Talk:Immune system: Difference between revisions
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⚫ | | quote = Mientras escribo esto, Wikipedia todavía define el sistema inmunitario como «un sistema de estructuras y procesos biológicos dentro de un organismo que protege contra la enfermedad». [...] Sin embargo, para muchos científicos, la protección contra los patógenos es solo una ventaja adicional. La función principal del sistema inmunitario es administrar nuestras relaciones con los microbios residentes en nosotros. |
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⚫ | | quote = Mientras escribo esto, Wikipedia todavía define el sistema inmunitario como «un sistema de estructuras y procesos biológicos dentro de un organismo que protege contra la enfermedad». [...] Sin embargo, para muchos científicos, la protección contra los patógenos es solo una ventaja adicional. La función principal del sistema inmunitario es administrar nuestras relaciones con los microbios residentes en nosotros. |
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== Physical excercise == |
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The following is from my Talk Page: |
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I am planning to (at least partially) tackle the [[exercise]] article, which is in a rather abyssmal state. I noticed the amount of coverage medical sources have regarding the [[Exercise#Immune system|immune system and exercise]], and upon glossing over [[immune system]], there weren't any mentions of exercise, physical activity etc., which is very surprising. Wouldn't it be wise to have a section dedicated to the effects of exercise, perhaps below the "Sleep and rest" section? I've found some great systematic reviews on the topic, and a few umbrella reviews mentioning it. I'd be happy to help out with creating such a section. Any thoughts? Cheers - [[User:Wretchskull|Wretchskull]] ([[User talk:Wretchskull|talk]]) 09:57, 9 December 2022 (UTC) |
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::Excellent! I'm very busy today but I have plenty of time this weekend. I'll give you a notice when I'm ready! Search wherever you want and you'll stumble upon some great findings on this topic; Cochrane and PubMed seems like a good start, but I'm sure the refs you already used in [[immune system]] are also useful. [[User:Wretchskull|Wretchskull]] ([[User talk:Wretchskull|talk]]) 10:22, 9 December 2022 (UTC) |
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::::Hello again! I've picked a few sources [[User:Wretchskull/sandbox3|here]], mostly from [https://pubmed.ncbi.nlm.nih.gov/?term=%22Exerc%20Immunol%20Rev%22%5Bjour%5D&filter=pubt.meta-analysis&filter=pubt.review&filter=pubt.systematicreview&filter=years.2015-2022&sort=date&size=20&page=2 a journal specialized in this topic] (Exercize Immunology Review). I was wondering what the structure of such a section should be. Do you think we should have a paragraph explaining the technical microscopic changes and a paragraph below for its studied effects on infections, inflammation, cancer, etc.? [[User:Wretchskull|Wretchskull]] ([[User talk:Wretchskull|talk]]) 09:18, 11 December 2022 (UTC) |
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:::::Hi, it's best if we only use reviews as these are compliant with [[WP:MEDRS]]. From a quick glance , I think I spotted some primary studies. Perhaps we should move our conversation to the article's Talk Page? That way others can pitch in. With regard to the section's structure, I suggest the heading "Effect of physical excercise" ( I think the article uses UK English, but I will have to check), followed by a section on the effects on innate immunity, one on adaptive immunity and, as you said, effects on disease course (but we must avoid primary studies). Thoughts? Best regards, [[User:Graham Beards|Graham Beards]] ([[User talk:Graham Beards#top|talk]]) 11:32, 11 December 2022 (UTC) |
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::::::Of course. I'll start working on its medical effects, but I would appreciate if you could help with innate/adaptive immunity as my knowledge in that topic is nowhere near as vast as an expert like yours. If I have any questions I'll use the article talk page from now on. By the way, regarding the sources, I was surprised when you said some were primary. I assume it's because it doesn't have the blue highlight with the word "review" on it (like [https://pubmed.ncbi.nlm.nih.gov/33965901/ this] one)? The title of such sources contain the word "review", otherwise I wouldn't use them. All MEDRS sources I use are filtered by review, systematic review, or meta analysis. I might be missing something, though, and I'd be happy if you could correct me. Cheers - [[User:Wretchskull|Wretchskull]] ([[User talk:Wretchskull|talk]]) 13:47, 11 December 2022 (UTC) |
