Topic 37 of 66 in the MU Plovdiv syllabus for Human Biology (Medicine, Year 1). The free AceMed note covers it in 18 sections, about 2,031 words (15 min of reading), with 41 flashcards.
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Lymphocyte differentiation in peripheral lymphoid organs. Immune response
Transition from Central to Peripheral Organs
Role of Peripheral Lymphoid Organs
Types of Peripheral Lymphoid Organs
Key Phases of Immune Response in Peripheral Organs
T Lymphocyte Activation and Differentiation
B Lymphocyte Activation and Differentiation
Antibody Secretion and Function
Contraction of the Immune Response and Memory Cell Formation
MNEMONIC
Immune memory
Types of Immune Responses
Memory Cells: The Foundation of Immune Memory
Memory B Cell Generation and Maturation
Features of Memory B Cells
Memory T Cells
Vaccination and Immune Memory
Immune tolerance. Regulatory T lymphocytes.
Transition from Central to Peripheral Organs
B and T lymphocytes complete their development and become immunocompetent in the central lymphoid organs (bone marrow for B cells and thymus for T cells).
These immunocompetent cells then migrate to peripheral lymphoid organs where they participate in immune responses upon encountering antigens.
Role of Peripheral Lymphoid Organs
These organs are the primary sites for initiation and regulation of immune responses.
Lymphocytes in these organs become activated upon recognizing antigens.
Activated lymphocytes undergo clonal proliferation and antigen-specific differentiation into effector cells (that eliminate pathogens) and memory cells (that persist for future immune responses).
This process is antigen-dependent, unlike their earlier maturation which is antigen-independent.
Effective immune responses depend on interactions between B cells, T cells, and antigen-presenting cells, all coordinated by signaling molecules called cytokines.
Types of Peripheral Lymphoid Organs
A. Lymph Nodes
Lymph nodes are encapsulated and divided into three main areas:
Cortex: Contains B cell follicles. Primary follicles are inactive while secondary follicles contain germinal centers where B cells actively proliferate and differentiate.
Paracortex: Rich in T cells. This is where T cells are activated during cellular immune responses.
Medulla: Houses plasma cells that secrete antibodies.
Lymph nodes filter lymph fluid draining from tissues, allowing antigens from infections or injuries to be presented to lymphocytes.
Specialized blood vessels called High Endothelial Venules (HEVs) allow naïve lymphocytes to enter the node from the blood.
Once activated, lymphocytes exit through efferent lymphatic vessels and re-enter the bloodstream to reach affected tissues.
B. Spleen
The spleen deals with antigens circulating in the blood, especially those from blood-borne infections.
Structurally divided into:
Red pulp: Involved in filtering blood and removing old red blood cells.
White pulp: Contains immune cells. It surrounds arterioles and includes:
Periarteriolar lymphoid sheaths (PALS): T cell zones.
Marginal zones: B cell areas.
C. Mucosa-Associated Lymphoid Tissue (MALT)
MALT protects mucosal surfaces like the respiratory, digestive, and genitourinary tracts.
It lacks a capsule and includes tissues such as:
Tonsils
Adenoids
Peyer’s patches
Appendix
MALT primarily supports IgA-mediated immunity, which is crucial for mucosal defense.
Some B cells activated in MALT migrate to the mammary glands, where they secrete IgA antibodies into breast milk, offering passive immunity to infants.
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