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Learning OutcomesLearning Outcomes
At the end of the lecture, student should
be able to:
Explain the function of immune system
Classified the types of immune system.
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The Immune SystemThe Immune System
Types of Immune Response:Types of Immune Response:
Innate ImmunityInnate Immunity Acquired/ adaptive Immunity :Acquired/ adaptive Immunity :
a) Cella) Cell--Mediated ResponseMediated Response
b)b) HumoralHumoral ResponseResponse
Lymphatic TissuesLymphatic Tissues
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D
ual nature of the ImmuneSystemThe architecture of the immune system is multiThe architecture of the immune system is multi--layered,layered,with defenses on several levels.with defenses on several levels.
Several barriers (external to internal /simple toSeveral barriers (external to internal /simple to
complex) provided at many levels of infection and thecomplex) provided at many levels of infection and theimmune system has a series of dual natures:immune system has a series of dual natures:
1. Self/ non-self recognition
2. Natural / adaptive
3. Cell mediated / humoral4. Passive / active
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Characteristics of the immuneresponse
1. Specificity:: the ability to distinguish betweenthe ability to distinguish between
antigensantigens
2. Adaptiveness: the ability to respond to previouslythe ability to respond to previouslyunseen molecules.unseen molecules.
3. Recognition of self and non-self : the ability tothe ability to
recognize and respond to molecules that arerecognize and respond to molecules that are
foreign or nonforeign or non--self and the molecules that areself and the molecules that are
self.self.
4. Memory:: the ability to recall previous contact with athe ability to recall previous contact with a
foreign molecule and respond to it in a learnedforeign molecule and respond to it in a learned
manner.manner.
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Functions of immune systemFunctions of immune system
The immune system like any organization, hasThe immune system like any organization, has
members that perform different functions tomembers that perform different functions to
accomplish a common goal.accomplish a common goal.1.1. Provides defenses against pathogensProvides defenses against pathogens
2.2. Removes dead or worn out cells like RBCsRemoves dead or worn out cells like RBCs
3.3. Identifies and destroys abnormal cancer cellsIdentifies and destroys abnormal cancer cells
4.4. Protects from autoimmune diseasesProtects from autoimmune diseases
5.5. Rejects tissues cells of foreign antigens .Rejects tissues cells of foreign antigens .
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Mechanism of immune responseMechanism of immune response
The immune system specifically recognizes andThe immune system specifically recognizes andselectively eliminates pathogens.selectively eliminates pathogens.
There are two critical steps in the immune response:There are two critical steps in the immune response:
1.1. Detection eventsDetection events2.2. Elimination eventsElimination events
The detection and elimination of pathogens dependThe detection and elimination of pathogens dependupon the chemical bonding between receptors on theupon the chemical bonding between receptors on thesurface of an immune cell andsurface of an immune cell and epitopesepitopes found on thefound on thesurface of a pathogen.surface of a pathogen.
TheThe complementary receptorcomplementary receptor epitopeepitope bindingbinding(( monospecificitymonospecificity) activates a complex system of) activates a complex system ofsignallingsignalling that mediates the immune response.that mediates the immune response.
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Mechanism of immune responseMechanism of immune response
ImmuneImmune recognition phaserecognition phase is critical in theis critical in thenormal functioning of the system.normal functioning of the system.
This is accomplished by three sets of antigenThis is accomplished by three sets of antigenbinding molecules :binding molecules :
1. T- cell antigen receptors (TCR)
2. Class I and class II molecules of the MHC
3. B-cell antigen receptor (BCR,
immunoglobulin). TheThe effectoreffector phasephase is mediated by a variety ofis mediated by a variety of
cells and soluble factors.cells and soluble factors.
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Lymphatic vessels are responsible for flow of lymph withinthe lymphoid system
Plasma constantly leaks out of capillaries to deliveroxygen and nutrients to cells of the surrounding tissue.
Once in the tissue, the plasma is now called tissue fluid . While most of this tissue fluid re-enters capillaries and is
returned directly to the bloodstream, some fluid enterslymph vessels as lymph .
LYMPH- flows from the intercellular tissue spaces intolymphatic capillaries and then into a series of larger
collecting vessels called lymphatic vessels. Lymphaticvessels converge into the thoracic duct, which returns thefluid to the circulatory system by dumping into the leftsubclavian vein.
