Regular Article
M cells at locations outside the gut

https://doi.org/10.1006/smim.1999.0172Get rights and content

Abstract

Lymphoid tissue associated with mucosal membranes is found not only along the gastrointestinal tract, but also in the tonsils, the upper and lower airways, and the conjunc- tiva of the eye. The epithelia overlying this mucosa-associ- ated lymphoid tissue (MALT) contain membranous (M) cells which transport antigenic matter across the mucosal membrane to initiate immune responses. Although the mor- phology and function of intestinal M cells have been thoroughly studied, relatively little is known about the pres- ence and properties of M cells in MALT outside the gut. The available data on ultrastructure, histochemistry, and anti- gen sampling function of the epithelia in tonsils, nasal-, larynx-, bronchus-, and conjunctiva-associated lymphoid tis- sue are reviewed and critically discussed. It is concluded that, in principle, the concepts of mucosal immune protec- tion can be applied to these sites of MALT. However, it is questionable whether a separate cell type similar to intestinal M cells exists and performs antigen sampling in the differ- ent MALT epithelia. Further studies combining functional and morphological techniques are essential to understand the initiation of immune reaction at the mucosal mem- branes.

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