Immune System

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  • The immune system is a highly intricate and dynamic network of cells, tissues, organs, and molecules that work together to defend the body against pathogens—such as bacteria, viruses, fungi, and parasites—as well as abnormal cells like cancer. It is fundamental to maintaining health by identifying and eliminating harmful agents while preserving the body’s own tissues through the process of self vs. non-self recognition.
  • The immune system can be broadly divided into two main branches: innate immunity and adaptive immunity.
    The innate immune system is the body’s first line of defense and provides an immediate, non-specific response to invaders. It includes physical barriers such as the skin and mucous membranes, as well as internal defenses like phagocytic cells (e.g., macrophages and neutrophils), natural killer (NK) cells, and complement proteins. These components rapidly identify general features of pathogens and act to neutralize or destroy them. The innate system also triggers inflammation, a localized response marked by redness, heat, swelling, and pain that helps isolate and eliminate threats while signaling other immune cells to the site.
  • The adaptive immune system, on the other hand, is slower to respond but highly specific and capable of forming immunological memory. This allows the body to mount stronger and faster responses upon re-exposure to the same pathogen. The adaptive system primarily involves lymphocytes: B cells, which produce antibodies (immunoglobulins) that neutralize pathogens, and T cells, which either help orchestrate the immune response (helper T cells) or directly kill infected cells (cytotoxic T cells). These cells undergo maturation in specialized organs—the bone marrow for B cells and the thymus for T cells—and circulate through the lymphatic system and bloodstream.
  • Key structures of the immune system include the lymph nodes, spleen, tonsils, thymus, and bone marrow. The lymphatic system, a network of vessels and nodes, acts as a transportation route for immune cells and plays a crucial role in filtering lymph to detect foreign particles. The spleen filters blood and removes old or damaged red blood cells, while also serving as a reservoir of immune cells. The thymus is essential for T cell maturation during early life, and the bone marrow is the origin of all blood and immune cells through the process of hematopoiesis.
  • Communication within the immune system is mediated by cytokines—small signaling proteins like interleukins, interferons, and tumor necrosis factors (TNFs)—which regulate the growth, activation, and differentiation of immune cells. Antigen-presenting cells (APCs), such as dendritic cells, bridge innate and adaptive immunity by capturing antigens and presenting them to T cells, thereby initiating a tailored immune response.
  • While the immune system is generally protective, its dysfunction can lead to immune-related disorders. Autoimmune diseases (e.g., lupus, rheumatoid arthritis, type 1 diabetes) occur when the immune system mistakenly attacks the body’s own tissues. Immunodeficiencies, such as HIV/AIDS or congenital conditions like Severe Combined Immunodeficiency (SCID), result in weakened immune defenses. Hypersensitivities and allergies are exaggerated immune responses to harmless substances, while chronic inflammation is increasingly recognized as a contributing factor in diseases like cancer, cardiovascular disease, and neurodegeneration.
  • Modern medicine has harnessed the immune system for therapeutic purposes, including vaccination, which trains the immune system to recognize pathogens without causing disease, and immunotherapy, which involves boosting or redirecting immune responses to treat infections, autoimmune conditions, and cancers.
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