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Principles of immune defense Toxicology Course Vienna MODULE 12 Immunotoxicology, Allergy July 2, 2008 Adaptive immunity Prof. Erika Jensen-Jarolim, MD Dept. of Pathophysiology Medical University Vienna Gastrointestinaltrakt: Mukosale Pathophysiologie und Immunologie Jensen-Jarolim, Schöll, Szalai. Springer 2006 Wörterbuch Allergologie und Immunologie, Ferencik, Jensen-Jarolim et al, Springer 2004 Innate immunity Adaptive immunity Immunologie (Charles A. Janeway and P. Travers) Adaptive immunity Adaptive Immunity • available with delay against extracellular or intracellular pathogens • highly specific antigen recognition • huge repertoire • improvable • memory B-lymphocytes: T-lymphocytes: •Soluble B-cell receptors are immunoglobulins •No solubleT-cell receptors •Recognize antigen directly Primary immune organs: •Recognize digested and presented antigens Primary immune organ: Bone marrow Building and maturation of immune cells and receptors Bone marrow, thymus Secondary immune organs: antigen contact sites Lymph nodes, spleen, peyer´s patches, appendix 1 The generation of antigen receptors & repertoire The T-lymphocyte receptor Combinatorial diversity: 5,2 x 10^15 Danger of autoreactivity mimimized: negative selection and deletion in thymus Primary immune organs: Building and maturation of immune cells and receptors Cortex: positive selection for HLA-reactive T-cells Bone marrow, thymus Secondary immune organs: antigen contact sites APCs Lymph nodes, spleen, peyer´s patches, appendix Medulla: negative selection for autoreactivity medulla thymus epithelial cells (mTEC): AIRE gene expressed Negative selection — clearing out the bad apples from the T-cell repertoire. Ed Palmer Nature Reviews Immunology 3, 383-391 (May 2003) Cooperation with APCs: antigen focussing and transport Dendritic cells, macrophages, Langerhans cells present • intact antigen on surface for B-cells • digested antigen with HLA II. for T-cells no costimulation Within 2 days all naive lymphocytes of a certain specificity trapped in secondary lymph organs. Emigration of effector cells within 5 days Develop into dendritic cells - costimulation Clonal expansion 2 Proliferation in germinal centers and expansion of specific effector B- and T-lymphocytes The clonal selection theory by McBurney. From the following article: The double helix and immunology Gustav J. V. Nossal Nature 421, 440-444(23 January 2003) SLAM receptors and SAP influence lymphocyte interactions, development and function Pamela L. Schwartzberg, Kristen L. Mueller, Hai Qi & Jennifer L. Cannons Nature Reviews Immunology 9, 39-46 (January 2009) The building of an immunoglobuline Idiotype Secondary immune organs: antigen contact sites: • Expansion • Adaption • Improvement Isotype: receptor binding How can a B-cell switch immunoglobulin isotype? The functions of immunoglobulins • Membrane bound: BCR B-cell IgD IgM • Secreted: IgM: neutralization, complement activ. IgA: neutralization, binds FcaR IgG: neutralization, complement act., binds FcgR IgE: cytophilic through FceR, needs crosslink IgE IgG IgA Linking class-switch recombination with somatic hypermutation Kazuo Kinoshita & Tasuku Honjo Nature Reviews Molecular Cell Biology 2, 493-503 (July 2001) 3 Specific in fluid phase: IgG, IgM, IgA In tissues: IgG, IgE • IgG: predominant isotype in serum, IgA: in mucosa Specific Defense in serum: IgG and IgM • Aggregation, Agglutination • Most produced Ig-class sIgA, main source bone marrow Production (mg/day) IgA IgG Circulation 2100 2100 Saliva 200 2 Tears 5 ? Bile 400 160 Small intestines 5200 600 Large intestines 1200 140 Nasopharynx 45 15 Urine 3 3 Total 9200 3000 • Opsonisation • Neutralization MDCK cells (no CPE) H5N1 virus infection protected from H5N1 by anti-H5N1 F(ab')2. after 72h (CPE) Mestecky 1986; Clin Immunol Immunopathol. Somatic hypermutation: Improvement of antigen binding Secondary immune organs: antigen contact sites: • Expansion • Adaption • Improvement Affinity: Binding strength to a single antigenic determinant Avidity: Sum of binding strengths to antigenic determinants Nature Medicine 9, 164 - 166 (2003) B cell memory: Sapping the T cell Raymond M. Welsh, Susan E. Stepp & Eva Szomolanyi-Tsuda Adaptive immunity Boost injections in vaccination induce and improve immunity and memory against extracellular or intracellular pathogens B-lymphocytes: T-lymphocytes: •Soluble B-cell receptors are immunoglobulins •No solubleT-cell receptors •Recognize antigen directly •Recognize digested and presented antigens 4 Proper stimulation of T-lymphocytes involves cell-cell interactions Helper & regulatory T-cells HLA II. HLA I. Cytotoxic T-lymphocytes Cytotoxic Helper & regulatory The many important facets of T-cell repertoire diversity Janko Nikolichugich, Mark K. Slifka and Ilhem Messaoudi Nature Reviews Immunology 4, 123-132 (February 2004) The many important facets of T-cell repertoire diversity Janko Nikolichugich, Mark K. Slifka and Ilhem Messaoudi Nature Reviews Immunology 4, 123-132 (February 2004) Antigen digestion by antigen present.cells & HLA All APCs HLA typing: Forensic medicine and transplantation All cells with nuclei Polymorphism HLA = MHC Cytotoxic T-lymphocytes: CD8+ Helper T-lymphocytes: CD4+ need HLA I. presentation Th1 need HLA II. presentation NK Viral infections, aberrant cells, high HLA I. IL-12 Tu IL-4 Inflammation, IgG1, 2, 3 Th2 IgG4, IgE IL-23 Target cell recognition: specific Tu • HLA I expression and viral peptides Th17 Lysis program and target cell death Inflammation NK NK cell lyses tumor cell Diversification of T-helper-cell lineages: finding the family root of IL-17-producing cells Chen Dong, Nature Reviews Immunology 6, 329-334 (April 2006) 5 Regulatory T-cells modulate immune responses • Activation of Tregs Th-cells help B-cells for isotype switch Th17 IgA Clark & Cupper, JID 2005: „Immature dendritic cells are polarized by the binding of type 1, type 2, or regulatory PAMP and differentiate into mature dendritic that induce the formation of Th1, Th2, or T regulatory T cells, DCs decide on typecells of immune response respectively. In general, viral-associated PAMP give rise to Th1 responses, and PAMP from parasitic organisms favor Th2 responses….“ Synthesized cytokines induce isotype switch Costimulation decides T-cell activation How to activate a T-cell ? Costimulation by professional APC – Immunity Signal 1: Specific interaction MHC/TCR Signal 2: DANGER ! costimulation B7/CD28 without costimulation – Tolerance via Anergy Then proliferation, and cytokine synthesis occur Toxicology Course Vienna MODULE 12 Immunotoxicology, Allergy July 2, 2008 Adaptive immunity Prof. Erika Jensen-Jarolim, MD Dept. of Pathophysiology Medical University Vienna 6