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Lymphopoiesis (lĭm'fō-poi-ē'sĭs) (or lymphocytopoiesis) is the generation of
lymphocyte A lymphocyte is a type of white blood cell (leukocyte) in the immune system of most vertebrates. Lymphocytes include natural killer cells (which function in cell-mediated, cytotoxic innate immunity), T cells (for cell-mediated, cytotoxic a ...
s, which are one of the five types of
white blood cells White blood cells, also called leukocytes or leucocytes, are the cells of the immune system that are involved in protecting the body against both infectious disease and foreign invaders. All white blood cells are produced and derived from mult ...
(WBCs). It is more formally known as
lymphoid The lymphatic system, or lymphoid system, is an organ system in vertebrates that is part of the immune system, and complementary to the circulatory system. It consists of a large network of lymphatic vessels, lymph nodes, lymphatic or lymphoid o ...
hematopoiesis Haematopoiesis (, from Greek , 'blood' and 'to make'; also hematopoiesis in American English; sometimes also h(a)emopoiesis) is the formation of blood cellular components. All cellular blood components are derived from haematopoietic stem cells ...
. Disruption in lymphopoiesis can lead to a number of
lymphoproliferative disorders Lymphoproliferative disorders (LPDs) refer to a specific class of diagnoses, comprising a group of several conditions, in which lymphocytes are produced in excessive quantities. These disorders primarily present in patients who have a compromised i ...
, such as the
lymphoma Lymphoma is a group of blood and lymph tumors that develop from lymphocytes (a type of white blood cell). In current usage the name usually refers to just the cancerous versions rather than all such tumours. Signs and symptoms may include en ...
s and lymphoid leukemias.


Terminology

Lymphocytes A lymphocyte is a type of white blood cell (leukocyte) in the immune system of most vertebrates. Lymphocytes include natural killer cells (which function in cell-mediated, cytotoxic innate immunity), T cells (for cell-mediated, cytotoxic ada ...
are considered to be of the
lymphoid The lymphatic system, or lymphoid system, is an organ system in vertebrates that is part of the immune system, and complementary to the circulatory system. It consists of a large network of lymphatic vessels, lymph nodes, lymphatic or lymphoid o ...
lineage as opposed to other lineages of blood cells such as the
myeloid Myeloid tissue, in the bone marrow sense of the word '' myeloid'' ('' myelo-'' + '' -oid''), is tissue of bone marrow, of bone marrow cell lineage, or resembling bone marrow, and myelogenous tissue (''myelo-'' + '' -genous'') is any tissue o ...
lineage and the erythroid lineage.
Nomenclature Nomenclature (, ) is a system of names or terms, or the rules for forming these terms in a particular field of arts or sciences. The principles of naming vary from the relatively informal conventions of everyday speech to the internationally ag ...
, the system of naming things properly, is not trivial in this case because although lymphocytes are found in the bloodstream and originate in the
bone marrow Bone marrow is a semi-solid biological tissue, tissue found within the Spongy bone, spongy (also known as cancellous) portions of bones. In birds and mammals, bone marrow is the primary site of new blood cell production (or haematopoiesis). It i ...
, they principally belong to the separate
lymphatic system The lymphatic system, or lymphoid system, is an organ system in vertebrates that is part of the immune system, and complementary to the circulatory system. It consists of a large network of lymphatic vessels, lymph nodes, lymphatic or lymphoid ...
which interacts with the blood circulation. Lymphopoiesis is now usually used interchangeably with the term "lymphocytopoiesis" - the making of lymphocytes - but other sources may distinguish between the two, stating that "lymphopoiesis" additionally refers to creating
lymphatic tissue The lymphatic system, or lymphoid system, is an organ system in vertebrates that is part of the immune system, and complementary to the circulatory system. It consists of a large network of lymphatic vessels, lymph nodes, lymphatic or lymphoid o ...
, while "lymphocytopoiesis" refers only to the creation of cells in that tissue. It is rare now for lymphopoiesis to refer to the creation of lymphatic tissues. Myelopoiesis refers to 'generation of cells of the myeloid lineage' and
erythropoiesis Erythropoiesis (from Greek 'erythro' meaning "red" and 'poiesis' "to make") is the process which produces red blood cells (erythrocytes), which is the development from erythropoietic stem cell to mature red blood cell. It is stimulated by decrea ...
refers to 'generation of cells of the erythroid lineage' etc., so parallel usage has evolved in which lymphopoiesis refers to 'generation of cells of the lymphoid lineage'. Observations on research going back well over 100 years had elucidated the two great classes of WBC - Myeloid and Lymphoid - and great advances in medicine and science have resulted from these studies. It was only natural to ask where these two great classes of cells arose, and after much work two cell types with some strong
stem cell In multicellular organisms, stem cells are undifferentiated or partially differentiated cells that can differentiate into various types of cells and proliferate indefinitely to produce more of the same stem cell. They are the earliest type of ...
properties were isolated and defined - CMP, the
common myeloid progenitor CFU-GEMM is a colony forming unit that generates myeloid cells. CFU-GEMM cells are the oligopotential progenitor cells for myeloid cells; they are thus also called common myeloid progenitor cells or myeloid stem cells. "GEMM" stands for granulocyt ...
and CLP, the common lymphoid progenitor for mice. But science is an additive game and it was eventually found these
progenitor In genealogy, the progenitor (rarer: primogenitor; german: Stammvater or ''Ahnherr'') is the – sometimes legendary – founder of a family, line of descent, clan or tribe, noble house, or ethnic group.. Ebenda''Ahnherr:''"Stammvater eines ...
s were not unique, and further that the two great families of Myeloid and Lymphoid were not disjoint, but rather two partially interwoven family trees. This is more than just nomenclature, it is new science that provides challenges of complexity yet offers new vistas of bio-science and the promise of early enhancement of private and public health issues. And it gives insight into the nature of redundancy and overlap in the immune system and hints how to use this to advantage.


