Firstorgantobecomelymphoid
Maximumsize-beforebirth
Continuesgrowth–12
th
year
Afterpuberty-Spontaneousinvolution
Functionbest-Earlylife
Located -upper part of sternum
Two lobes surrounded by fibrous capsule,
septa arising from capsule divides the gland
into lobules differentiated -outer cortex
and inner medulla
Cortex -Actively proliferating lymphocytes
Medulla -Epithelial cells, lymphocytes
Hassall’s corpuscles
Primary function -Thymic lymphocytes
Lymphocytes conditioned in thymus -
‘thymus dependent lymphocytes’ or T cells
Lymphocyte proliferation -Not dependant
on antigenic stimulation
Humans and mammals –Site of B cell origin
and development
Immature B cells –Lymphoid progenitors-
proliferate and differentiate
Lymphocytes originate in bone marrow
T lymphocytes –thymus
B lymphocytes –bone marrow
Lymph nodes -Placed along course of
lymphatic vessels surrounded by a fibrous
capsule from which trabeculae penetrate
into the nodes
Node is differentiated into outer cortex
inner medulla
Cortex -Accumulation of lymphocytes
(primary lymphoid follicle) within which
germinal centres (secondary follicles)
develop during antigenic stimulation
Follicle contains dendritic macrophages
which capture and process antigen
Medulla: Lymphocytes, plasma cells and
macrophages arranged as elongated
branching bands (medullary cords)
Cortical follicles and medullary cords contain
B lymphocytes
Between cortical follicles and medullary
cords, broad, ill-defined intermediate zone
(paracortical are) contains T lymphocytes
Diagrammatic section of lymph node (arrows
indicate the path of lymph flow)
Filter for lymph
Phagocytose foreign material
Help proliferation and circulation of T and B
cells, enlarge following local antigenic
stimulation
Largest lymphoid organ
Capsule from which trabeculae descend,
dividing the organ into interconnected
compartments
Schematic diagram of splenic architecture
Graveyard for effete blood cells
Reserve tank and settling bed for blood,
systemic filter -trapping bloodborne foreign
particles
Immunological function -Bloodborne
antigens
Mucosa lining -Alimentary, respiratory
genitourinary and other lumen
Constantly Exposed to antigens
Endowed with rich collection of lymphoid
cells -either specialised aggregates -Peyer’s
patches or scattered lymphoid follicles –
collectively MALT
GALT -Lymphoid tissue in gut, adenoids
and tonsils, follicles in colon
BALT -Respiratory tract bronchus
Contain Lymphoid cells and phagocytic cells
B + T cells predominantly lg A
Lymphocytes -Small round cells
Peripheral blood, lymph, lymphoid organ
peripheral blood –20-40% of leucocyte
population
10
12
lymphocytes
10
9
-Renewed daily 1% of total body
lymphocytes -blood
SizeSmall –5-8 m
Medium –8-12 m
Large –12-15 m
Classified Life span
-short lived -two weeks -immune response
-long lived -three years –immunological
memory
Before encountering antigen -naïve cell
‘educated by central lymphoid organs’
Immunologically competent cell (ICC)
Functions -recognition of antigen
immunological memory
immune response
Antigen recognition mechanisms recognise
one antigen
Reaction -Immunocompetent cell either
‘tolerance’ or immune response
Stimulated ‘T’ cells -lymphokines induce CMI
‘B’ cells -divide and transform into plasma
cells-synthesise immunoglobulin
T cells -Bind sheep erythrocytes –rosettes
Demonstration of CD3 cells on Tcells and Ig
on B cells
SRBC or E rosette by CD
2antigen B cells do
not
B cells -Bind sheep erythrocyte coated with
antibody and complement forming EAC
rosettes -C
3receptor
T cells do not possess this
B cells have immunoglobulin on their
surface first to appear -monomeric lgM
Therefore -antigen recognition unit T cells
-no surface lg
T cell receptors -TCR
T cells -Thymus specific antigen
T cells -Blast transformation -on treatment
with mitogens
B cells -Blast transformation -with bacterial
endotoxins
Scanning EM -T cells are free of cytoplasmic
surface projections
B cells -Filamentous surface, microvilli
T cell precursors -Yolk sac, fetal liver, bone
marrow migrate to
Thymus
Earliest cells-CD
7
+
-Pro-T cell
Acquire CD
2in thymus
Synthesise CD
3in cytoplasm -Pre -T
TCR synthesis takes place
TCR -heterodimer
Association with CD3 -antigen recognition
TCR -Two pairs of glycoprotein chains
αβor
Pre -T -differentiate -αβor
TCR chains -Four separately encoded regions
V -variable, D -diversity
J -joining, C -constant
Immunoglobulin supergene family -reassortment
-wide repertoire of antigen specificities
T cell maturation
Contact with self antigens-within thymus
Destruction of immature T cells carrying
corresponding TCR
Therefore -elimination of T cells capable of
reacting with autoantigens
Potentially harmful ‘forbidden clones’ deleted
by antigen -specific suppressor cells
T cells -develop -MHC restriction
CD
8+ -antigens presented with HLA class
I
CD
4+ -antigens presented with HLA class
