Study note

Lymphocytes and macrophage populations in chronic inflammation

THE CONTEXT
Lymphocytes amplify chronic inflammation, while macrophages differ in their developmental origins and activation-dependent functions.

Lymphocyte contribution

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Microbes and environmental antigens activate T and B lymphocytes, which amplify and propagate chronic inflammation.
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Although lymphocytes principally provide adaptive immunity against infections, they are often present in chronic inflammation.
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Lymphocyte activation tends to make inflammation persistent and severe.
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Strong chronic inflammatory reactions, including granulomatous inflammation, depend on interactions between lymphocytes and macrophages.
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Lymphocytes may be the dominant cell population in autoimmune and other hypersensitivity diseases.

Origins of macrophage populations

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During inflammatory reactions, most tissue macrophages are derived from hematopoietic precursors.
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Some long-lived resident tissue macrophages arise from embryonic precursors that populate tissues early in development.

Functional activation

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Classically activated M1 macrophages are induced by microbial products and cytokines, particularly IFN-g.
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M1 macrophages phagocytose and destroy microbes and dead tissue debris and can potentiate inflammatory reactions.
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Alternatively activated M2 macrophages are induced by other cytokines and contribute to tissue repair and resolution of inflammation.
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