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The immune system is composed of an interdependent set of organs, cells,
and the proteins and other chemicals that they produce. Following is a
brief glossary to explain what these components are and what they do.
Organs of the immune system
Skin and mucous
membranes: The skin is a critical barrier that helps to prevent invasion
by germs and foreign substances. The various mucous membranes that come
into contact with the outside world also serve to protect against invasion.
Saliva, tears and mucus contain antibacterial substances. The small hairs
or cilia that line the trachea (windpipe) beat upwards to move foreign
matter that has been inhaled back out of the respiratory tract. Germ-killing
cells line the mucous membranes and skin and prevent germs from establishing
themselves as infections.
Lymphatic system:
These are vessels that carry lymph, a clear, watery fluid, which bathes
cells of the body and carries nutrients to them. After having supplied
the cells with needed substances, lymph collects again in the lymphatics.
Lymph also collects and conveys immune cells and foreign substances
through the lymphatics to clear them from the body. Lymphatics run side
by side with the blood vessels. Liquid lymph that has been cleared of
foreign substances re-enters the circulation as plasma.
Lymph nodes:
These are small oval structures are found along the lymphatics.
Immune cells collect in them and they filter out foreign substances.
In inflammation and infection, they enlarge, and are often called "swollen
glands."
Thymus: The
thymus is an organ in the chest, under the breastbone. It produces immune
cells called T cells (see below) and is important in their maturation.
The thymus is critical for the development of the immune system of infants.
It has important functions in adult immunity, but adults can live without
a thymus.
Spleen: The
spleen is an organ in the upper left quadrant of the abdomen that filters
out foreign cells. It is particularly important in protecting against
infection with bacteria that have capsules, such as Pneumococcus, a
common cause of bacterial pneumonia. While we can live without spleens,
we are at higher risk of developing certain infections.
Bone marrow:
The bone marrow is the home of blood stem cells, the cells that give
rise to the various circulating blood cells. The marrow produces red
blood cells, that carry oxygen to our tissues and platelets, small cells
critical for proper blood clotting. The marrow also produces white blood
cells, of which there are several different kinds. White blood cells
are the critical immune cells of the body.
Cells of the immune system
The various white blood cells important in immunity include:
Granulocytes:
These constitute about half of your circulating white blood cells. They
contain granules, or little spots visible under a microscope.
Types of granulocytes are:
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Neutrophils: These are the most common white cells
we have. They live less than a day, and their job is to react immediately
to the presence of foreign matter. They locate the foreign matter
through chemotaxis, a response to the release of chemicals
in the presence of foreign substances. They will surround a germ
or foreign body (such as a splinter), engulf it, and release other
chemicals such as hydrogen peroxide to destroy it. Pus is simply
a large volume of dead neutrophils and foreign matter.
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Eosinophils: The numbers of circulating eosinophils
rise in the presence of certain parasites.
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Basophils: These carry the chemical histamine, the
source of the woes associated with allergies (hence the value of
antihistamines). They participate in inflammation. |
Lymphocytes:
These white blood cells are called into action to defeat bacterial and
viral infections. There are two major categories of lymphocytes, B lymphocytes
and T lymphocytes (often simply called B cells and T cells).
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B cells: B cells mature in the bone marrow. B cells
"recognize" specific germs, either bacteria or viruses,
and in the presence of those specific germs, they reproduce rapidly,
as identical clones. These B cells mature into plasma cells, which
are responsible for producing antibodies (see below), infection-fighting
proteins also specific to the particular germs that have invaded
the body.
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T cells: T cells also come in subcategories. The two
main types are the killer (or cytotoxic) T cells, which can kill
tumor cells and virus-infected cells, and the helper T cells, which
provide help to the killer T cells, to B cells and to macrophages
(see below). Some T cells also serve as regulators to stop immune
responses before they go too far. |
Monocytes:
These are produced in the bone marrow and released into the circulation.
They make their way to various organs in the body and mature into macrophages.
Macrophages "eat" foreign matter such as bacteria, parasites,
inhaled fibers and dusts and anything else they find in organs that
does not belong there, including pus.
Proteins and chemicals of the immune system
The various immune cells make a variety of proteins and chemicals that
are also important components of the immune and inflammatory responses.
These include:
Antibody or immunoglobulin:
Antibodies are proteins that are shaped like the letter Y. There are five
major forms of antibody or immunoglobulin (abbreviated Ig): IgG, IgD,
IgE, IgA, and IgM. The base of the Y-shaped protein is the same for all
molecules within one of these five categories, and the very tips of the
arms of the Y vary, and can stick to the foreign invader at which they
are aimed.
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- IgG: There are four different subcategories of IgG, the major
form of immunoglobulin. It coats germs and makes them easier for
germ-eating cells to find.
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- IgD: This immunoglobulin is found on the surface of B cells
and is involved in activating them to participate in the immune
response.
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- IgE: This immunoglobulin participates in the allergic response.
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- IgA: IgA molecules generally come in pairs and are found in
body secretions, such as saliva. They are also found inside the
stomach and intestines.
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- IgM: IgM molecules gather in clusters and are involved in killing
bacteria.
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Cytokines:
These are chemicals that are secreted by T and B cells. They are chemical
messengers that recruit other immune cells to where they are needed
to fight infection and even cancers. Because they communicate between
white blood cells, also called leukocytes, cytokines are sometimes called
interleukins.
Complement proteins:
These proteins are manufactured in the liver. They circulate in the
bloodstream and are activated by the presence of antibodies (thus they
complement their activity). They act to puncture and thus burst or lyse
foreign cells.
Antigens:
Antigens are the chemicals on the surfaces of foreign cells that are
recognized by the immune system. Antibodies are created to specific
antigens. B cells have antigen-receptor sites on their surfaces, which
are proteins that recognize those antigens. T cells have more sophisticated
antigen-sensing systems, and do not recognize "naked" antigen,
recognizing instead antigen that has been processed by other immune
cells.
Immune-related diseases
There are a few diseases that are related to disorders within the immune
system. Among these are:
Autoimmune disease:
The loss of the recognition of some body tissue as "self"
is part of autoimmune disease. Antibodies and T cells attack the body's
own tissue. Some examples of this include some forms of diabetes, rheumatoid
arthritis and lupus.
Immune complex
disease: Normally, the clumps of antibodies and antigens that form
as we fight infection or invasion are cleared from the circulation and
destroyed. If that clearance does not occur, those clumps can lodge
in tissues or small blood vessels and cause damage.
AIDS: The
human immunodeficiency virus or HIV destroys helper T cells, limiting
the body's ability to fight infection.
Cancer and its
treatments: Cancer is sometimes a disease that arises because of
a failure of the immune system to destroy a cancerous growth. Chemotherapy
and radiation can destroy or weaken the cells and organs of the immune
system as an inadvertent side effect, and this can reduce our resistance
to infection.
Characterization of immune response
Scientists characterize the immune response based on which aspects of
it they are studying. Those aspects include:
Innate immunity:
This is the nonspecific part of immunity, or the generalized response
the body has to the presence of an invader.
Adaptive
or acquired immunity: This refers to the very specific response
that comes in the presence of specific antigens. This includes the recruitment
of B cells that make the antibodies that are aimed at those antigens
and activated T cells that also recognize the specific invader.
Humoral immunity:
This describes the production of antibodies by B cells.
Cellular immunity:
This refers to the immunity that is controlled by T cells.
Mucosal immunity:
This is a term that refers to the immune adaptations found within the
mucous membranes (mouth, intestines).
Allergic reactivity:
This is the immune system's response to allergens, substances such as
pollen or foods that incite the inflammatory response.
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