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Chapter 18: Natural Defenses Against Diseases 1. 2. 3. 4. 5. Animal Defense System – Arthur Wong The Human Immune System: An Overview – Victoria Ting B Cells: The Humoral Immune Response – Heather Yeom T Cells: The Cellular Immune Response – Philip Peng Disorders of the Immune System (focus on HIV) – Vivien So • Defend animals against pathogens • Distinguish between self and nonself – Non-specific defense • General protection – Specific defense • Specific target Lymphatic System • Lymphoid tissues • eg. Bone marrow, spleen, lymph nodes – Removal of tissue fluids – Produce immune cells White Blood Cells • Phagocytes – engulf, digest nonself substances • Lymphocytes – Specific defences against We’re All In This Together • Immune system works as a team – Antibodies – T cell receptors – Major Histocompatibility complex (MHC) – Cytokines Non-specific Barriers • Skin • prevent entry • Normal flora • competition • Mucous • block & trap • Digestive tract • destroy Cellular Defenses • Complement proteins – Sequence of destruction • Phagocytes – Monocytes Macrophages • Natural killer cells Under Attack • Body’s response to infection • Mast cells release histamine – capillaries dilated & leaky • Enter the phagocytes – engulf & produce cytokines • Healing & pus The Human Immune System: An Overview Textbook Pages: 370-374 Presented by: Victoria Ting The Main Features of the Immune System 1. Specificity 2. Ability to respond to a diversity of foreign molecules and organisms 3. Ability to distinguish self from nonself 4. Immunological memory The Main Features of the Immune System: Specificity • Lymphocytes (B cells & T cells) are involved in specific defence mechanisms – T cell receptors, and antibodies made by B cells bind to specific foreign substances (antigens) • Antigens have specific sites that the immune system recognizes, called antigenic determinants • Host animal responds to an antigen by producing T cells or B cells’ antibodies that match the antigenic determinants of that antigen – Each T cell and antibody is specific to ONE antigenic determinant The Main Features of the Immune System: Diversity • Humans can respond to an estimated 10 million different antigenic determinants – Why? Remember, potential pathogens like foreign molecules, viruses and bacteria can have many species, and each species can have slightly different features on its cell surface – Immune system recognizes an antigenic determinant and activates the appropriate lymphocytes (B cells and T cells) The Main Features of the Immune System: Distinguishing Foreign Substances • The human body has MANY different proteins, each with its own 3D structure that is able to generate an immune response – Every cell in body has a LOT of antigenic determinants • Therefore, the immune system must be able to recognize the body’s own antigenic determinants and not attack them The Main Features of the Immune System: Immunological Memory • After responding to a certain pathogen once, the immune system “remembers” that pathogen, and another exposure to that pathogen will have a more rapid and powerful response • Saves us from having the chicken pox twice! • Explains why vaccination and inoculation work Immune System’s Responses Against Invaders • Humoral immune response – B cells – B cells create antibodies to react with antigens • Cellular immune response – T cells – T cells recognize and bind to antigens Clonal Selection • Clonal selection explains: diversity of immune response, ability to distinguish foreign substances, and immunological memory • Each human has a diversity B and T cells; this diversity is due to changes in DNA that occur just after the cells are formed – Example: clonal selection of B cells Clonal Selection Clonal Selection: Immunity and Immunological Memory • Results: immunity and immunological memory – Activated lymphocytes makes 2 types of cells: effector cells (which attack antigens) and memory cells (which can divide on short notice to make more effector and memory cells) – When human body encounters an antigen... 1. Primary immune response is activated 2. Any subsequent encounters with that antigen activate a secondary immune response Clonal Selection: Immunity and Immunological Memory Primary Immune Response • Lymphocytes recognize antigen, produce clones of effector and memory cells – Effector cells destroy antigens and die; one or more memory cells are added to the immune system (and provide immunological memory) Clonal Selection: Immunity and Immunological Memory Secondary Immune Response • Shorter lag time • Greater rate of antibody production • Larger production of total antibodies and T cells than primary response Amount of antibody or T cells (arbitrary units) Clonal Selection: Immunity and Immunological Memory An Application of Immunological Memory: Vaccines Immunization – inoculation with antigenic proteins, pathogen fragments, or other molecular antigens Vaccination – inoculation with whole pathogens that have been modified so that they can’t cause disease *both initiate primary immune response (making memory cells) without causing illness Distinguishing Self from Non-self: Self-tolerance The human body has self-tolerance (the body doesn’t attack its own molecules, but those same molecules would spark an immune response in another individual) – Based on 2 mechanisms: 1. Clonal deletion – removing B and T cells from the immune system if they are anti-self 2. Clonal anergy – immune response to self antigens is supressed B Cells: The Humoral Immune Response Heather Yeom B Cell • Survive clonal deletion • Released from Bone Marrow (“B” CELL!) • Humoral Immune Response – Produce antibodies when fully activated • 2 types: – Plasma B Cells (Plasma Cell) – Memory B Cells Immunoglobulin • A class of proteins acts as receptors and effectors in the immune system. • Structure: – Variable Regions • Heavy Chain • Light Chain – Constant Regions • Heavy Chain • Light Chain Hybridoma • A monoclonal antibodies producing cell. • Monoclonal antibodies application: – Immunoassays: method to detect molecules in tissues and fluids. (eg. Pregnancy test) – Immunotherapy: method of killing cancer cells. – Passive immunization: inoculation with the antibody immediately. (eg. Early rabies infection, rattle snake bites, and babies born with hepatitis B virus infection) Humoral Immune Response 2 Phases: • Activation Phase • Effector Phase The Cellular Immune Response and T Cells <killer T cell killing cell Presented by Philip Peng What is a T cell? - lymphocyte developed from stem cells - processed in thymus gland (thus the “T”) - involved in both humoral immune response (HIR) and cellular immune response (CIR) Two Main Types Helper T cells: - TH cells / CD4+ cells - secretes cytokines in HIR & CIR Cytotoxic T cells: - TC cells / CD8+ cells / “killer T cells” - “search and destroy” bad cells in CIR It’s Visual Demo Time! The Good Guys vs. The Bad Guys - MHC cells present everywhere - How to tell good from bad? - Test: 1) Recognize self MHC proteins? 