Purpose

Mature lymphocytes are a critical part of the immune system that (with the exception of memory B and T cells) have short lives measured in days or weeks and must be continuously generated throughout life by cell division and differentiation from cells such as common lymphoid
progenitors In genealogy, the progenitor (rarer: primogenitor; german: Stammvater or ''Ahnherr'') is the – sometimes legendary – founder of a family, line of descent, clan or tribe, noble house, or ethnic group.. Ebenda''Ahnherr:''"Stammvater eines G ...
(CLPs) in mice. The set comprising CLP cells and similar progenitors are themselves descendants of the pluripotential hemopoietic stem cell (pHSC) which is capable of generating all of the cell types of the complete blood cell system. Despite their ability to generate the complete suite of lymphocytes, most progenitors are not true stem cells, however, and must be continually renewed by differentiation from the pHSC stem cell. Many progenitor cells are also referred to as ''transit cells'', sometimes also called ''transit amplifying cells'', the meaning of this term being that the transit cell may found a new sub-lineage but the number of resultant cells is strictly limited (although possibly very large, even trillions yet finite) and the lineage is terminated by cells that die off (by
apoptosis Apoptosis (from grc, ἀπόπτωσις, apóptōsis, 'falling off') is a form of programmed cell death that occurs in multicellular organisms. Biochemical events lead to characteristic cell changes ( morphology) and death. These changes in ...
) or remain as cells that can no longer divide. Examples of such cells are CFUs (Colony-forming units - referred to as such because of their ability to form colonies in vitro in artificial media) such as CFU-T. In mice, transplantation of a single pHSC cell can reconstitute a sub-lethally irradiated host (i.e. a mouse that has been irradiated so that all leukocytes are killed) with all these lineages of cells, including all types of lymphocytes via CLPs. This has been known for more than 40 years. Lymphopoiesis continues throughout life and so progenitor cells and their parent stem cells must always be present.


Overview

In the case of
mammals Mammals () are a group of vertebrate animals constituting the class Mammalia (), characterized by the presence of mammary glands which in females produce milk for feeding (nursing) their young, a neocortex (a region of the brain), fur o ...
such as humans (
Homo sapiens Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedalism and exceptional cognitive skills due to a large and complex brain. This has enabled the development of advanced tools, culture ...
), lymphopoiesis begins with limited passive provision by the mother of lymphocytes and substantial immunoglobulin G that cross the
placenta The placenta is a temporary embryonic and later fetal organ that begins developing from the blastocyst shortly after implantation. It plays critical roles in facilitating nutrient, gas and waste exchange between the physically separate mate ...
and enter the fetus to provide some protection against
pathogen In biology, a pathogen ( el, πάθος, "suffering", "passion" and , "producer of") in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a g ...
s, and also leukocytes that come from breast milk and enter circulation via the digestive tract. It is often not effective in preventing
infections An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable di ...
in the newborn. However early in
gestation Gestation is the period of development during the carrying of an embryo, and later fetus, inside viviparous animals (the embryo develops within the parent). It is typical for mammals, but also occurs for some non-mammals. Mammals during pr ...
the developing embryo has begun its own lymphopoiesis from the
fetal liver The liver is a major organ only found in vertebrates which performs many essential biological functions such as detoxification of the organism, and the synthesis of proteins and biochemicals necessary for digestion and growth. In humans, it ...
. Lymphopoiesis also arises from the
yolk sac The yolk sac is a membranous wikt:sac, sac attached to an embryo, formed by cells of the hypoblast layer of the bilaminar embryonic disc. This is alternatively called the umbilical vesicle by the Terminologia Embryologica (TE), though ''yolk sac' ...
. This is in contrast to the adult where all lymphocytes originate in the bone marrow. There are four major types of lymphocytes, many sub-types, and hundreds or thousands of lymphocyte cell types that have been identified by scientists. All are generated by normal or abnormal lymphopoiesis except for certain artificial strains created in the laboratory by development from existing strains. Although lymphocytes are usually considered mature (as seen in blood tests) they are certainly not inert but can and do get around the body to anywhere there is a need; and when such need arises, new rounds of 'downstream' lymphopoiesis such as cell multiplication and differentiation may arise, coupled with intense mitotic and metabolic activity. This is hardly a simple topic. In his 1976 text ''Immunology, Aging and Cancer'' immunologist and Nobel Prize winner Sir Frank Macfarlane Burnet speculated that the immune system might one day be found to be as complex as the nervous system. As the production of lymphocytes is so close to the central role of the
immune response An immune response is a reaction which occurs within an organism for the purpose of defending against foreign invaders. These invaders include a wide variety of different microorganisms including viruses, bacteria, parasites, and fungi which coul ...
it is wise to approach the study of it with some humility in the face of the task, although there are general principles that help in understanding.


