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Posts Tagged ‘lymph

more baffling immune system stuff

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1RH2 Recombinant Human Interferon Alpha 2b – evidemment

Jacinta: We’ve been mostly educating ourselves via the NinjaNerd YouTube series on immunology, which seems very comprehensive and yet comprehensible, for beginners, and then going to other websites for details. Now getting back to cluster differentiation (CD), a commonly used immunological term. Here’s a useful definition:

The cluster of differentiation (CD) is a protocol used for the identification and investigation of cell surface molecules present on leukocytes. CD molecules often act as receptors or ligands important to the function of immune cells.

Canto: That’s useful indeed. Each CD – 4 or 8 or 25 – represents a cluster of differentiation. Differentiated from other clusters. So back to T regulatory cells, which would be differentiated into those cells that predominantly have CD4 or CD8 molecules, as well as TCRs. All to help suppress auto-immune diseases in particular.

Jacinta: So we have these T regulatory cells, as well as helper and cytotoxic T cells, all created in the thymus essentially, and then they’re distributed to the lymphoid organs – the lymph node locations include ‘the groin, armpit, behind the ears, back of the head, sides of the neck and under the jaw and chin. There’s also the spleen  and its sinusoidal capillaries, where T cells form a surrounding layer known as the ‘periarteriolar lymphoid sheath’ (PALS), more commonly known as white pulp. A large number of T regulatory cells however remain in a thymus region known as the thymic (Hassal’s) corpuscles. They’re also distributed throughout the body – the tonsils, the respiratory tract and so on. All originating from the red bone marrow.

Canto: Well I’m still a little confused about the difference between the innate and adaptive immune systems and whether there really is any clear distinction between them (I suspect not). My own distinction so far is that the innate system is quick and not very specific and well-attuned, and the adaptive is – everything else.

Jacinta: Well, a bacterial antigen releases endotoxins which causes a massive release of inflammatory cytokines, got that?

Canto: Not particularly. Get this:

Endotoxins (lipopolysaccharides, LPS) are agents of pathogenicity of Gram-negative bacteria, implicated in the development of Gram-negative shock. Endotoxin reacts with lipopolysaccharide-sensitive cells producing endogenous mediators such as tumour necrosis factor alpha (TNFα).

That was my first stop in trying to find out what endotoxins are. Needless to say, it’s meaningless to me. Though I know that ‘endo’ means ‘from within’ as opposed to ‘exo’… I think.

Jacinta; If you look that up you’ll find it’s horribly complex. Okay the bacteria release toxins which release cytokines in reaction. There are many different kinds of cytokines, including histamines, prostaglandins and leukotrienes. Amongst other things these cytokines will impact smooth muscle cells causing vasodilation, increasing blood flow causing heat and redness. Cytokines will also contract endothelial cells, causing fluid leakage and permeability, affecting pain receptors. Bradykinins are also involved in vasodilation and increased blood flow. All this induces swelling and pain. Broadly, the four signs of inflammation are: swelling, pain, heat and redness. That answers a basic exam question. Joint immobility is a fifth sign in some extreme cases.

Canto: I’m looking at a different video, “introduction to the immune system”, because I think we need to stay on the ground floor for a while. I also think looking at language might help. For example, ‘cytokines’ feature heavily, and I was thinking that they were like some kinds of proteins or enzymes, something sub-cellular that could whizz about the body, but then I noticed that white blood cells were called leukocytes, and there were lymphocytes and phagocytes… cells! Like, complex organisms. And ‘kine’, apart from being about cattle, is where our word ‘kind’ came from, as in Kinds of Minds. So ‘cytokines’, methinks, are just the vast array of cells relating to the immune system.

Jacinta: Yes, this is good – a phagocyte is an ‘eating cell’.  A lymphocyte is a type of WBC that’s involved in the immune system. T cells are lymphocytes, as are B cells. So, yes, they’re complex, gene-containing thingumies, all of them, and lymphocytes are so called because the lymph system is full of them. But note that ‘cyte’ just means ‘cell’, not necessarily of the white or immune kind.

Canto: So starting again at the beginning, with the innate and adaptive systems. So the innate system is what often causes pains and fevers, that redness and itchiness and raised temperature mentioned before – inflammation. Because of the release of cytokines, as you’ve explained.

