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Overview of Immunology Organs and tissues Cells Molecules Antibodies Complement Components of IS Function s of IS Pathology of IR * IS: Immune system IR: Immune response Applications Prevention Diagnosis Therapy Antigen (Ag) Immune Responses Control mechanisms Hypersensitivit y Autoimmune disease Immunodeficienc y Tumor Transplantation rejection
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Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Jan 03, 2016

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Page 1: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules

- Antibodies

- Complement

- Cytokines

- MHC

Components of IS

Functions of IS

Pathology of IR

* IS: Immune system IR: Immune response

Applications

Prevention

Diagnosis

Therapy

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor

Transplantation

rejection

Page 2: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Consequences of IR

Physiology

• Immunologic defense

• Immunologic homeostasis

• Immunologic surveillance

Pathology

• Hypersensitivity

• Immunodificiency

• Autoimmune diseases

• Tumor immunology

• Transplantation rejection

Page 3: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response

Page 4: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Components of IS -- Organs and tissues

Questions: 1.Which organs belong to the immune system? 2. Describe the functions of bone marrow and thymus. 3. What are the functions of secondary lymphoid organs? 4. Terms: MALT—IS / Location / function 

Page 5: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Components of IS -- Organs and tissues

Questions:

Describe the mature T cell properties in peripheral lymphoid

organs from the functions of thymus.

Functions of thymus: -- 4 分Positive selection

Negative selection

Mature T cell properties: -- 4 分Recognition: TCR / MHC + Ag(no-self)

Classification: CD4 / CD8

Page 6: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 7: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

— Bone Marrow• Primary source of pluripotent stem

cells

All haemopoietic cells

• Place for B cell maturation

— Thymus• Place for T cell maturation

Primary Lymphoid Organs(Central Lymphoid Organs)

Page 8: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

• Cells of IS are produced from haemopoietic stem

cells (HSC) in BM.

• Stromal cells (epithelial cells, fibroblast,

macrophage) is required for the differentiation of a

particular lineage.

• Cytokines( CSF) produced from stromal cells

provide the local environment for the

hematopoiesis.

Primary Lymphoid Organs-- Bone Marrow

Page 9: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

• Large numbers of functionally antigen specific

T cells are matured in thymus.

• Each of T cells has only one specificity.

• T cells are selected using their receptors

( positive and negative selection)

Primary Lymphoid Organs -- Thymus

Page 10: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 11: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Lymph nodes

Place of immune response to pathogen entering

the tissues

Spleen

Place of immune response to blood borne

infections

MALT

Place of immune response to mucosal surfaces

Secondary Lymphoid Organs

Page 12: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Lymph nodes

- Situated alone lymphatic vessels (p30)

- Filter of the lymph

- Contain T/B lymphocytes and phagocytes(p29)

- Place of immune response to pathogen

entering the tissues

Page 13: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Spleen

-- Situated on the left side of the body below the

diaphragm

-- Filter of the blood

-- Contain T/B lymphocytes and phagocytes

-- Place of immune response to pathogen

entering the blood

Page 14: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response

Page 15: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Components of IS -- Cells

Questions:1. Which cells belong to the immune system?

2. The functions of mononuclear phagocytes are….? 3.  Try to explain the classification and function of lymphocytes.

Page 16: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

The cells of immune system recognize antigens

by their receptors, please explain how the cells of followings

recognize target antigens:

Macrophage: PRR -- 2 分NK cell: KIR/ KAR -- 2 分T cells: TCR -- 2 分B cells: BCR -- 2 分

Page 17: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

4. Terms: CD : Marker / identification by mAb / functionTCR : Location / structure / functionBCR : Location / structure / functionPRR : Location / functions KIR : Location / functionsKAR : Location / functions

Page 18: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

— Mononuclear phagocyte system

• Monocyte• Macrophage• Dendritic Cells

— Granulocytes

• Neutrophils• Basophils• Eosinophils

— Lymphocytes

• T lymphocyte• B lymphocyte• NK (Natural killer cells)

