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PRESENTEDBY
MRS. POOJA GODIYAL
Introduction
• The lymphatic system is part of the vascular
system and an important part of the immune
system
• It comprised of a network of lymphatic vessels
that carry a clear fluid called lymph
• The lymphatic system is a network of very
small tubes (or vessels) that drains lymph fluid
from all over the body
MRS POOJA GODIYAL 2
MRS POOJA GODIYAL 3
Introduction
Lymphatic system consists of:
• Lymph
• Lymph vessels
• Lymph nodes
• Lymph organs, e.g. spleen and thymus
• Diffuse lymphoid tissue, e.g. tonsils
• Bone marrow
MRS POOJA GODIYAL 4
Functions
Tissue drainage
• Everyday around 21 litres of plasma fluid,
carrying dissolved substances and some plasma
protein
• About 3 – 4 litres fluid are drained away by the
lymphatic vessels
• If this did not happen, the tissues would rapidly
become waterlogged and
• The cardiovascular system would begin to fail as
the blood volume falls
MRS POOJA GODIYAL 5
Functions
Absorption in the small intestine
• Breakdown products of fat and fat soluble
materials, e.g. the fat soluble vitamins, are
absorbed into the central lacteals (lymphatic
vessels) of the villi
Immunity
• The lymphatic organs are concerned with the
production and maturation of lymphocytes
MRS POOJA GODIYAL 6
Lymph and Lymph vessels
Lymph
• Latin word, lympha meaning water
• A fluid that circulates throughout the lymphatic system
• Like the venous system, its function is to return fluid from
the tissues to the central circulation
• Interstitial fluid – the fluid which is between the cells in all
body tissues – enters the lymph capillaries
• This lymphatic fluid is then transported via progressively
larger lymphatic vessels through lymph nodes, where
substances are removed by tissue lymphocytes and
circulating lymphocytes are added to the fluid before
emptying ultimately into right and left subclavian vein,
where it mixes with central venous blood
MRS POOJA GODIYAL 7
Lymph
Functions
• Returns proteins and excess interstitial fluid to the blood
stream
• It also carries away larger particles, e.g. bacteria and cell
debris from damaged tissues, which can then be filtered out
and destroyed by the lymph nodes
• Lymph contains lymphocytes, which circulate in the
lymphatic system allowing them to patrol the different
regions of the body
• Lymph also transport fats from the digestive system
(beginning in the lacteals) to the blood via chylomicrons
(lipoprotein particles that enable fats and cholesterol to
move within the water –based solution of the blood stream)
MRS POOJA GODIYAL 8
Lymph capillaries
• These originate as
blind – ended tubes in
the interstitial spaces
• They have the same
structure as blood
capillaries
• A single layer of
endothelial cells, but
their walls are more
permeable to all
interstitial fluid
constituents
MRS POOJA GODIYAL
9
Lymphatic pathway
Lymphatic capillary
Lymphatic vessel
Lymph node
Lymphatic vessels merge to
form
Lymphatic trunk
Collecting duct
Mixed into subclavian veins
MRS POOJA GODIYAL 10
Large lymph vessels
• Lymph vessels are often found running along
side of the arteries and veins
• A fibrous covering, a middle layer of smooth
muscle and elastic tissue and an inner lining of
endothelium
• Lymph vessels become larger a they join
together
• Forming two larger ducts that empty lymph
into the subclavian vein
MRS POOJA GODIYAL 11
Thoracic duct
• Begins at cysterna chyli
(a dialated lymph
channel situated in front
of the first two lumbar
vertebrae)
• The duct is about 40cm
long
• It drains lymph from
both legs, the pubic and
abdominal cavities, the
left half of the thorax,
head, neck and the left
arm
MRS POOJA GODIYAL 12
MRS POOJA GODIYAL 13
Right lymphatic duct
• This is a dilated lymph vessel about 1cm long
• It lies in the root of the neck and opens into the
right subclavian vein
• It drains lymph from the right half of the
thorax, head and neck and the right arm
MRS POOJA GODIYAL 14
Lymphatic organs and tissues
LYMPH NODES
• Lymph nodes are oval or bean shaped organs
• They lie often in groups, along the length of
lymph vessels
• Lymph drains through a number of nodes
before returning to venous circulation
• These nodes vary considerably in size, some
are as small as a pin head and the largest are
about the size of an almond