Jacinta: Ah but here’s where it becomes confusing and unhelpful. On a website designed, I think, for high school biology students I found this:

Cytokines…. are a broad category of small proteins that are important in cell signaling. They are released by cells and affect the behavior of other cells. Cytokines include interferons, interleukins, lymphokines, and tumor necrosis factor.

So it looks like you were right in the first place. It is confusing though. Interferons are proteins, as are interleukins, and ScienceDirect, which is generally reliable, says this:

Cytokines, chemokines, and lymphokines are multifunctional immunoregulatory proteins secreted by cells of the immune system.

So we’ve both been confused, and maybe looking at language origins might confuse us more. Best just to accept what the biochemists say.

Canto: So, are we starting again, again? Let’s look at some of the cytokine types. Interferons are as mentioned, signalling proteins. But what, exactly, is meant by signalling, and what exactly is a protein? A chain of amino acids, je crois. So, signalling – that’s about sending and receiving and responding to signs of change:

Individual cells often receive many signals simultaneously, and they then integrate the information they receive into a unified action plan. But cells aren’t just targets. They also send out messages to other cells both near and far.

So far, so obvious. These signals are essentially chemical. Even neurotransmission reduces down to the chemical level. But we’ll stick with pathogens and immunity. Receivers of signals are generally called receptors, and immune-system cells often, but not always, have receptors within or sticking out of the cell membrane.

Jacinta: Interferons are so-called because they interfere with viruses and such. We’ve actually been able to create them in the lab since the 80s for treating some cancers:

Interferons are the frontline defenders in your body. A variety of cells, including white blood cells, produce interferons in response to infection and other stimuli, like cancer cells. They initiate signaling cascades by stimulating the infected cells and those nearby to produce cytokines.

Canto: But are they the frontline defenders? And they’re cytokines themselves, as aforementioned. Cytokine seems a pretty broad term.

Jacinta: Our refined or not-so-refined new definition – cytokines are types of stuff created by a variety of cells as an immune response to pathogens. As to interferons, don’t worry about it.

Canto: Too late, I’m worried. Here’s another quote:

More than twenty distinct IFN [interferon] genes and proteins have been identified in animals, including humans. They are typically divided among three classes: Type I IFN, Type II IFN, and Type III IFN. IFNs belonging to all three classes are important for fighting viral infections and for the regulation of the immune system.

Should we just devote the rest of our lives to interferons and forget the rest?

Jacinta: Everything’s connected to everything else. And we shouldn’t despair – we’ve learned much about the lymphatic system, for example, that we didn’t know before.

Canto: We didn’t know anything before. But yes I’m encouraged. And getting back to language, lymph is apparently Latin for ‘clear water’, which is a good start for thinking about lymphatic fluid, even if it’s anything but clear.

Jacinta: Like sea or river water I suppose. The more you look… Blame all those pesky microscopes and such. Anyway, one video describes the lymphatic system as having three main functions: 1) returning fluid to the heart: 2) helping large molecules (hormones and lipids) enter the blood: 3) immune surveillance.

Canto: Okay let’s look at all that in a bit more detail next time.

Written by stewart henderson

April 6, 2024 at 11:14 am

what is this thing called lymph? some more…

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Canto: So we learned a lot about lymph recently, but strangely enough, it made us hungry for more. So, it has two functions, circulatory and immunological. I’d like get more detail on both those functions, and in particular I’d like to know more about lymphocytes, what they are, how they’re made and what they do.

Jacinta: Sounds like a plan. So first, lymph in the circulatory system. Here’s what I’ve gleaned from an online video. This system brings oxygen and nutrients to all our bodily tissues, as well as removing waste materials. Ultimately this feeding and removal process occurs in the smallest vessels, the capillaries, which penetrate into tissues and organs. Nutrient-rich blood plasma moves out of capillaries ‘at the arterial end of capillary beds, while tissue fluid containing wastes reabsorbs back in at the venous end’.

Canto: Okay, whoa. First, I have difficulty separating left from right, and east from west, what they call directional dyslexia. I also, in a probably related way, have problems with arteries and veins. One goes into the heart, the other goes out….

Jacinta: Haha, think arteries away (AA), and that’s all you need to know. I have the same problem, quelle surprise!

