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Introduction To Immunology Dr.Firas Al-Tae PhD Immunology, University of Liverpool,UK • Immunology: Deals with the body protective and defence mechanisms against diseases: Infections, Tumours Clearance of dead cells and tissue repair Vaccination Allergy and Hypersensitivity Tranplant rejection etc.. • Immunity: Original meaning "Exemption from government taxes" In the context of immunology "Collective defense mechanisms against diseases" • The cells and molecules responsible for the immunity are called immune system Immunity: • The efforts of the immune system in regards to any etiological agent are called immune responses • Usually against foreign immunogens, useful • Sometimes harmful, against self immunogens!!!!!! Autoimmunity and graft rejection Types of Immunity Innate (non-specific) immunity Adaptive (specific) immunity - Present from birth; - Not present at birth but aquired - Our First Line Of Defenses; - Rapid starts within min-hours after encoutering pathogens; - Non specific, prevents almost ALL pathogens from causing diseases; during life as immune system developes; - Late , starts days after first infection; - Specific, reacts specifically with specific immunological molecules (antigens) Types of Immunity- continue Innate (non-specific) immunity Aquired (specific) immunity - No memory cells; - Memory cells “Memory” in adaptive immunity 1st infection memory Slow response Pathogen proliferate 2nd infection Fast response Pathgen killed Disease No disease Symptoms No symptom Antigens (Ags) • Foreign substance ---- Antigen • If able to produce immune response ------immunogen or complete antigen • If unable to initiate immune response alone called partial antigen • All immunogens are antigenic but not all antigens are immunogenic • Immune system does not react against the whole pathogen but part of it (Ags) and not against the whole Ag but parts of it (chemical groups) called epitopes • Each Ag has variable number of epitopes Properties of Antigens 1. Foreignness • A) Autologous antigens : Self antigens and there will be no immune response. • B) Allogenic antigens : from the same species and there may be reaction, eg. Blood transfusion, kidney transplant • C) Heterologous antigens: from different species.These antigens will be rejected and there will be severe immune response Properties of Antigens 2. Chemical complexity Most antigens contain at least one amino acid in their structures. More amino acid more antigenesity 3. Molecular weight More than 100,000 more immunogenic Elements of Innate and Adaptive Immunity Elements of Innate Imuunity 1. Epithelial Barriers (Skin , Mucosal Tissues , GIT flora and Lysozymes) - Act as physical or chemical barriers - Structural integrity of skin and muous membranes prevent COLONIZATION - Damaged surfaces—abraded skin are often readily colonized promoti invasion of this and other tissue Chemical and Physical BarriersThe Skin Microorganisms normally Associated with skin prevent Potential pathogens from Colonizing Sebaceous glands secrete Fatty acids and lactic acid Which lower the skin pH (pH 4-6) Unbroken skin is a contiguous Barrier The skin has a low moisture content Chemical and Physical Barriers-Mucosal membranes Ciliated epithelial cells lining the trachea remove microbes inhaled through the nose and mouth. Mucus secreted by these cells prevent the microbes from associating Too closely with the cells Cilia push microbes upwards until they are caught in oral secretions and expectorated or swallowed. Chemical and Physical BarriersNormal Flora of the Gastrointestinal Tract Chemical and Physical BarriersLysozyme of the eye and kidney Lysozyme constantly baths the kidney and the surface of the eye (tears). (also in the female urogenital tract, and saliva) Lysozyme breaks the glycosidic bonds between the NAG and NAM that make up the backbone of peptidoglycan—causing bacteria to lyse. Chemical and Physical Barriers-Extracellular fluids Blood plasma contains bacteriocidal substances Blood proteins called beta-lysins bind to and disrupt the bacterial cytoplasmic membrane—leads to leakage of the cytoplasmic constituents and bacterial cell death Elements of Innate Immunity 2. Phagocytes - Cells that engulf, digest and destroy pathogens - Include : - Neutrophils - Monocytes/Macrophages - Natural Killer (NK) cells Elements of Innate Immunity Neutrophils • Multi-lobular nucleus (PMNL) • Highly mobile phagocytes • Acute inflammation • Containing bacteria-killing enzymes Elements of Innate Immunity Monocytes/Macrophages - Blood - Smaller - Tissues - 5-10 times larger - More phagocytic activity - Named Based on Tissue They Reside Alveolar (lungs), Kupffer (liver), Microglial (brain), Osteoclasts (bone) Elements of Innate Immunity Natural Killer (NK) cells (CD56+) - Large round granular lymphocytes - Always remain in the circulation - Act as immunological surveyors (cytotoxic cells): Kill virally infected cells Kill tumours • However, NK cells do not require stimulation, nor do they exhibit memory cells. NK cells respond in the absence of MHC proteins. • What does CD refer to??????? CD (Cluster of Differentiation) • CD = Cluster of differentiation • Leukocytes surface antigens that are expressed on cells of a particular lineage (“differentiation”) • Also called CD molecules , CD antigens , CD