8. Imunologi Mukosa

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  • Jajah Fachiroh , Rina Susilowati

    Basic Course on immunology

    Yogyakarta, 23 - 25 April 2012

    Mucosal Immune System

    Deparment of Histology and Cell BiologyFaculty of Medicine Universitas Gadjah Mada

    [email protected]

  • CONTENTS

    1. Introduction

    2. Anatomic feature

    3. Effector mechanism

    4. Immunoregulatory environment

  • IntroductionThe importance of mucosal immunity

  • 4

    Mucosal surface exposed continuously to large amount of pathogens

    Enormous area to be protected

  • 5

    Mucosal infections are one of the biggest health problems

  • 6

    Primary lymphoid

    organs

    Secondary lymphoid

    organs

    NALT

    ring

    BALT

    GALT

    Lymphoid tissue of urogenitaltract

    Mucosa-associated Lymphoid Tissue

    (MALT)

  • Anatomic featureEmphasizes on GALT

  • David Artis, 2008 Nature Reviews Immunology 8, 411-420

    (a) microvillar extension

    (b) epithelial-cell tight

    junctions

    (c) apically attached and

    secreted mucins that form a

    glycocalyx

    (d) production of various

    antimicrobial peptides

    (e) M (microfold) cells overlie

    Peyer's patches (f) to promote

    uptake and transport of

    luminal contents to

    professional APC

    (g).dendritic cell (DC) can also

    extend dendrites between the

    tight junctions of intestinal

    epithelial cells to sample

    luminal contents

    Epithelium provides host direct protection from luminal microbes

  • 9

    In the gut, Mucosa-associated Lymphoid Tissue is located in

    anatomically defines compartments

    Anatomic feature of mucosal immune system

    Johannes Conrad Peyer

    (1653 1712), a Swiss anatomist

  • Lamina propria

    MALT

    Effector site

    Inductive site

    Anatomic feature of mucosal immune system

  • 11

    GALT

    Jejenum Ileum

    Anatomic feature of mucosal immune system

  • 12

    Substances & microorganism

    taken up by M cells

    Anatomic feature of mucosal immune system

  • 13

    The organization of the mucosal immune system

    GALT

  • The organization of the mucosal immune system: dendritic cells

  • Effector mechanismImmune response in GALT

  • Homing receptor determines the effector site

    Lamina propria

  • The circulation of lymphocytes within the mucosal immune system is controlled by tissue-specific adhesion molecules and chemokine receptors

    Homing receptor determines effector site

  • Iwasaki, Annu. Rev. Immunol. 2007. 25:381 418

    Molecular control of intestine specific

    homing of lymphocytes

    Homing receptor determines effector site

  • The mucosal immune system contains large numbers of effector lymphocytes even in

    the absence of disease

    Homing receptor determines effector site

  • 20

    Epithelial cells

    T cells

    B cells

    Intraepithelial lymphocytes

    (IEL) type a & b

    Efector cells in GALT : Intra epithelial lymphocytes

  • 21

    Intraepithelial lymphocytes type a (classical CD8 CTL;

    heterodimer) recognize virus infected epithelial cells

    Efector cells in GALT : Intra epithelial lymphocytes

  • Intraepithelial lymphocytes type b (non classical CD8

    homodimer) recognize stress epithelial cells

    Efector cells in GALT : Intra epithelial lymphocytes