Canto: So I get that nutrient-rich ‘blood plasma’, presumably some kind of mixture of blood and plasma, moves out of arterial capillaries into tissues, to feed and energise and rejuvenate them and such, but I’ve never heard of capillary beds, and ’tissue fluid’ sounds a bit questionable…

Jacinta: These are all good issues to raise. Apparently there’s a whole capillary bed network. So, getting back to basics, our cardiovascular system is this super-complex network of veins, arteries and capillaries that move oxygen, nutrients, hormones and waste materials to and from our tissues and organs. It’s often analogised as something like a city road network, highways with off-ramps leading to main roads, side-roads and such. And capillary beds are the network of smaller vessels leading into and out of particular tissues. Anyway here’s a useful definition from a medical website:

Capillaries do not function independently. The capillary bed is an interwoven network of capillaries that supplies an organ. The more metabolically active the cells, the more capillaries required to supply nutrients and carry away waste products. A capillary bed can consist of two types of vessels: true capillaries, which branch mainly from arterioles and provide exchange between cells and the circulation, and vascular shunts, short vessels that directly connect arterioles and venules at opposite ends of the bed, allowing for bypass.

Which, haha, introduces new terms, sorry. It never ends with his stuff.
Canto: You’re not kidding. The more metabolically active the cells? Okay, I sort of get that – major cellular activity requires more energy and creates more waste materials. Arterioles? No relation to arseholes, presumably?
Jacinta: Don’t know about the etymology, but arterioles are small blood vessels between arteries and capillaries. They control blood pressure to some degree by changing diameter, through some kind of muscular system.
Canto: Okay – I know we’re getting away from lymph a bit, but so many new terms – vascular shunts? venules?
Jacinta: Vascular shunts are explained above, sort of, and venules are like arterioles… Think a three-tiered system of traffic going towards the heart (capillaries to venules to veins) and coming from it (arteries to arterioles to capillaries). And vascular shunts… well, here’s another quote to confuse us:
If all of the precapillary sphincters in a capillary bed are closed, blood will flow from the metarteriole directly into a thoroughfare channel and then into the venous circulation, bypassing the capillary bed entirely. This creates what is known as a vascular shunt.

And, since I know you’re wondering:

A metarteriole is a short microvessel in the microcirculation that links arterioles and capillaries. Instead of a continuous tunica media, they have individual smooth muscle cells placed a short distance apart, each forming a precapillary sphincter that encircles the entrance to that capillary bed.

And as for tunica media, I won’t quote, I’ll put it in my own words. Arteries and veins have three-layered linings called tunicae. The tunica media, as the name suggests, is the middle layer between the inner tunica intima and the outer tunica externa. The make-up and structure of this layer (and the others) varies in relation to the size of the artery. For example, there’s a lot more tissue in the layers of the aorta, the body’s largest artery.

Canto: Great, and yes, intrinsically interesting, but let’s return to lymph. So the lymphatic system is a ‘cleaning up’ and drainage system among other things. There are some 700 lymph nodes throughout the body – armpits, groin, throat, and in the intestines where they’re involved in the absorption of fat. A node in this context is a bean-like structure which filters the lymph passing through it. It contains lots of lymphocytes for combating/consuming pathogens. If the system fails to function properly, oedema or lymphoedema results (a swelling or puffiness). As well as these numerous tiny nodes, there’s the spleen, a multifunctional lymphatic organ located on the left side of our bodies next to the stomach. It produces a range of cells including many types of white blood cells such as murderous macrophages and of course lymphocytes. The spleen is divided into a ‘red pulp’ and a smaller ‘white pulp’ section, and I could go into greater detail about T cell zones and B cell zones and the various functions of these cells and their subdivisions.

Jacinta: Yes I think we have a general sense in that the lymphatic system of nodes and spleen improves circulation through removal and replacement, and immunity through renewal of ageing cells and production of lymphocytes and other antibody-type cells. All of this started with our attempt to get a handle on CFS or ME/CFS or CFIDS and its relation to the immune system. It’s been an interesting little journey into an unknown land for us, and my impression is that there’s still a lot to be learned even by researchers steeped in lymph, so to speak.