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== [[Peripheral immune system]] == |
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Can we add a mention in this article of the [[peripheral immune system]]--or create an article for this? [[Special:Contributions/76.190.213.189|76.190.213.189]] ([[User talk:76.190.213.189|talk]]) 02:34, 29 January 2023 (UTC) |
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== Total mass, number, and distribution of immune cells in the human bod == |
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Just leaving a note here about the age of some of the books: [[WP:MEDDATE]] prefers recent sources, and anyone who's worked much on medicine-related articles has probably had the experience of someone reverting their additions because the source is more than 5 or 10 years old. |
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While the recently added Sender et al. citation was removed for lack of context, the quantitative estimates of the immune system in that paper warrant brief mention to provide readers intuitive insight. Specifically, the cited paper calculates the human immune system contains approximately 1.8 trillion cells, dwarfing the ~100 billion neurons in the brain nearly 15-fold. Additionally, at an estimated 1.2 kg, the immune system weighs 3-5 times more than an average adult heart (250-350 grams). As these facts illustrate the immune system's considerable magnitude relative to other organs, they impart useful perspective for general readers. Thus a pared down summary contextualizing these cell count and weight comparisons could suitably supplement the article, without diving into excessive detail tangential to the core content. [[User:LittleHow|LittleHow]] ([[User talk:LittleHow|talk]]) 14:10, 4 November 2023 (UTC) |
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There was a discussion about this at [[Wikipedia talk:WikiProject Medicine]], and we agreed that it was acceptable to cite high-quality older sources for the specific basic, unchanging content (e.g., names of cells) in question, and in one case, to cite a high-quality older source that was freely available to readers than to cite the paywalled newer versions that are available to a couple of editors. This should therefore be considered in compliance with [[WP:MEDRS]]'s advice on sources. [[User:WhatamIdoing|WhatamIdoing]] ([[User talk:WhatamIdoing|talk]]) 17:47, 2 December 2020 (UTC) |
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: I think there's an important distinction between an older, quality source that has been in place for a decade, and an older source that someone is trying to add fresh (particularly when newer, updated sources are available). An admirable goal would be to have all of our medical content sourced to recent high-quality sources, but we have limited editor resources and it sometimes feels like sticking your thumb in the dyke: I'd be satisfied if I thought the number of older sources at least wasn't increasing. --[[User:RexxS|RexxS]] ([[User talk:RexxS|talk]]) 19:27, 2 December 2020 (UTC) |
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:It was an interesting paper but as it is a primary source it not [[WP:MEDRS]] compliant. We need to wait for this to be discussed in a review article in an established journal. [[User:Graham Beards|Graham Beards]] ([[User talk:Graham Beards|talk]]) 14:53, 4 November 2023 (UTC) |
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== Image for "Helper T cells" subsection == |
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== Claims made without evidence == |
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[[File:Immune response of Lymphocytes.svg|alt=|thumb |upright=1.6 |alt=See caption |Function of T helper cells: [[Antigen-presenting cell]]s (APCs) present antigen on their Class II MHC molecules ([[MHC class II|MHC2]]). Helper T cells recognize these, with the help of their expression of CD4 co-receptor ([[CD4+]]). The activation of a resting helper T cell causes it to release cytokines and other stimulatory signals (green arrows) that stimulate the activity of [[macrophage]]s, [[Cytotoxic T cell|killer T cells]] and [[B cell]]s, the latter producing [[Antibody|antibodies]]. The stimulation of B cells and macrophages succeeds a proliferation of T helper cells.]] |
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This image is problematic for reasons I stated above in Image review. I'm tempted to create a diagram showing a CD4+ T cell at center, with an array of functions depicted around it - in the 4 corners, perhaps - cytotoxic ("killer") CD8+ T cell licensing, delayed type hypersensitivity using [[interferon gamma]] and granulomatous inflammation as a really important example (it's the basis of the [[Mantoux test]] for latent TB), B cell help in the germinal center reaction (the basis for [[conjugate vaccine]]s that have been so dramatically effective, and the [[regulatory T cell]] role. I'll do my best to make it as simple/accessible as desired. Any thoughts? — [[User:soupvector|soupvector]] ([[User_talk:soupvector|talk]]) 02:16, 4 December 2020 (UTC) |