II
Immature T cells -exhibit -CD
7,2,3,1,4,8and
TCR
Functional maturity -lose CDI
Two major subsets -CD
8-
4+
CD
4-
8+
Broadly classified -regulatory and effector
Based on surface markers, target cells and
functions -following T cell categories
Helper/inducer cell-TH cell with CD
4+ surface
marker MHC class
IIrestriction
Suppressor T cell (Ts)
Cytotoxic/cytolytic T cell (Tc) CD
8+ surface
marker
Memory cells (Tm)
CD4+ surface marker
MHC class
IIrestriction promoting growth of T
cells and macrophages
2 subsets -TH
1, TH
2
TH1, cells -produce -cytoknies
Interferon gamma (IFN-)
Interleukin 2 (IL-2)
Activate macrophage and T cell promote CM1
Kill intracellular microbes-tubercle, lepra bacilli
TH 2 –cytokines ,IL4,5 and 6-stimulate B
cells to form antibodies
TH 17 –cytokine IL 17, promotes
inflammation, autoimmune disease (SLE,
Rheumatoid Arthritis) and cancer
CD 4 + cells
Produce cytokine TGF beta
Immune response and tolerance to self-
reacting cells
CD8 surface master
MHC -class I restriction
Kill and lyse target cells
Including tumour, virus-infected cells
Memory cell (Tm)
CD4 and CD8 memory and anamnestic
response
B lymphocyte precursors -pro B cells
Develop -fetal liver -embryonic life bone
marrow -adult
Pre-B cells –synthesise cytoplasmic lgM
Immature -B cells -lg M cell surface
Migrate to periphery, undergo
immunoglobulin isotype switching
So cell expresses -lg D, lg M, lgG, lgE, lgA
Appropriate antigen -mature B cell, clonal
proliferation
Activated B cell -memory cell
Plasma cell
Plasma cell
Antibody secreting cell
Antibody secreting cell, oval, eccentrically
placed oval nucleus, large block of chromatin –
peripherally.
Structurally -immunoglobulin production
End cells
Short life span
Antibody of single specificity single
immunoglobulin class allotype
Single light chain type
B cells selected –germinal centre –high
affinity membrane IgG for antigen
B cells differentiate to plasma cells and
memory cells
B cell maturation
5-10% of circulating lymphocytes lack
features of either T or B cells
Null cells -large granular lymphocyte
Indented nuclei, abundant cytoplasm
azurophilic granules, mitochondria,
ribosomes, endoplasmic reticulum, golgi
apparatus
Different functions and surface markers
Important member -Natural killer (NK) cell
Antigen dependent cytotoxic cell (ADCC)
Lymphokine activated killer (LAK)
Natural killer (NK) sometimes -common
name -all null cells
Spontaneous cytotoxicity not antibody
dependent/MHC restricted
NK activity -‘natural’ ‘non-immune’ does
not require sensitisation
Part of innate immunity
Active in ‘severe combined
immunodeficiency disease’
Where ‘B’ and ‘T’ cells absent
CD16 and CD56 on surface
Phylogenetically oldest defense mechanism
-removal of foreign particles -
mononuclear macrophages and
polymorphonucleor macrophages
Blood macrophages –monocytes(12-15µ)
Tissue macrophages –histiocytes(15-20µ)
Macrophage -Induction, execution of immune
response
Trap antigen -provide it -to lymphocytes
Processing + presentation of antigen to T cell -
requires both cells -possess surface determinants
coded for by same MHC genes
T cell can accept -processed antigen only if
presented by a macrophage carrying -self-
MHC antigen when macrophage -different
MHC antigen -it cannot cooperate with
T cells -MHC restriction
Activated by lymphokines, complement
components or interferon
Activated macrophage -secrete
Hydrolytic enzymes, binding proteins
(fibronectin, transferrin)
Tumour necrosis factor –(cachectin)
Colony stimulating factor –(CSF) and
interleukin 1
Immune system -primary function -
recognition and elimination of foreign cells
and antigens
Gorer -1930s -antigens responsible for
allograft rejection -inbred mice -
discovery of major histocompatibility
complex
Complex of genes on a segment of one
chromosome pair coding for three different
classes of proteins
Class I protein -Determine
histocompatibility -acceptance/rejection-
allograft
Class II protein -Regulate immune response
Class III protein -Complement system
Major antigens -determining
histocompatibility in humans -alloantigens
-surface of leucocytes
Human MHC antigens therefore synonymous
with human leucocyte antigen
MHC complex synonymous with HLA
complex
Complex of genes located on short arm of
chromosome 6
Consists of three separate cluster of genes
•HLA class I -comprising A, B + C loci
•HLA class II or D region-DR, DQ + DC loci
•HLA class III or complement region
HLA complex loci on chromosome
Antigen -obtained -multiparous women
antibodies to HLA antigen -husband
sensitisation during pregnancy
Monoclonal antibodies -HLA antigens
developed
For more discriminating than blood grouping
compatibility -tissue transplantation
Disputed paternity
Anthropological studies
HLA types and diseases
Ankylosing spondylitis -HLA B
27
Rheumatoid arthritis -HLA -DR
4
Autoimmune conditions -HLA DR
3