Thymus
(Redirected from Thymus gland)
Thymus is a specialized primary lymphoid organ of the immune system. Within the thymus, T cells or T lymphocytes mature. T cells are critical to the adaptive immune system, where the body adapts specifically to foreign invaders. The thymus is located in the upper front part of the chest, just behind the sternum and between the lungs. The organ is divided into two lobes, which are further subdivided into numerous small lobules. The thymus plays a vital role in the development of the immune system, particularly in early life.
Structure and Function
The thymus is made up of two types of tissue, known as the cortex and medulla, which serve different functions in the development of T cells. The cortex is densely packed with immature T cells, while the medulla provides a site where these cells mature. Once mature, T cells migrate to the lymph nodes and other peripheral tissues where they perform their immune functions.
The process of T cell maturation involves several critical steps, including the selection processes known as positive and negative selection. These processes ensure that the T cells are capable of recognizing foreign molecules (positive selection) but are not reactive to the body's own tissues (negative selection).
Developmental and Functional Decline
The thymus is most active during the neonatal and pre-adolescent periods. After puberty, the thymus starts to slowly shrink and become replaced by fatty tissue, in a process known as thymic involution. Despite this involution, the thymus continues to produce T cells, albeit at a reduced rate, throughout adult life.
Clinical Significance
The thymus is involved in several clinical conditions. Thymic hyperplasia, for example, can cause an increase in the size of the thymus, which may be associated with diseases such as Myasthenia Gravis, a condition characterized by muscle weakness. Thymomas, tumors of the thymus gland, can also occur, though they are relatively rare.
Thymic Education of T Cells
The education of T cells in the thymus is crucial for the development of a functional and self-tolerant T cell repertoire. This process involves the interaction of T cells with thymic epithelial cells, which present antigens to the developing T cells. This interaction ensures that T cells with receptors capable of recognizing self-antigens are eliminated, preventing autoimmune diseases.
Conclusion
The thymus plays a crucial role in the development and maintenance of the body's immune system. Despite its size reduction with age, its function in T cell maturation and selection remains vital for immune competence throughout life.
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Contributors: Prab R. Tumpati, MD
