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Lymphatic system
Returns excess interstitial fluid to blood and supports immunity
Immune system
Detects and destroys pathogens
Lymph
Interstitial fluid inside lymphatic vessels
Lacteals
Lymphatic capillaries that absorb dietary fats
Chyle
Lipid-rich lymph from intestines
Lymphedema
Swelling due to impaired lymph drainage
Thoracic duct
Drains most body lymph into left subclavian vein
Right lymphatic duct
Drains right upper body lymph
Lymph nodes
Filter lymph and activate immune cells
Primary lymphoid organs
Bone marrow and thymus
Barrier defences
Prevent pathogen entry
Skin barrier
Physical barrier of keratinised cells
Lysozyme
Enzyme that destroys bacterial cell walls
Mucus
Traps pathogens
Cilia
Move mucus and trapped microbes
Innate immunity
Rapid, non-specific immune response
Adaptive immunity
Specific immune response with memory
Phagocytosis
Engulfment and destruction of pathogens
Macrophages
Tissue phagocytes
Neutrophils
Fast-acting blood phagocytes
Monocytes
Precursors to macrophages
Natural killer (NK) cells
Kill infected or cancer cells
Pattern recognition receptors
Detect pathogen patterns
Cytokines
Immune signalling molecules
Chemokines
Attract immune cells
Interferons
Antiviral proteins
Complement system
Plasma proteins that enhance immunity
Inflammation
Redness, heat, swelling, pain, loss of function
Antigen
Molecule that triggers adaptive immunity
Epitope
Antigenic determinant
T cell receptor (TCR)
Recognises antigen on MHC
Antigen presentation
Display of antigen on MHC
MHC class I
Presents intracellular antigens
MHC class II
Presents extracellular antigens
Antigen-presenting cells
Macrophages, dendritic cells, B cells
Helper T cells (CD4⁺)
Activate immune cells
Cytotoxic T cells (CD8⁺)
Kill infected cells
Regulatory T cells
Suppress immune responses
Memory T cells
Provide long-term protection
Naïve T cell
Mature but unexposed T cell
Thymus
T cell maturation site
B cells
Produce antibodies
Plasma cells
Secrete antibodies
Memory B cells
Long-term antibody immunity
Central tolerance
Removal of self-reactive lymphocytes
Clonal selection
Expansion of antigen-specific lymphocytes
Humoral immunity
Antibody-mediated immunity
Antibody (immunoglobulin)
Binds antigens
Heavy chains
Large antibody chains
Light chains
Small antibody chains
Fc region
Constant region binding immune cells
IgM
First antibody produced
IgG
Main blood antibody and memory response
IgA
Secretions and breast milk antibody
IgE
Allergy and parasite antibody
IgD
B cell receptor antibody
Class switching
Change antibody class without changing specificity
Primary immune response
Slow first response
Secondary immune response
Faster stronger response
Opsonisation
Tagging pathogens for phagocytosis
Neutralisation
Blocking pathogen attachment
Mucosal immunity
Immunity at mucous membranes
M cells
Sample intestinal antigens
Seroconversion
Rise in antibodies and fall in pathogen load
Bacterial defence
Complement and phagocytosis
Viral defence
Interferons, NK cells, cytotoxic T cells
Parasitic defence
IgE and eosinophils
Fungal defence
Phagocytosis and complement
Antigenic variation
Pathogen changes surface antigens
Immune evasion
Pathogen avoids immune destruction
Hygiene hypothesis
Low pathogen exposure linked to allergies