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Immune System & Humoral Immunity

Apr 07, 2018

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    Dr.P.S.N.RajuP.G in PhysiologyAndhra Medical CollegeVisakhapatnam

    A.P , India

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    THE IMMUNE SYSTEM

    The Latin term IMMUNIS means EXEMPT, referring to

    protection against foreign agents. Immunity is the ability of the bodyto specifically counteract foreign organisms or substances, called antigens.

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    S pecific Defenses of the Host:The Immune Response

    Acquired immunity Developed during anindividual's lifetime

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    A NATOMY OF THE IMMUNE SYSTEM

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    DEFENCECOUNTRY

    ATTACKED

    TWO WAYS

    TO FIGHTHIRE A TRAINED FORCE - QUICK

    PREPARE OWN FORCE TAKES TIME

    WHICH IS BEST?

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    ATTACK INFECTION

    INFECTIONINFECTION

    INFECTION

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    DEFENCE

    HIRE(PASS IVE)MAKE OWN(ACTIVE)

    PHYSICAL(SKIN)

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    Cells of Immune System

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    Lymphocytes

    Large nucleiCapable of proliferationExtensive Rough ER

    Synthesize antibodies Phagocytosis

    Direct killing of targetcells Modulation of the

    immune response

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    Naturally Acquired immunity.

    B-cells : humoral immunity (blood-specificimmunity )

    Secrete antibodies into blood stream

    Ingest, digest and display parts of antigens

    T-cells : cell mediated immunity T cells secretelymphokines - activate / repress immune

    response. (e.g. interleukin-2) Direct cell-cell contact Bind to infected cells, deliver toxins, Induce apoptosis

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    Distinct Cells in Immune System

    Lymphocytes ( B cells, T cells ) Determining specificity of immunity

    Monocyte/macrophage, dendritic cells, natualkiller cells and other members of myeloid cells

    Antigen presentation Mediation of immunologic functions

    Specialized epithelial and stromal cells Providing anatomic environment

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    Acquired immunity.

    Characteristics:

    Immunological recognition .

    Discrimination between self & non-self.Depending on displaying of specific markersCapacity to make Immune response to foreign A g is developed in latefoetal stage or after birth. Immunilogical Silence.

    Immunological specificity .Immunological memory .

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    Acquired immunity.

    Immune system mounts immune response .

    Immune response must:

    R ecognise micro-organism / parasite as foreign.

    R espond by production specific antibodies &lymphocytes.

    Mediate elimination of organisms.

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    The discovery of B cell immunity

    1954 - Bruce Glick, Ohio S tate University

    S tudies on the function of the bursa of Fabricius, a lymphoid organ in thecloacal region of the chicken

    Bursectomized chickenswere later used in

    experiments to raise

    antibodies to Salmonellaantigens

    None of thebursectomized

    chickens made anti-Salmonellaantibodies

    Bursa was later found to be the organ in which antibody producing cells developed antibody producing cells were thereafter called B cells

    Mammals do not have a bursa of Fabricius

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    1 . Cellular immunity - B

    lymphocytes.Found in lymph nodes, liver & spleen.

    Bone marrow-derived.

    Mature in Peyers Patches of Intestine.

    During maturation, antigen-specified Abdisplayed on cell surface.

    If the cell activated by antigen, B cells secreteantibody.

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    R

    Markers of Self

    Muscle cell

    Nervecell

    Epithelialcell

    Leukocyte

    Class I MHC self-marker protein

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    R

    Ma r r f - lf

    - lf l t

    A tib d

    itlass I MHC r t i

    it

    A tib d

    A tig

    A tig

    Bac t ri a

    Non -se lf ne r e ce ll

    AR ir s

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    Major Histocompatibility Complex (MHC)

    The major histocompatibility complex (MHC) is a largegenomic region or gene family found in the short arm of chromosome 6.HLA antigen system-Group of genes present in MHC mol.The proteins encoded by the MHC are expressed on thesurface of cellsClass MHC I found in every cell , presents Ag to Cytotoxic TcellsClass MHC II on B cells , otherAPC , Presents A g to TH cells

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    Humoral Immunity

    A ntibody ( A b) Proteins made in response to exposureto bacteria and other pathogens,

    toxins, plant polen and red blood cellsthat the body recognized as alien, ornonself

    A ntigen ( A g) A substances that causes thebody to produce specific

    antibodies or sensitized T cells

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    An antigen (or immunogen) is a chemical substance thatcauses the body to produce specific antibodies(anti body g e n eration)As a rule, antigens are proteins or large

    polysaccharides .Antibodies are formed against specific regions onantigens called epitopes , or antigenic determinants.

    The Nature of Antigens

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    Haptens

    A hapten is a low-molecular-weight substance that cannot cause theformation of antibodies unless combined with a carrier molecule;

    once the antibody against hapten has been formed haptens willreact with their antibodies independent of the carrier molecule.

    Figure 17 .4

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    The Nature of Antibodies

    An antibody, or immunoglobulin (Ig), is a protein producedby B cells in response to an antigen and is capable of combining specifically with that antigen .Antibodies recognize and react with antigenic determinantsor epitopes .

    Figure 17 .3

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    Antibody S tructure

    Figure 17 .5 a-c

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    Generation of immune response.

    ~ 4 -7 days to generate immune response.

    > 7 days get primary immune response .1 st IgM produced then IgG.After ~3 weeks primary immune response turnedoff.Ab producing cells & memory B cells formed.

    Memory B cells secrete ab when same agentencountered again.This is secondary immune response .Memory lasts weeks / years.

