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Untitled - D Ank Unlimited

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gut-associated lymphoid tissue (GALT) 305 GVH disease<br />

polyneuritis in which autoimmunity to peripheral nerve<br />

myelin leads to diminished electrical impulse transmission,<br />

resulting in muscle weakness and paralysis. It is often selflimiting<br />

and is associated with recovery from infection by<br />

selected pathogens. It is characterized by chronic demyelination<br />

of peripheral nerves.<br />

Interfollicular<br />

center<br />

Germinal<br />

center<br />

Follicle epithelium<br />

GALT (gut-associated lymphoid tissue).<br />

Peyer’s patch<br />

lymph nodule<br />

from the terminal<br />

ileum<br />

gut-associated lymphoid tissue (GALT)<br />

Lymphoid tissue situated in the gastrointestinal mucosa<br />

and submucosa. It constitutes the gastrointestinal immune<br />

system. GALT is present in the appendix, tonsils, and<br />

Peyer’s patches subjacent to the mucosa. GALT represents<br />

the counterpart of bronchial-associated lymphoid tissue<br />

(BALT) and consists of radially arranged and closely<br />

packed lymphoid follicles that impinge upon the intestinal<br />

epithelium, forming dome-like structures. In GALT,<br />

specialized epithelial cells overlie the lymphoid follicles,<br />

forming a membrane between the lymphoid cells and the<br />

lumen. These cells are called M cells and are believed to<br />

be gatekeepers for molecules passing across. Other GALT<br />

components include IgA-synthesizing B cells and intraepithelial<br />

lymphocytes such as CD8 + T cells, as well as the<br />

lymphocytes in the lamina propria that include CD4 + T<br />

lymphocytes, B lymphocytes that synthesize IgA, and null<br />

cells. Refer also to MALT.<br />

GVH<br />

Refer to graft-vs.-host reaction (GVHR) and graft-vs.-host<br />

disease (GVHD).<br />

GVH disease<br />

Refer to graft-vs-host disease.<br />

G

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