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Topic Number Eleven The Immune System The Immune system 1. Innate Immunity: Nonspecific Defenses Defenses against any pathogen It does not confer long-lasting or protective immunity to the host 2. Adaptive immunity: Specific Defenses Immunity, resistance to a specific pathogen. Three Lines of Defense Against Infection 1. First Line of Defense: Non-specific natural barriers which restrict entry of pathogen. Examples: Skin and mucous membranes. 2. Second Line of Defense: Innate non-specific immune defenses provide rapid local response to pathogen after it has entered host. Examples: Fever, phagocytes (macrophages and neutrophils), inflammation, and interferon. 3. Third line of defense: Antigen-specific immune responses, specifically target and attack invaders that get past first two lines of defense. Examples: Antibodies and lymphocytes. Three Lines of Defense Against Infection First Line of Defense: 1. Skin Intact skin, keratin (waterproof), form physical barriers that prevent the entry of microorganisms and viruses Secretions from the skin Sebum: Oily substance produced by sebaceous glands that forms a protective layer over skin. Contains unsaturated fatty acids which inhibit growth of certain pathogenic bacteria and fungi Also include proteins such as lysozyme, an enzyme that digests the cell walls of many bacteria Infections are rare in intact skin. Exceptions: Hookworms can penetrate intact skin Dermatophytes: “Skin loving” fungi Normal microbiota compete with pathogens. 2. Mucous membranes Saliva: Washes microbes from teeth and mouth mucous membranes. Mucus: Thick secretion that traps many microbes. Urination: Cleanses urethra. Vaginal Secretions: Remove microbes from genital tract. II. Second Line of Defense 1. Phagocytosis Phagocytosis is carried out by white blood cells: macrophages, neutrophils, and occasionally eosinophils. Wandering macrophages: Originate from monocytes that leave blood and enter infected tissue, and develop into phagocytic cells. Fixed Macrophages (Histiocytes): Located in liver, nervous system, lungs, lymph nodes, bone marrow, and several other tissues. Process of Phagocytosis Antimicrobial Proteins 1. The complement system About 30 serum proteins activated in a cascade Effects of Complement Activation 1.Opsonisation - enhancing phagocytosis of antigens 2.Chemotaxis neutrophils attracting macrophages and 3.Cell Lysis - rupturing membranes of foreign cells 4.Clumping of antigen-bearing agents Effects of Complement Activation II. Interferons: Antiviral proteins that interfere with viral multiplication. –Have no effect on infected cells. –Host specific, but not virus specific. Interferon alpha and beta: Produced by virus infected cells and diffuse to neighboring cells. Cause uninfected cells to produce antiviral proteins (AVPs). Interferon gamma: Produced by lymphocytes. Causes neutrophils to kill bacteria. Interferons (IFNs) Inflammatory Response Promote changes in blood vessels that allow more fluid, more phagocytes, and antimicrobial proteins to enter the tissues Functions of Inflammation 1. Destroy and remove pathogens 2. If destruction is not possible, to limit effects by confining the pathogen and its products. 3. Repair and replace tissue damaged by pathogen and its products. Major events in the local inflammatory response Blood clot Pin Pathogen Macrophage Chemical signals Phagocytic cells Capillary Blood clotting elements Phagocytosis Red blood cell 1 Chemical signals released by activated macrophages and mast cells at the injury site cause nearby capillaries to widen and become more permeable. 2 Fluid, antimicrobial proteins, and clotting elements move from the blood to the site. Clotting begins. 