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Diffuse
Lymphatic Tissue and Lymphatic nodules: The alimentary canal, respiratory
passages, and genitourinary tract are guarded by accumulations of lymphatic
tissue that are not enclosed by a capsule (i.e. they are diffuse) and
are found in connective tissue beneath the epithelial mucosa. These
cells intercept foreign antigens and then travel to lymph nodes to undergo
differentiation and proliferation. Local concentrations of lymphocytes in
these systems and other areas are called lymphatic nodules. In general
these are single and random but are more concentrated in the GI tract in the
ileum, appendix, cecum, and tonsils. These are collectively called the Gut
Associated Lymphatic Tissue (GALT). MALT (Mucosa Associated
Lymphatic Tissue) includes these plus the diffuse lymph tissue in the
respiratory tract.
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The spleen: The
spleen filters the blood and reacts immunologically to blood-borne antigens.
This is both a morphologic (physical) and physiologic process. In addition to
large numbers of lymphocytes the spleen contains specialized vascular spaces,
a meshwork of reticular cells and fibers, and a rich supply of macrophages
which monitor the blood. Connective tissue forms a capsule and
trabeculae which contain myofibroblasts, which are contractile. The
human spleen holds relatively little blood compared to other mammals, but it
has the capacity for contraction to release this blood into the circulation
during anoxic stress. White pulp in the spleen contains lymphocytes and is
equivalent to other lymph tissue, while red pulp contains large numbers
of red blood cells that it filters and degrades.
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The spleen functions in both immune and hematopoietic systems. Immune
functions include: proliferation of lymphocytes, production of antibodies,
removal of antigens from the blood. Hematopoietic functions include:
formation of blood cells during fetal life, removal and destruction of aged,
damaged and abnormal red cells and platelets, retrieval of iron from
hemoglobin degradation, storage of red blood cells.
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