Process

Lymphopoiesis can be viewed in a ''mathematical'' sense as a recursive process of cell division and also as a process of differentiation, measured by changes to the properties of cells. * Given that lymphocytes arise from specific types of limited stem cells - which we can call P (for Progenitor) cells - such cells can divide in several ways. These are general principles of limited stem cells. Considering the P as the ‘mother’ cell, but not a true stem cell, it may divide into two new cells, which are themselves identical, but differ to some degree from the mother. Or the mother cell P may divide unequally into two new daughter cells both of which differ from each other and also from the mother. Any daughter cell will usually have new specialized abilities and if it is able to divide it will form a new sub-lineage. The difference of a daughter cell from the mother may be great, but it could also be much less, even subtle. What the P mother cell does ''not'' do is divide into two new P mother cells or a mother and a daughter; this is a matter of observation as such limited progenitor cells are known to not self-renew. * There is a sort of exception when daughter cells at some level of the lineage may divide several times to form more seemingly identical cells, but then further differentiation and division will inevitably occur, until a final stage is reached in which no further division can occur and the cell type lineage is finally mature. An example of maturity is a plasma cell, from the B cell lineage, which produces copious antibody, but cannot divide and eventually dies after a few days or weeks. * The progenitor CLP of the mouse or the progenitor MLP of the human differentiates into lymphocytes by first becoming a lymphoblast (Medical Immunology, p. 10). It then divides several more times to become a prolymphocyte that has specific cell-surface markers unique to either a (1)
T cell A T cell is a type of lymphocyte. T cells are one of the important white blood cells of the immune system and play a central role in the adaptive immune response. T cells can be distinguished from other lymphocytes by the presence of a T-cell r ...
or (2)
B cell B cells, also known as B lymphocytes, are a type of white blood cell of the lymphocyte subtype. They function in the humoral immunity component of the adaptive immune system. B cells produce antibody molecules which may be either secreted o ...
. The progenitor can also differentiate into (3)
natural killer cell Natural killer cells, also known as NK cells or large granular lymphocytes (LGL), are a type of cytotoxic lymphocyte critical to the innate immune system that belong to the rapidly expanding family of known innate lymphoid cells (ILC) and repre ...
s (NK) and (4)
dendritic cell Dendritic cells (DCs) are antigen-presenting cells (also known as ''accessory cells'') of the mammalian immune system. Their main function is to process antigen material and present it on the cell surface to the T cells of the immune system. Th ...
s. * T Cells, B Cells and NK Cells (and all other
Innate lymphoid cell Innate lymphoid cells (ILCs) are the most recently discovered family of innate immune cells, derived from common lymphoid progenitors (CLPs). In response to pathogenic tissue damage, ILCs contribute to immunity via the secretion of signalling mo ...
s) are unique to the lymphocyte family, but dendritic cells are not. Dendritic cells of identical appearance but different markers are spread throughout the body, and come from either lymphoid and myeloid lineages, but these cells may have somewhat different tasks and may take up lodging preferentially in different locations. (Revise in light of new research) This is now an open question; also, the different dendritic cell lineages may have different ‘tasks’ and stay in different ‘locations.’ T and B lymphocytes are indistinguishable under the microscope. The inactive B and T cells are so featureless with few cytoplasmic
organelle In cell biology, an organelle is a specialized subunit, usually within a cell, that has a specific function. The name ''organelle'' comes from the idea that these structures are parts of cells, as organs are to the body, hence ''organelle,'' th ...
s and mostly inactive
chromatin Chromatin is a complex of DNA and protein found in eukaryote, eukaryotic cells. The primary function is to package long DNA molecules into more compact, denser structures. This prevents the strands from becoming tangled and also plays important ...
that until the 1960s textbooks could describe these cells, now the central focus of immunology, as having no known function! However T and B lymphocytes are very distinct cell lineages and they ‘grow up’ in different places in the body. They perform quite different (although co-operative) functions in the body. No evidence has ever been found that T and B cells can ever interconvert. T and B cells are biochemically distinct and this is reflected in the differing markers and receptors they possess on their cell surfaces. This seems to be true in all vertebrates, although there are many differences in the details between the species. * Regardless of whether the CLP (mouse) or MLP or a small closely related set of progenitor cells take credit for generating the profusion of lymphocytes, the same lymphoid progenitors can still generate some cells that are clearly identifiably myeloid.


Lymphopoiesis for T cells

T cells are formed in
bone marrow Bone marrow is a semi-solid biological tissue, tissue found within the Spongy bone, spongy (also known as cancellous) portions of bones. In birds and mammals, bone marrow is the primary site of new blood cell production (or haematopoiesis). It i ...
then migrate to the cortex of the
thymus The thymus is a specialized primary lymphoid organ of the immune system. Within the thymus, thymus cell lymphocytes or '' T cells'' mature. T cells are critical to the adaptive immune system, where the body adapts to specific foreign invaders ...
to undergo maturation in an antigen-free environment for about one week where a mere 2–4% of the T cells succeed. The remaining 96–98% of T cells die by
apoptosis Apoptosis (from grc, ἀπόπτωσις, apóptōsis, 'falling off') is a form of programmed cell death that occurs in multicellular organisms. Biochemical events lead to characteristic cell changes ( morphology) and death. These changes in ...
and are phagocytosed by
macrophages Macrophages (abbreviated as M φ, MΦ or MP) ( el, large eaters, from Greek ''μακρός'' (') = large, ''φαγεῖν'' (') = to eat) are a type of white blood cell of the immune system that engulfs and digests pathogens, such as cancer ce ...
in the thymus. So many thymocytes (T cells) die during the maturation process because there is intensive screening to make sure each thymocyte has the ability to recognize self-peptide:self-MHC complex and for self tolerance. The apoptosed thymocyte dies and is quickly recycled. Upon maturity, there are several forms of thymocytes including *
T-helper The T helper cells (Th cells), also known as CD4+ cells or CD4-positive cells, are a type of T cell that play an important role in the adaptive immune system. They aid the activity of other immune cells by releasing cytokines. They are considere ...
(needed for activation of other cells such as B cells and macrophages), * T-cytotoxic (which kill virally infected cells), * T-memory (T cells that remember antigens previously encountered), and * T-suppressor cells (which moderate the immune response of other leukocytes). Also called T-regulatory cells (Treg) When T cells become
activated "Activated" is a song by English singer Cher Lloyd. It was released on 22 July 2016 through Vixen Records. The song was made available to stream exclusively on ''Rolling Stone'' a day before to release (on 21 July 2016). Background In an inter ...
they undergo a further series of developments. A small, resting T lymphocyte rapidly undergoes blastogenic transformation into a large lymphocyte (13–15 
μm The micrometre ( international spelling as used by the International Bureau of Weights and Measures; SI symbol: μm) or micrometer ( American spelling), also commonly known as a micron, is a unit of length in the International System of Uni ...
). This large lymphocyte (known in this context as a
lymphoblast __NOTOC__ A lymphoblast is a modified naive lymphocyte with altered cell morphology. It occurs when the lymphocyte is activated by an antigen (from antigen-presenting cells) and increased in volume by nucleus and cytoplasm growth as well as new mRN ...
) then divides several times to produce an expanded population of medium (9–12 μm) and small lymphocytes (5–8 μm) with the same antigenic specificity. Final activated and differentiated T lymphocytes are once again morphologically indistinguishable from a small, resting lymphocyte. Thus the following developmental states may be noticed in sequence in blood tests: # Prolymphocyte # Large lymphocyte # Small lymphocyte Basic Map of T Cell lymphopoiesis This basic map of T Cell formation, in sequence, is simplified and is akin to textbook descriptions, and may not reflect latest research.(Medical Immunology, p. 119) In the thymus * MLP * ETP * DN1 * (B; Mφ) * DN2 ** (DC; NK) * DN3 ** (γδ) * DN4 * DP ** (TNK; CD4; CD8; Treg) In the Periphery * (Th1; Th2)


