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Lymphatic and Blood System Overview

The document outlines the functions of the lymphatic system and blood, detailing their roles in fluid drainage, nutrient transport, immune responses, and homeostasis. It describes the components of blood, including red blood cells, white blood cells, and platelets, along with their respective functions and formation processes. Additionally, it covers blood typing, transfusion reactions, and diagnostic tools related to blood analysis.

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John Esguerra
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0% found this document useful (0 votes)
11 views8 pages

Lymphatic and Blood System Overview

The document outlines the functions of the lymphatic system and blood, detailing their roles in fluid drainage, nutrient transport, immune responses, and homeostasis. It describes the components of blood, including red blood cells, white blood cells, and platelets, along with their respective functions and formation processes. Additionally, it covers blood typing, transfusion reactions, and diagnostic tools related to blood analysis.

Uploaded by

John Esguerra
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MODULE 4: LYMPHATIC SYSTEM, BLOOD AND BLOOD

COMPONENTS

EXPLORE
Functions of the:
A. Lymphatic System (three primary functions)
a. Drains excess interstitial fluid. Lymphatic vessels drain excess
interstitial fluid from tissue spaces and return it to the blood. This
function closely links it with the cardiovascular system. In fact,
without this function, the maintenance of circulating blood
volume would not be possible.
b. Transports dietary lipids. Lymphatic vessels transport lipids and
lipid-soluble vitamins (A, D, E, and K) absorbed by the
gastrointestinal tract.
c. Carries out immune responses. Lymphatic tissue initiates highly
specific responses directed against particular microbes or
abnormal cells.

B. Blood (three general functions)


a. Transportation. As you just learned, blood transports oxygen
from the lungs to the cells of the body and carbon dioxide from
the body cells to the lungs for exhalation. It carries nutrients from
the gastrointestinal tract to body cells and hormones from
endocrine glands to other body cells. Blood also transports heat
and waste products to various organs for elimination from the
body.
b. Regulation. Circulating blood helps maintain homeostasis of all
body fluids.
i. Blood helps regulate pH through the use of buffers
(chemicals that convert strong acids or bases into weak
ones).
ii. It also helps adjust body temperature through the heat-
absorbing and coolant properties of the water in blood
plasma and its variable rate of flow through the skin,
where excess heat can be lost from the blood to the
environment.
iii. In addition, blood osmotic pressure influences the water
content of cells, mainly through interactions of dissolved
ions and proteins.
c. Protection. Blood can clot (become gel-like), which protects
against its excessive loss from the cardiovascular system aft er
an injury. In addition, its white blood cells protect against
disease by carrying on phagocytosis. Several types of blood
proteins, including antibodies, interferons, and complement,
help protect against disease in a variety of ways.

EXPLAIN
Lymph, lymphatic vessels and lymphatic circulation
A. Lymph
Clear body fluids within the lymphatic vessels and lymphatic tissues.
The major difference between interstitial fluid and lymph is location: Interstitial
fluid is found between cells, and lymph is located within lymphatic vessels
and lymphatic tissues.

B. Lymphatic vessels and lymphatic tissue


Lymphatic vessels begin as lymphatic capillaries. These capillaries,
which are located in the spaces between cells, are closed at one end. Just
as blood capillaries converge to form venules and then veins, lymphatic
capillaries unite to form larger lymphatic vessels.

Lymphatic capillaries have greater permeability than blood capillaries


and thus can absorb large molecules such as proteins and lipids. Lymphatic
capillaries are also slightly larger in diameter than blood capillaries and have
a unique one-way structure that permits interstitial fluid to flow into them but
not out.
a. Lymphatic Circulation
i. Schematic diagram showing the relationship of the
lymphatic system to the cardiovascular system. Arrows
indicate the direction of flow of lymph and blood.

