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Transcript
Physiology
Unit3
ADAPTIVEIMMUNITY
TheSpecificImmuneResponse
InPhysiologyToday
TheAdaptiveArmoftheImmune
System
• SpecificImmuneResponse
• Internaldefenseagainstaspecificpathogen
• Acquiredasyouareexposedtodiseases
– Theimmunesystem“learns”
– Memorycellsremainforeverypathogenyourare
exposedto
• Myadaptiveimmunityisnotthesameas
yours!
TheAdaptiveArmoftheImmune
System
• Controlledbythelymphaticsystem
• Acoordinatedmechanisminvolvingalink
betweenAPC’sandlymphocytes
– APC’sarenon-specific
– Lymphocytesarespecific
• Identifiesspecific foreignantigens
Lymphocytes
• Lymphocytesmustrecognizethespecificpathogentobe
attacked
• Anyantigenthatthehostimmunecelldoesnot
recognizeasself
– Lymphocytesrecognizeantigens
•
•
•
•
•
Proteinsorlargecarbohydrates
Proteincoatsofvirions
Antigensonforeigncells
Cancercells
Transplantedcells
• Lymphocytetraffickingincreasesthelikelihoodthat
theywillcontacttheirspecificantigen
• Lymphocytesarecirculatingthroughlymph,lymphorgansandtheblood
allthetime
BLymphocytes
• MatureinBonemarrow
• B-cellactivationoccursinthespleenorlymph
nodes
• APC tohelperT-cells
• Produceplasmacellswhichsecreteantibodies
TLymphocytes
• MigrateandmatureintheThymusgland
– HelperTcells
• Necessaryforamplificationoftheimmuneresponse
• ActivateB-cellsandKillerT-cellsandotherHelperTcells
– Killer(Cytotoxic)Tcells
• Attackandkillyourowncellsthathavebecome
cancerousorinfectedordamaged
RolesofLymphocytes
StagesofSpecificImmuneResponse
EncounterandRecognition
• Encounterand
recognitionofantigen
bylymphocytes
–
–
–
Eachlymphocyteis
specificforjustone
typeofantigen
≈100milliondistinct
antigenreceptors
Progenyof
lymphocytesarecalled
clones
StagesofSpecificImmuneResponse
LymphocyteActivation
• Lymphocyteactivation
– Bindingofantigentoreceptoronlymphocyte
– Triggersthelymphocytetoundergomultiple
roundsofmitosistoproduceclones– clonal
expansion
– Somelymphocyteswillbeeffectorcellsandbe
partoftheattackresponse
– Somelymphocyteswillbesetasideasmemory
cells forquickersubsequentresponsesinthe
future
StagesofSpecificImmuneResponse
TheAttack
• Theattacklaunchedagainstspecificantigenbythe
activatedlymphocytes
u ActivatedBcellsdifferentiateintoplasmacellsand
secreteantibodiesintotheblood(butthemselves
remaininlymphnodesorspleen)
u ActivatedKillerTcells directlyattackandkillcells
u ActivatedHelperTcells releaseIL-2whichamplifythe
immuneresponse
• Plasmacells,helperTcells,killerTcellsthat
participatedintheattackdiebyapoptosis
– Preventstheimmuneresponsefrombecomingexcessiveand
potentiallydestroyingitsowntissues
The5classesofAntibodiesProduced
ByPlasmaCells
• Immunoglobulins
• 5classesbasedonthe
aminoacidsequenceof
constantends
• Classes
–
–
–
–
–
IgA
IgD
IgE
IgG
IgM
IgA
ImmunoglobulinA
• Mucosalimmunity
– Secretedbymucus
membranesliningdigestive,
respiratory,UGtractand
prostate
– Foundinbodysecretions
• Breastmilk
• Sweat
• Tears
– Providesprotectionagainst
microbesthatmultiplyin
mucussecretions
IgD
ImmunoglobulinD
• Littleknownregarding
function
IgE
ImmunoglobulinE
• Defenseagainst
multicellular
parasites
• Implicatedinallergic
responses
• Activatesmastcells
and/orbasophilsto
secretehistamine
• Foundinlungs,skin,
mucusmembranes
IgG
ImmunoglobulinG
• Mostabundantantibodyin
bloodandECF
– Bindstomanykindsof
