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Immunology Insights for Med Students

This document provides an overview of adaptive immunity, including humoral and cell-mediated immunity. It discusses the differences between active and passive immunity and how antigens are recognized. The roles of T cells, B cells, macrophages, dendritic cells, neutrophils, eosinophils, basophils, mast cells and natural killer cells are summarized. The processes of antigen presentation, costimulation, cytokine production and the differentiation of T helper cells are also covered at a high level.

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0% found this document useful (0 votes)
30 views30 pages

Immunology Insights for Med Students

This document provides an overview of adaptive immunity, including humoral and cell-mediated immunity. It discusses the differences between active and passive immunity and how antigens are recognized. The roles of T cells, B cells, macrophages, dendritic cells, neutrophils, eosinophils, basophils, mast cells and natural killer cells are summarized. The processes of antigen presentation, costimulation, cytokine production and the differentiation of T helper cells are also covered at a high level.

Uploaded by

ukashazam19
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We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Immunology 2

Dr. Shabnam Bashir


Associate Prof. Pathology
Adaptive Immunity
1-Humoral immunity
2-Cell mediated immunity

Microbes

Macrophage/DC

Innate Adaptive
Phagocytosis Antigen presentation
and cytokines to T lymphocytes
production
Active Vs Passive immunity
Active immunity:
 Slow onset
 Production of antibody as well as cells
 Long duration
Passive immunity
 Rapid protection
 Antibody only
 Short duration
Active passive immunity
Antigens
Immunogenicity
 1-Foreignness

 2- Molecular size

 3-Chemical structure complexity

 4-Antigenic determinants (Epitopes)

 5- Dosage, Route and timing of administration.

 6-Adjuvents
Origin of immune cells
 In embryonic life- Blood cells in fetal liver and yolk
sac
 Postnatal—Stem cell in bone marrow.
 LYMPHOID PRECURSERS:
 T lymphocytes
 B lymphocytes
 NK cells-Do not pass through thymus, no antigen
receptor, No CD4 or CD8.
 Further maturation of T lymphocytes in Thymus, and
of B lymphocytes in bone marrow…..IL-7
 Maturation of about 40% of T lymphocytes takes
place in GALT
APC: Antigen presenting cells
1-Macrophages
2- dendritic cells
3-B cells
 Phagocytosis
 Antigen presentation
 Cytokine production
Follicular dendritic cell
 Neutrophils –Bactericidal,phagocytic,cannot present
antigen,two edged sword.
 Eosinophils:-Contain major basic protein. Role in parasitic
infection and hypersensitivity reactions. Also contain
histaminase, leukotrienes and peroxidases.
 Basophils and mast cells
T cells recognize only peptide antigen MHC
restriction
T cells recognize only peptide antigen
Costimulation is required to activate T cells
Functions of T cells
 Regulator---T Helper-65% of peripheral T lymphocytes
Ab production
Cell mediated immunity
Cytotoxic or Effector role
 Main action of T-Lymphocytes

Main function Cytokine

Activate both antigen specific Th IL-2


cells and Cytotoxic T cells .

Activate B cells IL-4, IL-5

Activate macrophages INF-gamma


Effector functions of T cells

 1: Delayed type of HSR;


Esp. for intracellular pathogens like fungi and
Mycobact.TB , Listeria.
A lipoprotein of MTB activates toll like receptors on
macrophages which in turn produce IL-12.
IL-12 acts on Naïve Th0 cells and they differentiate into
Th1 subset which produces IL-2 ,INF-gamma.
2:Cytotoxicity
CTLs: Perforins, Granzyme B, Fas L on activated T cell.
NK : ADCC
 IL-12 by macrophages maintains balance between Th-1
and Th-2 cells. IL-12 increases Th-1 cells.
 INF-gamma also inhibit Th-2 response.
 IL-4 ? Favors Th-2 response.
 TH-1 response –IL-2, INF-gamma --Cell mediated immunity

 TH-2 response—IL-4, IL-5,IL-6,IL-10--Humoral immunity


 Microorganism

 Macrophage ??

 IL-12 IL-4


 Th-0

 Th-1 Th-2

 INF-γ IL-2 IL-4,IL-5


 Act. Act B cell Plasma cell
Macrophages CD8+
Cell-mediated immunity Ab-Mediated immunity
Cytotoxic CD8 T lymphocyte
B lymphocytes
 30% 0f circulating small lymphocytes
 Short life span –days to weeks
 Located in germinal centres of lymphnodes and white pulp
of spleen. Also in Peyer,s patches
 109 B cell produced/day
 Contain surface IgM and IgD
 Produce antibody by differentiating into Plasma cells
 APC.
 Costimulation in the form of CD28 and B7
 CD40 and CD40L

Natural killer(NK) Cells

Large granular lymphocytes


Lack T cell,CD3, surface IgD IgM
No development in thymus
No previous exposure to antigen required
Normal no. in SCID
Function:
Kill virus infected cells, and tumor cells.
Non-specific in action
Kill by perforin and granzyme B

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