Immune Deficiency
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Deficiencies in immune function may be either inherited or acquired. Inherited immune deficiencies usually reflect the failure of a gene important to the generation or function of immune system components.
Some inherited diseases damage a person’s innate immunity by making macrophages incapable of ingesting or breaking down invading organisms. Individuals affected by these diseases are especially susceptible to opportunistic infections—that is, infections by normally harmless organisms that can flourish in a person whose immune system has been weakened.
DiGeorge syndrome is an inherited immune disorder in which a person has no thymus and, therefore, cannot produce mature T lymphocytes. People with this disorder can mount only limited humoral immune responses, and their cell-mediated immune responses are severely limited.
The most extreme example of a hereditary immune deficiency is severe combined immunodeficiency (SCID). Individuals with this disease completely lack both T and B lymphocytes and thus have no adaptive immune responses. People with SCID must live in a completely sterile environment, or else they will quickly die from infections.
Acquired immune deficiencies can be caused by infections and also other agents. For example, radiation therapy (see Radiology) and some kinds of drugs used in treating disease reduce lymphocyte production, resulting in damaged immune function. People undergoing such therapies must be carefully monitored for lowered immune function and susceptibility to infections. Environmental and lifestyle factors, such as poor nutrition or stress, can also affect the immune system’s general status.
An infectious agent resulting in fatal immune deficiency is the human immunodeficiency virus (HIV). This virus causes acquired immunodeficiency syndrome (AIDS) by infecting and eventually destroying helper T cells. Because helper T cells regulate all immune responses, their loss results in an inability to make adaptive immune responses. This complete lack of immune function makes individuals with AIDS highly susceptible to all infectious agents.
Deficiencies in immune function may be either inherited or acquired. Inherited immune deficiencies usually reflect the failure of a gene important to the generation or function of immune system components.
Some inherited diseases damage a person’s innate immunity by making macrophages incapable of ingesting or breaking down invading organisms. Individuals affected by these diseases are especially susceptible to opportunistic infections—that is, infections by normally harmless organisms that can flourish in a person whose immune system has been weakened.
DiGeorge syndrome is an inherited immune disorder in which a person has no thymus and, therefore, cannot produce mature T lymphocytes. People with this disorder can mount only limited humoral immune responses, and their cell-mediated immune responses are severely limited.
The most extreme example of a hereditary immune deficiency is severe combined immunodeficiency (SCID). Individuals with this disease completely lack both T and B lymphocytes and thus have no adaptive immune responses. People with SCID must live in a completely sterile environment, or else they will quickly die from infections.
Acquired immune deficiencies can be caused by infections and also other agents. For example, radiation therapy (see Radiology) and some kinds of drugs used in treating disease reduce lymphocyte production, resulting in damaged immune function. People undergoing such therapies must be carefully monitored for lowered immune function and susceptibility to infections. Environmental and lifestyle factors, such as poor nutrition or stress, can also affect the immune system’s general status.
An infectious agent resulting in fatal immune deficiency is the human immunodeficiency virus (HIV). This virus causes acquired immunodeficiency syndrome (AIDS) by infecting and eventually destroying helper T cells. Because helper T cells regulate all immune responses, their loss results in an inability to make adaptive immune responses. This complete lack of immune function makes individuals with AIDS highly susceptible to all infectious agents.
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