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Lecture Demo-unlocking the Immune System

May 29, 2018

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Mads Tandoc
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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.