T cell development

Unlike other lymphoid lineages, T cell development occurs almost exclusively in the thymus. T-lymphopoiesis does not occur automatically but requires signals generated from the thymic
stromal Stromal cells, or mesenchymal stromal cells, are differentiating cells found in abundance within bone marrow but can also be seen all around the body. Stromal cells can become connective tissue cells of any organ, for example in the uterine mucos ...
cells. Several stages at which specific regulators and growth factors are required for T cell development to proceed have been defined. Later in T cell development and its maturation these same regulatory factors again are used to influence T cell specialization. T cells are unique among the lymphocyte populations in their ability to further specialize as mature cells and become yet more mature. And T cells come in many flavors, for example: the conventional TcRαβ T cells; the so-called unconventional TcRγδ T cells; NKT cells; and T regulatory cells (Treg). Details regarding the developmental and life cycle of the unconventional T cells are less well-described compared to the conventional T cells. Stages of T cell maturation Stage One: Thymic Migration Multipotent lymphoid progenitors (MLP) enter the T cell pathway as they immigrate to the thymus. The most primitive cells in the thymus are the early thymocyte progenitors (ETP), which retain all lymphoid and myeloid potential but exist only transiently, rapidly differentiating into T and NK lineages. (Medical Immunology, p. 118) Stage Two: Proliferative Expansion and T Lineage Commitment Final commitment to the T cell lineage occurs within the thymic microenvironment, the microscopic structures of the thymus where T cells are nurtured. The most primitive T cells retain pluripotential ability and can differentiate into cells of the myeloid or lymphoid lineages (B cells, DC, T cells, or NK cells). More differentiated double negative T cells (DN2 cells) have more limited potentiality but are not yet fully restricted to the T cell lineage (they can still develop into DC, T cells, or NK cells). Later on, they are fully committed to the T cell lineage- when thymocytes expressing Notch1 receptors engage thymic stromal cells expressing Notch1 ligands, the thymocytes become finally committed to the T-cell lineage. See Gallery Image "Double Negatives" With the commitment to the T cell lineage, begins a very complex process known as TCR gene rearrangement. This creates an enormous diversity of T cells bearing antigen receptors. Afterward some T cells leave the thymus to migrate to the skin and mucosae. Stage Three: β-Selection Stage Four: T Cell Receptors Selection Only 2% to 3% of the differentiating thymocytes, those that express TcR capable of interaction with MHC molecules, but tolerant to self-peptides, survive the Stage Four selection process. Stage Five: Continuing Differentiation in the Periphery It was previously believed that the human thymus remained active as the site of T cell differentiation only until early adulthood and that later in adult life the thymus atrophies, perhaps even vanishing. Recent reports indicate that the human thymus is active throughout adult life. Thus several factors may contribute to the supply of T cells in adult life: generation in the thymus, extra-thymic differentiation, and the fact that memory T cells are long-lived and survive for decades.


T cell types

* Unconventional T cells The thymus also gives rise to the so-called ‘unconventional T cells’ such at γδ T cells, natural killer T cells (NKT) and regulatory T cells (Treg). * γδ T cells γδT cells represent only 1% to 5% of the circulating T cells, but are abundant in the mucosal immune system and the skin, where they represent the dominant T cell population. These ‘non-MHC restricted T cells’ are involved in specific primary immune responses, tumor surveillance, immune regulation and wound healing. Several differences between αβ and γδ T cell development have been described. They emigrate from the thymus in "waves" of clonal populations, which home to discrete tissues. For example, one kind is found in the peripheral blood while another predominates in the intestinal tract. * Natural Killer T cells Human NKT cells are a unique population and are thought to play an important role in tumor immunity and immunoregulation. * T Regulatory cells Treg cells are considered as naturally occurring regulatory T cells. Tregs comprised about 5% of the circulating CD4+ T cells. These cells are thought to possess an important autoimmunity property by regulating 'autoreactive' T cells in the periphery. (Medical Immunology, p. 117-122)


