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Chapter 6.10 Immunology of the Gut

BOOK TITLE: Understanding Medical Physiology: A Textbook for Medical Students

Author
1. Bijlani R.L.
ISBN
9788180612213
DOI
10.5005/jp/books/10999_51
Edition
3/e
Publishing Year
2004
Pages
6
Author Affiliations
1. All India Institute of Medical Sciences, New Delhi
Chapter keywords
homeostasis, gastrointestinal epithelium, digestive enzymes, potential antigens, bloodstream, protective factors, nonspecific mechanisms, antibody production, immunology, pathogenesis, intestinal lumen, dendritic macrophages, immunological marker, functional significance, germinal centre, afferent lymphatics

Abstract

This chapter discusses immunology of the gut, where the entire epithelial surface of the gut is lined with mucus, which provides a physical barrier. Digestive enzymes present in gastrointestinal secretions reduce most of the potential antigens to an innocuous state. The highly acidic environment of the stomach is incompatible with the survival of most microorganisms. The high turnover of gastrointestinal epithelium ensures that any damage to the mucosa would be promptly repaired, and any toxic agent trapped in the epithelium would be soon removed from the body. All substances absorbed from the gastrointestinal tract into the bloodstream have to pass through the liver before entering the general circulation. Peyer’s patches are dense aggregates of lymphoid tissue, similar in architecture to the lymph nodes or tonsils. The blood supply of Peyer’s patches is characterised by postcapillary venules which bring lymphocytes to it. The epithelium prevents large molecules from entering the mucosa.

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