Mucosal Immunity Overview
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Questions and Answers

What is the primary function of mucosal-associated lymphatic tissue (MALT)?

  • Regulating systemic blood circulation
  • Producing insulin in response to glucose
  • Participating in the mucosal immune response (correct)
  • Transporting oxygen in the bloodstream
  • Which cells are primarily involved in mediating mucosal immunity?

  • Neutrophils and eosinophils
  • Macrophages and dendritic cells
  • Adipocytes and fibroblasts
  • B cells and T cells (correct)
  • What type of antibody is primarily associated with mucosal immunity?

  • IgE
  • IgA (correct)
  • IgG
  • IgM
  • How does the mucosal immune system differ from the systemic immune systems?

    <p>It focuses on pathogens at mucosal surfaces. (A)</p> Signup and view all the answers

    What is one way cells and antigens are trafficked within the mucosal immune system?

    <p>Using specialized transport mechanisms like transcytosis (B)</p> Signup and view all the answers

    What is the primary function of M cells in mucosal immunity?

    <p>Capturing and delivering antigens to mucosal dendritic cells. (D)</p> Signup and view all the answers

    Which antibody isotype is primarily involved in mucosal immunity due to its ability to be transcytosed through epithelial cells?

    <p>SIgA (C)</p> Signup and view all the answers

    How do mucosal dendritic cells contribute to oral tolerance?

    <p>By presenting food antigens to CD4+ TREG cells, leading to downregulation of inflammatory responses. (D)</p> Signup and view all the answers

    Following activation in the Peyer's patches, where do B cells that have undergone isotype switching to IgA home to?

    <p>The lamina propria, where they secrete pIgA. (A)</p> Signup and view all the answers

    What role does the polymeric immunoglobulin receptor (pIgR) play in mucosal immunity?

    <p>It transports dimeric IgA (pIgA) and pentameric IgM across mucosal epithelial cells. (A)</p> Signup and view all the answers

    Why is TLR4 expression reduced in the gut mucosa?

    <p>To prevent excessive inflammation due to the presence of LPS from commensal Gram-negative bacteria. (A)</p> Signup and view all the answers

    Which anatomical feature is characteristic of the gut mucosa's adaptive immune system?

    <p>A separation of inductive and effector sites to regulate immune responses effectively. (A)</p> Signup and view all the answers

    What distinguishes SIgA from pIgA in mucosal immunity?

    <p>SIgA contains a secretory component (secretory piece) that enhances stability, while pIgA does not. (C)</p> Signup and view all the answers

    In the context of Peyer’s patches, where are naïve B cells primarily located?

    <p>The corona. (A)</p> Signup and view all the answers

    What structural characteristic is unique to pIgM?

    <p>It is a pentamer linked by a J chain, facilitating transcytosis. (D)</p> Signup and view all the answers

    Why are Peyer's patches considered O-MALT (organized mucosa-associated lymphoid tissue)?

    <p>Because they are inductive sites where antigens are presented and lymphocytes are activated. (B)</p> Signup and view all the answers

    How do antigens enter Peyer's patches?

    <p>Via transcytosis through M cells. (C)</p> Signup and view all the answers

    What is the role of IgG in mucosal immunity?

    <p>It plays an important role in the mucosal immunity of the oral cavity. (D)</p> Signup and view all the answers

    Which of the following best describes the process of transcytosis in the context of SIgA production?

    <p>The transport of pIgA through mucosal epithelial cells to the gut lumen via the pIgR. (A)</p> Signup and view all the answers

    What cells are found in large numbers within Peyer's Patches?

    <p>Antigen Presenting Cells (APCs) (B)</p> Signup and view all the answers

    What is the primary function of O-MALT in the mucosal immune system?

    <p>Antigen uptake and presentation (A)</p> Signup and view all the answers

    Which of the following structures is NOT associated with O-MALT?

    <p>Lamina propria (D)</p> Signup and view all the answers

    Which type of MALT is primarily associated with antibody secretion?

    <p>D-MALT (B)</p> Signup and view all the answers

    What is one of the major differences between O-MALT and D-MALT?

    <p>The presence of follicles and germinal centers (B)</p> Signup and view all the answers

    Which component primarily makes up the effector function of D-MALT?

    <p>Secretion of effector molecules (D)</p> Signup and view all the answers

    What is a key characteristic of D-MALT?