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:Yes. Thanks. Are you considering something like this [https://www.researchgate.net/figure/Heterogeneity-of-CD4-T-cell-subsets-T-helper-type-1-Th1-type-2-Th2-type-17_fig3_267753905]? [[User:Graham Beards|Graham Beards]] ([[User talk:Graham Beards|talk]]) 08:42, 4 December 2020 (UTC) |
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::Yes, figure 2 in that paper is the sort of thing I was thinking of, but is a bit more detailed perhaps than we need for this article. — [[User:soupvector|soupvector]] ([[User_talk:soupvector|talk]]) 13:41, 4 December 2020 (UTC) |
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{{clear}} |
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There are about 20 claims made with out evidence in the first two paragraphs. |
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== Cell structure addition == |
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{{u|Graham Beards}} this appears to be a COI addition; is it needed, and is it in the right place? [https://en.wikipedia.org/enwiki/w/index.php?title=Immune_system&type=revision&diff=994365503&oldid=994150918] [[User:SandyGeorgia|'''Sandy'''<span style="color: green;">Georgia</span>]] ([[User talk:SandyGeorgia|Talk]]) 15:44, 15 December 2020 (UTC) |
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: PS, if I am unable to decipher why this content is there, perhaps our readers won't either. And the last sentence is uncited, just as we are asking Wehwalt to have a look as to swapping this in to TFA ... and it's a one-paragraph section. [[User:SandyGeorgia|'''Sandy'''<span style="color: green;">Georgia</span>]] ([[User talk:SandyGeorgia|Talk]]) 15:51, 15 December 2020 (UTC) |
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It would be useful to include specific experiments that have been run that led to these assumptions. [[Special:Contributions/75.70.178.222|75.70.178.222]] ([[User talk:75.70.178.222|talk]]) 22:05, 7 March 2024 (UTC) |
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== Concern raised at [[WP:ERRORS]] == |
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:See [[MOS:LEADCITE]]. As the top paragraphs are a summary of the article, citations are often redundant as the statements are repeated with citations in he article. [[User:Graham Beards|Graham Beards]] ([[User talk:Graham Beards|talk]]) 07:05, 8 March 2024 (UTC) |
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Please see [https://en.wikipedia.org/enwiki/w/index.php?title=Wikipedia%3AMain_Page%2FErrors&type=revision&diff=997180560&oldid=997177757 here]. I'd be grateful if someone would post a response there, though much of it may be a matter for this talk page.--[[User:Wehwalt|Wehwalt]] ([[User talk:Wehwalt|talk]]) 13:21, 30 December 2020 (UTC) |
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== Who coined the term? When did it come into popular use? == |
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:I don't regard any of the concerns to be errors. |
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:* With regard to the use of the definite article, this is what our sources use; see for example: Sompayrac L (2019). How '''the''' immune system works. Hoboken, NJ: Wiley-Blackwell. ISBN 978-1-119-54212-4. OCLC 1083261548. (my emphasis). |
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:*As for the use of the word "diseases". The immune system is not only important in "infectious disease" and "damage", among others in plays a role in embryology. I think, for the Lead, it's ok to lack a little precision here. |
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:*It's not really a medical topic; it's biology. |
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:*"The figure legend contains no errors. But an improved legend could be proposed on the article's Talk Page. |
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:*The "other mechanisms that protect us from harm" have nothing at all to do with immunity. We draw the line where our sources do. Again see Sompayrac. |
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:*The article is stable, and has been for years. The improvements and updates that have been made for its second time as TFA, should not be regarded as symptom of instability. |
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"Immunity" and "immune" come from the latin "immunis" meaning "free from/exempt from taxes (in Roman times)". |
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== Organs == |