Cells of Immune System-Classification

Page 19: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

AgAg DCs

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

Functions in Immune Response (IR)

TargetTargetcellscells

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

Page 20: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

— Phagocytosis

— Antigen presentation

— Cytokine secretion

Mononuclear Phagocyte SystemMononuclear Phagocyte System

Page 21: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

— T lymphocyte

— B lymphocyte

— Natural killer cells (NK)

Lymphocytes

TH1

TH2

Page 22: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Infected cells

Virus Bacterium

IL-1

PerforinGranzymesTNFa/TNFb

Killing

Cellular immunity

BCR

Antibody

Neutralizing

Complementactivating

NK ADCC

Mq

PhagocytosisMAC

PMN

Lysis

C3b

C3a/C5a

Humoral immunity

Page 23: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

TH (CD4+CD3+) TH1: Help Tc and macrophages by secretion of

IFN/γ/IL-2

TH2 : Help B cells by secration of IL-4,

IL-5,IL-6

TC (CD8+CD3+)

Killing of target cells by releasing perforin and

granzymes

Functions of T cells

Page 24: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Antibody production

Functions of B cells

Page 25: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Antibody Production by B cell

Th2

Page 26: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

NK

Page 27: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 28: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

— Neutrophils

— Basophils

— Eosinophils

GranulocytesGranulocytes

Page 29: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response

Page 30: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Components of IS -- Ab

1.Try to describe the biological function of

antibodies.

2. Terms: mAb / Ab / ADCC  

Page 31: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

4. Terms: mAb / Ab / ADCC

mAb :: Artificial / hybridoma / property / applicationArtificial / hybridoma / property / application

Ab: Generation cell / structure/ classes/ functions

ADCC: Ab / Fab-target / Fc-NK / cytotoxocity

Page 32: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

How to understand the antibodies and complement

are the molecules that are involved in both physiological and

pathological consequences of immune response by using

examples.

Antibodies -- 4Antibodies -- 4 分分 : Physiological / Pathological: Physiological / Pathological

Complement -- 4Complement -- 4 分分 : Physiological / Pathological: Physiological / Pathological

Page 33: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Complementarity determining region

(CDR)

Page 34: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Functions of Antibody

Role of Ab alone

Role of Ab in complement activation

Role of Ab with effector cells

Page 35: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

1 、 Role of Ab alone

To Neutralize virus and toxins

and blocks their biological

activity (IgG).

To inhibit microbes attachment

to mucosal epithelial cells (IgA).

Page 36: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 37: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 38: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

2 、 Role of Ab in complement activation

To Activate the classical pathway

of complement to lysis of the Ag by

binding to Ag (IgG/ IgM).

Page 39: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 40: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 41: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

3 、 Role of Ab with effectors cells

Macrophage and neutrophil: Opsonization and phagocytosis of microbes (IgG)

NK cell and eosinophil:Antibody-dependent cellular cytotoxicity(ADCC) (IgG)

Basophil and mast cell:Type I hypersensitivity – allergy (IgE)

Page 42: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 43: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

FcrR(CD16)

IgG

NK cells

Page 44: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Sensitization against allergensSensitization against allergens

pollen

Page 45: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

ResultResult

– Vasodilatation,

– Vascular Leakiness,

– Smooth Muscle Contraction,

– Mucus Secretion.

Page 46: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response

Page 47: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Components of IS -- Complement

1. Try to describe the pathways that are involved

in activation of complement.

2.  The functions of complement include ….

3. Term: MAC– activation of C / components /

function

Page 48: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 49: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

— Anaphylatoxins: C3a, C5a

— Chemotaxis: C5a

— Opsonization: C3b

— Lysis of the microbes:MAC

Functions of complement

Page 50: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response

Page 51: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Components of IS -- Cytokines

1.1.  Try to explain   Try to explain how cytokines play their how cytokines play their

functions functions in immune response?in immune response?