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    Activation of B cells to produce antibodies

    F i u re 17 .4 - O v er vie w

    T- de e n de n t an ti e n

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    Activation of B cells to produce antibodies

    T independent antygen -Antigens that stimulate B cells

    without help of T cellsRepeating subunits polisaccharides or lipopolisaccharidesCan bind multiple receptors

    F ig r e

    .6

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    Helper T Cells

    Figure 17 .1 3

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    S tages of Humoral Immune Response

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    Two-Signal Model of Humoral Immune R esponse

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    FUNCTIONING OF THE IMMUNE SYSTEM

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    Antigen ReceptorsThe humoral andcell-mediated responsesboth rely on antigen

    receptorsReceptor versus LigandAn antigen receptor is a receptor whose

    ligand is an antigenAntibodies are only one class of antigenreceptors

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    BINDINGBINDING NO BINDING NO BINDING

    BACTE R IABACTE R IA

    R ECEPTO R R ECEPTO R

    L IGANDL IGAND

    LYM PHOC Y TELYM PHOC Y TE LYM PHOC Y TELYM PHOC Y TE

    R ECOGNIZES BACTE R IAR ECOGNIZES BACTE R IA DOES NOT R ECOGNIZE BACTE R IADOES NOT R ECOGNIZE BACTE R IA

    Receptor-ligand interactions lock and key

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    Monomer80% of serum antibodiesFix complementIn blood, lymph, intestineCross placentaEnhance phagocytosis;neutralize toxins &viruses; protects fetus &newborn

    Half-life = 23 days

    IgG antibodies

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    Pentamer5 -1 0% of serumantibodiesFix complement

    In blood, lymph, on BcellsAgglutinates microbes;first Ab produced inresponse to infectionInvolved in response toABO blood group

    Half-life = 5 days

    IgM antibodies

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    Dimer1 0-15 % of serumantibodiesIn secretions, mucus,salvia, tears, and brestmilkMucosal protection

    Half-life = 6 days

    IgA antibodies

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    Monomer0.2% of serumantibodies

    In blood, lymph, on BcellsOn the surface of B

    cells, initiate immuneresponseHalf-life = 3 days

    IgD antibodies

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    Monomer0.002% of serumantibodies

    On mast cells andbasophils, in bloodAllergic reactions; lysis

    of parasitic wormsHalf-life = 2 days

    IgE antibodies

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    Ag-Ab Binding

    Antigen-antibody complex A ffinity Specificity

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    The Results of Ag-Ab Binding

    Figure 17 .9

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    General Categories of ImmunityDisorders

    1.Hypersensitivity2.Autoimmunity3.Immunodeficiency

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    HYPERSENSITIVITY

    overactive or hyperactive state of theimmune system.

    Four Mechanisms of Hypersensitivity1.Type 1 Hypersensitivity (Anaphylactic)2.Type 2 Hypersensitivity (Cytotoxic)3.Type 3 Hypersensitivity (Immune Complex

    Mediated)4.Type 4 Hypersensitivity (Cell Mediated)

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    Type 1 Hypersensitivity (Anaphylactic)

    mediated by IgE, formed in response to aparticular antigen (allergen) bound to mast

    cells and basophils (release vasoactive aminesand cytokines)

    2 phases:

    Initial (rapid) responseSecond (delayed) phase

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    Type 1 Hypersensitivity (Anaphylactic)

    2 Types of AnaphylaxisLocal Anaphylaxis

    Asthma, rhinitis, angioedema,urticaria

    Systemic AnaphylaxisLife threatening

    Laryngeal edema, bronchospasm,pulmonary edema, hypotension

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    Type 2 Hypersensitivity (Cytotoxic)

    mediated by antibodies against intrinsic orextrinsic antigens adsorbed on the cell surface

    or on other tissue components.Transfusion reactionsErythroblastosis fetalisCertain drug reactions

    Good Pasteure DiseaseMyasthenia GravisGraves Disease

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    Type 3 Hypersensitivity (Immune-Complex)

    Mediated by antigen-antibody complexes-immune complexes forming either in the

    circulation or at extravascular sites of antigendeposition

    Rheumatic fever

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    Type 4 Hypersensitivity (Cell mediated)

    Initiated by specifically sensitized T-lymphocytes

    Delayed type of hypersensitivityTuberculosis

    T-cell mediated cytotoxicity

    Viral infections, graft rejection

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    IMMUNODEFICIENCY

    Subdivided into:Primary

    hereditary loss of immune systemSecondary

    acquired

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    IMMUNODEFICIENCY

    Subdivided into:Primary

    Brutons disease (deficient B cell)DiGeorge Syndrome (deficient T cell)Isolated IgA DeficiencySevere combined ImmunodeficiencyX-linked agammaglobulinemia (XL A )

    patients don t have any mature B cell- can't make antibodies

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    Autoimmunedisorder Symptoms

    Target of Antibodies

    Glomerulonephritis L ower back pain Kidney cell antigen that

    resembles Streptococcusantigen

    Graves disease R estlessness, weight loss, irritability,increased heart rate and blood

    pressure

    Thyroid gland antigen

    M yasthenia gravis M uscle weakness Nerve message receptors onskeletal muscle cells

    Pernicious anemia Fatigue and weakness Binding site for vitamin B oncells lining stomach

    R heumatoid arthritis Joint pain and deformity Cells lining joints

    Systemic lupuserythematosus

    R ed rash on face, fever, weaknessand kidney damage

    DNA, neurons, blood cells

    Type I diabetes Thirst, hunger, weakness, emaciation Pancreatic beta cells

    Ulcerative colitis L ower abdominal pain Colon cells

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