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The very outset of this article states "immunity is the state of being insusceptible or resistant to a noxious agent or process". "Immune" does not mean "resistant" it means "free from" or "exempt from". There is basically a downwards spiral on wikipedia describing "Immune" "immunity" "immunize" in increasingly weaker terms such as "fortify", "resistant", or "protect". Somewhere it should be explained how there came to be this disconnect in meaning between "immune system" or "immunity" in the medical sense meaning "protect" or "resistant to" rather than "free from" or "exempt from" which is the plain English meaning of "immune". [[Special:Contributions/27.32.165.42|27.32.165.42]] ([[User talk:27.32.165.42|talk]]) 18:31, 7 April 2024 (UTC) |
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I came to this article looking for information on immune system organs such as lymph nodes and the spleen. I noticed this information is absent. A search of the article turns up "lymph node" one time, and spleen zero times. If you think it fits, consider adding a section or paragraph somewhere listing and describing the immune system organs. This might also be a good candidate for a diagram. Maybe something similar to [https://www.ncbi.nlm.nih.gov/books/NBK279395/bin/c6a04621bb0e73a520b0d9894a038db1v1_abs_502x559_b3535db83dc50e27c1bb1392364c95a2.jpg this]. –[[User:Novem Linguae|<span style="color:limegreen">'''Novem Linguae'''</span>]] <small>([[User talk:Novem Linguae|talk]])</small> 12:50, 10 May 2021 (UTC) |
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Physical excercise
[edit]The following is from my Talk Page: I am planning to (at least partially) tackle the exercise article, which is in a rather abyssmal state. I noticed the amount of coverage medical sources have regarding the immune system and exercise, and upon glossing over immune system, there weren't any mentions of exercise, physical activity etc., which is very surprising. Wouldn't it be wise to have a section dedicated to the effects of exercise, perhaps below the "Sleep and rest" section? I've found some great systematic reviews on the topic, and a few umbrella reviews mentioning it. I'd be happy to help out with creating such a section. Any thoughts? Cheers - Wretchskull (talk) 09:57, 9 December 2022 (UTC)
- Hi, yes you are right. It is a serious omission. May I suggest we collaborate on a section? Graham Beards (talk) 10:06, 9 December 2022 (UTC)
- Excellent! I'm very busy today but I have plenty of time this weekend. I'll give you a notice when I'm ready! Search wherever you want and you'll stumble upon some great findings on this topic; Cochrane and PubMed seems like a good start, but I'm sure the refs you already used in immune system are also useful. Wretchskull (talk) 10:22, 9 December 2022 (UTC)
- I'm looking forward to a fruitful collaboration. Graham Beards (talk) 10:29, 9 December 2022 (UTC)
- Hello again! I've picked a few sources here, mostly from a journal specialized in this topic (Exercize Immunology Review). I was wondering what the structure of such a section should be. Do you think we should have a paragraph explaining the technical microscopic changes and a paragraph below for its studied effects on infections, inflammation, cancer, etc.? Wretchskull (talk) 09:18, 11 December 2022 (UTC)
- Hi, it's best if we only use reviews as these are compliant with WP:MEDRS. From a quick glance , I think I spotted some primary studies. Perhaps we should move our conversation to the article's Talk Page? That way others can pitch in. With regard to the section's structure, I suggest the heading "Effect of physical excercise" ( I think the article uses UK English, but I will have to check), followed by a section on the effects on innate immunity, one on adaptive immunity and, as you said, effects on disease course (but we must avoid primary studies). Thoughts? Best regards, Graham Beards (talk) 11:32, 11 December 2022 (UTC)
- Of course. I'll start working on its medical effects, but I would appreciate if you could help with innate/adaptive immunity as my knowledge in that topic is nowhere near as vast as an expert like yours. If I have any questions I'll use the article talk page from now on. By the way, regarding the sources, I was surprised when you said some were primary. I assume it's because it doesn't have the blue highlight with the word "review" on it (like this one)? The title of such sources contain the word "review", otherwise I wouldn't use them. All MEDRS sources I use are filtered by review, systematic review, or meta analysis. I might be missing something, though, and I'd be happy if you could correct me. Cheers - Wretchskull (talk) 13:47, 11 December 2022 (UTC)
- I hadn't looked at them closely. Graham Beards (talk) 14:57, 11 December 2022 (UTC)
