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Encyclopedia of Health and Medicine

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Structures <strong>of</strong> the Immune System<br />

LYMPH<br />

lymph nodes<br />

B-CELL LYMPHOCYTE<br />

plasma cell<br />

memory B-cell<br />

T-CELL LYMPHOCYTE<br />

cytotoxic (killer) T-cell<br />

memory T-cell<br />

helper T-cell<br />

suppressor t-cell<br />

NATURAL KILLER (NK) CELL<br />

complement factors<br />

MONOCYTE<br />

MACROPHAGE<br />

GRANULOCYTE<br />

basophil<br />

eosinophil<br />

neutrophil<br />

MAST CELL<br />

THE IMMUNE SYSTEM<br />

AND ALLERGIES<br />

The IMMUNE SYSTEM protects the body from INFECTION. Allergies represent an inappropriate response from the immune<br />

system toward harmless substances. Doctors (MDs <strong>and</strong> DOs) who treat conditions <strong>of</strong> the immune system may be<br />

internists or immunologists. Doctors who specialize in treating allergies are allergists, <strong>and</strong> those who specialize in<br />

treating RHEUMATOID ARTHRITIS <strong>and</strong> related AUTOIMMUNE DISORDERS are rheumatologists.<br />

M cell<br />

adenoids<br />

tonsils<br />

THYMUS<br />

PEYER’S PATCHES<br />

APPENDIX<br />

MUCOSA-ASSOCIATED<br />

LYMPHOID TISSUE (MALT)<br />

SKIN-ASSOCIATED LYMPHOID<br />

TISSUE (SALT)<br />

NOSE-ASSOCIATED<br />

LYMPHOID TISSUE (NALT)<br />

BRONCHIAL-ASSOCIATED<br />

LYMPHOID TISSUE (BALT)<br />

GUT-ASSOCIATED LYMPHOID<br />

TISSUE (GALT)<br />

VASCULAR-ASSOCIATED<br />

LYMPHOID TISSUE (VALT)<br />

Functions <strong>of</strong> the Immune System<br />

The immune system’s role is to protect the body<br />

from infection. Infection, from the immune system’s<br />

perspective, is any activity from foreign<br />

entities that causes damage to cells. It does so<br />

through a complex <strong>and</strong> intricate integration <strong>of</strong><br />

organs, tissues, cells, <strong>and</strong> molecules.<br />

Each day the BONE MARROW releases billions <strong>of</strong><br />

monocytes <strong>and</strong> granulocytes, also called polymorphonuclear<br />

cells (PMNs), into the BLOOD circulation.<br />

Monocytes circulate in the blood for about<br />

24 hours <strong>and</strong> then migrate into the LYMPH tissues,<br />

235<br />

LIVER, <strong>and</strong> the various MUCOSA-ASSOCIATED LYMPHOID<br />

TISSUE (MALT) structures throughout the body.<br />

Known as macrophages after their migration,<br />

these cells participate in ANTIGEN processing as well<br />

as continued PHAGOCYTOSIS (consumption <strong>of</strong> cellular<br />

debris). Granulocytes (neutrophils, basophils,<br />

<strong>and</strong> eosinophils) are instrumental in the body’s<br />

inflammatory response, which is integral to HEAL-<br />

ING in normal immune function as well as responsible<br />

for much <strong>of</strong> the distress <strong>of</strong> a HYPERSENSITIVITY<br />

REACTION—ALLERGY—when the immune system<br />

malfunctions.<br />

The workhorse cells <strong>of</strong> the immune system are<br />

the lymphocytes, which from birth divide into<br />

two camps: B-cell lymphocytes, which patrol the<br />

blood <strong>and</strong> lymph on the alert for invaders, <strong>and</strong> T-<br />

cell lymphocytes, which respond to the call <strong>of</strong> B-<br />

cell lymphocytes when invaders penetrate the<br />

body’s barriers. B-cell lymphocytes come to maturity<br />

in the bone marrow <strong>and</strong> regulate ANTIBODY-<br />

MEDIATED IMMUNITY. T-cell lymphocytes come to<br />

maturity in the THYMUS <strong>and</strong> regulate CELL-MEDIATED<br />

IMMUNITY. Lymphocytes circulate in the blood <strong>and</strong><br />

the lymph, <strong>and</strong> also reside in lymph organs <strong>and</strong><br />

tissues throughout the body. The SPLEEN contains<br />

about half the body’s supply <strong>of</strong> lymphocytes.<br />

Perhaps more than any other system <strong>of</strong> the<br />

body the immune system is one <strong>of</strong> molecular<br />

function. The entire function <strong>of</strong> the immune system<br />

centers on the ability <strong>of</strong> immune cells to distinguish<br />

cells that belong to the body—self<br />

cells—from cells that do not belong to the body—<br />

nonself cells. It does so through molecular mark-

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