Cells of the Immune System


A wide variety of leucocytes (white blood cells) participate in an immune response. However, only the lymphocytes posses the
attributes of diversity, specificity, memory, and self/nonself recognition.

All of the other cells have an accessory function: activation of lymphocytes, phagocytosis/antigen clearance, secretion of cytokines.

MONOCYTES AND MACROPHAGES
also called mononuclear cells

Monocytes circulate in the blood and lymph (represent 5-8% of WBCs in the blood)
From monocyte ------> macrophage
This transition occurs as the monocytes enter the tissues through the process of extravastion.

Changes which occur during this transition:
Cells enlarge [5-10x]
intracellular organelles increase in number and complexity
cells acquire increased phagocytic ability
increased secretion of many soluble factors

Macrophages play the following important roles:
1) phagocytosis
2) antimicrobial activity
3) secretion of soluble factors
4) antigen presentation

Macrophages are activated by a variety of stimuli in the course of an immune response.
- One of the earliest activating signals comes from chemokines.
- Phagocyotosis itself is an important activating stimulus.
- Macrophages are further activated by cytokines secreted by T helper cells [IFN-gamma]
- and by mediators of the inflammatory response
- and by various microbial products (such as LPS)

PHAGOCYTOSIS
The process of phagocytosis involves:
chemotaxis extension of pseudopodia
formation of a phagosome
fusion with lysosome---->phagolysosome
[lysosomes contain hydrogen peroxide, oxygen free radicals, peroxidase, lysozyme, and a variety of hydrolytic enzymes]

Waste products are then eliminated from the macrophage via exocytosis.

ANTIMICROBIAL ACTIVITY
Following phagocytosis, microorganisms are killed by both oxygen dependent and oxygen independent mechanisms.

Oxygen Dependent
Respiratory burst involves the activation of a membrane-bound oxidase that catalyzes the reduction of oxygen to superoxide anion
(O2-) which is extremely toxic.

The O2- also generates other powerful oxidizing agents:
hydroxyl radicals (OH')
singlet oxygen (O2)
hydrogen peroxide (H2O2)

Macrophages activated with LPS or other microbial products together with IFN-gamma also express high levels of enzyme= nitric
oxide synthetase.  This enzyme oxidizes L-arginine to yield citruline and nitric oxide (NO).
NO is a very potent toxic agent. When it combines with the superoxide anion O2- it is even more toxic. Nitric Oxide-mediated killing
may be more important than respiratory burst in the destruction of some intracellular pathogens.

Oxygen Independent
-Lysozyme
-Other Hydrolytic enzymes
-Defensins [ cysteine-rich cationic peptides - circularize due to the presence of 3 intramolecular disulfide bonds- Form ion-permeable
channels in bacterial and mammalian cell membranes.
-tumor necrosis factor alpha

SECRETION OF SOLUBLE FACTORS

Secretion of Cytokines

IL-1 - multiple effects (activation of TH cells, affects vascular endothelial cells thus influencing inflammatory response, affects the
thermoregulatory center in the hypothalamus leading to fever, induces the syntesis of acute phase proteins.

TNF-a (Tumor necrosis factor alpha)
(kills a variety of cells - often by inducing Apoptosis  [a form of programmed cell death )

IL-6

IL-12-(cytokine which functions during antigen presentation to Th lymphocytes)

plus a large # of cytokines which play a role in hematopoiesis [IL-6, GM-CSF, G-CSF, M-CSF]

Other soluble factors

several of the complement proteins

various hydrolytic enzymes

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Macrophages possess in their membrane, receptors for certain classes of antibody (Fc receptors), receptors for complement
components (CRs). Allowing for opsonization.

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GRANULOCYTIC CELLS
(large leucocytes which contain cytoplasmic granules)
Neutrophils, Eosinophils, Basophils, and Mast Cells

NEUTROPHIL-
Represents 50-70% of circulating WBC
If higher numbers, very suggestive of bacterial infection.
Sometimes called PMN (polymorphonuclear) cell because of multi-lobed nucleus.
The fine granules stain poorly with acidic and basic dyes....thus the name- neutrophil.
These granules fuse with phagosome to destroy internalized bacteria

Primary granules - electron dense and contain bactericidal enzymes such as lysozyme and myeloperoxidase; neutral proteases (i.e.
elastase); and acid hydrolases (B-glucoronidase and cathepsin B).

Secondary granules - not electron dense, smaller
contain lysozyme, collagenase and lactoferrin

As with macrophages, both Oxygen dependent and Oxygen independent mechanisms are used to kill internalized microorganisms.

Neutrophils are more likely than macrophages to kill ingested microorganisms.
Neutrophils also exhibit a larger respiratory burst than macrophages and consequently are able to generate more reactive oxygen intermediates. In addition, neutrophils express higher levels of defensins.

The neutrophil is a phagocytic cell, particularly important in the phagocytosis of bacteria.
However, these cells DO NOT function as APCs.

As discussed previously, a number of substances produced during an inflammatory response recruit neutrophils to a site of inflammation.
Neutrophils are the 1st cells to arrive.

EOSINOPHIL
(represent 1-3% of circulating WBCs)
Possess a bi-lobed nucleus and a heavily granulated cytoplasm.
Granules stain orange/red with the acidic dye Eosin Y.
Somewhat phagocytic but DO NOT act as APCs.

The major role of the eosinophil is believed to be against parasites, particularly parasitic worms.

Eosinophils kill by ADCC [antibody dependent cell-mediated cytotoxicity] by binding to parasite - specific IgE via cell surface
FceRs.

