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THE IMMUNE SYSTEM Chapter 43 All animals have some form of immunity (resistance to disease). Relies on ability of animal’s immune system to identify “foreign” antigens. Antigen - any molecule that elicits an immune response (usually a carbohydrate or protein) Innate rapid immunity is inborn. nonspecific Adaptive slow immunity develops after birth. (first encounter) highly specific has memory (rapid response in subsequent encounters) Invertebrates possess innate immunity. Vertebrates possess innate & adaptive immunity. A. Innate Defenses of Humans Consist of physical barriers, phagocytes, inflammation & antimicrobial proteins. 1. Physical Barriers Body’s first line of defense; prevent microbes from entering body. skin & mucus membranes antimicrobial secretions nose hairs & respiratory cilia earwax 2. Phagocytes White blood cells that engulf & digest microbes managing to penetrate the skin & mucus membranes. macrophages - large cells derived from monocytes; engulf bacteria & cellular debris. free macrophages move through tissues fixed macrophages are anchored in a particular organ. neutrophils - most abundant WBC; engulf bacteria & cellular debris. eosinophils - destroy parasitic worms (tapeworms, flukes, pinworms, hookworms). Dead phagocytes are a component of pus. 3. Inflammation Localized response to tissue injury; creates an environment hostile to microbes. 4. Antimicrobial Proteins Produced & released in response to microbial invasion. defensins - released by neutrophils; lyse bacteria. complement system - group of ~ 20 plasma proteins; enhance phagocytosis, intensify inflammation & lyse bacteria. MAC (membrane attack complex) cytokines - proteins synthesized in certain activated cells; stimulate or inhibit the activity of other cells. interferons - released by virus-infected cells; protect adjacent uninfected cells from infection & activate macrophages. interleukins pyrogens - stimulate WBC production. - released by WBCs & macrophages; causes fever (resets body’s thermostat in hypothalamus). B. Adaptive Defenses of Humans Consist of macrophages, B lymphocytes (B cells), and T lymphocytes (T cells). Interact with components of innate defenses. Adaptive immunity distinguishes self from nonself. Molecules called the Major Histocompatibility Complex (MHC) identify a cell as “self”. Anything with something different is identified as “foreign”. Foreign invaders are vigorously attacked. The system “REMEMBERS”. All WBCs are produced in bone marrow. Monocytes enter bloodstream, then exit & enlarge to form macrophages. Most lymphocytes enter bloodstream & travel to thymus gland (develop into T cells). In thymus, each T cell is genetically programmed to respond to one specific kind of “foreign” antigen. T cell antigen receptors Some lymphocytes remain in bone marrow (develop into B cells). In bone marrow, each B cell is genetically programmed to respond to one specific kind of “foreign” antigen. B cell antigen receptors (antibodies) Once programmed, B & T cells migrate to lymphoid tissues. 1. Macrophages Function in adaptive immunity as antigen-presenting cells (APCs). Macrophage ingests bacterium. Displays “foreign” antigen on its MHC “self” protein. Certain helper T cells recognize & bind to antigen-MHC protein complex. Activated helper-T cells secrete interleukin-2. 2. B Lymphocytes (B cells) B cells are responsible for humoral immunity (antibodies are used to fight bacteria & viruses in body fluids). B cells are activated when: they recognize & bind to a foreign antigen, AND are exposed to interleukin-2 Interleukin-2 (from activated helper T cell) Plasma cells secrete antibodies that circulate in blood or lymph. (plasma cell) (plasma cell) Antibodies bind to the same foreign antigen that triggered their production. (plasma cell) Antibodies mark antigens for destruction by macrophages or complement. Memory B cells remain dormant in body fluids; function in the secondary immune response. Primary immune response - occurs when B cells are first exposed to a particular antigen; antibody levels rise slowly & decline rapidly. Secondary immune response - occurs when memory B cells encounter the same antigen in the future; antibody levels rise rapidly & remain high for a long period. Vaccinations produce memory B cells. 3. T lymphocytes (T cells) T cells are responsible for cellmediated immunity (T cells destroy body cells infected with bacteria & viruses). Types of T cells helper T cells (CD4 / T4 cells) activated by antigen presenting cells (macrophages or B cells displaying foreign antigens) produce cytokines (interleukins, interferons & tumor necrosis factor) cytotoxic T cells (CD8 / T8 cells) activated by interleukin-2 bind to body cells displaying foreign antigens (virus- or bacteria-infected cells, cancer cells, transplanted or transfused cells) release perforin (causes cell lysis) C. Rh Incompatibility During Pregnancy Rh antigen is one of many “self” antigens found on the surface of red blood cells. Individuals are Rh+ whose RBCs possess Rh antigen Individuals whose RBCs do not have Rh antigen are Rh- Rh- individual produces Rh antibodies only if exposed to the Rh antigen. The Rh antigen causes problems during pregnancy when an Rh- woman carries an Rh+ fetus. Newborns have temporary immunity (passive immunity): some antibodies (IgG) pass from mother to fetus through placenta. some antibodies (IgA) pass from mother to infant through breast milk. Newborns begin producing their own antibodies (active immunity) by 6 months. D. Immune System Malfunction 1. Immunodeficiency Disorders Result from breakdown of the immune system. HIV (human immunodeficiency virus) acquired through infection virus initially attacks helper T cells virus subsequently attacks cytotoxic T cells & macrophages (triggers apoptosis) opportunistic infections of AIDS develop (Kaposi’s sarcoma, Pneumocystis pneumonia) SCID (severe combined immune deficiency) inherited B & T cells are nonfunctional individuals have little or no protection against pathogens treatments include bone marrow transplant & gene therapy 2. Autoimmune Disorders Occur when the immune system attacks “self” antigens. Type I (juvenile) diabetes mellitus - antibodies target beta cells in pancreas. Rheumatoid arthritis - antibodies target Myasthenia gravis - antibodies target cells lining joints. neurotransmitter receptors on skeletal muscle cells. Grave’s disease - antibodies target thyroid gland. 3. Allergies Occur when immune system is overly sensitive & responds to a normally harmless substance (allergen). Common allergens: foods, dust mites, drugs (penicillin), pollen, fur, insect venom. Initial exposure: allergen activates overly sensitive B cells B cells produce clone of plasma cells that release IgE antibodies IgE antibodies attach to mast cells Subsequent exposure: if allergen ever encountered again, will attach to IgE antibodies on mast cells mast cells release inflammatory chemicals (histamine) - cause allergy symptoms anaphylactic shock may occur