Lymphopoiesis for B cells

B cells are formed and mature in bone marrow (and spleen). It is a good mnemonic aide that B cells are formed in the bone marrow, but it is a mere coincidence since B cells were first studied in the chicken's
bursa of Fabricius In birds, the bursa of Fabricius (Latin: ''bursa cloacalis'' or ''bursa fabricii'') is the site of hematopoiesis. It is a specialized organ that, as first demonstrated by Bruce Glick and later by Max Dale Cooper and Robert Good, is necessary fo ...
and it is from this bursa that B cells get their name. These B cells then leave the bone marrow and migrate via bloodstream and the lymph to peripheral lymphoid tissues, such as a spleen, lymph nodes, tonsils and mucosal tissues. Once in a secondary lymphoid organ the B cell can be introduced to an antigen that it is able to recognize. Through this antigen recognition and other cell interactions the B cell becomes activated and then divides and differentiates to become a plasma cell. The plasma cell, a B cell end product, is a very active
antibody An antibody (Ab), also known as an immunoglobulin (Ig), is a large, Y-shaped protein used by the immune system to identify and neutralize foreign objects such as pathogenic bacteria and viruses. The antibody recognizes a unique molecule of t ...
-secreting cell that helps protect the body by attacking and binding to antigen. Even after many decades of research, some controversy remains as to where B cells mature and 'complete their education', with the possibility remaining that the site may also partially be peri-intestinal lymphoid tissues. B lymphopoiesis occurs exclusively in the bone marrow and B lymphocytes are made continuously throughout life there in a 'microenvironment' composed of
stromal cells Stromal cells, or mesenchymal stromal cells, are differentiating cells found in abundance within bone marrow but can also be seen all around the body. Stromal cells can become connective tissue cells of any organ, for example in the uterine mucos ...
,
extracellular matrix In biology, the extracellular matrix (ECM), also called intercellular matrix, is a three-dimensional network consisting of extracellular macromolecules and minerals, such as collagen, enzymes, glycoproteins and hydroxyapatite that provide s ...
, cytokines and growth factors, which are critical for proliferation, differentiation, and survival of early lymphocyte and B-lineage precursors. The relative proportion of precursor B cells in the bone marrow remains rather constant throughout the life span of an organism. There are stages such as Pre-B-I cells (5% to 10% of the total); Pre-B-II cells (60% to 70%) while the remaining 20% to 25% are immature B cells. Most textbooks say that B Cells mature in the bone marrow but, generally, immature B cells migrate to the spleen for 'higher education' of some sort where they go through transitional stages before final maturation.(Medical Immunology, p. 136) B lymphocytes are identified by the presence of soluble
immunoglobulin G Immunoglobulin G (Ig G) is a type of antibody. Representing approximately 75% of serum antibodies in humans, IgG is the most common type of antibody found in blood circulation. IgG molecules are created and released by plasma B cells. Each IgG a ...
(IgG). This is the most common protective immunoglobulin in the adult body. After antigenic stimulation, B cells differentiate into plasma cells that secrete large quantities of soluble IgG. This is the final stage of B lymphopoiesis but it is the clincher because the plasma cells must either issue antibody close to a source of infection, or disseminate it in the blood to fight an infection at a distance or in an inaccessible part of the body. Basic map of B cell lymphopoiesis A generally regarded valid map of B cell lymphopoiesis is as follows in sequence, in two parts with the first being in the bone marrow and the second in the spleen:. The development process in the bone marrow occurs in germinal centers In the bone marrow * Pro-B * Pre-B-I * Pre-B-II large * Pre-B-II small * Imm(ature) In the spleen * T1 * T2/T3 * (Marginal Zone (MZ); B-1; B-2) * B-2 further differentiate into: ** (Germinal Center (GC); Memory; Plasma )


Lymphopoiesis for NK cells

NK cells, which lack antigen specific receptors, develop in the bone marrow. After maturation and release from the marrow they circulate in the blood through their lifetime seeking opportunity. The opportunity they seek is to encounter and recognize and then kill abnormal cells such as
cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...
or virally infected cells. It is well known that lymphocytes never have granules or at least not granules that are readily visible even upon
staining Staining is a technique used to enhance contrast in samples, generally at the microscopic level. Stains and dyes are frequently used in histology (microscopic study of biological tissues), in cytology (microscopic study of cells), and in th ...
. However NK cells are the exception. They do have numerous granules which provide their ability to kill cells and these granules are why NK cells have an alternate name, LGL, Large Granular Lymphocytes. NK cells are the only lymphocytes considered part of the
innate immune system The innate, or nonspecific, immune system is one of the two main immunity strategies (the other being the adaptive immune system) in vertebrates. The innate immune system is an older evolutionary defense strategy, relatively speaking, and is the ...
(in contrast to the
adaptive immune system The adaptive immune system, also known as the acquired immune system, is a subsystem of the immune system that is composed of specialized, systemic cells and processes that eliminate pathogens or prevent their growth. The acquired immune system ...
. Yet they are much more closely related to T cells (part of the
adaptive immune system The adaptive immune system, also known as the acquired immune system, is a subsystem of the immune system that is composed of specialized, systemic cells and processes that eliminate pathogens or prevent their growth. The acquired immune system ...
) than to other cells of the innate immune system. NK cells not only share many surface markers, functions and activities in common with T Cells, they also arise from a common T/NK progenitor. The T/NK precursor is also believed to be the source of a subpopulation of lymphoid DC. (Medical Immunology, p. 121) NK cells have a definition 'barcode' as CD3, CD16+, CD56t lymphocytes. (See Barcode Section of this article). NK progenitors can be found mainly in the thymus (mouse), but the thymus is not absolutely required for NK development. Probably NK cells can develop in a variety of organs but the major site of NK cell development is not known. In humans, the majority (85–90%) of the NK cells have a high cytolytic capacity (the ability to lyse cells). A smaller subset (10–15%) called NK 'CD56 bright' is chiefly responsible for
cytokine Cytokines are a broad and loose category of small proteins (~5–25 kDa) important in cell signaling. Cytokines are peptides and cannot cross the lipid bilayer of cells to enter the cytoplasm. Cytokines have been shown to be involved in au ...
production and has enhanced survival. Traveling to
lymph nodes A lymph node, or lymph gland, is a kidney-shaped organ of the lymphatic system and the adaptive immune system. A large number of lymph nodes are linked throughout the body by the lymphatic vessels. They are major sites of lymphocytes that includ ...
the 'CD56 bright' NK cells differentiate again into mature NK cells which express
killer cell immunoglobulin-like receptors Killer-cell immunoglobulin-like receptors (KIRs), are a family of type I transmembrane glycoproteins expressed on the plasma membrane of natural killer (NK) cells and a minority of T cells. At least 15 genes and 2 pseudogenes encoding KIR map in ...
(KIR), natural cytotoxicity receptors (NCR), and critical
adhesion molecules Cell adhesion molecules (CAMs) are a subset of cell surface proteins that are involved in the binding of cells with other cells or with the extracellular matrix (ECM), in a process called cell adhesion. In essence, CAMs help cells stick to each ...
. (Medical Immunology, p. 122)


