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FROM LIFE TO DEATH
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theeffective
teacher =
learning
theeffective
teacher +??? =
learning
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tabula rasaclean slate
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Nan-in, a Japenese master during the Meiji era
(1868-1912), served tea to a professor who
inquired about Zen.
He poured his visitor's cup full, and then kept on
going.
The professor watched the overflow until he no
longer could restrain himself. "It is overfull.
No more will go in!
"Like this cup," Nan-in said, "you are full of your
own opinions and speculations
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How can I show you
Zen unless you firstempty your cup?"
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How can we learn
from each other if our
minds are full?"
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the receptivestudent
LEARNING
the effective
teacher
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UNLOCKING THEIMMUNE SYSTEM 2BRIEF COURSE ONTHE BASICS OF IMMUNITY
AMADO O. TANDOC III, M.D.PATHOLOGIST
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LAST WEEK
THE IMMUNE
SYSTEM
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THE THYMUS
THE
LYMPHNODE
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B-cells
10-20% of peripheral
lymphocytes form plasma cells that
secrete immunoglobulins
humoral immunity
T-cells
60-70% of peripheral
lymphocytes
cellularimmunity
transported from marrow to
thymus for maturation to
CD4+ and CD8+ T cells
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The UNDERLYINGUNIVERSAL
PRINCIPLE of the immune
system deals with recognizingSELF FROMNONSELF
(FOREIGN) based on the
principle ofligand/receptor
binding. In a competitive and deadly
world, self is usuallyGOOD and
non-self is usuallyBAD.
This LAW defines both thestrengths and the weaknesses
of the immune system and
foreshadows its inherent
problems
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LIGAND-RECEPTOR BINDINGMEANS A KEY FOR EVERY LOCK.
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On this protein antigen there are certain GROUPSOF ATOMS that
comprise EPITOPES. These groups are defined as epitopes BECAUSETHEYELICIT AN IMMUNERESPONSE .
Since each of the epitopes is a DIFFERENT and unique chemical
cluster, each one of them induces a UNIQUE ANTIBODY.
Each antibody will bind tightly to its particular epitope and NOT TO ANY
OF THEOTHERS.
HOW ARE ANTIGENS
RECOGNIZED?
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A KEY FOR EVERY LOCK?
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Defense against microbes is mediated by the EARLY reactions of innate
immunity and the LATER responses of adaptive immunity. BOTH ACT
TO PROTECT THE ORGANISM FROM HARM.
INNATE (NATURAL, NATIVE) IMMUNITYconsists of cellularand biochemical defense mechanisms that are in place even
before infection and poised to respond rapidly to infections
ADAPTIVE (SPECIFIC) IMMUNITYare immune responses
that are stimulated by exposure to infectious agents andincrease in magnitude and defensive capabilities with each
successive exposure to a particular microbe
INNATE & ADAPTIVE IMMUNITY
INNATE IMMUNITY = This can best be
described as GENETIC IMMUNITY or
immunity an organism is BORN WITH.
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INNATE IMMUNITY provides the EARLY, INITIAL DEFENSE.
ADAPTIVE IMMUNITY develops later and consists of activation of
lymphocytes.
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1. BARRIERS. Physical and chemical barriers such asepithelia and antimicrobial substances produced at
epithelial surfaces
2. NON-SPECIFIC CELLS. Phagocytic cells (neutrophilsand macrophages) and natural killer (NK) cells
3. COMPLEMENT. Blood proteins, including members of
the complement system and other mediators of
inflammation
4. CYTOKINES. Proteins called cytokines that regulate
and coordinate many of the activities of the cells of
innate immunity
COMPONENTS OF INNATE IMMUNITY
Cells of the NON-SPECIFIC IMMUNE SYSTEM, known as
macrophages and polymorphonuclear neutrophils,
RECOGNIZE and then ATTACK NON-SELF MATERIAL,
destroy it, and more importantly:
PROCESS IT FORUSEBY THESPECIFIC IMMUNESYSTEM.
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This refers to immunity against SPECIFIC ANTIGENS that one acquires in
one of two ways, ACTIVE or PASSIVE.
ACTIVE NATURALLY ACQUIRED IMMUNITY = This occurs when
individuals suffer from a natural infection of a pathogen and become
immune to that pathogen upon recovery (e.g. chickenpox).
ACTIVE ARTIFICIALLY ACQUIRED IMMUNITY = This occurs when
individuals are actively vaccinated with an antigen that confers
immunity.
PASSIVENATURALLY ACQUIRED IMMUNITY = This occurs when
individuals receive antibodies from their mother by a natural process,such as in BREAST MILK or in-utero transfer of antibodies from mother
to fetus.
PASSIVE ARTIFICIALLY ACQUIRED IMMUNITY = This occurs when
individuals are injected with POOLED serum from immune individuals
that contain antibodies against a large number of pathogens.
ACQUIRED OR ADAPTIVE IMMUNITY
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ARTIFICIALLY ACQUIRED IMMUNITY:
THE CONCEPT OF VACCINATION
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1. SPECIFIC CELLS. Lymphocytes.
2. ANTIBODIES.
COMPONENTS OF ACTIVE NATURALLY-
ACQUIRED IMMUNITY
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INNATE & ACQUIRED IMMUNITY: QUICK SUMMARY
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The specific or acquired immune system exists throughout the body, but a major
portion of it circulates in the blood and lymphatic systems, as they flow throughoutthe body. The human specific immune system is a TWOLEVELORDUAL
SYSTEMconsisting of soluble antibodies and special immune cells. The two
systems work intimately as a coordinated unit. Foreign material is dealt with by
both components of this dual system.
THE DUAL LEVELS OF ACQUIRED IMMUNITY
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THE DUAL LEVELS OF ACQUIRED IMMUNITY
ACTUALLY REFERS TO THE TWO
COMPONENTS OF THE ACQUIRED IMMUNITY
SYSTEM.
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WHAT
HAPPENSUPON
EXPOSURE
TO ANTIGEN?
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A KEY FOR EVERY LOCK: THE ANTIBODY
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IT ISNOT ONLY THE ANTIBODY THAT BINDS
ANTIGENS.
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MEET THE OTHER AG PRESENTING CELLS:
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FINALLY This lecture is by no means a substitute to
reading your books.
Please read your books.
A copy of this lecture will be given to you so you
can study the diagrams and understand how the
immune system works.