3 Chemokines released by various kinds of cells attract more phagocytic cells from the blood to the injury site. 4 Neutrophils and macrophages phagocytose pathogens and cell debris at the site, and the tissue heals. Adaptive Immunity: Specific Defenses of the Host Third line of defense. Involves production of antibodies and generation of specialized lymphocytes against specific antigens Terminology Antigen (Ag): is any foreign molecule That is specifically recognized by lymphocytes and elicits a response from them Antibody (Ab): Proteins made in response to an Ag; can combine with that Ag. Complement: Serum proteins that bind to Ab in an Ag–Ab reaction; cause cell lysis Antigenic Determinants Antibodies recognize and react with antigenic determinants or epitopes on an antigen Haptens Haptens. A hapten is a molecule too small to stimulate antibody formation by itself. However. when the hapten is combined with a larger carrier molecule. usually a serum protein. the hapten and its carrier together form a conjugate that can stimulate an immune response. Antibody Structure The five classes of immunoglobulins Lymphocytes The vertebrate body is populated by two main types of lymphocytes: B lymphocytes (B cells) and T lymphocytes (T cells) The plasma membranes of both B cells and T cells have about 100,000 antigen receptor that all recognize the same epitope Lymphocyte Development Arise from stem cells in the bone marrow But they later develop into B cells or T cells, depending on where they continue their maturation Bone marrow Lymphoid stem cell Thymus T cell B cell Blood, lymph, and lymphoid tissues (lymph nodes, spleen, and others) T Cell Receptors The antigen receptors on B cells are called B cell receptors (or membrane immunoglobulins) and the antigen receptors on T cells are called T cell receptors V V C C MHC MHC molecules : Are encoded by a family of genes called the major histocompatibility complex and function in signaling between lymphocytes and cells expressing antigen. Infected cells produce MHC molecules which bind to antigen fragments and then are transported to the cell surface in a process called antigen presentation Class I MHC molecules, found on almost all uncleated cells of the body Display peptide antigens to cytotoxic T cells Infected cell Antigen fragment 1 1 A fragment of foreign protein (antigen) inside the cell associates with an MHC molecule and is transported to the cell surface. Class I MHC molecule 2 T cell receptor (a) Cytotoxic T cell 2 The combination of MHC molecule and antigen is recognized by a T cell, alerting it to the infection. Class II MHC molecules, located mainly on dendritic cells (antigen-presenting cells), macrophages, and B cells Display antigens to helper T cells Antigenpresenting cell Microbe 1 A fragment of foreign protein (antigen) inside the cell associates with an MHC molecule and is transported to the cell surface. Antigen fragment 1 Class II MHC molecule 2 2 The combination of MHC molecule and antigen is recognized by a T cell, alerting it to the infection. (b) T cell receptor Helper T cell Clonal selection theory States that each lymphocyte has membrane-bound immunoglobulin receptors specific for a particular antigen and after the receptor is engaged, a clone of antibody-producing cells (plasma cell) and memory cells are produced. In the secondary immune response memory cells facilitate a faster, more efficient response Antibody concentration (arbitrary units) 1 Day 1: First 2 Primary 3 Day 28: Second exposure exposure to response to to antigen A; first antigen A antigen A exposure to produces antiantigen B bodies to A 104 4 Secondary response to antigen A produces antibodies to A; primary response to antigen B produces antibodies to B 103 Antibodies to A 102 Antibodies to B 101 100 0 7 14 21 28 35 Time (days) 42 49 56 Clonal selection theory (Continued) 1 After a macrophage engulfs and degrades 2 a bacterium, it displays a peptide antigen complexed with a class II MHC molecule. A helper T cell that recognizes the displayed complex is activated with the aid of cytokines secreted from the macrophage, forming a clone of activated helper T cells (not shown). A B cell that has taken up and degraded the same bacterium displays class II MHC–peptide antigen complexes. An activated helper T cell bearing receptors specific for the displayed antigen binds to the B cell. This interaction, with the aid of cytokines from the T cell, activates the B cell. 3 The activated B cell proliferates and differentiates into memory B cells and antibody-secreting plasma cells. The secreted antibodies are specific for the same bacterial antigen that initiated the response. Bacterium Macrophage Peptide antigen Class II MHC molecule B cell 2 3 1 TCR Clone of plasma cells Endoplasmic reticulum of plasma cell CD4 Cytokines Helper T cell Secreted antibody molecules Activated helper T cell Figure 43.17 Clone of memory B cells Humoral and cell-mediated immunity The humoral immune response