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THE IMMUNE SYSTEM Dinithi Peiris Department of Zoology The Lymphatic System • A system of vessels, cells and organs • Vessels originate blindly and the structure is similar to that of a vein with valves • The vessels transport a fluid called lymph that is similar in composition to extra cellular fluid • Lymphatic system also consist of number of organs and cells that are collectively referred to as white blood cells Lymphatic System: Components • Lymph – Protein-containing fluid transported by lymphatic vessels • Organs – Lymphatic vessels: Transport the lymph at a low pressure. Structurally and functionally similar to a vein. Lymphatic vessels eventually joins with the venous system – Primary lymphoid organs: Organs involved in development of cells of the lymphatic system eg: bone marrow, thymus – Secondary lymphoid organs: Organs involved in housing cells of the lymphatic system and immune response eg: lymph nodes, spleen • Cells – Granulocytes: neutrophils, eosinophils, basophils, and mast cells – Agranulocytes: monocytes, macrophages, B and T lymphocytes, and natural killer cells 1 Lymphatic System: Components • Lymph – The fluid, lymph (=clear spring water), is what seeps out of the blood at the peripheral capillaries. – Composition is similar to plasma without the proteins – Has bacteria, virus, cell debris – Lipid content is high – Lymphocytes content is high • Lymphatic vessels – Transport the lymph from tissue back to the bloodstream – Starts usually along the side of a vein – Similar to a vein in structure and function (low pressure system, use SK muscle and respiratory pump to help flow, valves are present to prevent backflow) – Lymphatic vessels eventually joins with the venous system through the left and right subclavian veins Lymphatic System: Components • Organs – Primary lymphoid organs: Organs involved in development of cells of the lymphatic system eg: bone marrow, thymus – Secondary lymphoid organs: Organs involved in housing cells of the lymphatic system and immune response eg: lymph nodes, spleen Lymphatic System: Components • Cells – Granulocytes: Neutrophils Eosinophils Basophils Mast cells – Agranulocytes: large nuclei and small amount of cytoplasm Function in identification and inactivation/ destruction of pathogens Monocytes Macrophages B lymphocytes T lymphocytes (Thelper and Tcytotoxic) Natural killer cells 2 Neutrophil Eosinophil Cells of the Immune system: Granulocytes • Neutrophils: granules stain at neutral pH, 3-5 lobed nucleus, receptors for antibody & complement, migrate to site of tissue damage/infection, major phagocyte, many hydrolytic enzymes – digestion O2-dependent & O2-independent paths • Eosinophils: granules stain with acidic dyes, two-lobed nucleus, connected by thin strand, migrate to tissues to defend against protozoa and helminths, release cationic proteins and oxygen metabolites that damage parasite’s membrane Basophil Mast cell Granulocytes continued… • Basophils: granules stain with basic dyes, two-lobed nucleus, non-phagocytic, secrete vasoactive agents (histamine, serotonin, prostaglandin), affinity for IgE – coats surface of the cell triggers cell to secrete vasoactive agents eg: hay fever, asthma, eczema • Mast cells:reside in connective tissue, contains granules of histamine and many other pharmacological agents, contribute to inflammatory response, allergies and hypersensitivities Cells of the Immune system: Agranulocytes Mononuclear cells: • Monocytes – circulate in blood for few days and then enters into tissue and terminally differentiate into macrophages • Macrophages – larger, more organelles, receptors for antibody and complement, two populations – fixed and wandering Lymphocytes • Three cell populations: B cells, T cells, natural killer B – mature in bone marrow, to lymphoid organs T – mature in thymus, to blood, lymphoid organs NK – circulate, destroy infected cells, cancer cells Monocytes Macrophages Lymphocyte Natural killer cell 3 Functions of the Lymphatic System • Maintenance of blood volume in cardiovascular system (return of “lost” fluid from the capillaries) • Transport of fats and fat soluble material from digestive system • Filtration of foreign material to defend against infection (through the lymph nodes and spleen) • Defending the body from various pathogens and parasites Organization of the defense mechanism • First Line of Defense: Non specific – Physical and chemical barriers • Second Line of Defense: Non specific – Phgocytosis – Interferons – Complement system – Inflammation – Natural killer cells – Fever • Third Line of Defense: Specific – Cell mediated defense – Humoral defenses Physical and chemical barriers • Skin: Acts as an physical and chemical barrier – Keratinized and therefore a dry and dead layer, inhospitable to microorganisms – Constant replacement resulting in the removal of many adhering microorganisms – pH = 5-6 due to fatty acids present in secretions of the sebaceous glands. Too acidic for many microorganisms • Other barrier systems: – Secretions containing lysozyme, antibodies -tears, saliva – Secretions to trap microorganisms - earwax, mucus – Acidic environments - digestive acids in stomach, vagina – Elimination mechanisms - vomiting, urination, defecation – Resident bacteria (normal flora) – secrete antibodies 4 Phagocytosis (“cell eating”) Engulfing any foreign body by neutrophils, monocytes, macrophages, eosinophils • Pinocytosis macromolecules internalized via nonspecific membrane envagination (sipping) • Receptor-mediated endocytosis macromolecules selectively internalized via specific receptors . • Engulfment of foreign body (phagosome) • Merging with lysosome (phagolysosome) • Digestion of the foreign body (digestive vacuole) • Absorption of nutrients • Elimination of unnecessary material Eukaryotic Cells, Bacteria, and Viruses 5 Interferon Family of glycoproteins secreted by viral infected cells that induces virus resistance in neighboring cells (a) (b) (c) (d) The Complement (C’) System • The Complement system consists of a complex series of fifteen proteins, many of which are proteineases • It is a primitive form of defense against infection, being conserved throughout evolution • It performs three vital functions: cell activation cytolysis opsonization • Is one of the first systems activated in the response to infection. • The Complement system can be considered as a cascade of interacting proteins, acting in a defined manner, resulting in the initiation of important innate biological effects Overview of the classical pathway 6 Overview of the alternate pathway Biological Functions of Complement C5b6789 C3b iC3B C4B Anaphylatoxins: C3a, C4a, C5a C3b Chemotaxins: C3a, C5a, C5b67 Inflammatory response • Process: tissue damage leads to release of histamine by basophils/mast cells, blood vessels dilate, complement marks bacteria, phagocytic cells arrive and remove invading microorganisms • Signs: redness, warmth, swelling, pain . 