2.2. The The General characteristics of CKs  are……  are……

3. 3. Terms: Terms: CKs CKs – generation / functions   – generation / functions  

Page 52: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Infected cells

Virus Bacterium

IL-1

PerforinGranzymesTNFa/TNFb

Killing

Cellular immunity

BCR

Antibody

Neutralizing

Complementactivating

NK ADCC

Mq

PhagocytosisMAC

PMN

Lysis

C3b

C3a/C5a

Humoral immunity

Page 53: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

General characteristics of CKs Small molecules Secreted by : ⑴ Immune Cells; Related cells⑵ - Autocrine - Paracrine - Endocrine Bind with specific receptor

Effector : - Pleiotropy - Synergy - Redundancy - Antagonism

Page 54: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response

Page 55: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Components of IS – MHC molecules

1. Describe the biological functions of MHC molecules.

2. Terms: MHC -- genes / classes / functions

HLA – Human MHC

Page 56: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Components of IS – MHC molecules

MHC molecules are the important

molecules in transplantation rejection, why ? Transplantation rejection = Immune response

Ag : graft -- MHC -- 3 分IR: APC -- MHC

Direct pathway – 2.5 分Indirect pathway – 2.5 分

Page 57: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Biological functions of MHC

— Immune Response

— Transplantation

— Related with diseases

Page 58: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Medical Immunology 吉林大学基础医学院免疫学教研室 21

Deletion

T differentiation

Page 59: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

T differentiation

Page 60: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

AgAg APCs

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

MHC in immune response

TargetTargetcellscells

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

TargetTargetMHCMHC

Page 61: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Ag presentation

Page 62: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

AgAg APCs

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

MHC in immune response

TargetTargetcellscells

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

TargetTargetMHCMHC

Page 63: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Virus infection

Page 64: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Medical Immunology DEPARTMENT OF IMMUNOLOGY 11

graftgraft APC

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

Immune response to graft

graftgraft

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

Recognition

Activation

Effects

Rejection

Immune response to graft

Page 65: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response

Page 66: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Functions of IS -- Ag

1. Try to explain the biological meanings of antigens

that are related with medicine with 2 or 3 examples.

2. Terms: (1)Antigenic determinant

(2) Hapten;

(3) Adjuvant

Page 67: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

(1)Antigenic determinant: Ag / specificity

(2) Hapten: property / carrier

(3) Adjuvant

Page 68: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Functions of IS – IR : innate immunity?

1. What kind of factors might be involved in innate

immunity?

2.  Terms: O Opsonization – Ab -Fc / C-CR /

phagocytes/ target cells PRR– location / functions

KIR – location / function KAR – location / function

Page 69: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Natural immune responseNatural immune response ( Innate Immunity)

— External defensesExternal defenses

— Cell effectsCell effects

— Molecular effectsMolecular effects

Page 70: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Mq/DCs

Phagocytosis

Page 71: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

NK NK

KAR KIR

Page 72: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Functions of IS – IR : Adaptive immunity?

1.  What kinds of factors determine the specificity of immune response?2.  How could lymphocytes be activated?3. Describe the biological effects of humoral and cellular immune response.4.  Try to explain the relationship between the innate immunity and adaptive immunity.

Page 73: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

AgAg APC

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

Immune Response(IR)

TargetTargetcellscells

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

Page 74: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Adaptive Immune ResponseAdaptive Immune Response(Acquired Immunity)(Acquired Immunity)

— Antigen presentationAntigen presentation

— Antigen recognitionAntigen recognition

— Activation of cellsActivation of cells

— EffectsEffectsI

Page 75: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Antigen presentation

— Types of APCs

● Monocytes/Macrophage

● Dendritic cells

● B lymphocytes

— Pathways of antigen processing

● Class I processing pathway

● Class II processing pathway

Page 76: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 77: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Antigen Recognition

T cell recognition of Ag

B cell recognition of Ag

Page 78: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 79: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Adaptive Immune ResponseAdaptive Immune Response(Acquired Immunity)(Acquired Immunity)

— Antigen presentationAntigen presentation

— Antigen recognitionAntigen recognition

— Activation of cellsActivation of cells

— EffectsEffectsI

Page 80: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Activation of Cells

— Signals

● Antigen

● Co-stimulators

● Cytokines

— Signal transduction

Page 81: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.
Page 82: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Th-2