Lymphopoiesis for dendritic cells

The process by which Common Lymphoid Progenitor (CLP) cells may differentiate to generate
dendritic cells Dendritic cells (DCs) are antigen-presenting cells (also known as ''accessory cells'') of the mammalian immune system. Their main function is to process antigen material and present it on the cell surface to the T cells of the immune system. The ...
(singular: DC, plural: DCs) of lymphoid lineage is not yet well defined. DCs are highly specialized and efficient
antigen-presenting cells An antigen-presenting cell (APC) or accessory cell is a cell that displays antigen bound by major histocompatibility complex (MHC) proteins on its surface; this process is known as antigen presentation. T cells may recognize these complexes usin ...
. Cells identical in appearance come both from a myeloid lineage (referred to as myeloid dendritic cells) and also from a lymphoid lineage (referred to as
plasmacytoid dendritic cell Plasmacytoid dendritic cells (pDCs) are a rare type of immune cell that are known to secrete large quantities of type 1 interferon (IFNs) in response to a viral infection. They circulate in the blood and are found in peripheral lymphoid organs. T ...
s). The development and regulation of DC is not well-characterized. While the DC precursors have been identified in the human fetal liver, thymus, and bone marrow, during adult life DC are thought to be produced only from the bone marrow and released into the blood to wander and settle down. Overall a large number of DC of varying types are dispatched throughout the body, especially at epithelia such as skin, to monitor invaders and nibble their antigens. (Medical Immunology, p. 122)


Comparison of killers from lymphopoiesis

Lymphocytes have a number of alarming properties such as the ability to wander around the body and take up lodging almost anywhere, and while on the way issue commands in the form of
cytokines Cytokines are a broad and loose category of small proteins (~5–25 kDa) important in cell signaling. Cytokines are peptides and cannot cross the lipid bilayer of cells to enter the cytoplasm. Cytokines have been shown to be involved in autocrin ...
and chemokines and
lymphokines Lymphokines are a subset of cytokines that are produced by a type of immune cell known as a lymphocyte. They are protein mediators typically produced by T cells to direct the immune system response by signaling between its cells. Lymphokines have m ...
, commands that affect many cell types in the body and which may also recursively induce further lymphopoiesis. One strong behavior pattern that captivates researchers and the public alike is the ability of lymphocytes to act as police, judge and executioner to kill other cells or demand that they suicide, a command that is usually obeyed. There seems to be no other sentencing option available. Killers are distinguished from cells such as macrophages that eat other cells or munch debris by a method called
phagocytosis Phagocytosis () is the process by which a cell uses its plasma membrane to engulf a large particle (≥ 0.5 μm), giving rise to an internal compartment called the phagosome. It is one type of endocytosis. A cell that performs phagocytosis is ...
. Killers do not use phagocytosis, they just kill and leave the clean-up to other cells. Killers are known to attack virus-infected cells and cells that have become cancerous. Because of these abilities much research has been done into transforming these qualities into medical therapy but progress has been slow. Here is the parade of killers and how they work: * Cytotoxic T cells (also called Tc or antigen-specific cytolytic T lymphocytes (CTL)). Tc kill by apoptosis and either splash their target with perforin or granzymes or else use Fas-Fasl Interaction to command target elimination. This kills cells that are infected and display antigen. * NK cells (also called LGL (large granular lymphocytes)) These kill with exactly the same methods as Tc, but have no interaction with any antigen. They select their targets based on typical molecules displayed by cells that are under stress by viral infection. NK Cells mainly are in the circulation (5-15% of the circulating lymphocytes) yet are also distributed in tissues everywhere. * LAK cells (Lymphokine-activated killer) are a laboratory/clinical subset of NK Cells promoted by IL-2 to attack tumor cells. * NKT cells see Natural Killer T cell main article Natural Killer T Cells. Human NK T cells are a unique population (which express NK cell markers such as CD56 and KIR). NKT cells are thought to play an important role in tumor immunity and immunoregulation. (Medical Immunology, p. 135), yet little is known. Recent evidence suggests a role working together with hepatic stellate cells being a liver-resident antigen-presenting cell that presents lipid antigens to and stimulates proliferation of NKT cells. * Natural killer-like T cells A heterogeneous group with ill-defined properties. However, in summary there is ''no known cell or set of cells'' that is capable of killing cancerous cells in general.


