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Encyclopedia of Health and Medicine

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B<br />

B-cell lymphocyte A type <strong>of</strong> white BLOOD cell<br />

(LEUKOCYTE) responsible for ANTIBODY-MEDIATED<br />

IMMUNITY (also called humoral immunity). B-cell<br />

lymphocytes are so named because they come to<br />

maturity in the BONE MARROW (in contrast to T-cell<br />

lymphocytes, which come to maturity in the THY-<br />

MUS). B-cell lymphocytes produce antibodies in<br />

reaction to the presence <strong>of</strong> antigens. The bone<br />

marrow generates millions <strong>of</strong> B-cell lymphocytes<br />

each day. Each B-cell lymphocyte is specific for a<br />

unique ANTIGEN.<br />

B-cell lymphocytes may be memory B-cells,<br />

which “remember” specific antigens to mobilize a<br />

rapid IMMUNE RESPONSE upon detecting their presence,<br />

<strong>and</strong> PLASMA cells, which produce antibodies.<br />

• Plasma cells generate antibodies in response to<br />

the presence <strong>of</strong> antigens.<br />

• Memory B-cells remain in the circulation <strong>of</strong> the<br />

blood <strong>and</strong> LYMPH, carrying inactive antibodies.<br />

Each memory B-cell has antibodies specific to a<br />

particular antigen the immune response has<br />

previously encountered. When the memory B-<br />

cell encounters the antigen again, it immediately<br />

begins producing antibodies.<br />

<strong>Health</strong> conditions that affect B-cell lymphocytes<br />

include cancers, such as certain types <strong>of</strong> LEUKEMIA<br />

<strong>and</strong> lymphoma, <strong>and</strong> acquired immune <strong>and</strong><br />

AUTOIMMUNE DISORDERS.<br />

For further discussion <strong>of</strong> B-cell lymphocytes<br />

within the context <strong>of</strong> the structures <strong>and</strong> functions<br />

<strong>of</strong> the immune system, please see the overview<br />

section “The Immune System <strong>and</strong> Allergies.”<br />

See also CELL-MEDIATED IMMUNITY; HIV/AIDS; T-CELL<br />

LYMPHOCYTE.<br />

biological response modifier<br />

See IMMUNOTHERAPY.<br />

251<br />

bronchus-associated lymphoid tissue (BALT)<br />

Loosely organized clusters <strong>of</strong> LYMPH tissue beneath<br />

the epithelium (tissue that forms the mucous lining)<br />

<strong>of</strong> the bronchi (inner airways) in the LUNGS.<br />

These clusters <strong>of</strong> lymph tissue have preventive,<br />

protective, <strong>and</strong> cleanup responsibilities within the<br />

IMMUNE RESPONSE. They contain<br />

• macrophages <strong>and</strong> dendritic cells, which are<br />

phagocytic cells that consume the debris <strong>of</strong><br />

pathogens other leukocytes (white BLOOD cells)<br />

kill<br />

• T-cell lymphocytes, which destroy PATHOGENbearing<br />

cells<br />

• B-cell lymphocytes, which produce the ANTI-<br />

BODY IMMUNOGLOBULIN A (IgA), that helps keep<br />

BACTERIA <strong>and</strong> viruses from adhering to mucous<br />

tissues, such as the lining <strong>of</strong> the nasal sinuses<br />

<strong>and</strong> the bronchi<br />

• M cells (folded, M-shaped cells that engulf<br />

pathogens <strong>and</strong> transport them to phagocytes),<br />

which participate in the various stages <strong>of</strong> ANTI-<br />

GEN dispensation<br />

BALT, like collections <strong>of</strong> accessory lymphoid tissue<br />

elsewhere in the body, reinforces the presence<br />

<strong>of</strong> the IMMUNE SYSTEM in areas where the body is<br />

vulnerable to invasion <strong>of</strong> pathogens (viruses, bacteria,<br />

<strong>and</strong> other potentially harmful substances). A<br />

specific role <strong>of</strong> BALT is to provide an extra layer <strong>of</strong><br />

immune protection to block or limit access by<br />

viruses that cause infections specific to the lungs,<br />

such as INFLUENZA <strong>and</strong> PNEUMONIA.<br />

For further discussion <strong>of</strong> BALT within the context<br />

<strong>of</strong> the structures <strong>and</strong> functions <strong>of</strong> the immune<br />

system, please see the overview section “The<br />

Immune System <strong>and</strong> Allergies.”

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