Hj. Schuurman et al., THOUGHTS ON THE THYMUS AND THE T-LYMPHOCYTE REPERTOIRE - RELEVANCE TOTHE TOLERANCE OF THE IMMUNE-RESPONSE, Netherlands journal of medicine, 43(1-2), 1993, pp. 38-54
The thymus is a central lymphoid organ, and has one important function
in the immune system. It generates immunocompetent T (= thymus-depend
ent) cells. 'Immunocompetence' is the single most important characteri
stic acquired during the differentiation process of T-cells, from prog
enitor cell in the bone marrow to mature cell in peripheral lymphoid o
rgans and blood. The basis of competence is recognition, mediated by t
he T-cell receptor on the cell surface. Using this receptor, T-cells r
ecognize antigens only in the form of antigenic fragments complexed wi
th molecules of the major histocompatibility complex. Within the thymu
s, progenitor cells rearrange gene segments encoding the various parts
of the receptor molecule. After expression of all possible receptors
(the potentially available repertoire) selection processes occur, yiel
ding only those T-cells that have a receptor by which antigens can be
recognized together with molecules of the major histocompatibility com
plex, and that do not recognize autoantigens (the actual repertoire).
This process of selection is considered as a unique function of the th
ymus. In this review, first some histophysiological aspects of the thy
mus are described. Next, the events that occur during the sojourn of t
he lymphocytes in the thymus are presented. Finally, these data are co
nsidered with regard to thymic abnormalities. These include acute and
age-associated involution, and the generation of autoimmune reactivity
due to disturbed intrathymic selection.