Labeling lymphopoiesis

Because all WBCs are microscopic, colorless and often seemingly identical in appearance they are individually identified by their natural chemical markers, many of which have been analyzed and named. When two cells have the same markers, the reasonable assumption is made that the cells are identical at that time. A set of markers is colloquially described as the ''barcode'' for that cell or that cell line. * Here is an example of how a barcode can come to be, for the all-important
hematopoietic stem cell Hematopoietic stem cells (HSCs) are the stem cells that give rise to other blood cells. This process is called haematopoiesis. In vertebrates, the very first definitive HSCs arise from the ventral endothelial wall of the embryonic aorta within ...
(HSC) as an example. HSCs are technically described as: lacking FMS-like tyrosine kinase 3 (Flt3) and lacking the markers specific to discrete lymphoid lineages (Lin), but expressing high levels of Sca1 and c-kit; HSC also express CD44, low levels of Thy1.1 (CD90), but no IL-7Ra or CD27. This is called the (surface) phenotype of an HSC. It can be expressed as a set (Lin2, Sca1high, c-kit high, CD44+, Thy1.1low, CD27 2, and IL-7Ra2). This set is a ‘barcode’ for the HSC, akin to the barcode label attached to your chicken-wing plastic bag for checkout at a supermarket! Scientists use these barcodes to check, categorize and accumulate cells for many purposes often using laboratory methods such as cell flow cytometry. These barcodes partially define the modern meaning of
phenotype In genetics, the phenotype () is the set of observable characteristics or traits of an organism. The term covers the organism's morphology (biology), morphology or physical form and structure, its Developmental biology, developmental proc ...
for
leukocytes White blood cells, also called leukocytes or leucocytes, are the cells of the immune system that are involved in protecting the body against both infectious disease and foreign invaders. All white blood cells are produced and derived from mu ...
. Progression of HSC differentiation and lineage commitment is indicated by changes in this
phenotype In genetics, the phenotype () is the set of observable characteristics or traits of an organism. The term covers the organism's morphology (biology), morphology or physical form and structure, its Developmental biology, developmental proc ...
. That is, as the cell changes, the markers will also change and the barcode will change. * Typical barcodes for some cell types appearing in this article. * Note explaining the barcode parameter details: ''
Flt3 Cluster of differentiation antigen 135 (CD135) also known as fms like tyrosine kinase 3 (FLT-3), receptor-type tyrosine-protein kinase FLT3, or fetal liver kinase-2 (Flk2) is a protein that in humans is encoded by the ''FLT3'' gene. FLT3 is a cyto ...
is a cytokine tyrosine kinase receptor thought to be important in early lymphoid development. In addition, Flt3 plays a major role in maintaining B lymphoid progenitors. CD27 plays a role in lymphoid proliferation, differentiation, and apoptosis. The acquisition of CD27 and Flt3 by the HSC coincides with the loss of long-term repopulating potential. At this stage the cells retain both lymphoid and myeloid potential and are referred to as multipotent progenitors.'' (Medical Immunology, p. 114)


Knowledge development regarding lymphopoiesis

New questions emerge in immunology continuously as though there were a
stem cell In multicellular organisms, stem cells are undifferentiated or partially differentiated cells that can differentiate into various types of cells and proliferate indefinitely to produce more of the same stem cell. They are the earliest type of ...
for questions. For example, it was thought that the process of lymphopoiesis was a direct, orderly unidirectional sequence. But it is not clear if end-stage lymphocytes come from progenitors that are homogeneous populations or overlapping populations. Nor is it clear whether lineages of lymphocytes develop via a continuum of differentiation with a progressive loss of lineage options or whether abrupt events result in the acquisition of certain properties. Changes in cytoplasm, morphology of the cell nucleus, granules, cell internal biochemistry, signaling molecules and cell surface markers are difficult to correlate with definite stages in lymphopoiesis. The morphological differences do not just correspond to steps in
mitosis In cell biology, mitosis () is a part of the cell cycle in which replicated chromosomes are separated into two new nuclei. Cell division by mitosis gives rise to genetically identical cells in which the total number of chromosomes is maintai ...
(somatic cell division), but result from continuous "maturation processes"of the cell nucleus as well as of the cytoplasm and so one must not be too rigid about morphological distinctions between certain cell stages. * Models and updates on the lymphopoiesis family tree Until recently the model of the CMP generating all myeloid cell and the CLP generating all lymphoid cells was considered necessary and sufficient to explain the known facts observed in the generation of WBCs, and it is still found in most basic textbooks. However beginning around 2000 and gaining momentum after 2005 in both studies in humans and mice, new complexities were noted and published in papers. These studies are important now mainly to immunology researchers but are likely to eventually lead to changes in medical treatments. The changes were sparked by observations that lymphopoiesis did not always break into two lineages at the level of the CLP. Worse, some macrophages (long considered a myeloid lineage) could be generated by lymphoid lineage progenitors. In essence focus has been shifted away from the CLP to the MLP (lymphoid-specified progenitors), which are clearly lymphoid progenitors yet retain some myeloid potential, particularly the ability in both humans and mice to make macrophages - one of the most versatile of immune cell defenders - and also many dendritic cells, the best 'watchdogs' of antigen invaders. However, whatever the details may turn out to be, the process of lymphopoiesis always seems to relentlessly give rise to progeny with special attributes and abilities - "superpowers" so to speak - but with progressively more restricted lymphoid developmental potential.