MRS POOJA GODIYAL 15
MRS POOJA GODIYAL 16
Structure of lymph nodes
• Lymph nodes have an outer capsule of fibrous
tissue which dips down into the node
substance forming partition, or trabeculae
• The main substance of the node consists of
reticular and lymphatic tissue containing many
lymphocytes and macrophages
• Four or five afferent lymph vessels may enter a
lymph node while only one efferent vessel
carries lymph away from the node
MRS POOJA GODIYAL 17
Structure of lymph nodes
• Every lymph node has a concave surface
called the hilum
Functions
Filtering and phagocytosis:
• Lymph is filtered by the reticular and
lymphoid tissue as it passes through lymph
nodes
Maturation and proliferation of lymphocytes
MRS POOJA GODIYAL 18
Spleen
• Largest lymph organ
• Formed by reticular and lymphatic tissue
Location:
• Lies in the left hypochondriac region of the
abdominal cavity between the fundus of the
stomach and the diaphragm
MRS POOJA GODIYAL 19
Spleen
• It is purplish in colour
• It s usually about 12cm long, 7cm wide and
2.5cm thick
• It weighs about 200gm
MRS POOJA GODIYAL 20
Structure
• Slightly oval in shape with the
hilum on the lower medial border
• The anterior surface is covered
with peritoneum
• It is enclosed with fibrous capsule
that dips into the organ forming
trabeculae
• The cellular material, consisting of
lymphocytes and macrophages, is
called splenic pulp, and it lies
between the trabeculae
• Red pulp is the part suffused with
blood
• White pulp consists of areas of
lymphatic tissue where there are
sleeves of lymphocytes and
macrophages and blood vessels
MRS POOJA GODIYAL 21
Spleen
The structures entering and leaving the spleen at
hilum are:
• Splenic artery
• Splenic vein
• Lymphatic vessels (efferent only)
• Nerves
MRS POOJA GODIYAL 22
Functions of spleen
Phagocytosis:
• Old and abnormal erythrocytes are destroyed in the
spleen and the breakdown products, bilirubin and iron
are passed to the liver, via the splenic and portal vein
• Other cellular material, e.g. leukocyte, platlets and
microbes are phagocytosed in the spleen
• Unlike lymph nodes, the pleen has no afferent
lymphatics entering in it, o it I not exposed to
diseases spread by lymph
MRS POOJA GODIYAL 23
Functions of spleen
Storage of blood:
• Spleen contains up to 350ml of blood
• In response to sympathetic stimulation can rapidly
return a large part of this volume to the circulation,
e.g. in haemorrhage
Immune response
• Spleen contains T and B lymphocyte, which are
activated by the presence of antigens
MRS POOJA GODIYAL 24
Functions of spleen
Erythropoiesis:
• The spleen and the liver are important sites of fetal
blood cell production, and the spleen can also fulfill
this function in adults in times of great need
MRS POOJA GODIYAL 25
Thymus gland
• Lies in the upper part of the mediastinum
behind the sternum and extend upwards into
the root of the neck
• Weighs about 10 to 15 gm at birth and grows
until the individual reaches puberty, when it
begins to atrophy
MRS POOJA GODIYAL 26
Thymus gland
Structure
• The thymus consists of two lobe joined by
areolar tissue
• The lobes are enclosed by a fibrous capsule
• Dividing them into lobules that consists of an
irregular branching framework of epithelial
cells and lymphocytes
MRS POOJA GODIYAL 27
MRS POOJA GODIYAL 28
Thymus gland
Functions
• The lymphocyte originate from pluripotent
stem cells in red bone marrow. Those that enter
the thymus develop into T lymphocyte
• Thymus gland secretes hormone - thymosine
MRS POOJA GODIYAL 29
Mucosa associated lymphoid tissue
• Throughout the body, at some locations there
are collections of lymphoid tissue which are
not enclosed in a capsule
• They contain B and T lymphocytes
• MALT is found throughout the gastrointestinal
tract, in the respiratory tract and in the urinary
tract
• The main groups of MALT are the tonsils and
the Peyer’s patches
MRS POOJA GODIYAL 30
Mucosa associated lymphoid tissue
Tonsils
• These are located in
the mouth and
throat, and will
therefore destroy
swallowed and
inhaled antigens
MRS POOJA GODIYAL 31
Mucosa associated lymphoid tissue
Peyer’s patches
• These are large collections of lymphoid tissue
are found in the small intestine, and intercept
swallowed antigens
MRS POOJA GODIYAL 32

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Lymphatic system

