Adaptive Immunity

  • Humoral immunity
    • Complement system, antobodies
  • Cellular immunity
    • T-Lymphocytes

ANATOMY OF THE ADAPTIVE IMMUNE SYSTEM
  • Stem cells of bone marrow → red cells, leucocytes, B cells 
  • Thymus → T cells
    • Thymus
      • Anterior mediastinum. Grows in childhood. Gradual involution after puberty. Continue to function during adult life. 
      • Immature T cells in cortex. Mature T cells in medulla
  • Lymph nodes, Spleen, Mucosal-associated lymphoid tissue (MALT)
  • Lymph nodes
    • Comprise a cellular cortex
    • Lymphocytes  → High endothelial venules → Spleen, Lymph node
    • B and T cells continue to recirculate through lymph node
    • B cells 
      • B cells organised into follicles
      • Active immune response → B cells → Follicles → Germinal centres
      • B cells → Medulla → Plasma cells → Antibody
    • T cells 
      • In deep cortex
    • Antigen-presenting cells in B and T cells areas
  • Spleen
    • White pulp
      • Organisation similar to B cell follicle and T cells areas
    • Red pulp
      • Blood vessels network removing old red blood cells
  • MALT
    • GIT: Peyer's patches in small intestine
    • Respiratory tract: Tonsils. Adenoids
    • Urogenital tract

B CELLS
  • Bone marrow-derived 
  • For humoral antibody immune response
  • Antigen → B cells + T helper cells → Immune response → Immunoglobulin production IgM IgG
  • Autoimmunity: Impaired mechanisms → Self-reactive antibodies

T CELLS
  • Recognise and discriminate antigens
    • Receptors
    • Antigen recognition: Petide fragments + HLA (human leucocyte antigen) molecules (clases I & II)

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