Outline of Lecture 18
Cell Interactions and Primary Immunodeficiency
I. Primary Lymphoid Organs
- Role: Produce clonally diverse lymphocytes with broad but tolerant Ag
recognition
A) Bone Marrow
- Site of initial production of all hematopoietic cells
- Stromal cells provides support and cytokines for hematopoiesis
1) B-lymphopoiesis
- Full progression from stem cell to mature sIg+ B cell
- Vectoral (precursors found at periphery whereas mature cells are
in the center)
- Important factors: IL-7, fibronectin, CD44/hyaluronate, integrins
- B cell loss through bad rearrangements and negative selection (clearance
through macrophages)
2) T-lymphopoiesis
- CD7+ stem cell proceeds to pro-thymocyte, which travels to
thymus
B) Thymus (see diagram p. 315)
- TCR rearrangement occurs in the cortex
- Cortical epithelium cells mediate positive selection
- Medullary epithelium cells and macrophages (also at CMJ) are negative
selecting
II. Secondary Lymphoid Tissues
A) These tissues are: lymph node, spleen, mucosal associated lymphoid tissues
B) Structure (know each): afferent lymph vessel, subcapsular sinus, cortex,
paracortex (T zone), medulla, hilum, efferent lymph vessel, high endothelial
vessel, follicle, germinal center
C) DC’s enter through affere
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