    <p>Diffuse and disorganized (D)</p> Signup and view all the answers

    What process occurs within O-MALT to create diverse antibodies?

    <p>Isotype switching (A), Somatic hypermutation (SHM) (C)</p> Signup and view all the answers

    Where are the majority of lymphocytes located in the body?

    <p>Mucosal tissues (C)</p> Signup and view all the answers

    What is primarily transcytosed across the mucosal epithelium by the pIgR?

    <p>pIgA (C)</p> Signup and view all the answers

    Which type of T cells are primarily found among intraepithelial lymphocytes (IELs)?

    <p>αβ memory CTLs (C)</p> Signup and view all the answers

    Which structure is the main source of IgA in the oral cavity?

    <p>Salivary glands (B)</p> Signup and view all the answers

    What role do γδ T cells play in mucosal immunity?

    <p>Recognizing lipid antigens (C)</p> Signup and view all the answers

    What are the specialized epithelial layers that cover Peyer's patches referred to as?

    <p>Follicle Associated Epithelium (FAE) (C)</p> Signup and view all the answers

    What cell type is NOT found in the lamina propria of the MALT?

    <p>γδ T cells (B)</p> Signup and view all the answers

    Which proteins do γδ T cells recognize to kill infected or stressed epithelial cells?

    <p>MIC-A and MIC-B (D)</p> Signup and view all the answers

    What is the primary role of intraepithelial lymphocytes (IELs)?

    <p>Kill infected epithelial cells (C)</p> Signup and view all the answers

    What is the primary function of the mucus layer in the gut mucosa?

    <p>To form a thick barrier against pathogens (C)</p> Signup and view all the answers

    Which cells are responsible for producing the main antimicrobial peptides in the small intestine?

    <p>Paneth cells (C)</p> Signup and view all the answers

    How often do mucin molecules in the gut turn over?

    <p>Every 6-12 hours (C)</p> Signup and view all the answers

    What is the main role of C-type lectins secreted by Paneth cells?

    <p>To recognize and bind to specific carbohydrates on pathogens (A)</p> Signup and view all the answers

    What type of antimicrobial peptides are primarily produced in the large intestine?

    <p>Beta-defensins (C)</p> Signup and view all the answers

    What is a characteristic feature of the glycocalyx in the gut mucosa?

    <p>It provides a physical barrier to microbial contact (A)</p> Signup and view all the answers

    Which cytokines play a role in the production of mucin molecules?

    <p>Various cytokines (D)</p> Signup and view all the answers

    Chronic disease affecting the gut may involve defects in which immune feature?

    <p>Defensin production (D)</p> Signup and view all the answers

    What is the consequence of alpha-defensins on microbial membranes?

    <p>They permeabilize microbial membranes (A)</p> Signup and view all the answers

    What role does the thick mucus layer play in the gut's defense mechanism?

    <p>It provides a barrier against pathogens (D)</p> Signup and view all the answers

    What is the initial step for antigen uptake in the mucosal immune system?

    <p>Active transepithelial transport across the epithelial barrier (B)</p> Signup and view all the answers

    In which location does a dendritic cell typically capture antigen after it has crossed the epithelial barrier?

    <p>Beneath the M cell (B)</p> Signup and view all the answers

    What occurs after T cell activation in the Peyer's patch?

    <p>B cell activation and interactions increase (B)</p> Signup and view all the answers

    Where do B cells undergo clonal proliferation after leaving the Peyer's patch?

    <p>In the mesenteric lymph node (A)</p> Signup and view all the answers

    What type of antibodies do memory B cells produce after returning to the lamina propria?

    <p>SIgA (A)</p> Signup and view all the answers

    What process occurs in the Peyer's patches that is essential for effective immune response?

    <p>Affinity maturation and somatic hypermutation (D)</p> Signup and view all the answers

    Which of the following is true about the activated B cells in the Peyer's patch?

    <p>They travel to the mesenteric lymph node before proliferation (B)</p> Signup and view all the answers

    What triggers isotype switching in B cells during the immune response?

    <p>Cytokines produced by activated T cells (D)</p> Signup and view all the answers

    Which site is responsible for antibody secretion in the mucosal immune system?

    <p>Lamina propria (D)</p> Signup and view all the answers

    What is the final destination of secreted pIgA after transcytosis?

