Introduction to the Immune System
The immune system is a complex network of cells, tissues, and organs that work together to protect the body against infections and diseases. It identifies and destroys pathogens such as bacteria, viruses, fungi, and parasites, as well as abnormal cells like cancer cells.
Hematopoietic Cells and Blood Cells
The immune system relies on hematopoietic stem cells (HSCs) found in the bone marrow. These stem cells are multipotent, meaning they can differentiate into various types of blood cells, including those that are crucial for the immune response.
Types of Blood Cells:
- Red Blood Cells (Erythrocytes): Carry oxygen from the lungs to the body tissues and carbon dioxide as a waste product back to the lungs.
- Platelets (Thrombocytes): Play a key role in blood clotting.
- White Blood Cells (Leukocytes): Involved in defending the body against infectious disease and foreign invaders.
Types of White Blood Cells:
- Neutrophils: The frontline defenders against microbial infections, engaging in phagocytosis to engulf and destroy pathogens. There are different subsets of neutrophils, such as polymorphonuclear neutrophils and band cells, each with specific functions in the immune response.
- Eosinophils: Combat multicellular parasites and participate in allergic reactions. They are particularly effective against helminths and can modulate allergic responses through the release of granule contents.
- Basophils: Release histamine during inflammatory responses and contribute to allergic reactions. Basophils, along with mast cells, play crucial roles in immediate hypersensitivity reactions.
- Monocytes: Differentiate into macrophages and dendritic cells that phagocytize pathogens and present antigens to T cells. Macrophages and dendritic cells are present in various organs and tissues throughout the body, where they perform specialized functions. For example, Kupffer cells in the liver, alveolar macrophages in the lungs, microglia in the brain, and osteoclasts in bone are all specialized types of macrophages that reside in specific organs. These cells play a crucial role in antigen presentation, a process facilitated by major histocompatibility complex (MHC) molecules, which present antigens to T cells, initiating an immune response.
- Lymphocytes: Essential for the adaptive immune response, encompassing B cells, T cells, and natural killer (NK) cells. B cells produce antibodies that recognize specific antigens, T cells directly kill infected or abnormal cells, and NK cells provide rapid responses against virally infected cells and tumor cells.
Innate and Adaptive Immunity
The immune system is divided into two main components: innate immunity and adaptive immunity.
Innate Immunity:
Characteristics: Non-specific, immediate response, does not provide long-lasting immunity.
Components: Physical barriers (skin, mucous membranes), phagocytic cells (neutrophils, macrophages), natural killer cells, and various proteins (complement system).
Adaptive Immunity:
Characteristics: Specific, slower response upon first exposure but provides long-lasting immunity.
Components: B cells and T cells.
B cells: Produce antibodies (humoral immunity) that bind to antigens and neutralize or mark them for destruction. Different classes of antibodies, such as IgG, IgM, IgA, IgD, and IgE, play distinct roles in the immune response.
T cells: Directly kill infected cells (cell-mediated immunity) or help other immune cells.
Hormonal and Cellular Immunity
Hormonal (Humoral) Immunity:
Mediated by: B cells and antibodies.
Function: Antibodies produced by B cells bind to specific antigens, neutralizing pathogens or marking them for destruction by other immune cells.
Cellular Immunity:
Mediated by: T cells.
Function: Cytotoxic T cells kill infected cells directly, while helper T cells activate other immune cells.
Autoimmune Diseases
Autoimmune diseases occur when the immune system mistakenly attacks the body's own tissues. Examples include:
- Multiple Sclerosis: Immune system attacks the protective covering of nerve fibers (myelin) in the central nervous system.
- Myasthenia Gravis: Immune system attacks the communication between nerves and muscles, leading to muscle weakness.
- Pernicious Anemia: Immune system attacks the stomach cells that produce intrinsic factor, necessary for vitamin B12 absorption.
- Reactive Arthritis: Inflammatory arthritis triggered by an infection in another part of the body.
- Rheumatoid Arthritis: Immune system attacks the synovium, the lining of the membranes that surround the joints.
- Sjögren Syndrome: Immune system targets the glands that produce moisture, leading to dry eyes and mouth.
- Systemic Lupus Erythematosus (Lupus): Immune system attacks multiple organs and tissues, causing widespread inflammation.
- Type I Diabetes: Immune system attacks insulin-producing cells in the pancreas.
Cancers Affecting the Immune System
- Leukemias: Cancers of the blood and bone marrow affecting white blood cells. Examples include acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), and chronic myeloid leukemia (CML).
- Lymphomas: Cancers of the lymphatic system. Examples include Hodgkin lymphomaand non-Hodgkin lymphoma.
- Myelomas: Cancers of plasma cells, which are a type of white blood cell that produces antibodies. An example is multiple myeloma.
Conclusion
The immune system is essential for defending against infections and maintaining overall health. It comprises various cells and mechanisms that work together to identify and eliminate harmful invaders. Disorders of the immune system, such as autoimmune diseases and cancers, can significantly impact health, requiring careful diagnosis and management. Understanding the immune system's complexity helps in developing treatments for these conditions and improving patient outcomes.
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