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	<title>Medical-Terminology-Online.com</title>
	<link>http://medical-terminology-online.com/free</link>
	<description>Free information from the medical terminology course I teach.</description>
	<pubDate>Mon, 29 May 2006 21:08:11 +0000</pubDate>
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		<item>
		<title>Appendix Not Vestigial But Lymph System Roleplayer</title>
		<link>http://medical-terminology-online.com/free/index.php/2005/11/17/appendix-not-vestigial-but-lymph-system-roleplayer/</link>
		<comments>http://medical-terminology-online.com/free/index.php/2005/11/17/appendix-not-vestigial-but-lymph-system-roleplayer/#comments</comments>
		<pubDate>Thu, 17 Nov 2005 18:21:57 +0000</pubDate>
		<dc:creator>bbcarter</dc:creator>
		
	<category>Immune System</category>
	<category>Digestive System</category>
	<category>Lymph System</category>
		<guid>http://medical-terminology-online.com/free/index.php/2005/11/17/appendix-not-vestigial-but-lymph-system-roleplayer/</guid>
		<description><![CDATA[	Normal appendix:  Mucosa, lymphoid follicle, muscularis, and serosa
	I&#8217;m reviewing the digestive system, and when I got to the appendix, I remembered that I had seen it mentioned in search results as part of the lymph system back when I was researching that section.  Here is a very interesting Q&#038;A about the Appendix as [...]]]></description>
			<content:encoded><![CDATA[	<p><img srchttp://www.medical-terminology-online.com/normal%20appendix%20slide.jpg" alt="Normal Appendix Cells, mucosa, lymphoid follicle, muscularis and serosa" /><br />Normal appendix:  Mucosa, lymphoid follicle, muscularis, and serosa</p>
	<p>I&#8217;m reviewing the digestive system, and when I got to the appendix, I remembered that I had seen it mentioned in search results as part of the lymph system back when I was researching that section.  Here is a very interesting Q&#038;A about the <a href="..">Appendix as vestigial organ vs. lymph immune system roleplayer</a>.</p>
	<p>I hope the Dept. of Energy will forgive me for also copying it here- rare and interesting information sometimes disappears off the internet, so I like to preserve the gems I find.  I&#8217;ll bold the most important parts below.</p>
	<p><img src="http://www.medical-terminology-online.com/appendix%20get%20well.jpg" alt="Get Well Appendix Worm for Appendicitis" /><br />From the Great Illustrator Ben Hatke!</p>
	<p>name         Pamela<br />
status       other<br />
age          50s</p>
	<p>Question -   I notice in a previous answer your Biologist claims the<br />
appendix is a useless vestigial organ. I ask you to access<br />
Medline, for a report from last year, about the need for the appendix to<br />
drain toxins from the bowel by osomosis into the mesenteric lymph duct in<br />
the region of the ileocecal valve (which at times does not work properly). </p>
	<p>Has any of this information about &#8220;draining toxins&#8221; been verified?<br />
&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<br />
Dear Pamela:</p>
	<p>Rather than being an industrial-scale &#8220;drain&#8221; for toxins, it would be<br />
more correct to think of the specialized structures of the appendix as a<br />
<strong>micro-scale sampling port for the immune system</strong>.  </p>
	<p>Although we depend on the intestine to absorb nutrients from our food,<br />
its surface is remarkably well sealed up to keep out harmful substances<br />
and organisms.  The exception to this are the regions containing<br />
lymphoid follicles, which are dense accumulations of lymphocytes.<br />
Overlying these structures are specialized epithelial cells called &#8220;M<br />
cells.&#8221;  These cells actively take up particles and dissolved molecules<br />
from the inside of the intestine and transport them across the<br />
epithelial layer to its underside, where lymphocytes and other cells<br />
wait nearby.  This provides <strong>a pathway through which the cells of the<br />
immune system can &#8220;see&#8221; what substances are present in the intestine</strong>.<br />
From here, tissue fluids are collected into thin-walled lymphatic<br />
vessels that take it to the mesenteric lymph nodes, and through some<br />
other lymphoid plumbing, eventually to the bloodstream.  This allows<br />
some of the foreign material, and the lymphocytes that have reacted to<br />
it, to reach distant parts of the body.  This movement is far from<br />
random, though.  We often speak of the &#8220;mucosal immune system&#8221; because<br />
lymphocytes that were stimulated near one kind of mucosal surface tend<br />
to return there, or to another mucosal surface.  Especially in the case<br />
of infectious organisms that typically enter the body through food,<br />
drink, or air, researchers are working hard to develop vaccines that<br />
take advantage of the &#8220;mucosal immune system.&#8221;  These would typically be<br />
given nasally or orally, instead of as a shot.  </p>
	<p>You might think, &#8220;If this &#8216;window&#8217; exists in the lining of the<br />
intestine, why can&#8217;t bacteria and viruses enter the body through it?&#8221;<br />
The good news is that if they do, they come out at the base of the M<br />
cell only to find themselves looking directly into the teeth of the<br />
assembled powers of the immune system!  The bad news is that some<br />
organisms, including poliovirus and pathogenic E. coli, do seem to be<br />
able to take advantage of this chink in our armor.<br />
Tom Douglas<br />
=========================================================<br />
Usually the appendix is described as having no KNOWN function.  This is a<br />
way scientists can cover themselves in the event that a function is discovered<br />
sometime in the future.  It is entirely possible that a function will or has<br />
been found.  I too had been taught that the appendix was possibly vestigial,<br />
but I would be interested if your information can be verified.</p>
	<p>vanhoeck<br />
=========================================================<br />
As a histologist I see no reason to consider the v. appendix as having no<br />
function since <strong>it contains numerous lymphoid follicles that produce<br />
functional lymphocytes and a rich blood supply to communicate them</strong>.  The<br />
general idea of vestigial organs is to me a measure of ignorance, arrogance<br />
and lack of imagination. Ignorance in that we label it as such because we do<br />
not know its function; arrogance in that we declare it of no value since we<br />
can see none; and lacking in imagination in so far as when we cannot see its<br />
function cannot imagine one.  I call your attention to that other &#8220;vestigial<br />
organ&#8221; the thymus without which, in early life, we would produce a severely<br />
compromised cell-mediated immune system as the &#8220;nude&#8221; mouse and numerous<br />
thymectomized mammalian studies have shown. Although some general reference<br />
books still list the v. appendix as &#8220;vestigial&#8221; most immunologists (I<br />
included) would strongly disagree!</p>
	<p>Peter Faletra Ph.D.<br />
Senior Science Advisor<br />
Office of Science<br />
Department of Energy</p>
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