Stages of development


The old model: lymphoid vs myeloid

This model of lymphopoiesis had the virtue of relative simplicity, agreement with nomenclature and terminology, and is still essentially valid for the laboratory mouse. # pHSC pluripotent, self-renewing, hematopoietic stem cells which give rise to # MPP multipotent progenitors, which give rise to # ELP (or PRO) Prolymphocytes, early lymphoid progenitors, and finally to the # CLP Common lymphoid progenitor, a cell type fully committed to the lymphoid lineage. pHSC, MPP and ELP cells are not fully committed to the lymphoid lineage because if one is removed to a different location it may differentiate into non-lymphoid progeny. However CLP ''are'' committed to the lymphoid lineage. The CLP is the transit cell responsible for these (generally parallel) stages of development, below: * NK cells * Dendritic cells (lymphoid lineage; DC2 ''Textbook of Medical Immunology'', page 31) * Progenitor B cells ** Pro-B cells => Early Pro (or pre-pre)-B cells => Late Pro (or pre-pre)-B cells ** Large Pre-B cells => Small Pre-B cells ** Immature B cells ** B Cells => (B1 cells; B2 cells) *** Plasma cells * Pro-T cells ** T-cells


Research on new models (not mice)

By 2008 it was found that "the majority of early thymic progenitor TPcells do not commit to becoming T cells by the time they get to the thymus gland. ETP cells retained the ability to become either T cells or myeloid cells."Research Findings May Shed Light on T-cell Leukemias and Immunodeficiencies.
Bhandoola. April 9, 2008;
Blood Lines Redrawn; Thomas Graf; ''Nature'' Vol 452 10 April 2008 p.702-703 See also :The Common Myelolymphoid Progenitor: A Key Intermediate Stage in Hemopoiesis Generating T and B Cells; Min Lu, Hiroshi Kawamoto, Yoshihiro Katsube, Tomokatsu Ikawa, and Yoshimoto Katsura; ''J. Immunol.'' 2002;169;3519-3525 Identification of Flt3 + Lympho-Myeloid Stem Cells Lacking Erythro-Megakaryocytic Potential: A Revised Road Map for Adult Blood Lineage Commitment; Lund Strategic Research Center for Stem Cell Biology; Cell; Vol. 121, 295–306, April 22, 2005 Adult T-cell progenitors retain myeloid potential; Haruka Wada, Kyoko Masuda, Rumi Satoh, Kiyokazu Kakugawa, Tomokatsu Ikawa, Yoshimoto Katsura & Hiroshi Kawamoto; ''Nature'' Vol 452 10 April 2008 The earliest thymic progenitors for T cells possess myeloid lineage potential; J. Jeremiah Bell, Avinash Bhandoola; ''Nature''; Vol 452, 10 April 2008, p. 764-768 Revised map of the human progenitor hierarchy shows the origin of macrophages and dendritic cells in early lymphoid development; Dick et al; ''Nature Immunology''; Volume 11 Number 7 July 2010 p. 585-595 Not a split decision for human hematopoiesis; Kenneth Dorshkind; ''Nature Immunology'' Volume 11 Number 7 July 2010 p. 569-570


Graphical view of the old model vs mixed myelo-lymphoid model

Image:New_Mixed_Myeloid-Lymphoid_Progenitor_Tree(RCCH)_Grayscale.jpg , Side by side. Comparing the new and old lineage models. Image:MLP to DN3 resized annotated-Aug 3 2010.jpg , Revised Lineage Myelo-lymphoid flowchart.


General immunology reference texts

Texts in bold are the most heavily cited in this article. * ''Cell Communication in Nervous and Immune System''; Gundelfinger, Seidenbecher, Schraven; Springer Berlin Heidelberg New York; 2006; * ''Color Atlas of Hematology''; Theml et al.; Thieme; 2004; * ''Dynamics of Cancer''; Steven A. Frank; Princeton University Press, Princeton, New Jersey; 2007; , Creative Commons Public License * ''Fundamental Immunology'', 5th edition; William E. Paul (Editor); Lippincott Williams & Wilkins Publishers; 2003; * ''Immuno-Biology: The Immune System in Health and Science'', 6th Edition; Janeway, Travers; 2005; Garland Science Publishing, New York; * ''Immunology Introductory Textbook'' (ebook;revised 2nd edition); Nandini Shetty; New Age International (P) Limited, Publishers, India; 2005; * ''Instant Notes in Immunology'', 2nd ed.; Lydyard, Whelan, Fanger; Taylor and Francis Group; 2004; China Version ; 46RMB Wangfujing Bookstore * ''Medical Immunology''—6th ed.; G. Virella, Editor; Informa Healthcare USA, Inc; 2007; * ''Stem Cell Biology''; Marshak, Gardner, Gottlieb; Cold Spring Harbor Laboratory Press; 2001; /01 * ''Textbook of Human Development and Histology''; Zhong Cuiping et al.; Shanghai Scientific and Technical Publishers; 2006; * ''Textbook of Medical Immunology'' (Immunology, 7th Edition); LIM Pak Leong; Elsevier (Singapore) Pte Ltd.; 2006;


References


Additional images

Alternate views of lineages Image:Illu blood cell lineage.jpg, Blood cell lineage. For scale, note that megakaryocytes (50-100 μm) are 10 to 15 times larger than a typical red blood cell. Image:Ch12f3_from_NIH.jpg, Blood cell lineage. Based on self-renewal ability. Image:Hematopoiesis_(human)_diagram en.svg, Schematic view. Well-defined lineages. Image:New_Mixed_Myeloid-Lymphoid_Progenitor_Tree(RCCH)_Grayscale.jpg , Side by side. Comparing the new and old lineage models.


External links


The www.copewithcytokines.de Mini-portal to Lymphopoiesis terminology
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{{Lymphocytes Lymphology Lymphocytes Hematopoiesis Histology fr:Leucopoïèse