🛡️ Lymphatic & Immune System
TSML — Thymus · Spleen · lymph nodes · MALT
Lymphoid Organs (TSML) — Four lymphoid organs — where immune cells mature and where they act
T
Thymus — a primary lymphoid organ
Located in the mediastinum, the thymus is where T cells mature and learn self-tolerance. It's most active in childhood and involutes (shrinks) after puberty. Immature T cells reside in the cortex, while mature T cells move to the medulla. Thymic selection involves positive selection (T cells that recognize self-MHC survive) and negative selection (T cells that would attack self-antigens are eliminated).
S
Spleen — filters blood
The largest lymphoid organ, the spleen filters blood (not lymph). Its white pulp handles immune responses to blood-borne antigens, while its red pulp destroys old red blood cells.
L
Lymph nodes — filter lymph
Stationed along lymphatic vessels, lymph nodes filter lymph specifically and serve as sites for adaptive immune responses to antigens. Structurally, they contain a cortex (housing B cells), a paracortex (housing T cells), and a medulla.
M
MALT — defending mucosal surfaces
Mucosa-Associated Lymphoid Tissue, including the tonsils, Peyer's patches (in the ileum), and the appendix, specifically defends mucosal surfaces against pathogens.
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In a child, the thymus is highly active, where developing T cells undergo positive selection (surviving if they recognize self-MHC) and negative selection (being eliminated if they would attack self-antigens) — ensuring only appropriately functioning, non-self-reactive T cells mature.
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As blood circulates through the spleen, its white pulp mounts immune responses against any blood-borne antigens present, while its red pulp simultaneously clears out aging red blood cells.
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Meanwhile, lymph draining from a local infection passes through nearby lymph nodes, where an adaptive immune response can be mounted against the specific pathogen — B cells in the cortex and T cells in the paracortex both contribute to this response.
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At the same time, MALT structures like Peyer's patches in the intestine continuously monitor and defend the gut's mucosal surface against pathogens encountered through food and drink — a distinct front-line defense separate from the more centralized lymph nodes and spleen.

Exams test whether you can distinguish primary lymphoid organs (thymus, where T cells mature) from secondary lymphoid organs (spleen, lymph nodes, MALT, where immune responses actually occur), and whether you know that the spleen filters blood while lymph nodes filter lymph.

The most common trap is confusing what the spleen and lymph nodes each filter — the spleen filters BLOOD, while lymph nodes filter LYMPH — these are two entirely different circulating fluids being monitored by two different organs.

1. What does the thymus do, and is it a primary or secondary lymphoid organ?
It's where T cells mature and learn self-tolerance; it's a primary lymphoid organ.
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2. What does the spleen filter, and what are its two functional regions?
Blood; white pulp (immune responses) and red pulp (destroys old RBCs).
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3. What do lymph nodes filter, and what are their three regions?
Lymph; cortex (B cells), paracortex (T cells), and medulla.
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4. What does MALT stand for, and name two examples.
Mucosa-Associated Lymphoid Tissue; examples include tonsils, Peyer's patches, and the appendix.
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5. What are positive and negative selection in the thymus?
Positive selection keeps T cells that recognize self-MHC; negative selection eliminates T cells that would attack self-antigens.
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