Canto: Yes, and it’s given us some little background into immunology and the amazing complexity of the animal body…

References

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/lymphatic-system

https://en.wikipedia.org/wiki/Lymphatic_system

https://en.wikipedia.org/wiki/Metarteriole

https://en.wikipedia.org/wiki/Tunica_media

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6495537/

Written by stewart henderson

April 8, 2023 at 1:29 pm

what is this thing called lymph?

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Canto: So in the last post, lymph glands, or nodes or whatever, got a passing mention, and I realise I’ve lived a pretty full lifetime without having much of an idea of this substance – is it a solid, liquid or gas, or is it delightfully ethereal, like qi?

Jacinta: Okay, let’s explore. The Better Health Channel, an Australian website, manages to give a point by point summary of the lymphatic system without really explaining what lymph actually is. For example, here are a couple of points that come close, but not very….

  • The lymph nodes monitor the lymph flowing into them and produce cells and antibodies which protect our body from infection and disease.
  • It maintains fluid levels in our body tissues by removing all fluids that leak out of our blood vessels.

From which we can deduce that it’s a fluid, since it flows.

Canto: The book we’ve been reading on CFS and its symptoms gives, en passant, this useful information on lymph nodes:

The lymph nodes are tender in multiple areas, such as in the front and back of the neck, armpits, elbows and groin…. One of the most characteristic symptoms is pain in the sub-auricular lymph nodes, the nodes located under the ear and behind the angle of the jaw.

Jacinta: Wow, they bin everywhere. And yes it does sound a bit like qi, some energy force that just needs to be needled at the nodes.

Canto: Time for some science. Lymph comes from Latin, lympha, ‘water’. So, very fluid. Here’s what Wikipedia says on its structure:

Lymph has a composition similar but not identical to that of blood plasma. Lymph that leaves a lymph node is richer in lymphocytes than blood plasma is. The lymph formed in the human digestive system called chyle is rich in triglycerides (fat), and looks milky white because of its lipid content.

Which sounds like the lymph nodes are where lymphocytes are produced. Lymphocytes are a type of leukocyte or white blood cell.

Jacinta: Well, here’s what I’ve come up with, to start things off.

The lymphatic system is the system of lymphoid channels and tissues that drains extracellular fluid from the periphery via the thoracic duct to the blood. It includes the lymph nodes, Peyer’s patches, and other organized lymphoid elements apart from the spleen, which communicates directly with the blood.

And what, you might ask, is the thoracic duct? Not to mention Peyer’s patches. The thorax, I think, is basically that part of the body covered by the rib cage, which includes the heart, the lungs and other organs, perhaps the spleen, perhaps the pancreas, the liver, the stomach, I’m very vague about it all. Anyway, the thoracic duct is an essential part of the lymphatic system, so here’s some more essential info about it:

The lymph from most of the body, except the head, neck, and right arm, is gathered in a large lymphatic vessel, the thoracic duct, which runs parallel to the aorta through the thorax and drains into the left subclavian vein. The thoracic duct thus returns the lymphatic fluid and lymphocytes back into the peripheral blood circulation.

So from this it’s clear that blood and lymph seem to circulate and work together in some respects.

Canto: It’s annoying that lymph is described as the ‘stuff of the lymphatic system’ or in the lymph nodes/vessels, etc etc. It reminds me of dormative virtue, somehow. Then again, it’s a bit like blood. What’s blood? It’s the stuff that comes out of us when we cut ourselves. Most people don’t know much beyond that – except for one key fact. It’s red, and it pools all over the floor in murder dramas. What colour is lymph? Have we ever seen a pool of it? Do we every lymph to death? Why can’t we turn lymph into a verb?

Jacinta: Okay, enough of the deepities. This really is a fascinating topic, and tracing the discovery of lymph, chyle, and the lymphatic system, starting with Hippocrates some 2400 years ago, would be the best, or at least the most interesting way to learn about the stuff, IMHO. I’ve found a recent series of pieces, The discovery of lymphatic system in the seventeenth century, which I’d love to read, but they’re behind a paywall, because we impoverished dilettantes need to be kept from accessing such things. They do give us access to the abstracts though. Here’s the abstract from part one:

The early history of lymphatic anatomy from Hippocrates (ca. 460–377 B.C.) to Eustachius (1510–1574). The presence of lymphatic vessels and lymph nodes was reported by ancient anatomists without any accurate knowledge of their true functions. Lymph nodes were described as spongy structures, spread over the whole body for the support of vulnerable body parts. Digestion was explained as being the resorption of clear chyle from digested food by the open endings of chyle vessels. The first insights into the place of lymphatic components within nutrition emanated from the medical school of Alexandria (fourth century B.C.) where vivisection was a common practice. Herophilus and Erasistratus described mesenteric veins [relating to the mesentery, a fold of membrane that attaches the intestine to the abdominal wall] full of clear liquid, air or milk. For Galen of Pergamum, (104–210) mesenteric lymph nodes also had a nutritional function. He described three different types of mesenteric vessels, namely, the arterial vessels, for the transport of spirituous blood to the intestines; the venous side branches of the portal vein, for the transport of nutritive blood from the liver to the intestines; and small vessels, from the intestines to the mesenteric lymph nodes (serous lymph vessels?). According to Galen, chyle was transported via the above-mentioned mesenteric venous vessels from the intestines to the portal vein and liver, where it was transformed into nutritive blood. This doctrine would be obliterated in the seventeenth century by the discovery of systemic circulation and of the drainage of chyle through a thoracic duct to the subclavian veins.

Canto: Hmmm. Chyle? Peritoneum? Subclavian?

Jacinta: Chyle’s a milky, fatty fluid (containing lymph), formed in the small intestine during digestion. It flows into those lymph vessels known as lacteals. These are special ‘lymph capillaries’ where the lipids ‘are colloidally suspended in chylomicrons’ My guess is that ‘chylomicrons’ are itty-bitty chyle bits. Colloidal suspension is ‘a stable phase showing little tendency to aggregate and separate from the aqueous phase’, according to ScienceDirect. The peritoneum is ‘the serous membrane that lines the abdominal cavity’. Other serous membranes are the pleura and the pericardium. They are two-layered membranes ‘lubricated by a fluid derived from serum’. The subclavian veins (and arteries) are those running from the neck down the left and right arms.

Canto: Serum?

Jacinta: Comes from the blood, and rich in proteins.

Canto: So it seems that lymph, or the lymphatic system, has a few functions. Three in particular are highlighted by a NIH website relating to cancer. First, it returns interstitial fluid – fluid that leaks from blood capillaries into the spaces between cells – to the venous blood. This is a sort of recycling process – a regular leakage and a regular return. The returned fluid is called lymph. The second function connects it to the digestive system. Fats and fat soluble vitamins are absorbed and transported to the venous circulation. This happens through those aforementioned lacteals. The small intestines are lined with villi, little finger-like projections, in the centre of which are blood capillaries, and lacteals, aka lymph capillaries. The blood and the lymph thus act together, with the blood capillaries absorbing most of the nutrients and the lymph capillaries absorbing the fatty stuff. And this high fat content lymph is called chyle. And the third function – the most well-known function according to my source – is immunological:

Lymph nodes and other lymphatic organs filter the lymph to remove microorganisms and other foreign particles. Lymphatic organs contain lymphocytes that destroy invading organisms.

Jacinta: A reasonably good dummies intro to lymph and the lymphatic system, IMHO, and it’s not really surprising that it took a while to work out what it was all about. We certainly don’t know ourselves, but we know a bit more than we did.

Canto: Yes, much more to learn, about lymphoid tissue, capillaries, vessels and that big thoracic duct. And since much of this info comes from the National Cancer Institute (in the US), the connection with cancer, positive or negative, might be worth exploring….

References

David Bell, The disease of a thousand names, 1991

https://en.wikipedia.org/wiki/Lymph

https://en.wikipedia.org/wiki/Lymphocyte

https://www.ncbi.nlm.nih.gov/books/NBK27092/

https://www.ncbi.nlm.nih.gov/books/NBK10759/def-item/A3018/

https://www.ncbi.nlm.nih.gov/books/NBK10759/def-item/A3298/

https://en.wikipedia.org/wiki/Mesentery

https://www.sciencedirect.com/topics/engineering/colloidal-suspension

https://training.seer.cancer.gov/anatomy/lymphatic/

https://training.seer.cancer.gov/anatomy/lymphatic/components/

Written by stewart henderson

March 31, 2023 at 8:30 pm