Lymphatic tissue is a specialized form of reticular connective tissue that


contains large numbers of lymphocytes. Recall that lymphocytes are
agranular white blood cells. Two types of lymphocytes participate in adaptive
immune responses: B cells and T cells.
C. Lymphatic organs
1. Primary defenses
a.1. Bone marrow
- Highly vascularized CT located between the trabeculae of the
spongy bone tissue.
- Located in axial skeletons, pectoral and pelvic girdle, proximal
epiphysis of humerus and femur.
- Derived from mesenchymal cells

a.2. Thymus
- Thymus is a bilobed organ located in the mediastinum
between the sternum and the aorta.
- Thymic cells (IL) and Hormones
- T cells (+) and aging process(-).
- Thymus is largest in infancy – adolescent – atrophied in adult

2. Secondary defense
a.1. Spleen
- Largest mass of lymphatic tissue (12cm/5”L)
- Parenchymic tissue
- a. white pulp – lymphocytes, macrophages
- reservoir of B lymphocytes to develop into mature plasma cells
- B and T cell carry out immune functions by phagocytosis

a.2. Lymph nodes


- Located in the lymph vessels (600 bean shaped /1-25mm),
lymph nodes are found throughout the body
- Covered by a dense CT
- Small rounded mass of tissue from which lymph fluid drains;
- Functions:
o Removal of foreign material before it enters the
blood stream
o Serves as centers for proliferation and response
of immune cells
a.3. Tonsils
- Tonsils are defense for Mouth; Tooth – millions of bacteria cells
- The tonsils form a ring of lymphoid tissue around the entrance
to the pharynx

a.4. Appendix
- found at the terminal end of the cecum that drains the
intestinal chyle.
- Chyle (from the Greek word chylos, meaning juice) is a milky
bodily fluid consisting of lymph and emulsified fats, or free fatty acids.

Blood and Blood Components


1. Blood
- A liquid connective tissue that consists of cells surrounded by a liquid
extracellular matrix. The extracellular matrix is called blood plasma, and it
suspends various cells and cell fragments. Interstitial fluid is the fluid that
bathes body cells and is constantly renewed by the blood.

COMPONENTS OF BLOOD
PLASMA - 55%,

FORMED ELEMENTS – 45%


1) RBCs : “erythrocytes”
2) WBCs : “leukocytes”
3) Platelets: “thrombocytes”

Structures and functions of RBC, WBC and Platelets


a. Red Blood Cells
- Small, anucleate cells containing HEMOGLOBIN, a large molecule
used to transport oxygen and carbon dioxide.
- 33% of total weight of RBCs is composed of hemoglobin
 HEMOGLOBIN: contains red pigment: heme
o Oxygenated blood – bright red (arteries)
o Unoxygenated blood – dark red (venous)
 4.5 to 5 million RBCs per μL of blood (slightly lower in
females)
Polycythemia – abnormally high red blood cells
Anemia – unusually low number of RBCs

b. White Blood Cells


- Nucleated cells that attack pathogens and other substance
that invade the body
o Granular leukocytes – discernible vesicles or granules
in the cytoplasm
▪ Neutrophils
▪ Eosinophils
▪ Basophils
o Agranular leokocytes
▪ Lymphocytes
▪ Monocytes
 normally, there are 5,000 to 10,000 WBCs per μL of
blood
Leukocytosis – abnormally high WBC
Leukopenia – abnormally low WBC

c. Platelets (Thrombo = clot)


- formed from large, multinuclear megakaryocytes
- Megakaryocytes break
- Normally, 150,000 to 450,000 platelets/ μL

Thrombocytosis – abnormally high platelets


Thrompocytopenia – abnormally low platelets

Blood forming organs


- The process by which the formed elements of blood develop is called
hemopoiesis

1. Bone marrow - In order to form blood cells, pluripotent stem cells in


red bone marrow produce two further types of stem cells, which have the
capacity to develop into several types of cells.

2. Kidney - Circulatory problems that reduce blood flow to tissues may


also reduce oxygen delivery. Whatever the cause, hypoxia (low Oxygen level
to tissues) stimulates the kidneys to step up the release of erythropoietin,
through the process of Erythropoiesis (the production of RBCs) in the red bone
marrow which speeds the development of proerythroblasts into reticulocytes
in the red bone marrow.

