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Student's Guide Historical background 1798, Jenner Cowpox vaccines, induced immunity against smallpox 1885, Louis Pasteur Vaccine against rabies • Other used Inactivated diphtheria toxins as a vaccine against diphtheria (the protective effect were found to be in the serum) • Serum factor called Antibody 1883, Metchnikoff certain white blood cells are able to ingest and destroy micro-organisms and other foreign material (Phagocytes) The process was called Phagocytosis So by 1890, it was understood that the immune system is composed of: Cells & Molecules We can summarize the activities of the immune system as follows: A. Immunity itself is either natural or adaptive B. The immune response is either humoral or cellular Natural (Innate) Immunity o o o o Non-specific, does not depend on memory Act as the first line of defense Rapid in action but short-lived It has other barriers (anatomical, physiological) eg skin, mucous , temperature, chemicals pH, lysozyme, complement, acute phase proteins, interferons Adaptive (Acquired) Immunity Depends on lymphocytes Specific, since lymphocytes have specific receptors Have memory (measles and mumps). Innate & acquired immunity do not work separately. They always cooperate Both the innate and adaptive immune system have cellular and humoral immunity components (see table) Components of the innate and adaptive immune systems Natural Cells Molecules Speed & duration Adaptive • Phagocytes – Neutrophils – Macrophage – Eosinophil • Mast cells, basophils • Natural killer cells • Lymphocytes – B cells – T cells • Helper • cytotoxic • Complement • Cytokines (e.g interferon) • Acute phase proteins • Antibodies • Cytokines (e.g interleukins) • Rapid, short lived • Slow, prolonged, can increase with exposure Development of memory • No • Yes Innate defenses can be divided into 1. Barriers to infections Physical & mechanical: Skin & mucosal membranes act as physical barriers preventing entry of pathogens Flushing action by tears, saliva & urine protects epithelial surfaces against colonization High oxygen tension in the lungs and body temperature can inhibit microbial growth In the respiratory tract, mucus lining can trap microorganisms. The trapped pathogens can then be expelled by i.Beating cilia ii.Coughing iii.Sneezing Chemical: i. The growth of microorganisms is inhibited at acidic pH (eg. stomach & vagina) ii. Lactic acid and fatty acids in sebum (sebaceous gland secretion) maintain skin pH between 3-5 iii.Enzymes (lysozymes) found in the saliva, sweat and tears can destroy microorganisms. Biological: Normal bacterial flora (non pathogenic) can colonize epithelia surfaces and protect by Competition with pathogenic bacteria for nutrients & attachment sites 2. Plasma proteins: e.g complement, acute phase proteins, cytokines (mediate destruction of microorganisms). 3. Cellular components eg. Polymorphonuclear neutrophils (PMNs) + other leukocytes + macrophages that are able to phagocytose infected cells Text Books Immunology an illustrated outline: David Male Molecular and cellular immunology: Abbas