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Hello , Everyone ! Medical Immunology Li Yi 医学免疫学 (李一) Professor, Director of Ph D 教授、博士生导师 Department of Immunology 免疫学教研室 [email protected] 我们可以为了从高处鸟瞰风景的缘故而去爬一 棵树,也可以由于有一头野兽在后面紧紧追赶的缘 故而去爬一棵树。 前者: 我们爬树是为了娱乐 我们要不要爬树完全是我们的自由 我们可以寻找一棵最适合我们意图的树. 后者: 我们则是受恐惧的驱使 我们喜不喜欢都得这样做 我们必须立刻就近爬上树去 也就是说由一头野兽替我们作出了选择 . 摘自:史铁生散文“对话四则 ” Today Study of immunology** Overview of immunology*** Study of immunology** Books: English / Chinese Classes: Theory (32hours) Experiment (28hours) Examinations: Theory: During class (10’) Final (70’) Experiment: During class (20’) “过渡式双语教学”模式 Introduction Components of IS Pathology of IR Functions of IS Applications 考试方式 闭卷“考试”与开卷“综述”相结合 闭卷“考试”中采用英文必答、中英文选答相结合。 IMMUNOLOGY ??? Let’s start with questions Question-1 Our environment contains a great variety of infectious microbes, why could we keep healthy? Question-2 What should we do before transplanting blood ---Transfusion ? Questions - 3 1. Why do we need to do gene matching before transplantation ? 2. Why is it very difficult to find perfect donor for recipient in transplantation ? Question-4 Do you have any experience about allergy? What is the allergy? Question-5 1. What is vaccine ? 2. How do vaccines work? Questions? Immunology Answer! Immunology Functions of IS Immune System Pathology of IS Applications Functions of Immune System • Immunological defense • Immunological homeostasis • Immunological surveillance Functions of Immune System -1 • Immunological defense: The immune system protects us from attack by microbes and worms. Functions of Immune System -2 Immunological homeostasis : The immune system could eliminate the inflammatory or died self-cells. Functions of Immune System -3 Immunological surveillance: The immune system could destroy the tumor cells and protects us from clinical tumor formation. Tumor cell Tumor Tumor Tumor cell cell cell Tumor Tumor Tumor cell cell cell Overview of Immunology Components of IS Organs and tissues Functions of IS Antigen (Ag) Pathology of IR Hypersensitivity Applications Prevention Autoimmune disease Cells Immune Responses Immunodeficiency Tumor Molecules Control mechanisms Transplantation rejection * IS: Immune system IR: Immune response Diagnosis Therapy Immune Responses Immunologic defense Immunologic homeostasis Immunologic surveillance Organs and tissues Ag IR Cells Molecules Hypersensitivity Immunodeficiency Autoimmune diseases Tumor Transplantation rejection Components of immune system Organs and tissues Cells Molecules Components of IS -1 Organs and Tissues of Immune System — Primary lymphoid organs • Bone Marrow • Thymus — Secondary lymphoid organs • Lymph nodes • Spleen • Mucosa-associated lymphoid tissues (MALT) Components of IS -2 Cells of Immune System — — — Mononuclear phagocyte system Granulocytes Lymphocytes Neutrophils Basophils Eosinophils T lymphocyte B lymphocyte NK (Natural killer cells) Monocyte Macrophage Dendritic Cells Classes of T cells TH: T help cells TH1 TH2 TC: T cytotoxic cells, CTL Cells of Immune System Phagocytes: Cells of mononuclear phagocyte system Neutrophils (Polymorphonuclear neutrophils, PMN) Auxiliary cells Basophiles (mast cells) Cytotoxic cells Tc (CTLs) NK cells Eosinophils Components of IS -3 Molecules of Immune System — Antibody (Ab) — Complement (C) — Cytokines (CK) — Major Histocompatibility Complex (MHC) Overview of Immunology Components of IS Organs and tissues Functions of IS Antigen (Ag) Pathology of IR Hypersensitivity Applications Prevention Autoimmune disease Cells Immune Responses Immunodeficiency Tumor Molecules Control mechanisms Transplantation rejection * IS: Immune system IR: Immune response Diagnosis Therapy Functions of Immune System Antigen (Ag) Immune Responses (IR) Control mechanisms See: Immune Response (IR) Target cells MHC CK Th1 CKs Tc NK Ag DCs MHC CK Th2 CKs Ab B PMN Complement Types of Immune Response Innate immunity (Natural immunity) Adaptive immunity (Acquired immunity) Innate and Adaptive Immunity Innate immunity Adaptive immunity Cells Mq/DCs Granulocytes NK cells T and B cells Molecules Cytokines Complement Antibodies Characteristics Responds rapidly No specificity No memory Slow to start Highly specificity Memory Innate immune response ( Natural Immunity) — External defenses — Cell effects — Molecular effects PAMP: pathogen-associated molecule pattern Mq/DCs PRR Phagocytosis Recognition and killing of phagocytes By pattern recognition receptors(PRR) Mannose receptors: mannose CD14 : LPS Scavenger receptors : carbohydrates /lipids Toll like receptors (TLRs): PAMP (lipid-protein 、LPS、RNA、DNA) Adaptive Immune Response (Acquired Immunity) Three Phases : Antigen recognition Activation of cells Effects Th-2 Immune Responses Immunologic defense Immunologic homeostasis Immunologic surveillance Organs and tissues Ag IR Cells Molecules Hypersensitivity Immunodeficiency Autoimmune diseases Tumor Transplantation rejection Overview of Immunology Components of IS Functions of IS Organs and tissues Cells Antigen (Ag) Pathology of IR Hypersensitivity Autoimmune Molecules - Antibodies - Complement - Cytokines disease Immune Responses Control mechanisms - MHC * IS: Immune system IR: Immune response Immunodeficiency Tumor Transplantation rejection Applications Prevention Diagnosis Therapy Overview of Immunology Components of IS Functions of IS Organs and tissues Cells Antigen (Ag) Pathology of IR Hypersensitivity Applications Prevention Autoimmune disease Molecules - Antibodies Immune Responses - Complement - Cytokines Immunodeficiency Tumor Control mechanisms - MHC * IS: Immune system IR: Immune response Transplantation rejection Diagnosis Therapy Today Study of immunology** Overview of immunology*** Introduction of Dept. immunology* Reference Books: English : P1 – P14 Chinese : P1 – P5