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The Immune System The immune system allows the body to defend against disease-causing agent. This system recognizes and destroys “foreign” substances, such as bacteria, fungi, protozoa, viruses, toxins and cancer cells. The body has two ways to defend against these substances nonspecific and specific resistance or immunity. I. Nonspecific Immunity Nonspecific immunity involves mechanisms which are general in nature and protect against many types of disease causing agents (pathogens). The protective mechanisms function in the same way against any invading organism. Specific immunity involves mechanisms that are very precise, targeting specific pathogens. Specialized lymphocytes recognize foreign molecules (antigens) in the body and respond to them by executing specific defense mechanisms. A. Mechanisms of Nonspecific Immunity 1. Mechanical barriers – The skin and mucous membranes lining the ducts of various organs. 2. Chemical barriers – enzymes, gastric juice and tears. 3. Inflammation – A localized protective tissue response to injury or infection which prevents the spread of the infectious agent. Inflammation is designed to confine, dilute and destroy the infecting agent or injured tissue. 4. Phagocytosis – Neutrophils and moncytes (macrophages) leave the blood by emigration (diapedesis). Emigration is a process by which the WBCs squeeze between the endothelial cells of the capillary walls into the surrounding interstitial spaces. Chemicals released from the injured tissues attract these cells by chemotaxis. The phagocytic activities of the WBCs remove the foreign substances before the interstitial fluid is returned by the lymphatic system to the blood. II. Specific Immunity Specific immunity is resistance to specific foreign substances (antigens). Lymphocytes and macrophages recognize specific foreign substances and execute immune responses. Antigens are a variety of large complex molecules, most often proteins, located on the foreign cells surface. A. Types of Specific Immunity There are two types of lymphocytes, T-cells and B-cells. They respond to antigens in different ways. The T- and B-cells can recognize the specific antigens because of cell membrane receptors on the T- and B-cells. The antigen receptors on the cell membrane of specific T- and B-cell respond only to a specific antigen. 1 1. Cell Mediated Immunity (CMI) T-cells attach and interact directly with the foreign antigen, i.e. cell to cell contact, to inactivate and destroy the antigen. 2. Antibody Mediated (Humoral) Immunity (AMI) B-cells differentiate into plasma cells which produce antibodies. The antibodies are soluble globulin, glycoproteins (immunoglobulins) that make up the gamma globulin fraction of the plasma proteins. The antibodies are carried in the body fluids. When coming upon a specific antigen the antibody attaches to the specific antigen to inactivate and destroys it. One example of antibody action is agglutinating and precipitating of the antigen. Because antibodies have sites for binding antigens, the antigen-antibody reaction can cross link pathogens to each other. This causes agglutination (clumping together) of the pathogens. The macrophages then can phagocytize the agglutinated pathogens more readily. Also soluble antigens when cross-linked by antibodies precipitate out of solution and are more easily phagocytized by the macrophages. B. Types Acquired Specific Immunity 1. Natural Acquired Active Immunity The person is exposed to a pathogen in the environment and develops the symptoms of the disease. The person produces an immune response and becomes resistant as a result of activation of T- and B-cells upon encounter with the pathogen. 2. Artificially Acquired Active Immunity The person is given a vaccine or a toxoid to a pathogen and stimulates an immune response by activation of T- and B-cells. A vaccine consists of killed or weakened pathogen so that it cannot cause a serious infection. A toxoid is a modified toxin from the pathogen that is chemically altered to destroy its toxic effects. 3. Artificially Acquired Passive Immunity The person is given an injection of ready made antibodies or gamma globulins against the pathogen. This is passive immunity because the person does not produce the antibodies but receives them without activation of the person’s T- and B-cells. 4. Natural Acquired Passive Immunity During pregnancy antibodies pass from the mother to the fetus, if the mother has the antibodies against the pathogen. The fetus and the newborn acquires short-term immunity against the pathogen without activation of the fetus’ T- and B-cells. 2 C. Types of Immune Responses 1. Primary Immune Response Initial activation of T- and B-cells after an encounter with an antigen constitutes a primary immune response. 2. Secondary Immune Response After a primary immune response some T- and B-cells produced during the primary response remain dormant as memory cells. If an identical antigen is encountered again, these memory cells divide to form more and rapidly respond to the antigen to which they were previous exposed. This produces a secondary immune response. A primary immune response usually produces a response within 5-10 days following an antigen exposure. A secondary immune response produces a much quicker and much greater response within 1-2 days on exposure to the antigen. The memory cells live a long time and the ability to produce a secondary immune response can be long lasting. 3