    <p>Mucosal surfaces as SIgA (A)</p> Signup and view all the answers

    Flashcards

    Mucosal-associated lymphatic tissue (MALT)

    MALT is a part of the immune system associated with mucosal membranes, providing defense against pathogens.

    Cells of mucosal immunity

    These include lymphocytes, macrophages, and specialized epithelial cells that play roles in immune defense in mucosal areas.

    Mucosal immunity defenses

    These include specific antibodies, enzymes, and immune cells that protect mucosal surfaces from pathogens.

    Differences from humoral immunity

    Mucosal immunity focuses on localized responses, while humoral immunity involves antibodies throughout the body.

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    Cell and antigen trafficking in mucosal immunity

    This involves how immune cells and pathogens move within and between mucosal tissues during immune responses.

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    Mucosal Immunity

    The immune response that occurs in mucosal tissues, involving specialized lymphocytes and antibodies.

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    MALT

    Mucosa-associated lymphoid tissue, responsible for immune responses at mucosal surfaces.

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    O-MALT

    Organized MALT where immune responses are induced, containing active lymphoid follicles.

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    D-MALT

    Diffuse MALT where effector functions, like antibody secretion, occur without structures.

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    Inductive Sites

    Locations (O-MALT) where antigens are presented and lymphocytes are activated.

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    Effector Sites

    Locations (D-MALT) where activated lymphocytes secrete effector molecules.

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    GALT

    Gut-associated lymphoid tissue, a type of O-MALT found in the digestive tract.

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    NALT

    Nasal-associated lymphoid tissue, a type of O-MALT located in the nasal area.

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    Mucus in gut defense

    A thick layer preventing pathogens from reaching gut epithelium, produced by goblet cells.

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    Function of mucin

    Mucin molecules in mucus turnover every 6-12 hours, taking bound pathogens with them.

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    Amount of mucus produced

    The gut produces several liters of mucus daily as part of immune defense.

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    Glycocalyx

    A membrane-bound layer of mucin and glycolipids providing a physical barrier against microbes.

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    Antimicrobial peptides in small intestine

    α-defensins produced by Paneth cells permeabilize microbial membranes without harming gut bacteria.

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    Antimicrobial peptides in large intestine

    β-defensins produced by absorptive epithelial cells, respond to bacteria and IL-1.

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    Defects in defensins

    Chron’s disease involves a defect in defensin production, its causation is unclear.

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    C-type lectins

    Secretion from Paneth cells, known as REG III proteins, involved in gut defense.

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    Regenerating islet-derived proteins (REG III)

    These proteins from C-type lectins help in gut immunity and microbial homeostasis.

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    Role of cytokines in mucin production

    Cytokines induce the production of mucin molecules to enhance gut defense.

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    Peyer’s Patch

    Clusters of lymphoid follicles in the intestine involved in gut immunity.

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    pIgA

    Polymeric immunoglobulin A, an antibody produced mainly in mucosal areas.

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    SIgA

    Secretory immunoglobulin A, formed when pIgA is secreted across epithelial layers.

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    Intraepithelial Lymphocytes (IELs)

    T cells located between mucosal epithelial cells, involved in immune response.

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    γδ T cells

    A subset of T cells present in IELs, important for lipid antigen recognition.

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    pIgR

    Polymeric immunoglobulin receptor that transcytoses pIgA and pIgM.

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    Follicle Associated Epithelium (FAE)

    Specialized epithelial layer covering Peyer’s patches.

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    Antigen uptake

    Antigen is taken across the epithelial barrier by active transepithelial transport before APC phagocytosis.

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    M cells

    Specialized cells that transcytose antigens across the epithelial barrier to the immune cells below.

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    APC in Peyer’s patches

    APCs capture antigens and present them to T cells in the dome area of Peyer's patches.

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    T cell activation

    Upon receiving antigens from APCs, T cells become activated to help the immune response.

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    Isotype switching

    The process where activated B cells switch their antibody type, often to IgA, to enhance the immune response.

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    Germinal center proliferation

    B cells with mIgA proliferate and differentiate in the germinal center of mesenteric lymph nodes.

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    Memory IgA B cells

    B cells that retain memory of antigens and can quickly respond upon re-exposure.

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    Lamina propria function

    Memory mIgA B cells exit lymph nodes to secrete IgA into the lamina propria for protection.

