital
systems

• Lymphocytes contact antigens and divide and differentiate into


effector B cells and T cells

• Memory cells form & circulate for years to provide extended


immunity
MUCOSA ASSOCIATED LYMPHOID
TISSUE (MALT)

Gut associated lymphoid tissue.

Tonsils – Palatine tonsil, Pharyngeal tonsil, Lingual tonsil & Tubal


tonsil.

In GIT – Solitary lymphoid follicles & Aggregated lymphoid follicles


(Peyer’s patches) seen.

‘B’ lymphocytes present in GIT, mature into plasma cells &


produce IgA antibodies
TONSIL
PALATINE TONSIL
Lymphoid tissue associted with
oropharyngeal mucosa

Supported internally by reticulin


fibres

Lymphoid follicles

Mucosa are invaginated into crypts


which are covered by Stratified
squamous non-keratinised
epithelium(oral cavity)
PALATINE TONSIL

Mucous acini open into


the crypts.

Desquamated epithelial
cells & bacteria seen in
the lumen of crypts.

Reticulated epithelium , basal lamina discontinuous

Interdigitating dendritic cells - APCs


PALATINE TONSIL

 Lymphoid tissue
 Germinal centers
 Mantle zones
 Reticulated Crypt epithelium – IgG - & IgA – producing B lymphocytes,
T cells & APCs
LYMPH NODES

Lymph nodes are small


encapsulated organs located
along the pathway of lymphatic
vessels

Serve as filters through which


lymph percolates on its way to
the blood vascular system
LYMPH NODES
Two types of lymphatic vessels serve the lymph node:
Afferent lymphatic vessels
 convey lymph towards the node
 enter at various points on the convex surface
Efferent lymphatic vessels
 convey lymph away from the node
 leave at the hilum

Activated lymphocytes are carried to the node primarily by blood


vessels
LYMPH NODES
LYMPH NODE - STRUCTURE
Covered by capsule

The parenchyma is divided into a cortex and medulla

The cortex forms the outer portion of the node


except at the hilum.

It consists of a
 dense mass of lymphatic tissue

 lymphatic sinuses (subcapsular & trabecular)

The medulla is the inner part of the lymph node.


CORTEX
CORTEX

Outer part of the cortex is called the superficial (nodular) cortex


Contains lymphatic nodules

In an active lymph node, nodules contain germinal center (Majority of


cells within germinal center are B-lymphocytes)

Inner portion of the cortex is called the deep cortex (paracortex).


is free of nodules

This region contains most of the T cells in the lymph node

Most of the lymphocytes (about 90%) enter the node through the walls
of postcapillary venules (High Endothelial Venules)
LYMPH NODE - STRUCTURE
MEDULLA

Consists of cords of lymphatic tissue (Medullary cords)


separated by lymphatic sinuses called medullary sinuses

The medullary cords contain reticular cells, lymphocytes


(mostly B lymphocytes), macrophages, dendritic, and
plasma cells

The medullary sinuses converge near the hilum, where they


drain into efferent lymphatic vessels
FILTRATION OF LYMPH

Subcapsular sinus and


trabecular lymphatic sinuses

Communicate with the


medullary sinuses
LYMPH NODE - FUNCTIONS

Phagocytosis of particulate material by phagocytotic cells

All antigens have the opportunity to be presented to B


lymphocytes, to T helper cells, and to T cytotoxic lymphocytes
for these cells to initiate an immune response.

An important site of lymphocyte proliferation (especially of B


cells in the germinal centers) as well as of transformation of B
lymphocytes into plasma cells
SPLEEN
Largest lymphatic organ

The spleen filters blood and reacts immunologically to


blood-borne antigens

The spleen is enclosed by a dense connective tissue capsule


from which trabeculae extend into the parenchyma of the organ

No afferent lymphatics

The substance of the spleen is divided into white pulp and red
pulp
SPLEEN
SPLEEN – WHITE PULP
Consists of lymphatic tissue, mostly lymphocytes

Within white pulp, there is presence of central artery

Lymphocytes that aggregate around the central artery constitute


the periarterial lymphatic sheath (PALS)

In cross sections, the PALS appears circular and may resemble
a lymphatic nodule

The presence of the central artery (occupies an eccentric


rather than a central position) however, distinguishes the
PALS from typical lymphatic nodules
SPLEEN – WHITE PULP
SPLEEN – WHITE PULP

The lymphocytes of the PALS (similar to deep cortex of lymph


nodes) are chiefly T lymphocytes

The nodules usually contain germinal centers, which, as in


other lymphatic tissues, develop as B cells proliferate after
their activation

Enlarged nodules are called splenic nodules or Malpighian


corpuscles
SPLEEN – RED PULP

Appears red because it contains large numbers of red blood


cells

Consists of splenic sinuses separated by splenic cords


(cords of Billroth)

Splenic cords contain a meshwork of reticular cells and reticular


fibers

The highly permeable splenic sinuses are special sinusoidal


vessels lined by rod-shaped endothelial cells
SPLENIC MICROCIRCULATION

Splenic artery

Trabecular artery

Central artery

Penicillar arteriole

Sheathed capillaries

Sheathed capillaries then empty directly into the reticular


meshwork of the splenic cords – Open circulation
SPLEEN - FUNCTIONS
The spleen performs both immune and hemopoietic functions

Activation and proliferation of B and T lymphocytes;

Production of antibodies against antigen present in circulating


blood

Removal and destruction of senescent, damaged, and abnormal


erythrocytes and platelets

Retrieval of iron from erythrocyte hemoglobin

Formation of erythrocytes during early fetal life


LYMPH NODE VS SPLEEN

Lymph node Spleen

Subcapsular and Trabecular Subcapsular and Trabecular


lymphatic sinuses – present lymphatic sinuses – Absent

Afferent lymphatics – Present Afferent lymphatics – Absent

Parenchyma – Cortex and Parenchyma – Red pulp and


medulla White pulp
No artery in lymphatic nodules
Central artery present in
in cortex
PALS
THYMUS

Present in thorax

2 lobes connected by fibrous tissue.

Fully formed & Functional at birth

After puberty, mostly replaced by


adipose tissue

Lymphoepithelial Organ
THYMUS - FEATURES

Capsule- which sends septa


that divide the lobes into Thymic
lobules.

Cortex – High concentration of


lymphocytes, Basophilic, Small
lymphocytes
THYMUS - FEATURES

Medulla- Lymphocytes are less in


number and larger, stains lightly

Hassall’s corpuscles in medulla.

Trabeculae does not form true


lobules

Cortical caps over portions of


continuous medullary tissue
THYMUS
HASSALL’S CORPUSCLES

Small, round structures in


medulla

Central core- epithelial cells &


macrophages that have
degenerated-form a pink staining
hyaline mass.

Around this mass epithelial cells


arranged concentrically
THYMUS - FUNCTION

• Immature lymphocytes from bone marrow reach Thymus

• Undergoes antigen independent proliferation and differentiation

• Forms T-lymphocytes

• Enters circulation and occupy the thymus dependent areas of


secondary lymphoid organs

• Confers Cell mediated Immunity


REFERENCES

Wojciech Pawlina, Michael H. Ross, Histology: A text and


atlas, 7th Edition, 2016, Lippincott Williams & Wilkins

Anthony L. Mescher, Junqueira’s Basic Histology: Text And


Atlas, 14th Edition, 2016, McGraw-Hill Education

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