7 Other Non Specific Chemical Defenses • Fibronectin – A glycoprotein that binds bacteria to block attachment and enhance removal • β-lysin – A cationic polypeptide secreted by platelets that disrupts cell membrane of Gram-positive bacteria • Tumor necrosis factor alpha (TNF-α) - Secreted by phagocytes & some T cells in response to LPS, M. tuberculosis, etc. that activates macrophages involved in inflammatory response and promotes fever • Interleukins – IL-1 and IL-6 generated as a result of inflammatory response promotes fever which helps in fighting infections as • Pathogens do not fair well under high temperature • Immune responses are accelerated by high temperature Natural Killer Cells • Natural killer cells are large granular lymphocytes • NK cells recirculate via the blood and can reach virtually any location • NK cells are present in low number in lymph nodes, spleen, blood, and peritoneum NK Cell Functions Innate Immune Functions • Early resistance to viruses and bacteria by production of IFN-γ and lysis of virus infected cells Induction of inflammation • NK cells are involved in the induction of inflammatory responses in some organs Surveillance and resistance to cancer • NK cells have a role in surveillance and resistance to at least some types of cancer 8 Mechanisms of NK Cell Action Secretion of Perforin and Granzymes • Perforin has considerable sequence homology with complement component C9 • It self assembles to form pores in the target cell membrane and destroy its semi permeable nature • Granzymes (A and B) are enzymes that induce apoptosis (cell death) of the target cells Non Specific Defense Mechanisms • All the immune mechanisms considered thus far are termed as NON SPECIFIC DEFENSE MECHANISMS • The characteristic features of non specific defenses are – It is not directed against a specific target – It has no memory and therefore each disease event will be considered as a new event – Many pathogens can evade this defensive barrier Third Line of Defense Specific Defense Mechanisms Properties of specific immune response: • Restricted to vertebrates primarily • Lag phase to response • Antigen-specific • Results in the induction of memory cells • Highly variable Specific Immune response: Humoral and cell mediated • B cells: humoral or antibody-mediated immunity • T cells: cell-mediated immunity, action by cells – Helper T cells: stimulate other immune cells – Cytotoxic T cells: kill abnormal and foreign cells in a specific manner (specific type of cancer cells) 9 Antibodies • B cells produce molecules called Antibodies (globulins) • Initially known as γ-globulins and now they are called Immunoglobulins (Igs) • Expressed as secreted and B- cell membrane-bound forms • Has three major functions • Opsonization • Neutralization • Complement activation Cell Mediated Immunity - T Lymphocytes • Helper T cells: Secrete cytokines that regulate functions of both cytotoxic T lymphocytes and B lymphocytes • Cytotoxic T lymphocytes: Destroy virally infected cells or cancer cells by secretion two chemical mediators GRANZYME and PERFORINb What makes us sick? • “enemies” in the environment in the form of microbes and chemicals are constantly attacking our bodies, disrupting homeostasis • sometimes immune system homeostasis is disrupted on its own it may over-react to antigens such as with allergies ↓ ↓ ↓ it may under-react as with human immunodeficiency virus infection (HIV) it may react to self proteins as with autoimmune disease 10 Over-reaction to antigens • the immune system reacts to antigens (allergens) that don’t cause a reaction in most people – like pollen Pollen grains Mast cell ©Dennis Kunkel Microscopy, Inc., www.DennisKunkel.com • a type of antibody called IgE binds to the allergen causing mast cells to produce chemicals called histamines. Common symptoms include: – runny nose and itchy, watery eyes, with repeated exposure resulting in a more rapid onset of symptoms • treatments – antihistamines are given to counteract the histamines – shots containing low doses of an allergen can help a person to become desensitized to that specific antigen Reaction to Self Occurs when the immune system sees “self” antigens as “nonself” • may be due to genetic factors, infectious agents, gender, and age • the autoimmune response results in tissue damage – Some damage occurs in only one or a few organs, in other cases it may be body-wide (systemic) • ~ 3.5 % of people have autoimmune diseases – On average, women are 2.7 times more likely to develop these diseases than men • most have no known cause or cure - treatment is aimed at controlling symptoms Why does the immune system attack the body that it’s supposed to protect? • failure to recognize some cells as “self” – in rheumatic fever, the streptococcus antigen is very similar to a protein in heart tissue, so the body mistakenly identifies heart tissues as foreign • cells seen as foreign are attacked and destroyed – may be only a few select cells or organs (organ-specific) – e.g., multiple sclerosis, juvenile diabetes, rheumatic fever – may be systemic - e.g., systemic lupus erythematosus, rheumatoid arthritis 11 Examples of autoimmune diseases • Organ-specific – Multiple Sclerosis – Juvenile Diabetes • Systemic – Systemic Lupus Erythematosus – Rheumatoid arthritis Under-reaction to antigen Immunodeficiencies • occur when some part of the immune system is defective or missing – T cells, B cells, phagocytes, or complement • these deficiencies are grouped as: – primary: inherited or congenital • severe combined immunodeficiency (SCID) – secondary: acquired • HIV infection David Vetter 1972-1984, the original bubble boy 12