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Histophysiology of the Lymph Node

For medical students2 min readUpdated 2026-10-10

The lymph node is a complex organ of the immune system where antigen recognition and the initiation of the immune response take place. Its histophysiology is closely linked to its division into functional zones that facilitate the interaction of T and B lymphocytes, macrophages, and antigen-presenting cells.

Staining methodsHematoxylin and eosin reveal general architecture, whereas silver impregnation highlights the reticular framework of the node.
Paracortical zoneA T-dependent region with a diffuse cellular arrangement and high endothelial venules.
FolliclesResponsible for humoral immunity. They form germinal centers upon contact with an antigen.
MacrophagesCapable of capturing vital dyes, they localize mainly in the medulla.

Histological Methods for Studying Lymph Nodes

Different approaches are used to visualize the various structures of the organ:

Paracortical Zone and Migration Pathways

The paracortical zone is evaluated first when studying the immune response because it lacks ordered structures like follicles (cells are arranged diffusely), yet critical early reactions unfold here.

The cell population is predominantly T lymphocytes. Macrophages and interdigitating dendritic cells (IDCs)—elements with long finger-like processes derived from lymph-borne dendritic cells—are also present.

A vital structure of this zone is the high endothelial venule (HEV). Their endothelial cells are so tall that they bulge into the lumen. Their surface features specific receptors that capture lymphocytes. This ensures massive cell migration from the blood into the node, allowing the entire cellular composition of the lymph node to completely renew within a few days.

Upon antigen arrival (via lymph, blood, or inside activated macrophages secreting interleukins IL-1 and IL-6), local inflammation develops in the paracortical zone, blood flow increases, and lymphocyte influx rises, clinically manifesting as lymph node enlargement and tenderness.

Lymphatic Follicles and B-Cell Response

Follicles drive the development of humoral immunity. They are divided into two types:

  1. Primary follicles. Found in fetuses and gnotobiotic animals (raised in sterile conditions). They are small, homogeneous, lack a germinal center, and are filled with resting B cells. In the postnatal period, they rapidly transform into secondary follicles.
  2. Secondary follicles. Have a complex structure. The periphery features a dark mantle zone composed of small lymphocytes, while the center contains a germinal (reactive) center of active proliferation.

The germinal center is divided into three zones: the dark zone (at the base, facing the paracortical zone), the light basal zone, and the light apical zone.

Antigen-dependent differentiation begins in the dark zone. Dendritic cells hold "IgM + native antigen" complexes on their processes. Incosomes—corpuscles carrying these complexes—break off from these processes. B lymphocytes recognize the antigen on incosomes, engulf it, and present peptides to $T_{h2}$ cells. This contact activates B cells: they begin actively dividing, and somatic hypermutation of immunoglobulin genes is initiated (at this stage, the cells are called centroblasts). Next, the cells migrate to the light basal zone, where they are designated as centrocytes.

Mnemonic

Germinal center zones from bottom to top: Dark — Light basal — Light apical (the immune reaction ascends from the paracortical zone like a candle flame from a dark wick).

Frequently asked questions

What types of sinuses are distinguished in the lymph node, and what is their sequence?

The lymph node contains a system of sinuses through which lymph flows sequentially.

Types of sinuses along the lymph flow path:

  • Subcapsular (marginal) sinus — the primary entry point for lymph, located between the capsule and the lymphoid follicles.
  • Perifollicular (trabecular) sinuses — located between trabeculae (septa) and cortical follicles.
  • Medullary sinuses — localized in the medulla between trabeculae and medullary cords.

Lymph enters via afferent vessels, flows sequentially through the sinus system, and collects into efferent vessels.

What cell types form the medullary cords of the lymph node?

The medullary cords (B-zone) are the site of terminal maturation for antibody producers. Their cellular composition includes:

  • B-lineage cells: plasmablasts and mature plasma cells (plasmocytes), which migrate ("drain") here from the follicular mantle.
  • Macrophage lineage cells: typical macrophages.
What is the role of high endothelial venules?

They serve as the main "gates" for lymphocyte migration from the blood into the lymph node via specific receptors on the surface of the tall endothelium.

What are incosomes and where do they form?

These are microscopic corpuscles coated with immune complexes (IgM + native antigen). They detach from dendritic cell processes in the dark zone of the follicular germinal center and are necessary for antigen presentation to B cells.

What is the difference between centroblasts and centrocytes?

Centroblasts reside in the dark zone of the germinal center, where they actively divide and undergo somatic hypermutation. Upon moving to the light basal zone following selection, they are renamed centrocytes.

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