Review Article

Interactions between Intestinal Microflora/Probiotics and the Immune System

Table 1

Elements of intestinal mucosal immunity.

StructuresConstitutionEffect and mechanism

LumenCommensal bacteriaCompetitively inhibit pathogenic bacteria
Produce antimicrobial substances
MucusTraps pathogens
Prevents access to epithelial layer
Contains secretory immunoglobulin A
GlycocalyxProvides physical barrier

Epithelial layerEnterocytesConnected by tight junctions
Surface TLRs induce secretion of proinflammatory chemokines, cytokines, and growth factors
Capture some antigens
Goblet cellsSecrete mucus
Paneth cellsProduce defensins and antibiotic substances
Enteroendocrine cellsProduce neuroendocrine mediators
γδiIELsPromote αβiIEL activation through cytokine and chemokine secretion
Produce antimicrobial effectors and protect against pathogens
Prevent inflammation-induced epithelium damage
M cellsCapture and transport antigen

Lamina propriaαβT cells, B cells, DCs, and other APCsInitiate adaptive immune responses in lymphoid follicles
Treg cellsSuppress activation and effector function of immune cells