As the number of circulating RBCs increases, more oxygen can be


delivered to body tissues.
ABO and Rh BLOOD TYPING
USES:
a. Critical for blood transfusions
b. Transplantations
c. Maternal-fetal compatibility
d. Genetic studies
e. Forensic studies
f. Legal medicine
g. Anthropology

A. ABO TYPING (Landsteiner):


“In human organisms, the blood group antigen and antibodies to it never
co-exist.”
 typing is based on antigenic molecules or agglutinogens that are
on the surface of the RBC membrane.
 ANTIGEN: substance that will react to a specific antibody to
produce an immune response.
 There are 2 types of antigens: A and B
 ANTIBODIES: plasma proteins that combine with a specific antigen
to inhibit or destroy it.
 ABO antibodies appear in babies’ blood a few months after birth
Blood that can be
BLOOD TYPE Antigen Antibody (ies)
Received
A A antigen Anti-B A, O
B B antigen Anti-A B, O
AB A antigen, B antigen No antibodies A, B, AB, O
(Universal
recipient)
O None Anti-A, Anti-B O
(Universal Donor)

Rh Blood System:
- an antigen found of red cell surface with several variants (6:
C, D, E, c, d, e)
- the most potent is the D-variant
- Caucasians: 15% of the population are Rh negative

HDN – Hemolytic Disease of the Newborn or Erythroblastosis fetalis (EBF)


- this occurs when the mother is Rh negative and the fetus is Rh positive:
Baby’s blood can leak from the placenta into the mother’s bloodstream

Mother forms Rh antibodies which later reacts to baby’s Rh

- the first baby will not be affected but the subsequent pregnancies with
Rh + fetuses resulting in small Rh antibodies to cross the placenta
causing hemolysis in the blood of the fetus

Management:
1. Rho GAM – Rh negative gamma immunoglobulin: to prevent formation
of Rh antibodies against the Rh + blood of the fetus

B. TRANSFUSION REACTIONS:
a. Clumping or agglutination
b. Hemolysis or rupture of RBCs
c. Clotting within the blood vessels
d. Allergic reaction – rash, urticaria, pruritus
e. Bacterial contamination, endotoxemia
f. Circulatory overload
g. Renal failure

C. CROSSMATCHING:
 Donor’s RBC + Recipient’s serum
 Donor’s serum + Recipient’s RBC

D. Tissue Typing
 to avoid tissue graft rejection as antibodies react to tissue specific
antigens
 requires HLA (Human Leukocyte Antigen) compatibility

E. Complete Blood Count


 vital diagnostic tool that screens abnormalities in the number or
structure of blood cells
 INCLUDES:
o Total RBC count
o Total WBC count
o Differential WBC count
o Hematocrit and
o Hemoglobin
F. Differential WBC Count
 performed to determine the percentage of each of the 5 types of
WBC
 Normally present from the greatest to the least percentages as:
o Never Let Monkeys Eat Bananas (Neutrophils Lymphocytes
Monocytes Eosinophils Basophils)

Common questions

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Erythropoiesis is critical for maintaining adequate oxygen levels throughout the body. This process involves the production of red blood cells (RBCs) in the bone marrow, spurred by erythropoietin, a hormone produced by the kidneys in response to hypoxia (low oxygen levels). Increased erythropoiesis leads to a higher RBC count, which subsequently enhances the blood's oxygen-carrying capacity. As the primary transporters of oxygen from the lungs to body tissues, RBCs ensure that cells receive sufficient oxygen for metabolic processes, directly influencing tissue health and function. Thus, erythropoiesis is essential for maintaining homeostasis concerning oxygen delivery and cellular respiration .

ABO blood typing is critical for ensuring compatibility in medical procedures like blood transfusions and organ transplants. Proper matching of ABO and Rh blood types between donors and recipients minimizes the risk of immune rejection, which can manifest as agglutination or hemolysis of transfused blood. In transplants, matching blood types help avoid graft rejection by preventing immune responses against the transplanted tissue. Furthermore, ABO typing is essential in maternal-fetal compatibility to prevent conditions like Hemolytic Disease of the Newborn, which occurs when there is an Rh incompatibility between mother and fetus. Incorrect matching in these contexts can lead to serious complications, highlighting the need for thorough blood typing .

Lymphatic capillaries are designed to be more permeable than blood capillaries, allowing them to absorb large molecules such as proteins and lipids efficiently. This increased permeability is due to their slightly larger diameter and a unique one-way structure that permits interstitial fluid to flow into them but not out. Such design optimizes the lymphatic capillaries' ability to efficiently collect excess interstitial fluid and various molecules from tissue spaces, functioning as an initial pathway for lymph circulation and linking to the cardiovascular system for fluid recovery .

