Woman boxer training to fighting off immune challenges

How Does the Immune System Work? A Guide to Your Body’s Defense Network

By: Erin Gillespie, MD

Scientifically Reviewed By: Michael A. Smith, MD

At a Glance

  • The immune system is a complex system that includes cells, tissues and organs.
  • Your immune system is armed with white blood cells that detect and destroy invading bacteria, viruses, and even cancer cells.
  • Your skin and mucous membranes are your immune system's first line of defense.
  • You have both innate immunity (which responds right away to threats) and adaptive immunity (which has a long-term "memory" and protects you from getting the same exact illness twice).
  • Healthy lifestyle habits like a nutrient-rich diet, getting enough sleep and managing stress can strengthen your immune system.

Did you know you have an army working 24/7 for your health and well-being? Your immune system is your own internal defense force, armed and ready to catch enemy invaders. It often works silently to detect, neutralize, and eliminate viral, fungal and bacterial threats.

Understanding how your immune system works can help you stay healthy and support its function. This can be encouraged by:

  • Eating nutritious foods
  • Making smart lifestyle choices like managing sleep and stress
  • Using lab tests to monitor immune function.

Let's explore what the immune system does, what weakens it, and how to keep your immune system strong so you can enjoy the benefits of optimal immunity.

What is the immune system, and why is it important?

The immune system is a complex network of cells, tissues, and organs that protects the body from bacteria, viruses, fungi, and other harmful invaders.

  • The primary cells of the immune system are white blood cells that work in conjunction with the body's tissues, including the thymus, spleen, tonsils, lymph nodes, lymph vessels, and bone marrow.
  • Your immune system constantly surveys your system for what doesn't belong, and it can eliminate damaged or abnormal cells, such as cancer cells or cells infected by viruses.
  • Every day, you encounter potential pathogens through the air you breathe, the food you eat, and the surfaces you touch. Most of these never make it past your body's first line of defense, which is the skin and mucous membranes.
  • When an infectious agent slips through, the cells of your immune system recognize the threat and act to neutralize it.

Without the surveillance and rapid response of your immune defense network, even minor threats could escalate into something more challenging to your health and well-being.

What are the key parts of the immune system, and what do they do?

The immune system is made up of numerous interconnected cells, organs and chemical signals that work together to function effectively. Each component has a separate role, providing multiple layers of defense:

Physical barriers

  • The skin, mucous membranes (such as those lining the inside of your nose) and physical barriers like nose hair are the first line of defense. They physically block invaders before they can enter the body or secrete substances that create an inhospitable environment for them. (At last, an explanation for all of that nose blowing—it's serving a purpose!)
  • The skin also contains several peptides and lipids that can disrupt the membranes around bacteria, killing them before they have a chance to infect the body.

Lymphatic system

  • Often referred to as the body's drainage and transport network, the lymphatic system moves white blood cells throughout the body, enabling them to communicate with other parts of the immune system.
  • It includes the lymph nodes, lymph vessels, spleen, thymus, bone marrow, tonsils, adenoids, and specialized tissue in the small intestine.
  • This system helps maintain a healthy fluid balance and removes harmful substances and dead cells from the body.

Bone marrow

Part of the lymph system, bone marrow is located within the bones and serves as the factory that produces all components of blood, including the red blood cells that carry oxygen, platelets, and the white blood cells (leukocytes) of the immune system.

White blood cells

  • White blood cells, also referred to as leukocytes, are immune cells that circulate in the blood. Their job is to find, fight and remove any threats.
  • There are several types of white blood cells with different roles, such as identifying invaders, destroying bacteria or infected cells, and eliminating damaged cells, cancer cells and pathogens. (See chart below for more details.)

Chemical messengers (cytokines)

  • Think of cytokines as your immune system's walkie-talkies. They enable immune cells to communicate and coordinate their responses.
  • These messenger proteins can amplify inflammation when needed, which helps other cells navigate toward the infection and activate their responses. When the threat is contained, cytokines can help turn off inflammation and spread the message that cleanup can begin.