Page 83: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Adaptive Immune ResponseAdaptive Immune Response(Acquired Immunity)(Acquired Immunity)

— Antigen presentationAntigen presentation

— Antigen recognitionAntigen recognition

— Activation of cellsActivation of cells

— EffectsEffectsI

Page 84: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Effects of adaptive immune response

Antibody response ( Humoral

immunity )

Antibody response ( Humoral

immunity ) T cell response ( Cellular

immunity )

T cell response ( Cellular

immunity )

Page 85: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Infected cells

Virus Bacterium

IL-1

PerforinGranzymesTNFa/TNFb

Killing

Cellular immunity

BCR

Antibody

Neutralizing

Complementactivating

NK ADCC

Mq

PhagocytosisMAC

PMN

Lysis

C3b

C3a/C5a

Humoral immunity

Page 86: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Functions of IS – Control mechanisms

How to understand the

immune response to a particular

Ag could be maintained in a

proper level ?

Page 87: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Regulation of Immune Response Regulation of Immune Responses

Medical Immunology DEPARTMENT OF IMMUNOLOGY 26

AgAg APC

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

Regulation in immune system

TargetTargetcellscells

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

Ts

neuro-endocrine

system

+

-

Page 88: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response

Page 89: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Pathology of IR – Hypersensitivity

1.   Describe the mechanisms of hypersensitivity.2.  What kind of cells will be involved in type I

hypersensitivity and how ?3. Try to give some examples of diseases that are belong to

type II and type III hypersensitivity.

Page 90: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Type-I Hypersensitivity (Allergy)

Type-I Hypersensitivity (Allergy)

PollenInsect venomsAnimal danderFungiWormsFoodDrugs

Allergen

Page 91: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

ResultResult

– Vasodilatation,

– Vascular Leakiness,

– Smooth Muscle Contraction,

– Mucus Secretion.

Page 92: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Type-II Hypersensitivity (Ab-dependent Cytotoxic)

Type-II Hypersensitivity (Ab-dependent Cytotoxic)

Complementactivation

NK

PMN

Ag + Ab

lysis

Killing

phagocytosis

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Type-III Hypersensitivity (Immune Complex)

Type-III Hypersensitivity (Immune Complex)

Page 94: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Type-III Hypersensitivity (Immune Complex)

Type-III Hypersensitivity (Immune Complex)

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Type IV hypersensitivity(Delayed reaction)

Type IV hypersensitivity(Delayed reaction)

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Pathology of IR -- Autoimmune disease (AD)

1. Why does the immune system not attack self-tissue in 1. Why does the immune system not attack self-tissue in normal conditions? normal conditions?2. How could the self–tissue become the targets of immune 2. How could the self–tissue become the targets of immune

system ?system ?3. How are the tissue destroyed by immune system ?3. How are the tissue destroyed by immune system ?4. Terms:4. Terms:

Self-tolerance : self-Ag / no response / specificitySelf-tolerance : self-Ag / no response / specificity

Page 97: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Innate Immunity

Adaptive Immunity

-- Central tolerance

-- Peripheral tolerance

Self-tolerance

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Self-tolerance – Innate Immunity

-- Cells :1. Mononuclear phagocyte system

2. Granulocytes

3. Natural killer cells (NK)

-- Molecule:

Complement

Page 99: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Central tolerance

Peripheral tolerance

Self-tolerance -- Adaptive

Immunity

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Selection of T cells in thymus

Page 101: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

DCs

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

Immune response to self – Self-Tolerance

TargetTargetcellscells

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

SelfSelf

Page 102: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

3. How are the tissue destroyed by immune system ?

Antibody mediated (type )Ⅱ

Immune complex mediated (type III)

T-cell mediated (type IV)

Page 103: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

MechanismsMechanisms

Complementactivation

NK

PMN

Ag + Ab

lysis

Killing

phagocytosis

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MechanismMechanism

Page 105: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Type IV hypersensitivity mediated AD