involves the activation and clonal selection of B cells, resulting in the production of secreted antibodies The cell-mediated immune response involves the activation and clonal selection of cytotoxic T cells Cell-mediated immune response Humoral immune response First exposure to antigen Intact antigens Antigens engulfed and displayed by dendritic cells Antigens displayed by infected cells Activate Activate Activate B cell Gives rise to Plasma cells Memory B cells Secreted cytokines activate Helper T cell Gives rise to Active and memory helper T cells Secrete antibodies that defend against pathogens and toxins in extracellular fluid Cytotoxic T cell Gives rise to Memory cytotoxic T cells Active cytotoxic T cells Defend against infected cells, cancer cells, and transplanted tissues The role of helper T cells in acquired immunity Helper T cells produce CD4, a surface protein that enhances their binding to class II MHC molecule–antigen complexes on antigenpresenting cells Activation of the helper T cell then occurs Activated helper T cells secrete several different cytokines that stimulate other lymphocytes 1 After a dendritic cell engulfs and degrades a bacterium, it displays bacterial antigen fragments (peptides) complexed with a class II MHC molecule on the cell surface. A specific helper T cell binds to the displayed complex via its TCR with the aid of CD4. This interaction promotes secretion of cytokines by the dendritic cell. Cytotoxic T cell Peptide antigen Dendritic cell Helper T cell Cell-mediated immunity (attack on infected cells) Class II MHC molecule Bacterium TCR 2 3 1 CD4 Dendritic cell Cytokines 2 Proliferation of the T cell, stimulated by cytokines from both the dendritic cell and the T cell itself, gives rise to a clone of activated helper T cells (not shown), all with receptors for the same MHC–antigen complex. B cell 3 The cells in this clone secrete other cytokines that help activate B cells and cytotoxic T cells. Humoral immunity (secretion of antibodies by plasma cells) Cytotoxic T cells Bind to infected cells, cancer cells, and transplanted tissues Binding to a class I MHC complex on an infected body cell Activates a cytotoxic T cell and differentiates it into an active killer 1 A specific cytotoxic T cell binds to a class I MHC–antigen complex on a target cell via its TCR with the aid of CD8. This interaction, along with cytokines from helper T cells, leads to the activation of the cytotoxic cell. 2 The activated T cell releases perforin molecules, which form pores in the target cell membrane, and proteolytic enzymes (granzymes), which enter the target cell by endocytosis. Cytotoxic T cell 3 The granzymes initiate apoptosis within the target cells, leading to fragmentation of the nucleus, release of small apoptotic bodies, and eventual cell death. The released cytotoxic T cell can attack other target cells. Released cytotoxic T cell Perforin Cancer cell Granzymes 1 TCR 2 Class I MHC molecule Target cell 3 CD8 Peptide antigen Apoptotic target cell Pore Cytotoxic T cell The Results of Ag-Ab Binding Binding of antibodies to antigens inactivates antigens by Viral neutralization (blocks binding to host) and opsonization (increases phagocytosis) Agglutination of antigen-bearing particles, such as microbes Precipitation of soluble antigens Complement proteins Bacteria Virus Activation of complement system and pore formation MAC Pore Soluble antigens Bacterium Foreign cell Enhances Leads to Phagocytosis Cell lysis Macrophage Active and Passive Immunization Active immunity: Develops naturally in response to an infection Can also develop following immunization, also called vaccination Passive immunity: Provides immediate, short-term protection Is conferred naturally when IgG crosses the placenta from mother to fetus or when IgA passes from mother to infant in breast milk Can be conferred artificially by injecting antibodies into a nonimmune person The allergic response IgE Allergen Histamine 1 3 2 Granule Mast cell 1 IgE antibodies produced in 2 On subsequent exposure to the 3 Degranulation of the cell, response to initial exposure same allergen, IgE molecules triggered by cross-linking of to an allergen bind to attached to a mast cell recogadjacent IgE molecules, receptors or mast cells. nize and bind the allergen. releases histamine and other chemicals, leading to allergy symptoms.