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Immunity to Pathogens Pin Ling (凌 斌), Ph.D. ext 5632; [email protected] References: 1. Abbas, A, K. et.al, Cellular and Molecular Immunology, 7th ed., 2012. Chapter 15 2. I. Roitt et al., Immunology (8th ed., 2013), Chapters 13 ~ 15 Question What are the extra mechanisms to generate Ab diversity in lymph nodes ? Ans: 1. VDJ gene recombination 2. Somatic hypermutation - => V regions => Ag binding 3. Isotype switching => Fc portion => Effector function Overview of immune responses Outline • Overview of infectious diseases • Immunity to Viruses • Immunity to Bacteria & Fungi • Immunity to Parasites • Summary & Question Plagues & Infectious Diseases: Threats from Pathogens Smallpox epidemic in the Americas & Europe The first vaccination against smallpox Exudate from a cowpox pustule on the hand of milkmaid Sarah Nelmes was inserted into scratches on the arms of James Phipps, May 14, 1796. Adopted from www.ebinrushed.com/history/images/history_7.jpg More pathogens are emerging from zoonotic infection or climate changes, e.g., IAV (H5N1 & H7N9); SARS…etc. Different pathogens interact our human body differently => Tropism, Pathogenesis…etc. Outline • Overview of infectious diseases • Immunity to Viruses • Immunity to Bacteria & Fungi • Immunity to Parasites • Summary & Question Key Concepts in antiviral immunity-I 1. The relationship between humans and viruses (pathogens) is like a endless race. 2. Viruses need to find a niche in humans for their survival and replications. Also they develop strategies to counteract antiviral immunity. 3. Humans consist of multiple levels of immune protective mechanisms as below: (1) Physical barrier (2) Innate immunity (3) Adaptive immunity 4. Some immune operations involve the cooperation of both innate and adaptive components Kinetics of activation of host defenses Innate immunity against virus infection 1. Soluble factors (microbicidal peptides) show antiviral effects. Influenza virus HA => Sialic acid Surfactant protein (SP-D) Mucins & Pentraxins 2. Type I interferons (IFNs) have critical antiviral and immune regulatory roles 3. NK cells eliminate virus-infected cells in an Agindependent manner. 4. Macrophages kill viruses or virus-infected cells Type I IFN from infected cells & plasmacytoid dendritic cells Innate immune recognition of viral nucleic acids and type I IFN production Mice lacking type I IFN receptor are highly susceptible to viral infection. Bowie, AG et al 2008 15 Type I IFNs affect infected cells & many other immune cells Adaptive immunity against viral infection 1. T cells mediate antiviral immunity: (1) CD8 T cells eliminate virus-infected cells in Agdependent manner (2) CD4 T cells help B cell Ab responses (class switching & affinity maturation) (3) Memory T cells help combating reinfection 2. B cells mediate antiviral immunity: (1) Produce Ab to neutralize viruses (2) Ab-dependent cell-mediated virus inhibition (ADCVI) Adoptive transfer of HSV-sensitized T cells leads to protection Antibody-mediated antiviral effects Multiple antiviral effector mechanisms Key Concepts in antiviral immunity-II 1. Virus strategies to evade host immune responses: (1) Impair the host immune response (2) Avoid recognition by Abs or T cells: a. Reducing MHC expression on infected cells b. Mutation of viral antigen 2. Viral infections sometimes lead to immunopathological conditions: (1) Excessive cytokine production (Cytokine storm) (2) Ab can form immune complexes => tissue damage (3) Overactive cytotoxic T cell responses => tissue damage Viruses inhibit Ag processing or presentation Outline • Overview of infectious diseases • Immunity to Viruses • Immunity to Bacteria & Fungi • Immunity to Parasites • Summary & Question Innate immunity against bacterial infection 1. The first line of defense against bacteria: (1) Skin & mucus (2) low PH (3) Soluble factors (Complements & others) (4) Commensals (Good neighbors) 2. Pattern-recognition receptors recognize bacterial components and then trigger innate immune responses. 3. Macrophage-mediated antibacterial defenses Bacterial infection-mediated pathogenesis Innate immune responses against bacterial infection Host defense peptides to bacteria & fungi Toll-like Receptors Recognition of bacteria by Macrophage Direct binding Opsonization S9780323080583-014-f007 Phagocytosis by innate immunity Evasion of Phagocytosis by bacteria & fungi Endotoxin Shock Phagocytosis of fungi Antibody & T cell –dependent immunity against bacterial infection 1. Antibody-mediated antibacterial responses: (1) Neutralize toxins Skin & mucus (2) Block attachment or entry (3) Activate the complement system (4) Activate other immune cells w/ Fc receptors 2. T cell-mediated antibacterial responses: (1) CD8 T cells kill infected cells (intracellular bacterial infection) (2) CD4 T cells enhance Macrophage-mediated killing (3) Other T cell populations Cooperation of Antibody & Complements CD8 T cell-mediated killing of bacteria CD4 T cell–mediated antibacterial Outline • Overview of infectious diseases • Immunity to Viruses • Immunity to Bacteria & Fungi • Immunity to Parasites • Summary & Question Overview of parasite-triggered immune responses Roles of T cells in parasite infection Differentiation of T cells in parasite infection Roles of Antibody in parasite infection Interaction between innate and & adaptive immunity 1. Innate immunity => Ag presentation (by Dendritic cells) 2. Adaptive immunity => Ag recognition (by T & B lymphocytes) SUMMARY 1. The interactions between humans and pathogens are involved in multiple factors and cells. 2. Humans consist of multiple levels of immune protective mechanisms to eliminate or restrict pathogen spread in the body (1) Physical barrier (2) Innate immunity (3) Adaptive immunity 3. To kill a pathogen, often immune operations involving both innate and adaptive components are used. 4. Pathogens develop diverse strategies to promote their survival in the host=> Immune Escape Question Have you learned something from this series of Immunology Lectures? (1) Yes, (2) More or less, (3) Not Sure, (4) Definitely Not Lectures & textbook give you current answers to biological & pathological operations of our immune system The real & more answers to Immunology are still waiting for you to learn from our body & patients.