markers • Used to classify leukocytes into functionally distinct subpopulations, e.g • NK cells are CD56+ • T - Lymphocytes CD3+ ( pan T cells marker) • B - lympocytes CD19+ • Monocytes / Macrophages CD14+ The Specific Immune Response - Non-specific (innate) immunity IS SOMETIMES NOT ENOUGH!!! - Another more poweful type of immunity called Specific (adaptive) Immunity is required —That ACQUIRED ability to recognize and destroy an individual pathogen and its products - Specific Immunity results from the actions of B and T lymphocytes pre in the blood and lymph ( key players) -Lymph is distinguished from blood in that it does NOT contain red blood 0.1% of the cells found in blood are the nucleated leukocytes (WBCs) Lymph is composed entirely of leukocytes. All immune cells including B and T lymphocytes are bone marrow-derive distributed through out the body Stem cells are the precursors to all of these cells Origin and Development of B and T Lymphocytes • Origin : Stem cells in the bone marrow 1 ry • Maturation : Bone marrow ( B cell maturtion) lympoid Thymus ( T cell maturation) organs - From 1ry lympoid organs distributed throught lymph and blood to 2ry lympoid organs: Lymph nodes Tonsils Spleen Mucosal tissues in lung and gut Types of specific (adaptive) immunity Humoral immunity Cellular immunity Overview of the specific (adaptive) immune response 1. Cell Mediated Immunity ( T cell mediated immunty) Key players : T lymphocytes. Two types: Cytotoxic T cells (CTL) or (CD8+) T helpers ( TH) cells (CD4+) - Cytotoxic T cell directly attack and destroy antigen-bearing cells especialy virally infected cells and tumours - Helper T cells act indirectly by secreting proteins called cytokines that activate other cells such as macrophages to destroy the antigen-bearing cells CAN you name another immunological cell type that also functions as CYTOTOXIC cells ?????.What are the main differences between them? Mechanism of cytotoxicity by CTL (CD8+) • T lymphocytes can not recognize and respond to free antigens T lympho cytes + = Free antigens No action Mechanism of cytotoxicity by CTL (CD8+) • 1st step : virally infected or tumour transformed cells will be engulfed by the phagocytes (macrophages) at the site of infection or transformation (internalization) • Next , internalized antigen is processed inside the macrophages where the antigen is degraded and fragment of it binds to MHC class I molecule Major Histocompatibility complex proteins are found on the surface of cells:: T cells cannot recognize foreign antigens unless they are associated with these MHC proteins Class I MHC proteins are found on the surface of ALL nucleated cells Class II MHC proteins are only found on the surface of B lymphocytes, macrophages and other antigen presenting cells ALL MHC proteins are imbedded in the cytoplasmic membrane of cells and project outward from the cell surface Mechanism of cytotoxicity by CTL (CD8+) • THEN , the processed antigens bind to Class I (Ag-MHC class I complex ) are transported to the cell surface - The phagocytes ( macrophages) now move toward regional lymph nodes under the influence of certain chemical substances (chemotaxis) Mechanism of cytotoxicity by CTL (CD8+) • In the regional lymph nodes the phagocytes present the antigen in association with MHC class I molecule to lymphocytes. • That is why phagocytes ( macrophages) are called antigen presenting cells (APC). Mechanism of cytotoxicity by CTL (CD8+) • CTL interact SPECIFICALLY with the antigen MHC class I complex through TCR (T Cell Receptor). • Each T cell has thousands of copies of the SAME TCR on its surface • The immune system can generate TCRs that will bind nearly every known peptide antigen Structure of the T-cell receptor (TCR). The V domains of the alpha chain and beta chain combine to form the peptide antigenbinding site. The T cell receptor extends from the surface of a T cell Cytoplasmic membrane of a T cell Class I MHC proteins and cytotoxic T cells (Tc) Class I pathway is useful in destroying cells that have been infected by viruses or have been transformed by tumors 1. Protein antigens manufactured in the cell by viruses or tumors are degraded in the cytoplasm and transported to the endoplasmic reticulum 2. The processed antigens bind to Class I MHCs and are transported to the cell surface 3. Together this complex interacts with the TCR of a Tc cell, the binding of the complex with the TCR is strengthened buy a CD8 coreceptor Class I MHC proteins and cytotoxic T cells (Tc) The cell-cell interaction between the infected cell and the Tc cell is mediated by the MHC class I - antigen complex and TCR The Tc cell produces cytotoxic proteins perforins—produce holes or pores in the target cell and granzymes enter the virus infected cell causing apoptosis or programmed cell death The cytotoxic proteins only affect those cells to which the Tc cell has specifically interacted Mechanism of cytotoxicity by CTL (CD8+) • The first contact of the CTL with the antigen is called primary immune response. This will take time to develope (usually several days) and associated with development of memory cells. • When the CTL come in contact with same antigen for second time , this is called secondary immune response.Usually faster than 1ry immune reponse and more stronger that leads to eradication of pathogen before symptoms appear.