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Chapter 9  White cells: Lymphocytes  /  127


                       Lymphocytes are the immunologically competent  are generated are the lymph nodes, spleen and lym-
                      cells that assist the phagocytes in defence of the  phoid tissues of the alimentary and respiratory
                      body against infection and other foreign invasion  tracts.
                      (Fig.  9.1 ). Two unique features characteristic of the
                      immune system are the ability to generate  antigenic
                                                                      B  and  T   l ymphocytes
                      specifi city  and the phenomenon of  immunological
                      memory . A complete description of the functions   Th  e immune response depends upon two types of
                      of lymphocytes is beyond the scope of this book,  lymphocytes, B and  T cells (Table  9.1 ), which
                      but information essential to an understanding  derive from the haemopoietic stem cell. B cells
                      of the diseases of the lymphoid system, and of the  mature in the bone marrow and circulate in the
                      role of lymphocytes in haematological diseases, is  peripheral blood until they undergo recognition of

                      included here.                            antigen. The B - cell receptor is membrane - bound
                                                                immunoglobulin and after activation this is secreted
                                                                as free soluble immunoglobulin. At this point they
                          Lymphocytes
                                                                mature into memory B cells or plasma cells. Th e
                       In postnatal life, the bone marrow and thymus  latter home to the bone marrow and have a charac-
                      are the  primary lymphoid organs  in which lym-  teristic morphology with an eccentric round nucleus
                      phocytes develop (Fig.  9.2 ). Th e   secondary lym-  with a  ‘ clock - face ’  chromatin pattern and strongly

                      phoid organs  in which specific immune responses  basophilic cytoplasm (Fig.  9.1 d).























                                                  (a)                         (b)












                                Figure 9.1   Lymphocytes:  (a)


                      small lymphocyte;  (b)  activated
                      lymphocyte;  (c)  large granular
                      lymphocyte;  (d)  plasma cell.     (c)                  (d)
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