Mucosa-associated lymphoid tissue (MALT) is the scattered lymphoid tissue in the linings of the gut, airways, urinary and genital tracts. It ranges from single lymphoid follicles to organised groups such as the tonsils, Peyer's patches and the lymphoid tissue of the appendix. Together it forms the largest part of the immune system, guarding the surfaces where the body meets the outside world.
| Location | Lamina propria and submucosa of the gastrointestinal, respiratory, urinary and reproductive tracts, as well as the conjunctiva |
|---|---|
| Secretes |
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Provides the first immune defence at mucosal surfaces, producing secretory IgA and coordinating responses that balance defence against pathogens with tolerance of harmless antigens.
Chronic stimulation of MALT can give rise to MALT lymphoma, a low-grade B cell lymphoma; gastric MALT lymphoma is driven by H. pylori and often regresses after eradication therapy. Gut-associated (GALT) and bronchus-associated (BALT) lymphoid tissue are subsets. Oral and nasal vaccines aim to stimulate MALT to produce protective IgA at mucosal surfaces.
A slow-growing B cell lymphoma arising in mucosal lymphoid tissue, commonly in the stomach in association with H. pylori infection.
The commonest primary immunodeficiency, in which reduced IgA at mucosal surfaces can predispose to respiratory and gut infections.
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