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    Basic Immunology in

    Medicine

    Rina Susilowati

    Department of Histology & Cell Biology

    Faculty of Medicine Gadjah Mada University

    [email protected]

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    Outline2

    History of immunology

    Function of the immune system

    Arms of the immune system

    Phases of immune responses

    Immune responses in health and diseases

    Application of immunology in medicine

    [email protected] 2012

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    History of immunology 3

    The eradication of smallpox by vaccination. After a period of

    3 years in which no cases of smallpox were recorded, the World

    Health Organization was able to announce in 1979 that smallpox

    had been eradicated.

    Edward Jenner discovered in 1796 thatcowpox, or vaccinia, induced protectionagainst human smallpox

    [email protected] 2012

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    4

    Robert Koch (1843 –1910) provedthat infectious diseases are causedby microorganisms

    History of immunology 

    [email protected] 2012

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    5

    Shibasaburo Kitasato (1892 –1931) in

    collaboration with Emil von Behring

    (1854 –1917)

    discovered specific antitoxin activity

    against tetanus and diphtheria in serum

    Elie Metchnikoff (1845 –1916) was the first champion of cellular

    immunology, focusing his studies on the central role of phagocytes in

    host defense.

    History of immunology 

    [email protected] 2012

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    History of immunology 

    [email protected] 2012

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    The function of immune system

    7

    https://str.llnl.gov/JanFeb10/dzenitis.html

    [email protected] 2012

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    The arms of the immune system

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    Cytokinesprotein secreted by a cell that

    affects the behavior of other

    cells

    Chemokines

    chemoattractants proteins

    Cells communicate with

    each other via signaling

    molecules

    [email protected] 2012

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    Skin and mucosa: the first defense barriers

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    [email protected] 2012

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    Innate immune system

    Macrophages: the guards in the state border 

    10

    [email protected] 2012

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    Innate immune system

    Neutrophils: the reserve soldiers

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    [email protected] 2012

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    InflammationCellular components: macrophages, neutrophils Humoral components: complements

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    [email protected] 2012

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    Dendritic cells

    The military intelligence officer inthe border of the state

    The most professional antigen

    presenting cells (APC)

    DC bridging innate & adaptive immune system

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    Activated dendritic cells

    activate naïve T cells in thesecondary lymphoid organs

    (lymph nodes, spleen, mucosa-

    associated lymphoid organs)

    [email protected] 2012

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     Adaptive immune system:The main “actors” are the lymphocytes

    Very specialized military units

    [email protected] 2012

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     Adaptive immune system:The main “actors” are the lymphocytes

    maturation activation Effector function

    Peripheral Lymphoid organs: Lymph

    nodes, Spleen, MALT

    Central Lymphoid organs: Bonemarrow and thymus

    [email protected] 2012

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    Effector T cells eliminate infected cells or helping othercells in immune system

    [email protected] 2012

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     Activated B cells differentiate into plasma cells and secreteantibodies

    Somatichypermutation

    Isotype switching

     Activated B cells

    Plasma cells

    [email protected] 2012

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    Immunoglobulin distribution and function

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    Immunoglobulin Distribution

    IgG & IgM Plasma

    IgG & m-IgA Extracell f luid

    d-IgA Secretion acrros epithelia, breast milk  

    IgG in fetus Transplasental IgG mother

    IgE Beneath epithelial surfaces

    no Brain

    [email protected] 2012

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    Phases of immune responses

    [email protected] 2012

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    Phases of immune responses

    [email protected] 2012

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    Phases of immune responses

    [email protected] 2012

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    Immune responses in health and diseases

    [email protected] 2012

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     Application of immunology in medicine23

    Prevention

     Vaccination

    [email protected] 2012

    Diagnosis / Prognosis

    Detection of Biologicalmarkers

    http://rds.yahoo.com/_ylt=A0S020uF6fxJSggAkA6jzbkF/SIG=12pu1frlo/EXP=1241398021/**http:/thatstamil.oneindia.in/img/2008/05/vaccination250_19052008.jpg

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    Therapy 

    Immunoglobulin

    Cell therapy 

    Immunomodulator

     Application of immunology in medicine

     hank You

    [email protected] 2012