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Thoracicduct
Overview of blood and lymph system and howOverview of blood and lymph system and how
leukocytes travel from one system to anotherleukocytes travel from one system to another
Site of exchange between the
blood and lymph systems
Lymph carrying antibodiesand immune cells collect inthoracic duct where thelymph empties back into theblood circulatory system
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Immune cells travel back and forth fromImmune cells travel back and forth fromthe blood and lymph circulatory systemsthe blood and lymph circulatory systems
and interact with extraand interact with extra--vascular tissues invascular tissues in
the processthe process----extravasationextravasation
muscle
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Functions of lymphatic organsFunctions of lymphatic organs
1. Generate immuno-competantlymphocytes.
2. Concentrate antigens into lymphoidorgans.
3. Circulate lymphocytes throughlymphoid organs, exposing antigen to a
variety of lymphocytes.4. Deliver antibodies and effector T cells to
the blood and tissues.
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Lines of Defense
1st Line1st Line barriers at portals of entrybarriers at portals of entry primarily inborn and nonspecificprimarily inborn and nonspecific
physical barriers which include the skin, urine,physical barriers which include the skin, urine,tears,tears, ciliaryciliary elevator, mucosal membrane, etcelevator, mucosal membrane, etc..
come into play when barriers are breachedcome into play when barriers are breached
primarily inborn and nonspecificprimarily inborn and nonspecific
are the macrophage system, complement,are the macrophage system, complement,fever, interferon and inflammation.fever, interferon and inflammation.
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2nd Line2nd Line antibodies andantibodies and cytotoxiccytotoxic cellscells
provides longprovides long--term immunity afterterm immunity afterencountersencounters
primarily acquired and specificprimarily acquired and specific
consists of B cells (consists of B cells (humoralhumoral), and T cells), and T cells(cell(cell--mediated).mediated).
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Physical and Chemical DefensesPhysical and Chemical Defenses
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continuecontinue
SkinSkin provides an almost impenetrableprovides an almost impenetrablebiological barrier.biological barrier.
LysozymeLysozyme is an enzyme found in tears andis an enzyme found in tears andsaliva thatsaliva that can break down foreign agents .can break down foreign agents .
The clotting of blood near open woundsThe clotting of blood near open woundsprevents an open space for antigens.prevents an open space for antigens.
Mucus and cilia found in the nose andMucus and cilia found in the nose andthroat can catch foreign agents thenthroat can catch foreign agents then
sweep them outside viasweep them outside via coughing, sneezingcoughing, sneezingand vomiting.and vomiting.
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Second Line of DefenseSecond Line of Defense--22
Second lines of defense deal with antigens that
have bypassed the first lines of defense.
Interferons are a family of proteins that are
released by a cell that is under attack by anantigen.
One method of attacking antigens is byphagocytosis , where the contents of the
antigen are broken down by molecules called
phagocytes.
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A second line of defense is thespecific/adaptive immune system which
may take days to respond to a primaryinvasion
The production of antibodies and cell-mediated responses may occur in whichspecific cells recognize foreign pathogens
and destroy them. The response is often more rapid because
of the activation of memory B and T cells. cells of the immune system interact with one
another by a variety of signal molecules. These signals may be proteins such aslymphokines, cytokines and chemokineswhich stimulate cells of the immune system.
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Immune SystemImmune System
Two types of immune systemTwo types of immune system
InnateInnate immune systemimmune system
AdaptiveAdaptive immune systemimmune system
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Main Types of Immunity in ManMain Types of Immunity in Man
Immunity
Innateimmunity
Adaptiveimmunity
Natural Artificial
Passive (maternal)
Active (Infection)
Passive (Serotherapy)
Active (Vaccination)
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Innate ImmunityInnate Immunity responds immediatelyresponds immediately protects the body from all foreignprotects the body from all foreign
substancessubstances
Consists of various types of barrier thatConsists of various types of barrier that
prevent entry of foreign agents such as:prevent entry of foreign agents such as:
a) anatomical barriersa) anatomical barriers
b) physiological barriersb) physiological barriers
c) inflammatory barrier.c) inflammatory barrier. Comprises all defense elements which anComprises all defense elements which an
individual is born with it.individual is born with it.