Other organs

  • Certain organs, such as the lungs and gut, also aid in your immune system's defense.
  • About 70% of immune cells reside in the gastrointestinal tract, where they defend against ingested pathogens and maintain a balance between beneficial and harmful bacteria.
  • Because we often breathe in threats to our immune health, the lungs are an entry point for invaders, so this organ has specialized immune functions to combat inhaled allergens, pathogens or harmful substances.

Innate vs. adaptive immunity: What’s the difference?

Together, these organs and cells form a powerful defensive network that protects you from infection. This network operates through two main types of immune responses: innate and adaptive immunity.

  • Innate: The innate response is fast and broad, much like that of 24/7 security guards and first responders. The innate immune system attacks foreign invaders, using cytokine messenger proteins to sound the alarm. Often, this innate response is enough to neutralize the threat, but if not, this first wave holds the enemies at bay until reinforcements arrive.
  • Adaptive: The adaptive system is slower but more targeted, developing long-term memory that helps you overcome future infections. The adaptive response is like a highly trained special strike force that can carry out precision strikes and complete the job initiated by the innate system. The veteran adaptive immune cells will also recognize invaders for the future to allow a more rapid response.

9 different types of immune cells

The key players in your immune system—the white blood cells—all originate from bone marrow, but they play different roles. We categorize them into different groups based on their function and type of immunity (adaptive vs. innate).

Here’s how each of these white blood cell types work.

Immune Cell Type of Immunity What They Do
Neutrophils Innate
  • As the most abundant type of white blood cell, they are first to respond to an injury or infection
  • Get rid of pathogens
  • Release inflammatory cytokines to rally the rest of your immune system into action
Natural killer (NK) cells Innate
  • Also part of the first wave of defense to detect and destroy abnormal or infected cells
Macrophages Innate
  • Engulf and digest pathogens, including microbes, cancer cells and cellular debris
  • Help to promote and resolve inflammation by releasing cytokines
Dendritic cells Both innate + adaptive immunity
  • Act as major messengers between innate and adaptive immune cells
  • Activate immune response by rallying the T cells
T cells Adaptive
  • Help recognize and destroy infected or damaged cells
  • Regulatory T cells help tone down the immune response when the threat is over
B cells Adaptive
  • Produce antibodies that mark pathogens for destruction
  • These antibodies allow the immune system to have long-term memory, protecting you in the future from these pathogens
Eosinophils Innate
  • Target parasites
  • Play a role in allergic reactions
Basophils Innate
  • Involved in acute and chronic allergies
  • Release histamine during allergic or inflammatory reactions
Mast cells Both
  • Immediate response to allergens
  • Release histamine during allergic or inflammatory reactions
  • Involved in wound healing and immune defense

How does the immune system respond to viruses?

When a virus enters your body for the first time, the immune system responds with a series of actions resulting in short-term defense and long-term memory, so that the next time you encounter a similar threat, your body will be "smarter" and know how to protect you:

  1. First line of defense.

    The skin and mucous membranes block most viruses and pathogens from entering the body with both physical and chemical barriers. If a virus sneaks in through a break in the skin or is inhaled, it can cause infection.
  2. Viral entry into cells.

    If the virus reaches a susceptible cell, it can use specific molecules on the cell surface to gain entry (like unlocking a door with a key). Once inside, it can use the cell's machinery to make copies of itself, which it can use to infect other cells. The cell is now infected.
  3. Innate detection (within minutes or hours).

    When the innate immune system detects infection or foreign components, numerous signaling cascades are enacted, including the release of cytokines. This sounds an alarm to the rest of the immune system, attracting innate immune cells that begin to kill (NK cells) and consume (macrophages and neutrophils) damaged and infected cells.
  4. Adaptive response (hours to days later).

    Dendritic cells bring pieces of the virus (antigens) to the lymph nodes, where they are shown to T and B cells to identify the threat (like giving a trained bounty hunter or assassin a picture of the outlaw). Killer T cells are then sent out to destroy infected cells. B cells begin producing antibodies so the virus can be recognized and destroyed.

    This process of fighting the virus triggers inflammation in the body, leading to symptoms such as fever, swelling, fatigue, and other specific symptoms at the site of infection.

