Cells and effector molecules by layer
Barrier
- Epithelial cells with tight junctions
- Mucus and cilia for clearance
- Defensins and low pH
Innate effectors
- Complement: C3b, membrane attack complex
- Phagocytes: neutrophils, macrophages
- Natural killer cells
- Cytokines: IL-1, TNF, IL-6
Antigen presentation
- Dendritic cells
- Macrophages and B cells
- MHC class II with peptide
Adaptive effectors
- CD4+ helper T cells
- CD8+ cytotoxic T cells
- B cells and plasma cells
- Antibodies: IgM, IgG, IgA, IgE
- Regulatory T cells
The division of labor is not just a list of parts. Each layer covers a specific gap. Barriers stop most organisms without any immune activation. Complement and phagocytes handle organisms that breach the barrier and do so within minutes. Antigen presentation converts a local innate encounter into a systemic adaptive response. Antibodies neutralize extracellular pathogens and enhance phagocytosis, while cytotoxic T cells eliminate cells already infected. Regulatory T cells prevent the adaptive response from continuing after the threat is gone. Because each capability is assigned to a defined set of cells and molecules, a defect in one layer produces a predictable loss of function.
To locate any immune failure, identify which layer's cells or effector molecules are missing or dysfunctional. The infection pattern will reflect the gap that layer normally covered.