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Lymph node

life science Maturity 11-13 Next article →

A lymph node is a small, kidney-shaped organ within the lymphatic system. It serves as a critical component of the adaptive immune system. These organs act as biological filters for the body. They catch foreign particles, such as bacteria or cancer cells, to prevent them from spreading. While they filter many things, they do not have a detoxification function.

Lymphatic immune system lymph node5-CROPPED
Lymphatic immune system lymph node5-CROPPED

Each lymph node is enclosed in a fibrous capsule made of collagenous connective tissue. This capsule extends into the interior of the node to form structures called trabeculae. These trabeculae divide the node into different sections. The internal substance is organized into two main regions: the outer cortex and the inner medulla.

Gray598
Gray598

The cortex is the outer layer located just beneath the capsule. The medulla is the central part of the node. On the concave side of the node, there is an indent called the hilum. This is where blood vessels enter and leave, and where lymphatic vessels exit.

Illu lymph node structure
Illu lymph node structure

The movement of fluid through the node follows a specific path. Lymph enters the convex side through multiple afferent lymphatic vessels. Once inside, the fluid first moves into a space called the subcapsular sinus. From there, it flows into cortical sinuses within the cortex. After traversing the cortex, the lymph collects in the medullary sinuses. Finally, the fluid drains into efferent lymphatic vessels. These vessels carry the lymph away from the node through the hilum. There is usually only one efferent vessel, which is fewer than the many afferent channels. This design slows the flow of lymph, providing more time for immune cells to react to potential threats.

Diagram of a lymph node CRUK 022
Diagram of a lymph node CRUK 022

Inside the node, specialized white blood cells called lymphocytes perform immune tasks. The cortex is divided into an outer part and a deeper part called the paracortex. The outer cortex contains follicles made of B cells. When these B cells are activated, they may develop into a germinal center. The paracortex is the deeper region that mainly consists of T cells. In this area, T cells interact with dendritic cells. The medulla contains fewer cells than the cortex. It holds large blood vessels, sinuses, and medullary cords. These cords contain plasma cells, which secrete antibodies, as well as macrophages and B cells.

Dark, light, mantle and marginal zones of a secondary follicle
Dark, light, mantle and marginal zones of a secondary follicle

The immune response relies on how these cells interact with antigens. Antigens are molecules found on bacterial cell walls or other foreign substances. Dendritic cells act as antigen-presenting cells. They take up antigens and carry them into the lymph node to show them to T cells. If a T cell has the right receptor, it becomes activated. B cells acquire antigens directly from the lymph. When a B cell binds to its specific antigen, it is activated. It can then multiply to become a plasma cell that produces antibodies. These antibodies target specific antigens to stimulate a full immune response. If a B cell is not stimulated, it undergoes apoptosis, or programmed cell death.

Swollen Lymph Nodes
Swollen Lymph Nodes

An adult human has approximately 450 lymph nodes distributed throughout the body. They are most concentrated within the trunk. Some groups are easy to find, such as the cervical nodes in the neck, the axillary nodes under the arms, and the inguinal nodes near the groin. Other nodes, like the paraaortic or tracheobronchial nodes, lie deep near major structures. Interestingly, there are no lymph nodes in the central nervous system. However, the central nervous system is connected to the nodes via sympathetic nerves. These nerves help regulate how immune cells move and how antibodies are secreted.

Lymphknoten (Schwein)
Lymphknoten (Schwein)

The size of a lymph node varies by location and individual. On average, a node is about 15 mm long, but they can range from 2 mm to 25 mm. Specific locations have different typical sizes. For example, inguinal nodes are often 10 to 20 mm, while nodes in the upper abdominal region, like the portacaval space, are usually around 10 mm. When lymph nodes become swollen or enlarged, the condition is called lymphadenopathy. Enlarged nodes can feel firm or tender. This swelling can result from mild infections or serious diseases like cancer. Because of this, doctors use the condition of lymph nodes to help with cancer staging. This helps determine a patient's prognosis and the best treatment to use.

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🖼️ Images & Media (8)
File:Lymphknoten (Schwein).jpg
Lymphknoten (Schwein).jpg
File:Dark, light, mantle and marginal zones of a secondary follicle.png
Dark, light, mantle and marginal zones of...
File:Lymphatic immune system lymph node5-CROPPED.jpg
Lymphatic immune system lymph node5-CROPPED.jpg
File:Illu lymph node structure.png
Illu lymph node structure.png
File:Gray598.png
Gray598.png
File:Diagram of a lymph node CRUK 022.svg
Diagram of a lymph node CRUK 022.svg
File:Swollen Lymph Nodes.jpg
Swollen Lymph Nodes.jpg
File:Crc met to node1.jpg
Crc met to node1.jpg
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