  5. Resolution and repair (days to weeks later).

    Once the infection is under control, regulatory T cells and anti-inflammatory cytokines help turn down the response, allowing cleanup to begin. M2 macrophages help clear debris and encourage tissue repair.
  6. Long-term memory (weeks to years later).

    Some activated B cells live for a long time and continue to produce antibodies. Memory T and B cells remain on standby, ready to mount a faster and stronger attack if the virus reappears, effectively preventing reinfection. Immunity through antibodies can last for years.

Why do we still get sick?

With this powerful, brilliantly coordinated army of defenders living inside of us, why do we still get sick? Well, mostly, we don't! Our immune systems do such a great job in general that we might not even realize we've been exposed to a pathogen. Sometimes, though, the immune system needs a little time to catch up. And if the immune system is a little challenged from lack of sleep or occasional stress, it might take even longer.

But that's not the only reason things can go awry:

  • Excessive immune response. Sometimes the inflammatory reaction becomes out of control, also known as a "cytokine storm." This response can cause tissue damage, low blood pressure, leakage of fluid from capillaries, and fluid accumulation in the lungs.
  • Immune system may not detect the threat. The virus can remain hidden from the immune system. Some viruses can remain dormant in the body, resurfacing later to activate. One example of this is the varicella-zoster virus. It can hide in nerve cells, reappearing during times of stress and causing lesions on the skin (a condition known as shingles).

The Role of Vaccines

Vaccines are designed to mimic an infection enough that your body creates memory B and T cells without actually getting you sick. They often contain an inactivated virus or certain proteins from the virus that prompt your immune system to make antibodies. Your system can then respond quickly when it is exposed to the actual virus. This response gives you better protection against the virus, either not getting sick or experiencing milder symptoms, because the immune system is already familiar with it.

How can nutrients support immune health?

Can chicken soup and orange juice really help you get better when you're sick? Well, yes, although they aren't the only type of nutrition that can help. The immune system relies on a steady supply of nutrients to carry out its extremely complex and demanding job.

  • Immune cells have high energy and nutrient demands because they are constantly growing, dividing, and repairing. Deficiencies in vitamins or minerals can weaken this defense network.
  • A balanced diet rich in fruits, vegetables, lean proteins, and healthy fats provides the building blocks that the immune cells need.
  • Nutrients like vitamin C, zinc, and vitamin D help regulate cell signaling, provide antioxidant and anti-inflammatory support, and maintain healthy tissue barriers.

What are the signs of a weakened immune system?

If you notice that you are getting sick more often, or if illnesses seem to last longer, you might be experiencing a weakened immune response. Common signs include frequent infections, slow healing, and feeling run-down even with adequate rest. If your immune system is not functioning correctly, you are more likely to develop complications from an illness, such as a sinus infection after a cold or post-viral pneumonia. You are also more likely to get the same illness again or have more frequent flare-ups (like herpes or shingles).

Can I fix my weak immune system?

In many cases, yes, you can take steps to keep your immune system strong. Regular physical activity, adequate sleep, managing stress, and eating whole foods rich in vitamins and minerals can support the immune system and provide the building blocks for cell growth and intracellular signaling.

If you suspect your immune defenses aren't performing at their best, lab testing can help identify potential imbalances, but you should always discuss your concerns with your healthcare professional.

Key Takeaways

  • Your immune system is constantly working to protect your body, utilizing several different organs, various types of cells, and memory systems.
  • Each part of the immune system plays a crucial role, and all parts require adequate nutrition to function correctly.
  • Eating a balanced diet, getting sufficient sleep, and managing stress can help your immune system perform at its optimal level.

About the Author: Erin Gillespie, MD, is a physician specializing in Internal Medicine, Integrative Medicine, and Obesity Medicine, with advanced certifications in nutrition, supplements, and herbal therapies. Erin is passionate about helping people understand how evidence-based nutrition, fitness, and supplementation can support optimal health at every stage of life. She has a certification from the Institute for Integrative Nutrition, and she studied Integrative Medicine and Nutrition with Dr. Andrew Weil.

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