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anatomical locations of mucosal sites
Respiratory Tract (includes conjunctiva)
GI tract
Urogenital tract
Mammary glands
components of mucosal immunity
innate
adaptive
innate mucosal
Mucus: Lysozyme and secretory IgA
Resident microflora: outcompete pathogens for space and nutrients
Anatomic: Physiologic features
Nasal turbinates
pH
Intestinal motility
Muco-ciliary escalator
adaptive mucosal
Scattered lymphoid cells (T & B lymphocytes)
Organized lymphoid tissues
Peyer’s patches
Isolated lymphoid follicles
Other unique features
Microfold cells (M cells)
Enterocytes
Dendritic cells
gastrointestinal tract

unique features
M cells
Enterocyte
Dendritic cells
Lymphocyte trafficking or Homing
Mucosal vaccination
Secretion of IgA
M cells (microfold cells)
specialized epithelial cells- have membrane ruffles
located over MALT and peyer patches
no mucus, enzymes, glycocalyx
more direct contact with lumen microbes
M cells: transcytosis
M cells take up antigen by endocytosis and phagocytosis
then transported across M cells in vesicles and released @ basal surface
antigen is bound by dendritic cells, which activate T cells
enterocyte
absorb soluble nutrients
can uptake soluble antigens and present them on MHCII mol.
Enterocytes are active cytokine producing cells (esp. chemokines)
cannot activate naive T cells on their own
lack co-receptors
down regulation of CD4 cells
DC function in lamina propria?
travel to mesenteric LN as discussed in conventional dendritic cells
tend to secrete IL-10 and TGFβ
anti-inflammatory in health or homeostasis:
Presentation of antigen without co-receptors
Dendritic cells secreting cytokines that drive Treg or Th2 cells
IL-10 and TGFβ
IL-4
Highly immuno-regulated (downregulated) environment
Lymphocyte tracking to mucosal tissues
3 step paradigm selectins, integrins, chemokines
Different integrins exist, and they direct cells to specific places/tissues (like a zipcode, or a visa)
During antigen presentation DC can direct the integrin expression on lymphocytes
integrin (α4β7) is specific for an adhesion molecule on endothelial cells that is found at mucosal sites (mucosal vascular addressin cell adhesion molecule-1, MadCAM-1)
IgA at mucosal sites: how do they get there? what do they do?
poly-Ig receptors (expressed by enterocytes) mediate the transfer of IgA from the lamina propria into the lumen of the mucosa
IgA then act on the lumen to neutralize toxins or pathogens before infection
if infection alr occured, IgA bound to toxin/pathogen may b transferred away from the lamina propria into the lumen
imprinting?
The DCs can direct the integrin
expression of integrins flavors on lymphocytes thingy!
The site-specific trafficking is called “homing”

in lymphocyte homing, cell may home to
different associated mucosal sites:
Common mucosal system
Lactogenic immunity