The intestine is largely colonized by bacteria and further exposed to
an immense array of ingested and shed immunogenic material. Therefore,
the gut associated lymphoid tissue plays a major role in the human im
mune system. It may even constitute a unique immune system of its own,
since it has been demonstrated to differ anatomically, phenotypically
, functionally and on a molecular basis from its systemic counterpart
and other peripheral lymphoid tissue. This is ultimately reflected by
the observation in (transgenic) mice that intraepithelial T cells can
develop independently of the thymus. Along the same lines, a rapidly g
rowing body of evidence suggests that human bone marrow precursors can
home to the gut epithelium, rearrange their T cell receptor genes and
further differentiate in the mucosal micro environment. This, and oth
er features that characterize the 'diffuse' mucosal T cell infiltrate
will be discussed.