Thymus

The thymus (pl.: thymuses or thymi) is a specialized primary lymphoid organ of the immune system. Within the thymus, T cells mature. T cells are critical to the adaptive immune system, where the body adapts to specific foreign invaders. The thymus is located in the upper front part of the chest, in the anterior superior mediastinum, behind the sternum, and in front of the heart. It is made up of two lobes, each consisting of a central medulla and an outer cortex, surrounded by a capsule. The thymus holds immature T cells called thymocytes. Lining cells (epithelial cells) help the thymocytes develop. T cells that successfully develop react appropriately with MHC immune receptors of the body (called positive selection) and not against proteins of the body (called negative selection). The thymus is largest and most active during the neonatal and pre-adolescent periods. By the early teens, the thymus begins to decrease in size and activity and its tissue is gradually replaced by fatty tissue. Nevertheless, some T cell development continues throughout adult life. Thymus abnormalities can result in autoimmune diseases, such as autoimmune polyendocrine syndrome type 1 and myasthenia gravis, and can also decrease the total number of T cells. These are often associated with cancer of thymus tissue, called thymoma, or tissues arising from immature lymphocytes, such as T cells, called lymphoma. Removal of the thymus is called a thymectomy. Although the thymus has been identified as part of the body since the Ancient Greeks, only in the 1960s did the thymus's function in the immune system become clearer.