Pancreatic Beta cells

IDDM

Loss of insulin production

Brain cells

Multiple sclerosis (MS)

Demyelination of CNS, Paralysis

Page 106: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Pathology of IR -- Tumor

1. How could the tumor cells escape the surveillance of immune system? 2. What kinds of mechanisms could the tumor cells be destroyed

by immune system? 3. Do you have any ideas about the strategies of

immunotherapy? 4. Term: TAA—tumor/ quantity

TSA – tumor/ quality

Page 107: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

IL-1

PerforinGranzymesTNFa/TNFb

Killing

Cellular immunity !!

BCR

AntibodyComplementactivating

NK ADCC

Mq

PhagocytosisLysis

C3b

Humoral immunity !

Tumorcells

shedtumor-Ag

shedtumor-Ag

Page 108: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Mechanisms of tumor escape

• Variation of tumor antigens

• Co-stimulator decreaseCo-stimulator decrease

• Down-regulation of MHC expressionDown-regulation of MHC expression

• Immune suppression of tumorImmune suppression of tumor

• Masking of tumor cell antigenMasking of tumor cell antigen

Page 109: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

1. Variation of tumor antigens1. Variation of tumor antigens

Page 110: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

2. Co-stimulator decrease2. Co-stimulator decrease

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3. Down-regulation of MHC expression3. Down-regulation of MHC expression3. Down-regulation of MHC expression3. Down-regulation of MHC expression

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4. Immune-suppression of tumor4. Immune-suppression of tumor 4. Immune-suppression of tumor4. Immune-suppression of tumor

Tumor cellsTumor cells

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5. Masking of tumor cell antigen5. Masking of tumor cell antigen5. Masking of tumor cell antigen5. Masking of tumor cell antigen

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Immunotheropy of tumors

Preventive

specific

, T cells

Page 115: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Pathology of IR -- Transplantation rejection

1. What is the reason of transplantation rejection?2.Do you have any ideas about how to overcome the transplantation

rejection?3. Terms: GVHR/ HVGR/ MLR(MLC)

4. Terms: GVHR: Ag-recipient / IS -graftHVGR: Ag – graft / IS - recipient MLR(MLC): method / application

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Medical Immunology DEPARTMENT OF IMMUNOLOGY 11

graftgraft APC

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

Immune response to graft

graftgraft

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

Recognition

Activation

Effects

Rejection

Immune response to graft

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Medical Immunology DEPARTMENT OF IMMUNOLOGY 14

Indirect pathway

Graftedcells

Tc

Th

Recipient

Donor

APC

Medical Immunology DEPARTMENT OF IMMUNOLOGY 15

Direct pathway

Graftedcells

Tc

Th

Recipient

APCs

Donor

Allo-reactive T cellsPassenger leukocytes

Indirect and direct pathways

Page 118: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Prevention of rejection

Family grafting

Tissue typing

Cross-matching

Immunosuppressio

n

Page 119: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Family grafting

a c a c

TwinsHomozygotes

Page 120: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Tissue typing

Page 121: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Cross-matching -1

(Tritium)

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graftgraft APC

Th1 Tc

B Ab

PMNPMN

NK

Th2

ComplementComplement

Suppress T cell activation

graftgraft

MHCMHCCKCK

MHCMHCCKCK

CKsCKs

CKsCKs

Page 123: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Pathology of IR -- Immunodificiency

Terms: AIDS – HIV-gp120/ CD4-T / IS / clinical

Page 124: Overview of Immunology Organs and tissues Cells Molecules - Antibodies - Complement - Cytokines - MHC Components of IS Functions of IS Pathology of IR.

Overview of Immunology

Organs and tissues

Cells

Molecules - Antibodies - Complement - Cytokines

- MHC molecules

Antigen (Ag)

Immune Responses

Control mechanisms

Hypersensitivity

Autoimmune disease

Immunodeficiency

Tumor immunology

Transplantation

Components of IS Functions of IS Pathology of IR

* IS: Immune system IR: Immune response