  • 2. Introduction • The lymphatic system is part of the vascular system and an important part of the immune system • It comprised of a network of lymphatic vessels that carry a clear fluid called lymph • The lymphatic system is a network of very small tubes (or vessels) that drains lymph fluid from all over the body MRS POOJA GODIYAL 2
  • 4. Introduction Lymphatic system consists of: • Lymph • Lymph vessels • Lymph nodes • Lymph organs, e.g. spleen and thymus • Diffuse lymphoid tissue, e.g. tonsils • Bone marrow MRS POOJA GODIYAL 4
  • 5. Functions Tissue drainage • Everyday around 21 litres of plasma fluid, carrying dissolved substances and some plasma protein • About 3 – 4 litres fluid are drained away by the lymphatic vessels • If this did not happen, the tissues would rapidly become waterlogged and • The cardiovascular system would begin to fail as the blood volume falls MRS POOJA GODIYAL 5
  • 6. Functions Absorption in the small intestine • Breakdown products of fat and fat soluble materials, e.g. the fat soluble vitamins, are absorbed into the central lacteals (lymphatic vessels) of the villi Immunity • The lymphatic organs are concerned with the production and maturation of lymphocytes MRS POOJA GODIYAL 6
  • 7. Lymph and Lymph vessels Lymph • Latin word, lympha meaning water • A fluid that circulates throughout the lymphatic system • Like the venous system, its function is to return fluid from the tissues to the central circulation • Interstitial fluid – the fluid which is between the cells in all body tissues – enters the lymph capillaries • This lymphatic fluid is then transported via progressively larger lymphatic vessels through lymph nodes, where substances are removed by tissue lymphocytes and circulating lymphocytes are added to the fluid before emptying ultimately into right and left subclavian vein, where it mixes with central venous blood MRS POOJA GODIYAL 7
  • 8. Lymph Functions • Returns proteins and excess interstitial fluid to the blood stream • It also carries away larger particles, e.g. bacteria and cell debris from damaged tissues, which can then be filtered out and destroyed by the lymph nodes • Lymph contains lymphocytes, which circulate in the lymphatic system allowing them to patrol the different regions of the body • Lymph also transport fats from the digestive system (beginning in the lacteals) to the blood via chylomicrons (lipoprotein particles that enable fats and cholesterol to move within the water –based solution of the blood stream) MRS POOJA GODIYAL 8
  • 9. Lymph capillaries • These originate as blind – ended tubes in the interstitial spaces • They have the same structure as blood capillaries • A single layer of endothelial cells, but their walls are more permeable to all interstitial fluid constituents MRS POOJA GODIYAL 9
  • 10. Lymphatic pathway Lymphatic capillary Lymphatic vessel Lymph node Lymphatic vessels merge to form Lymphatic trunk Collecting duct Mixed into subclavian veins MRS POOJA GODIYAL 10
  • 11. Large lymph vessels • Lymph vessels are often found running along side of the arteries and veins • A fibrous covering, a middle layer of smooth muscle and elastic tissue and an inner lining of endothelium • Lymph vessels become larger a they join together • Forming two larger ducts that empty lymph into the subclavian vein MRS POOJA GODIYAL 11
  • 12. Thoracic duct • Begins at cysterna chyli (a dialated lymph channel situated in front of the first two lumbar vertebrae) • The duct is about 40cm long • It drains lymph from both legs, the pubic and abdominal cavities, the left half of the thorax, head, neck and the left arm MRS POOJA GODIYAL 12
  • 14. Right lymphatic duct • This is a dilated lymph vessel about 1cm long • It lies in the root of the neck and opens into the right subclavian vein • It drains lymph from the right half of the thorax, head and neck and the right arm MRS POOJA GODIYAL 14
  • 15. Lymphatic organs and tissues LYMPH NODES • Lymph nodes are oval or bean shaped organs • They lie often in groups, along the length of lymph vessels • Lymph drains through a number of nodes before returning to venous circulation • These nodes vary considerably in size, some are as small as a pin head and the largest are about the size of an almond MRS POOJA GODIYAL 15