2) React with own antigens? Houston, we have a problem… - TC cells kill off all that isn’t you - Issue: results in organ transplant rejections - Workaround: immunosuppresants + antibodies (i.e. cyclosporin) So Long, and Thanks for All the Fish Cellular Immune Response: - TC cells detect non-self antigets via MHC I proteins and kills via lysing/apoptosis - Thank the T cells for being alive! - Next up… Vivien! Sources: Life – The Science of Biology Textbook, http://www.karlloren.com/images/96500b.jpg, http://www.surgery.usc.edu/divisions/hep/patientguide/graphics/medications2.gif Disorders Immune System Disordersof of the the Immune System Disorders of the Immune System • 1) Overreaction (autoimmune disease, hypersensitivity) • 2) Function weakly or not at all (immune deficiency disorder) HIV/AIDS • Immune deficiency disorder • Human Immunodeficiency Virus (HIV) targets the TH cell (helper T cell); it’s a retrovirus that eventually leads to Acquired Immune Deficiency Syndrome (AIDS) Transmission of HIV • Through blood (needle contaminated with virus after being used to inject an infected individual) • Through exposure to broken skin, open wound, body fluids like blood, semen from an infected individual • Through blood of an infected mother to baby through birth HIV/AIDS • HIV initially infects macrophages, TH cells and dendritic cells in blood and tissue • Infected cells carry virus to lymph nodes and spleen where T cells mature and B cells reside • HIV preferentially infects activated TH cells that are already responding to other antigens, enabling it to reproduce vigorously • Up to 10 billion viruses are made every day in this initial phase of infection • TH cells quickly decrease, and infected patient shows symptoms such as enlarged lymph nodes and fever • T cells recognize infected lymphocytes; immune response mounted, antibodies specific to HIV appear in blood and symptoms fade within three weeks • Over the next several months, patient has a high level of circulating HIV complexed with antibodies which are gradually removed by dendritic cells • But before they are filtered out, antibodycomplexed viruses still infect TH cells that come in contact with them • The secondary infection process reaches a low, steady-state level called the set point - this point varies for individuals and is a strong predictor of the rate of progression of the disease • During the dormant period, patients feel fine and their TH cell levels are adequate to mount immune responses • Eventually, the virus destroys TH cells and their numbers fall to dangerous levels - at this point, the patient has “full blown AIDS” and is susceptible to infections that TH cells would normally have eliminated - these are called opportunistic infections because they take advantage of the crippled immune system The Virus How HIV Attacks • Attaches to TH cells via their surface protein CD4 which acts as a receptor for the viral envelope protein glycoprotein120 (gp120) • After binding, virion enters cell by membrane fusion • Soon, a cDNA copy of the RNA genome is made via reverse transcriptase • Reverse transcriptase lacks the proofreading property of many DNA polymerases so errors are not corrected • up to 10 incorrect bases out of 8000 • this is advantageous to HIV because genetic mutations allow its proteins to escape the host’s immune response • they also challenge scientists who are trying to design drugs and vaccines to bind to the changing proteins • Integrase catalyzes insertion of cDNA into host chromosome • cDNA becomes a permanent part of TH DNA and is replicated (may remain part of TH cell genome for more than 10 years) - provides molecular camouflage against defenses of host cell as well as therapy • This latent period ends if HIV-infected TH cell becomes activated as it responds naturally to antigens • When TH cell is activated, the entire integrated cDNA viral genome is transcribed into RNA which may stay as is or be spliced - unspliced RNAs become genomes of new HIV particles; spliced RNAs act as mRNAs to make viral structural proteins • Protease completes the formation of individual viral proteins • Viral membrane proteins are made and transported by host cell organelles • Cytoplasmic tails of the viral gp120 membrane proteins bind to the core particles and viruses bud from the infected cell Treatment • General therapeutic strategy is to try to block stages in the viral life cycle without damaging host cell HAART • Highly Active Antiretroviral Therapy (late 1990s) • Combination of drugs acting at different parts of the viral cycle - uses a protease inhibitor and two reverse transcriptase inhibitors • Has achieved considerable success in delaying the onset of AIDS symptoms in people infected by three years or more • May eliminate HIV entirely in some patients, especially those treated within the first few days of infection, before the virus has arrived in the lymph nodes - most face a lifetime of anti-HIV treatment • 80% of patients who take HAART develop mutant strains of HIV that are resistant to the treatment - never-ending race to modify HAART by adding new and/or different drug combinations - 140 different HAART treatments • Hope to develop a vaccine against HIV, though the first major clinical trial of such a vaccine was unsuccessful