- Of course. I'll start working on its medical effects, but I would appreciate if you could help with innate/adaptive immunity as my knowledge in that topic is nowhere near as vast as an expert like yours. If I have any questions I'll use the article talk page from now on. By the way, regarding the sources, I was surprised when you said some were primary. I assume it's because it doesn't have the blue highlight with the word "review" on it (like this one)? The title of such sources contain the word "review", otherwise I wouldn't use them. All MEDRS sources I use are filtered by review, systematic review, or meta analysis. I might be missing something, though, and I'd be happy if you could correct me. Cheers - Wretchskull (talk) 13:47, 11 December 2022 (UTC)
- Hi, it's best if we only use reviews as these are compliant with WP:MEDRS. From a quick glance , I think I spotted some primary studies. Perhaps we should move our conversation to the article's Talk Page? That way others can pitch in. With regard to the section's structure, I suggest the heading "Effect of physical excercise" ( I think the article uses UK English, but I will have to check), followed by a section on the effects on innate immunity, one on adaptive immunity and, as you said, effects on disease course (but we must avoid primary studies). Thoughts? Best regards, Graham Beards (talk) 11:32, 11 December 2022 (UTC)
- Hello again! I've picked a few sources here, mostly from a journal specialized in this topic (Exercize Immunology Review). I was wondering what the structure of such a section should be. Do you think we should have a paragraph explaining the technical microscopic changes and a paragraph below for its studied effects on infections, inflammation, cancer, etc.? Wretchskull (talk) 09:18, 11 December 2022 (UTC)
- I'm looking forward to a fruitful collaboration. Graham Beards (talk) 10:29, 9 December 2022 (UTC)
- Excellent! I'm very busy today but I have plenty of time this weekend. I'll give you a notice when I'm ready! Search wherever you want and you'll stumble upon some great findings on this topic; Cochrane and PubMed seems like a good start, but I'm sure the refs you already used in immune system are also useful. Wretchskull (talk) 10:22, 9 December 2022 (UTC)
I have started the new section.Graham Beards (talk) 13:43, 12 December 2022 (UTC)
Can we add a mention in this article of the peripheral immune system--or create an article for this? 76.190.213.189 (talk) 02:34, 29 January 2023 (UTC)
Total mass, number, and distribution of immune cells in the human bod
[edit]While the recently added Sender et al. citation was removed for lack of context, the quantitative estimates of the immune system in that paper warrant brief mention to provide readers intuitive insight. Specifically, the cited paper calculates the human immune system contains approximately 1.8 trillion cells, dwarfing the ~100 billion neurons in the brain nearly 15-fold. Additionally, at an estimated 1.2 kg, the immune system weighs 3-5 times more than an average adult heart (250-350 grams). As these facts illustrate the immune system's considerable magnitude relative to other organs, they impart useful perspective for general readers. Thus a pared down summary contextualizing these cell count and weight comparisons could suitably supplement the article, without diving into excessive detail tangential to the core content. LittleHow (talk) 14:10, 4 November 2023 (UTC)
- It was an interesting paper but as it is a primary source it not WP:MEDRS compliant. We need to wait for this to be discussed in a review article in an established journal. Graham Beards (talk) 14:53, 4 November 2023 (UTC)
Claims made without evidence
[edit]There are about 20 claims made with out evidence in the first two paragraphs.
It would be useful to include specific experiments that have been run that led to these assumptions. 75.70.178.222 (talk) 22:05, 7 March 2024 (UTC)
- See MOS:LEADCITE. As the top paragraphs are a summary of the article, citations are often redundant as the statements are repeated with citations in he article. Graham Beards (talk) 07:05, 8 March 2024 (UTC)
Who coined the term? When did it come into popular use?
[edit]"Immunity" and "immune" come from the latin "immunis" meaning "free from/exempt from taxes (in Roman times)".
The very outset of this article states "immunity is the state of being insusceptible or resistant to a noxious agent or process". "Immune" does not mean "resistant" it means "free from" or "exempt from". There is basically a downwards spiral on wikipedia describing "Immune" "immunity" "immunize" in increasingly weaker terms such as "fortify", "resistant", or "protect". Somewhere it should be explained how there came to be this disconnect in meaning between "immune system" or "immunity" in the medical sense meaning "protect" or "resistant to" rather than "free from" or "exempt from" which is the plain English meaning of "immune". 27.32.165.42 (talk) 18:31, 7 April 2024 (UTC)
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