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A) anatomical barriers:A) anatomical barriers:
-- Block the entry of organismBlock the entry of organism
-- Consist of skin and the mucousConsist of skin and the mucous
-- Entraps foreign microorganism and ciliaEntraps foreign microorganism and cilia
propels microorganism out of the body.propels microorganism out of the body.
-- B) Physiological barriersB) Physiological barriers
-- Factor like body temp, pH, and variousFactor like body temp, pH, and various
body secretions prevent growth ofbody secretions prevent growth ofpathogens.pathogens.
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C) Inflammatory barriersC) Inflammatory barriers
Response occur due to release ofResponse occur due to release ofchemical by the damaged most cells.chemical by the damaged most cells.
Redness, swelling, pain and production ofRedness, swelling, pain and production of
heat is known as inflammatory response.heat is known as inflammatory response. Influx ofInflux of phagocyticphagocytic cell into affectedcell into affected
area to inhibit and destroy the invadingarea to inhibit and destroy the invading
micromicro--organism.organism.
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chapter 2 27
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Acquired immunityAcquired immunity The second level of defense increases in
strength and effectiveness with eachencounter. The foreign agent is recognized in a
specific manner and the immune systemacquires memory towards it.
The first encounter with an antigen is known asthe primary response. Re-encounter with thesame antigen causes a secondary responsethat is more rapid and powerful
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As response produce antibodies to specificinfections
Some features
Memory
Each successive encounter with the samepathogen improve the response
Clonal selection
Select the best and matured immune cells to
defend the organism against infections
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Acquired ImmunityAcquired Immunity
Also known as adaptive or specific
immunity.
Capable of recognizing and selectively
eliminating specific microorganism Supplements the protection provided by
innate immunity.
Require several days to be activated
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It has the following unique features:
1) specificity : ability to distinguishdifference among various foreign
molecules.
2) diversity: recognize a variety of foreignmolecules
3) memory:
4) discrimination between self and non
self molecules.
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Acquired immunity employs two majors
groups of:
a) lymphocytes ( B and T cell)
b) antigen presenting cells
The B and T cells, together generate 2
types of specific immunity:
a) cell mediated immunity ( by T cells)
b) humoral immunity ( by B cells)
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HumoralHumoral immunity (HI)immunity (HI)
It is also called antibody- mediated immunity
B cells produce specialized protein calledantibodies.
These protein is highly specific to specificantigens.
Each antigen has many different antigenicdeterminants, each of which matches a
specific antibody and bind to it. Antibody molecule can be free or may be
bound to a cell membrane.
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Free antibodies have 3 main functions:
1) Agglutination agglutinate particular
matter including bacteria and viruses.
2) Opsonisation opsonise of bacteria to
facilitate their subsequent phagocytesby cell.
3) Neutralization neutralize toxin released
by bacteria.
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Cell Mediated ImmunityCell Mediated Immunity
Responsibility of a subgroup of T-cells calledT-cytotoxic
An activated T-cytotoxic is specific to a
target cells which have been infected. Kill the target cell by variety of mechanism.
Dont secrete antibody but responsible forrecognition of antigen, on contact with
antigen. Responsible for immunity against many
disease
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Whenever T cells and B cells are activated,some become "memory" cells. The next timethat an individual encounters that sameantigen, the immune system is primed todestroy it quickly. This is active immunity.
Long-term active immunity can be naturallyacquired by infection or artificially acquired byvaccines
Short-term passive immunity can betransferred artificially from one individual toanother via antibody-rich serum;
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Active and Passive AcquiredActive and Passive AcquiredImmunityImmunity
Active immunity
Conferred by recovery from infectious disease
Depends on persons own immune system.
May be acquired artificially with vaccines.
Passive immunity
transferred from person to person through transfer of antibodies.
Natural instances include antibodies passing across placentafrom mother to fetus (provides temporary protection) or throughthe milk.
Transferred artificially. E.g. antibody injections for rabies, antirhesus factor, snake venom, botulinun toxin.
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Immunity is a coordinated effort by theImmunity is a coordinated effort by the
bodybody..
It was previously believed that the immune systemfunctioned independently in the body.
Its now known that there are several links between theimmune, nervous and endocrine systems.
Certain immune responses trigger endocrine &/or nervousactivity.
Lymphocytes & macrophages are responsive to signals fromthe nervous system and certain endocrine glands.
Therefore, immunity is the job of the entire body not just onesystem.
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