UPSC MainsMEDICAL-SCIENCE-PAPER-I201310 Marks
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Q18.

Briefly describe various cells of immune system. Discuss classification systems to differentiate lymphocytes.

How to Approach

This question requires a detailed understanding of both innate and adaptive immunity, focusing on the cellular components. The answer should begin with a brief overview of the immune system, then systematically describe the key cells involved. The second part necessitates a discussion of lymphocyte classification, covering both B and T lymphocytes, and their subtypes, utilizing surface markers (CD markers) for differentiation. A structured approach, utilizing bullet points and potentially a table, will enhance clarity and comprehensiveness.

Model Answer

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Introduction

The immune system is a complex network of cells, tissues, and organs that defends the body against harmful invaders like bacteria, viruses, and parasites. This defense is mediated by both innate and adaptive immunity. Innate immunity provides a rapid, non-specific response, while adaptive immunity is slower but highly specific and develops immunological memory. Central to both arms of immunity are various cell types, each with specialized functions. Understanding these cells and their classification is crucial for comprehending immune responses and immunological disorders. Lymphocytes, a key component of adaptive immunity, are further categorized based on their function and surface markers, allowing for precise identification and characterization.

Cells of the Immune System

The immune system comprises a diverse array of cells, broadly categorized into those of innate and adaptive immunity.

Innate Immune Cells

  • Phagocytes: These cells engulf and destroy pathogens. Examples include:
    • Neutrophils: Most abundant white blood cell, first responders to infection.
    • Macrophages: Derived from monocytes, phagocytose pathogens and present antigens to T cells.
    • Dendritic Cells: Highly efficient antigen-presenting cells (APCs), bridging innate and adaptive immunity.
  • Natural Killer (NK) Cells: Lymphocytes that kill infected or cancerous cells without prior sensitization.
  • Mast Cells: Release histamine and other mediators involved in inflammation and allergic reactions.
  • Eosinophils: Important in defense against parasitic infections and involved in allergic responses.
  • Basophils: Similar to mast cells, release histamine and other inflammatory mediators.

Adaptive Immune Cells

  • Lymphocytes: The cornerstone of adaptive immunity. These include B cells, T cells, and NK T cells.
  • Antigen-Presenting Cells (APCs): While some are innate (dendritic cells, macrophages), they play a crucial role in activating T cells.

Classification of Lymphocytes

Lymphocytes are classified based on their origin, function, and the presence of specific surface markers, known as Cluster of Differentiation (CD) markers.

B Lymphocytes (B Cells)

B cells mature in the bone marrow and are responsible for humoral immunity – producing antibodies. They are identified by the presence of CD19, CD20, and surface immunoglobulin (sIg).

  • Naive B Cells: Have not encountered their specific antigen.
  • Plasma Cells: Antibody-secreting cells, derived from activated B cells.
  • Memory B Cells: Long-lived cells that provide rapid response upon re-exposure to the same antigen.

T Lymphocytes (T Cells)

T cells mature in the thymus and mediate cell-mediated immunity. They are identified by the presence of the T cell receptor (TCR) and CD3.

  • Helper T Cells (Th Cells): CD4+ T cells that help activate other immune cells, including B cells and cytotoxic T cells. Subtypes include Th1, Th2, Th17, and Tfh.
  • Cytotoxic T Cells (Tc Cells): CD8+ T cells that kill infected or cancerous cells.
  • Regulatory T Cells (Treg Cells): CD4+CD25+ T cells that suppress immune responses, maintaining immune homeostasis and preventing autoimmunity.
  • Memory T Cells: Long-lived cells that provide rapid response upon re-exposure to the same antigen.

NK T Cells

These cells bridge innate and adaptive immunity, expressing both NK cell markers and a TCR with limited diversity. They recognize lipid antigens presented by CD1d molecules.

The following table summarizes key differences between T cell subtypes:

T Cell Subtype CD Marker Function
Helper T Cell (Th) CD4+ Activates other immune cells (B cells, Tc cells)
Cytotoxic T Cell (Tc) CD8+ Kills infected or cancerous cells
Regulatory T Cell (Treg) CD4+CD25+ Suppresses immune responses

Conclusion

The immune system’s effectiveness relies on the coordinated action of diverse cell types. Understanding the roles of innate and adaptive immune cells, particularly lymphocytes, and their classification based on surface markers is fundamental to immunology. Advances in identifying and characterizing these cells, particularly through CD marker analysis, have revolutionized our understanding of immune responses and paved the way for targeted immunotherapies. Further research into lymphocyte subsets and their functions will continue to refine our ability to modulate the immune system for therapeutic benefit.

Answer Length

This is a comprehensive model answer for learning purposes and may exceed the word limit. In the exam, always adhere to the prescribed word count.

Additional Resources

Key Definitions

Antigen-Presenting Cell (APC)
A cell that displays antigen complexed with major histocompatibility complex (MHC) molecules on its surface, triggering an immune response.
Cluster of Differentiation (CD) Markers
Surface molecules expressed on leukocytes (white blood cells) that are used to identify and classify different lymphocyte populations.

Key Statistics

Globally, approximately 3.5 million people die each year from infectious diseases, highlighting the importance of a functional immune system. (WHO, 2020 - knowledge cutoff)

Source: World Health Organization (WHO)

Autoimmune diseases affect approximately 5-8% of the population in developed countries, demonstrating the importance of immune regulation and the potential for immune system dysfunction. (National Institutes of Health, 2019 - knowledge cutoff)

Source: National Institutes of Health (NIH)

Examples

Severe Combined Immunodeficiency (SCID)

SCID, often called "bubble boy disease," is a genetic disorder characterized by a severe deficiency in both B and T lymphocytes, rendering individuals highly susceptible to infections. Bone marrow transplantation is often the only curative treatment.

Frequently Asked Questions

What is the role of MHC molecules in antigen presentation?

Major Histocompatibility Complex (MHC) molecules are proteins on the surface of cells that bind to peptide fragments of antigens and present them to T cells, initiating an immune response. MHC class I presents antigens to CD8+ T cells, while MHC class II presents antigens to CD4+ T cells.

Topics Covered

ImmunologyPhysiologyImmune SystemLymphocytesClassification