Study note
Pathology
Inflammation and Repair
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
•
Microbes and environmental antigens activate T and B lymphocytes, which amplify and propagate chronic inflammation.
•
Although lymphocytes principally provide adaptive immunity against infections, they are often present in chronic inflammation.
•
Lymphocyte activation tends to make inflammation persistent and severe.
•
Strong chronic inflammatory reactions, including granulomatous inflammation, depend on interactions between lymphocytes and macrophages.
•
Lymphocytes
may be the dominant cell population in autoimmune and other hypersensitivity diseases.
Origins of macrophage populations
•
During inflammatory reactions, most tissue macrophages are derived from hematopoietic precursors.
•
Some long-lived resident tissue macrophages
arise from embryonic precursors that populate tissues early in development.
Functional activation
•
Classically activated M1 macrophages
are induced by microbial products and cytokines, particularly IFN-g.
•
M1 macrophages phagocytose and destroy microbes and dead tissue debris and can potentiate inflammatory reactions.
•
Alternatively activated M2 macrophages
are induced by other cytokines and contribute to tissue repair and resolution of inflammation.
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