pathogens(bacteria,virions,
fungi)
– Causesagglutination
– Neutralizestoxins
– Activatesthecomplement
pathway
– Opsonizationforphagocytosis
– Directsmarkedvirionstothe
proteosomes
• Crossestheplacentafor
fetalimmunity
IgM
ImmunoglobulinM
• ProducedprimarilybyBcellsinthespleen
• Foundinplasmaand
lymph
• ToolargetomoveintoECF
• Mostabundantuponfirst
exposuretoaninfection
• Naturalantibody
• Causesagglutination
• Activatesthecomplement
pathway
FunctionofHelperTCells
• HelperTCells
– ExpressCD4 proteinsintheirplasmamembranes
– AmplifytheresponseofB-cellsandotherhelper
T-cells
– Activatedbybindingtoantigen
• Onceactivated,theHelperT-cellsecretesIL-2
• IL-2 isacytokine thatthatactsonB-cellsandother
T-cells
• B-cellscannotfunctionadequatelyunlessthey
arestimulatedbyIL-2
FunctionofKillerTCells
• CytotoxicTcells
– ExpressCD8 proteinsintheirplasmamembranes
– Musttravelthroughthebloodandlymphtoseek
outtheirtargets
– Attackanddirectlykillcellsbysecretingchemicals
– Attackhostcells(yourowncells):
• Cancercells
– Anydamagedordysfunctionalcell
• Infectedcells
– Cellsinfectedwithanypathogen
CDClassificationofTCells
• CDproteinsareinthe
plasmamembraneof
Tcells
• CD4:
– HelperTcells
– Macrophages
• CD8:
– CytotoxicTcells
• CD4populations
decimatedbyHIV
BCellReceptors
• ThereceptoronBcells
foritsspecificantigenis
theantibodyitsecretes
• Constantends
• Determineantibodyclass
• IgA,IgD,IgE,IgG,IgM
• Bindtomacrophage
• Variableends
• Bindantigens
• A nearinfinitevariety!
TCellReceptors
• Tcellreceptorsforantigensareintegral
membraneproteins
– StayboundtothemembraneofTcells
• Tcellreceptorscannotbindantigenunless
theantigenisfirstcomplexedwithMHC
proteins
– 2classesof“self” plasmamembraneproteins
• Tcellreceptorthencombineswiththeentire
complexofantigenandMHCprotein
MHCProteins
• Differentfrompersonto
person
• ActascellularIDtags–
markersofbiologicalself
• BindingtoMHCproteins
– ClassIMHCproteins
– BindtotheCD8proteinon
killerTcells
– ClassIIMHCproteins
– BindtotheCD4proteinon
helperTcells
•A group of proteins: the major
histocompatibility complex are
called MHC proteins
•Also called human leukocyteassociated antigens or HLA
antigens
AntigenPresentingCells(APC)
• Tcellscanbindantigenonly whentheantigen
appearsontheplasmamembraneofahost
cellcomplexedwiththeMHCproteins
• Hostcellsbearingthesecomplexesarecalled
antigenpresentingcells(APC’s)
– Macrophage
– Dendriticcells
– B-Cells
• ProducetheMHCClass2proteins
PresentationtoHelperTcells
1. Afteranantigenhasbeenphagocytizedbyan
APC(non-specificresponse) itisbrokendown
intosmallerpeptides
2. Thedigestedepitopes (fragments)bindtothe
MHCClass2proteinswithinanendosomeof
theAPC
3. Theepitope-MHCcomplexistransportedto
thecellssurfaceanddisplayedintheplasma
membrane
DendriticCells
• Mostlikelyderivedfrom
monocytes
• Madeinbonemarrow
• Foundintissuesincontact
withtheoutsideworld
– Skin
– Liningsof:
•
•
•
•
Nose
Lungs
Stomach
Intestines
• Migratetolymphnodesand
thespleentopresenttoTCells
AntigenPresentationtoHelperTCells
Lymphokines
• APCbindingtothe
helperTcelltriggersthe
APC tosecretelarge
amountsof
lymphokines
1. IL-1 andtumornecrosis
factor(TNF)secreted
byAPCs
2. StimulatehelperTcells
tosecreteIL-2
3. IL-2 activatesmore
T-cellsandB-cells
PresentationtoCytotoxicTcells
• Anyhostcellcanactasan
APCtoacytotoxicTcell
1.