  • 17. Structure of lymph nodes • Lymph nodes have an outer capsule of fibrous tissue which dips down into the node substance forming partition, or trabeculae • The main substance of the node consists of reticular and lymphatic tissue containing many lymphocytes and macrophages • Four or five afferent lymph vessels may enter a lymph node while only one efferent vessel carries lymph away from the node MRS POOJA GODIYAL 17
  • 18. Structure of lymph nodes • Every lymph node has a concave surface called the hilum Functions Filtering and phagocytosis: • Lymph is filtered by the reticular and lymphoid tissue as it passes through lymph nodes Maturation and proliferation of lymphocytes MRS POOJA GODIYAL 18
  • 19. Spleen • Largest lymph organ • Formed by reticular and lymphatic tissue Location: • Lies in the left hypochondriac region of the abdominal cavity between the fundus of the stomach and the diaphragm MRS POOJA GODIYAL 19
  • 20. Spleen • It is purplish in colour • It s usually about 12cm long, 7cm wide and 2.5cm thick • It weighs about 200gm MRS POOJA GODIYAL 20
  • 21. Structure • Slightly oval in shape with the hilum on the lower medial border • The anterior surface is covered with peritoneum • It is enclosed with fibrous capsule that dips into the organ forming trabeculae • The cellular material, consisting of lymphocytes and macrophages, is called splenic pulp, and it lies between the trabeculae • Red pulp is the part suffused with blood • White pulp consists of areas of lymphatic tissue where there are sleeves of lymphocytes and macrophages and blood vessels MRS POOJA GODIYAL 21
  • 22. Spleen The structures entering and leaving the spleen at hilum are: • Splenic artery • Splenic vein • Lymphatic vessels (efferent only) • Nerves MRS POOJA GODIYAL 22
  • 23. Functions of spleen Phagocytosis: • Old and abnormal erythrocytes are destroyed in the spleen and the breakdown products, bilirubin and iron are passed to the liver, via the splenic and portal vein • Other cellular material, e.g. leukocyte, platlets and microbes are phagocytosed in the spleen • Unlike lymph nodes, the pleen has no afferent lymphatics entering in it, o it I not exposed to diseases spread by lymph MRS POOJA GODIYAL 23
  • 24. Functions of spleen Storage of blood: • Spleen contains up to 350ml of blood • In response to sympathetic stimulation can rapidly return a large part of this volume to the circulation, e.g. in haemorrhage Immune response • Spleen contains T and B lymphocyte, which are activated by the presence of antigens MRS POOJA GODIYAL 24
  • 25. Functions of spleen Erythropoiesis: • The spleen and the liver are important sites of fetal blood cell production, and the spleen can also fulfill this function in adults in times of great need MRS POOJA GODIYAL 25
  • 26. Thymus gland • Lies in the upper part of the mediastinum behind the sternum and extend upwards into the root of the neck • Weighs about 10 to 15 gm at birth and grows until the individual reaches puberty, when it begins to atrophy MRS POOJA GODIYAL 26
  • 27. Thymus gland Structure • The thymus consists of two lobe joined by areolar tissue • The lobes are enclosed by a fibrous capsule • Dividing them into lobules that consists of an irregular branching framework of epithelial cells and lymphocytes MRS POOJA GODIYAL 27
  • 29. Thymus gland Functions • The lymphocyte originate from pluripotent stem cells in red bone marrow. Those that enter the thymus develop into T lymphocyte • Thymus gland secretes hormone - thymosine MRS POOJA GODIYAL 29
  • 30. Mucosa associated lymphoid tissue • Throughout the body, at some locations there are collections of lymphoid tissue which are not enclosed in a capsule • They contain B and T lymphocytes • MALT is found throughout the gastrointestinal tract, in the respiratory tract and in the urinary tract • The main groups of MALT are the tonsils and the Peyer’s patches MRS POOJA GODIYAL 30
  • 31. Mucosa associated lymphoid tissue Tonsils • These are located in the mouth and throat, and will therefore destroy swallowed and inhaled antigens MRS POOJA GODIYAL 31
  • 32. Mucosa associated lymphoid tissue Peyer’s patches • These are large collections of lymphoid tissue are found in the small intestine, and intercept swallowed antigens MRS POOJA GODIYAL 32