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    Polymeric IgA production

    Plasma cells in the lamina propria secrete pIgA, which associates with pIgR to become SIgA.

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    Affinity maturation

    The process where B cells increase the strength of their affinity for a specific antigen via somatic hypermutation.

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    TLR4 Expression

    TLR4 expression is reduced to limit inflammation from commensal bacteria.

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    Adaptive Immune Features

    Includes pIgA, IgG, pIgM, specialized cells, and anatomy.

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    pIgA and SIgA

    pIgA is produced by plasma cells and transcytosed to form SIgA.

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    TREG Cells and Oral Tolerance

    TREG cells are conditioned by food antigens to downregulate inflammation.

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    Transcytosis

    The process of transporting pIgA across the epithelium to the gut lumen.

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    IgG in Mucosal Immunity

    IgG is important in oral mucosal immunity but less in the GI tract.

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    Peyer's Patches

    Inductive sites in the GI tract where lymphocytes are activated.

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    APCs in Peyer's Patches

    Peyer's patches contain a large number of antigen-presenting cells (APCs).

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    Inductive & Effector Sites

    Separation of inductive and effector sites enhances immune responses.

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    CD4+ TREG Cells

    These cells help maintain tolerance to food antigens.

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    Secretory IgA (SIgA)

    Formed by pIgA after transcytosis, important in mucosal immunity.

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    Dome Area in Peyer's Patches

    The dome area under the FAE contains naive B cells.

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    Study Notes

    Mucosal Immunity Learning Objectives

    • Identify the types of mucosal-associated lymphatic tissue (MALT) and their roles in the mucosal immune response.
    • Identify the cells of mucosal immunity and describe their specific roles within the mucosal immune response.
    • Describe the specific defenses associated with mucosal immunity, including cells, molecules, enzymes, and types of antibodies.
    • Describe how the mucosal immune system differs from humoral and cell-mediated immune systems.
    • Describe how cells and antigens are trafficked within the mucosal immune system.

    Mucosal Associated Lymphoid Tissues (MALT)

    • Mucosal immunity is distinct from systemic immunity, with 75% of lymphocytes in mucosal tissues.
    • Different antibodies, γδ T cells, physical structure, and antigen uptake mechanisms are important distinctions.
    • MALT includes organized (O-MALT) and diffuse (D-MALT) tissues.

    Anatomy of MALT

    • O-MALT is where immune response is induced (inductive sites)
    • D-MALT is where antibodies are secreted (effector sites)
    • Examples of O-MALT locations include tonsils, adenoids, BALT (bronchial associated lymphoid tissue), GALT (gut associated lymphoid tissue, Peyer's patches).
    • Examples of D-MALT locations include mammary glands, small intestine, large intestine, and urogenital tract.

    Inductive & Effector Sites

    • Inductive sites (O-MALT) are where antigen uptake, presentation, and lymphocyte activation occur.
    • Effector sites (D-MALT) are where lymphocytes home back to secrete effector molecules.
    • Specific examples of inductive sites and their features are provided.
    • Specific examples of effector sites and their features are provided.

    Innate Immune Features

    • Mucous layer protects from pathogens.
    • Mucin production from goblet cells provides a mucous layer that turns over every 6-12 hours.
    • Various cytokines increase mucin production.
    • Glycocalyx is formed by membrane-bound mucins and glycolipids, acting as a physical barrier preventing microbial contact with the epithelial layer.
    • Antimicrobial peptides, such as a-defensins (small intestine) and β-defensins (large intestine), permeabilize microbial membranes and maintain gut microbial homeostasis.
    • C-type lectins (REG III) block bacterial colonization and have bactericidal effects against gram-positive bacteria.
    • Local PRRs (e.g., TLR5) are expressed in specific cells and areas of the gut, activated upon bacterial invasion.
    • Innate lymphoid cells (ILCs) secrete cytokines in response to alarmins produced by injured or pathogen-infected epithelial cells.
    • Inhibited inflammation occurs via anti-inflammatory cytokines (e.g., IL-10) and reduced TLR4 expression.

    Adaptive Immune Features

    • IgA plays a pivotal role in mucosal immunity (especially in the oral cavity).
    • IgM is involved in mucosal immunity (and is found in oral cavity and GI tract).
    • Specialized anatomy: Inductive sites and effector sites are separated anatomically.
    • Specialized cells like M cells and dendritic cells (DCs) are present.
    • Strong homing and lymphocyte trafficking are essential.