2.
3.
Anyhostcellthatis
cancerous
Anyhostcellthathas
becomeinfected
Anyhostcellthathasbeen
damaged
• APCsforCytotoxicTcells
expresstheMHCClass1
protein
• Hostcellssynthesizethe
antigenthatcomplexeswith
theMHCClass1protein
Perforin
• ActivatedKillerTcells
secreteperforin
• Perforincausesholes
(perforations)toorm in
thecellmembrane
• Celldestructionresultsin
thereleaseofvirions into
theECFwheretheycan
bedirectlyneutralizedby
antibodies
Antibody-MediatedResponse
HumoralResponse
• Humoralresponsesarethemajordefensesagainst
–
–
–
–
Bacteriaintheextracellularfluid
Virionsintheextracellularfluid
Othermicroorganismsintheextracellularfluid
Toxinsintheextracellularfluid
• Onceboundtoanantibody,antigencannot infect
otherbodycellsorreproduce
– Becomesimmobilizedandistaggedfordestruction
Antibody-MediatedResponse
HumoralResponse
• Communicationbyantibodiesintheblood
andlymphwithotherimmunecells
• Antibodiesinactivateantigensinplasma
• Antibodiesbindtobacteriaforcomplement
activation
• Antibodiesrecruitandguideothercellsto
performtheattack
– Phagocyticcells
AntibodiesAllowPhagocytestoBindto
Pathogens
ActiveImmunity
• Immunitydevelopsovertime
asaresultofthebody’s
contactwithantigens
• CausesBcellstosecretethe
antibodiesfortheantigen
• MemoryCells providelong
lastingimmunity
• NaturalActiveImmunity
– Occurswhenyouarenaturally
exposedtoantigen
• AcquiredActiveImmunity
HepA, TDAP vaccines
– Occurswhenyouareinjected
withtheantigen
PassiveImmunity
• Youreceivepreformedantibodies
• Providesinstant,temporaryimmunity
• Natural PassiveImmunity
– Maternaltransferofantibodiestobaby
– Breastfeeding(IgA)
– Transplacentaltransfer(IgG)
• Acquired PassiveImmunity
– Occurswhenyoureceivepreformedantibodies(IgG)
inaninjection
• HepB,Rabies,Tetanus,Varicella-Zoster
(chickenpox,shingles)vaccines
AcutePhaseResponse
• Manysystemicresponsestoinfection
• Initiatedbylymphokines releasedby
monocytesandmacrophage
• IL-1,IL-6,TNF
• Stimulatesactionsofthe
•
•
•
•
•
Brain,hypothalamus
Liver
Bonemarrow
Adipocytes
Muscle
AcutePhaseResponse
DisordersoftheImmuneSystem
Immunodeficiency
• Immunodeficiency
• Maybecausedbyaging,stress,orviral
infection
• Mayleadto“opportunistic” diseasesor
cancer(pneumonia,bronchitis)
• Manifestedbyafailureoftheimmunesystem
toprotectfromthesediseases
DisordersoftheImmuneSystem
Autoimmunedisorder
• Autoimmunity
– animmuneresponseismountedagainst“self”
antigens
• Hostantigensthataretransformedor
previouslyhidden
• Include
– DiabetesmellitusTypeI
– SystemicLupus
– RheumatoidArthritis
Hypersensitivities
• Immuneresponsestoenvironmentalagents
causeinflammation
• Immediatehypersensitivities(allergies)
– Antibody(IgE)productionandmastcellsecretionof
histamine
– Hayfever,allergies,penicillin,beesting
• Delayedhypersensitivities
–
–
–
–
Overstimulationoflymphocytesandmacrophages
Take2-3daystodevelop
Chronicinflammationandcytokinerelease
Againsttuberculin,transplantrejection