When eosinophils bind to IgE on the surface of a worm, the cell is triggered to degranulate. The contents of the granules cause
damage to the worm's tegument.  There are many hydrolytic enzymes present in the granules responsible for the anti-helminthic activity.  One component which is unique to the eosinophils - and highly toxic to worms - is a substance known as Major Basic Protein (MBP).

BASOPHIL
Only present in the bloodstream, and represent <1% of circulaing WBC

Lobed nucleus--more variable, large coarse granules stain blue with basic dye methylene blue.
Basophils are not phagocytic.
They play a major role in the allergic response when they release their granules (containing histamine, serotonin, heparin, prostaglandin, etc into the bloodstream following exposure to specific allergens).

Basophils also bear Fc receptors for IgE   (FceRs)
When an individual is exposed to an allergen, allergen specific IgE is produced. This IgE binds to the surface of basophils [in the sensitization phase of the allergic response].
Upon re-exposure to the allergen, the allergen binds to IgE on the surface of basophils resulting in degranulation [effector phase].

MAST CELLS

Mast cells are released from the bone marrow as undifferentiated precursor cells and do not differentiate until they enter the tissues
(skin, connective tissue, mucosal epithelium, etc.)

Morphology and function similar to circulating basophils - but clearly derived from a distinct cell lineage.

Mast cells bear Fc receptors for IgE (FceRs) and contain large numbers of cytoplasmic granules which also play a very important role in the allergic response.

More recently, experimental evidence has shown that mast cells express class II MHC and are capable of presenting peptides to Th lymphocytes.  They also produce a variety of cytokines (including the very potent pro-inflammatory cytokine TNF-a.
In fact, TNF is produced and stored within the cytoplasm of the mast cell, and it can be released quickly following mast cell activation.

DENDRITIC CELLS
These cells are derived from the monocyte lineage.
They are called dendritic cells due to the fact that they are covered with a maze of long membrane processes resembling dendrites of nerve cells. These cells function as "professional" antigen presenting cells. They constitutively express high levels of Class II MHC molecules. They capture antigen in the tissues and migrate to various lymphoid organs where they present the antigen to T helper lymphocytes.

Antigen is internalized through endocytic or phagocytic processes.

Dendritic cells are termed:

Langerhan cells in skin
Veiled cells in lymph
Interdigitating dendritic cells in T cell areas of secondary lymphoid tissue and thymic medulla
Interstitial dendritic cells populate most organs (e.g. heart, lungs, liver, kidney, GI tract)

Follicular dendritic cells- do not express MHC class II and, therefore,  do not present antigen to Th cells.
They have an exclusive location in lymphoid follicles, which are the B cell rich areas of lymph node.
These cells express high levels of membrane receptors for antibody and complement (FcRs and CRs). 
Binding of immune complexes to these cells is thought to facilitate B cell activation.
Complexes are retained for very long periods of time (months and even years).
An important role in MEMORY B cell development??

LYMPHOCYTES
Leucocytes which are responsible for the specific immune response.
Represent 20-40% of circulating WBC in blood - 99% of cells in lymph
These cells contain a single, large nucleus.

Lymphocytes circulate in the blood and lymph but can also extravasate and enter the tissues.
Broadly divided into T lymphocytes and B lymphocytes and null cells.
T and B lymphocytes are small, motile, nonphagocytic cells which cannot be distinguished from each other morphologically.

B and T lymphocytes which have not interacted with antigen are said to be resting [virgin or naive] lymphocytes. These cells have
little visible cytoplasm around their nucleus. Once stimulated with antigen (and appropriate cytokine/cellular signals) the cell
progresses through the cell cycle and enlarges into a blast cell [Go-->G1-->S-->G2-->M. Lymphoblasts further differentiate into effector cells or memory cells.  [Plasma cells, Th cells, Tcytotoxic cells]. The memory cells are long-lived cells that reside in the Go phase of the cell cycle until activated by a secondary encounter with antigen.

The transition from naive lymphocyte to lymphoblast involves a transition from a 6µm cell diameter to a 15µm cell diameter.

Different lineages or different maturational stages of lymphocytes can be distinguished by their expression of membrane molecules
recognized by particular monoclonal antibodies. Molecules recognized are referred to as CD molecules (now well over 100)
Cluster of Differentiation (CD)

B lymphoyctes and T lymphocytes may be distinguished by the type of cell surface proteins present (including CD molecules).

A mature T lymphocyte expresses:

Thy-1
TcRs
CD3
CD28
CD45

If it is a Th lymphocyte, the cell also expresses CD4.
If it is a Tc lymphocyte, the cell also expresses CD8.

A mature B lymphocyte expresses:

Ig (~ 1.5 x 105 per cell)
Class II MHC proteins
CD45 (B220)
CR1 and CR2
FcgRs
B7
CD40
 

NULL CELLS
A small group of peripheral blood lymphocytes
These cells fail to express membrane  Ig or TcR or typical CD molecules.
One functional population of these cells are the NK cells (natural killer cells).
These cells are large, granular, and represent 5-10% of the peripheral blood lymphocytes.
NK cells kill tumor cells or virally-infected cells by direct membrane contact or through antibody-dependent cell-mediated cytotoxicity. NK cells are activated by the cytokines IFN-a & IFN-b (released by a variety of different types of cells upon viral infection) and by IL-12 (released by activated macrophages and dendritic cells).

MEGAKARYOCYTE
Giant polyploid cells.
Nucleus undergoes multiple mitotic divisions with no cytoplasmic divisions.
Megakaryocytes give rise to platelets when fragments or pieces of cytoplasm break or "bleb" off of the cell body. Platelets are
involved in the blood clotting process.

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