Platelets, or thrombocytes, play a vital role in hemostasis, the process that stops bleeding at a site of injury. Upon vessel injury, platelets adhere to the exposed surfaces and aggregate to form a temporary plug, while simultaneously releasing chemical signals that facilitate further platelet recruitment and clotting factor activation. This leads to the formation of a stable clot. Imbalances in platelet levels can affect hemostasis: thrombocytopenia (low platelet count) increases bleeding risk due to inadequate clot formation, while thrombocytosis (high platelet count) can elevate thrombosis risk, potentially causing pathological clot formation and vascular blockages. Maintaining balanced platelet levels is essential for hemostatic balance and vascular health .

The spleen, the largest mass of lymphatic tissue, plays a crucial role in the immune system, serving both as a site for immune response and as a blood reservoir. It contains white pulp, consisting of lymphocytes and macrophages, which contributes to the organ's immune functions by serving as a site for the proliferation and maturation of B lymphocytes into plasma cells, and by hosting activities like phagocytosis. The presence of B and T cells in the spleen enhances its ability to perform immune surveillance and attacking invading pathogens. Furthermore, its macrophages help remove old or damaged blood cells, contributing to the overall maintenance of healthy blood composition .

A differential white blood cell (WBC) count is used in healthcare to diagnose and monitor various health conditions by determining the relative percentage of each type of WBC present in the blood. Since different types of WBCs play distinct roles in the immune response, variations in their ratios can indicate specific health issues. For example, an increase in neutrophils could suggest bacterial infection, while high lymphocyte levels might indicate viral infections or lymphoid leukemia. Thus, analyzing these differences can help pinpoint the underlying causes of symptoms and guide treatment decisions .

The structure of red blood cells (RBCs) is uniquely adapted to their function of oxygen transport. They are small, biconcave, and anucleate, optimizing their shape for maximum surface area relative to volume, facilitating gas exchange. The lack of a nucleus allows more room for hemoglobin, the oxygen-binding protein, which constitutes about 33% of the RBC's total weight. The biconcave structure aids in the easy passage through narrow capillaries and areas with reduced space. These structural features enable RBCs to efficiently carry oxygen from the lungs and deliver it to tissues, and return carbon dioxide back to the lungs for exhalation .

The lymphatic and blood systems work collaboratively to protect the body against pathogens through distinct yet complementary mechanisms. The lymphatic system offers a pathway for lymphocytes and antibodies, facilitating the detection and destruction of pathogens in tissues. Primary lymphatic organs like bone marrow and the thymus produce immune cells, while secondary organs such as lymph nodes and the spleen act as filtration centers for pathogens, supporting immune response. Blood components, including white blood cells like neutrophils and lymphocytes, circulate through the body to engage pathogens directly. The coordinated actions of these systems ensure a robust defense against infections and contribute to the maintenance of immune homeostasis .

The primary functions of the lymphatic system include draining excess interstitial fluid, transporting dietary lipids, and carrying out immune responses. These functions are closely related to the cardiovascular system. The drainage of excess interstitial fluid by lymphatic vessels is critical for maintaining circulating blood volume, as this fluid is returned to the blood, preventing buildup in tissues. The transport of dietary lipids, including lipid-soluble vitamins (A, D, E, and K) absorbed in the gastrointestinal tract, is another function that supports overall body metabolism, benefiting cardiovascular health by integrating lipid absorption. Additionally, by carrying out immune responses, the lymphatic system supports the common goal with the cardiovascular system of protecting the body from pathogenic threats .

Lymph nodes function as critical centers for immune cell proliferation and response, distinct from other lymphatic organs due to their strategic location and structure. Each node acts as a filtration site, trapping foreign particles and pathogens as lymph fluid passes through. Within the nodes, B and T cells are activated and proliferate in response to specific antigens, intensifying the immune response. Unlike the spleen, which filters blood, lymph nodes are spaced along lymphatic vessels, providing numerous local hubs for immune activity. Their dense connective tissue capsule encapsulates a network of lymphocytes and macrophages, facilitating efficient immune surveillance and pathogen eradication .

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