Mucosa-associated lymphoid tissue

Mucosa-associated lymphoid tissue

The mucosa-associated lymphoid tissue (MALT) (also called mucosa-associated lymphatic tissue) is the diffusion system of small concentrations of lymphoid tissue found in various sites of the body, such as the gastrointestinal tract, thyroid, breast, lung, salivary glands, eye, and skin.

MALT is populated by lymphocytes such as T cells and B cells, as well as plasma cells and macrophages, each of which is well situated to encounter antigens passing through the mucosal epithelium. In the case of intestinal MALT, M cells are also present, which sample antigen from the lumen and deliver it to the lymphoid tissue.

Components

The components of MALT are sometimes subdivided into the following:

  • GALT (gut-associated lymphoid tissue. Peyer's patches are a component of GALT found in the lining of the small intestines.)
  • BALT (bronchus-associated lymphoid tissue)
  • NALT (nose-associated lymphoid tissue)
  • LALT (larynx-associated lymphoid tissue)
  • SALT (skin-associated lymphoid tissue)
  • VALT (vascular-associated lymphoid tissue. A newly recognized entity that exists inside arteries; its role in the immune response is unknown.)
  • EALT (eye-associated lymphoid tissue made up of Conjunctiva [CALT] and Lacrimal Duct [LDALT] associated lymphoid tissues)

Role in disease

MALT plays a role in regulating mucosal immunity. It may be the site of lymphoma, usually non-Hodgkin lymphoma. A specific entity is the MALT lymphoma linked to Helicobacter pylori in the stomach.

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