    Oral Tolerance & Treg Cells

    • M cells capture and deliver antigens to mucosal dendritic cells (DCs).
    • Mucosal DCs carry food antigens to regulatory T cells (Tregs).
    • This induces tolerance to food antigens by regulating inflammatory responses.

    Antibodies of Mucosal Immunity

    • SIgA is produced by plasma cells in the lamina propria, transcytosed through mucosal epithelium to the gut lumen by plgR.
    • SIgA consists of dimeric IgA with a secretory piece for protection.
    • IgG plays a role in oral cavity immunity.
    • IgM and SIgM are involved in both oral cavity and GI tract immunity.

    Peyer's Patches

    • Found in the small intestine as O-MALT inductive sites.
    • Similar to lymph node follicles, they present antigens, activate lymphocytes, and produce very little antibody.
    • Covered with specialized cells different from the rest of the small intestine. Follicle-associated epithelium (FAE) and M cells are present.
    • Naive B cells are located in the corona region of the Peyer's patches.
    • Activated B cells (germinal centers) are located in the follicular zone below the corona.

    Lamina Propria

    • Part of D-MALT, it contains memory mlgA+ B cells, IgA-secreting plasma cells, and memory TH cells.
    • It's where most plgA is produced and later transcytosed to become SIgA.
    • DCs, macrophages, and mast cells populate it.

    Salivary Glands

    • Part of D-MALT.
    • Produce IgA, a major source in the oral cavity.
    • Most IgA secreted is in dimeric form, which becomes SIgA via plgR.

    Cells of the MALT

    • Mucosal epithelium organizes into villi and crypts, with lymphocytes, DCs, and macrophages interspersed.
    • plgR binds plgA and plgM to enable transcytosis across the epithelium.

    Intraepithelial Lymphocytes (IELs)

    • Mature T cells residing in mucosal villous epithelium.
    • Mostly αβ memory T cells; about 10% are γδ T cells, which recognize lipid antigens and are prevalent in mucosal tissues.
    • γδ T cells play roles similar to NK cells in protecting mucosal epithelial cells from infection, injury, or stress.

    Follicle Associated Epithelium (FAE)

    • Specialized epithelial layer; covers Peyer's patches (Peyer's patches are also known as follicles).
    • Contains M cells, which are specialized for antigen uptake.

    M Cells

    • Specialized antigen-uptake cells of the FAE.
    • Pinocytic and have Fcα receptors to bind SIgA, transporting antigens to the Peyer's patch area.
    • Ingested antigens are transcytosed and delivered to the Peyer's patch beneath.

    Goblet Cells

    • Secrete mucin to form mucus protecting intestinal epithelium.
    • Are located on the top part (villus) and in the FAE (follicle-associated epithelium).
    • Present in both small and large intestines.

    Paneth Cells

    • Secrete α-defensins, anti-bacterial peptides, lysozyme, and phospholipase enzymes.
    • Located at the bottom of intestinal crypts.

    Lymphocyte Trafficking

    • In mucosal immunity, activated lymphocytes migrate to specific inductive and effector sites.
    • O-MALT and D-MALT sites are linked by this homing ability, crucial for immunity.
    • Lymphocytes upregulate or downregulate cell surface proteins and their ligands to enable movement into or out of mucosal tissues and lymphoid organs.
    • Activated lymphocytes change their cell surface proteins to facilitate homing to specific sites by downregulating some ligands and upregulating others.

    Antigen Flow in MALT

    • Antigen uptake is different in mucosal immune systems.
    • Antigens must be taken across the epithelial barrier by active transepithelial transport.
    • Antigens are not phagocytosed until after crossing the epithelial barrier by an APC which does not migrate to a lymph node but presents antigen in local MALT tissues (e.g., Peyer's patches, tonsils) of the inductive site.

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    Description

    This quiz covers the fundamentals of mucosal immunity, focusing on the types of mucosal-associated lymphatic tissue (MALT) and their roles in immune responses. It also explores the specific cells and defenses involved in mucosal immunity, highlighting the differences between mucosal and systemic immunity. Test your understanding of how immune cells and antigens are trafficked in these unique systems.

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