DR. NOELLE ORATA MOUNT KENYA UNIVERSITY LECTURER – IMMUNOPATHOLOGY Introduction • The essential features of the host defense system comprise: 1. Innate component – 1st line of defense 2. Adaptive component – takes longer to mobilize
• The two components are not independent but are functionally
interrelated in various critical eg through soluble effector molecules called cytokines INNATE IMMUNITY • Exists in some form in most organisms • It is fast!!! • The non-pathogen-specific recognition molecules is a key feature of innate immunity • Uses mainly phagocytic cells and NK cells as well as serum proteins • For example: phagocytic cells (Macrophage) will recognize infection via pattern recognition receptor molecules that detect structural motifs on invading microbes Innate immunity • Types of recognition receptor molecules include: 1. Toll-like receptors (TLRs) –recognize a variety of substances found on a range of microbes but not on the host cells 2. Mannon-binding lecithin: • Seen in the complement system. • It recognizes sugar molecules containing mannose on the surface of bacteria, fungi, viruses and helps activate the complement cascade • Its present in solution in plasma Innate immunity • Soluble molecules associated with innate immune system: 1. Serum proteins of the complement system 2. Interferons – inhibits replication of many viruses and is not pathogen specific 3. Cytokines Adaptive Immunity • It is able to distinguish self from non-self • It creates an anticipatory defense system of recognition molecules that interact with foreign, non self antigen • It has specificity – discriminates against various molecular entities • It has diversity – capacity to respond to almost any antigen encountered • It has memory – recalls previous encounter with antigen and second time round shows a stronger response • Vertebrate genomes contains several genes that encode many millions of antigen recognition molecules. • These gene families include antigen receptors capable of recogonizing any given antigen Adaptive immunity • Immature adaptive immune system cells “cut and paste” (recombine) segments of the receptor genes to produce this huge diversity of receptors. • A molecular mechanism enable some of the receptors (antibodies) to be modified at the somatic level during the immune response to create receptors with a better fit; i.e the binding is more specific Adaptive immunity • The products of these gene duplications are the gene families that encode the antigen recognition molecules: antibodies, T-cell receptors (TCRs) and major histocompatibility complex (MHC) proteins • Each Lymphocyte is thought to have a unique antigen receptor • Once an antigen encounters a lymphocyte bearing the receptor that best fits the antigen this preexisting cell divides and gives rise to many daughter cells(clones). • Thus the lymphocyte is clonally expanded, making available more of the receptor specific for the antigen encountered Adaptive immunity • Disadvantage of adaptive immunity: ➢ Antiself receptors can be generated thus this cells should be deleted or inactivated ➢If they remain active, autoimmune diseases then occur Adaptive immunity • This model for understanding the development of the capacity to recognize and respond specifically to nonself molecules is known as the clonal selection theory Components of the Immune System Components of the immune System • Uses cells and Soluble moleculesas effectors to protect the host • Consists of a number of different cell types, all leukocytes, specialized to perform different functions • Eg phagocytes are used nonspecifically to destroy invading microbes • Mature cells can occur in blood eg LQ or tissues eg dendritic cells Components of the immune System • Lymphocytes (B and T cells) provide specific Immunity • The product of B cells are: antibodies. These are soluble molecules a.k.a humoral immune system • Extracellular pathogens are eliminated chiefly by antibodies • Intracellular pathogens require T cells and macrophages for elimination Components of the immune System • The function of T cells is sometimes referred to as cell-mediated immunity • Antigen-presenting cell (APCs) such as dendritic cells and macrophages are critical in initiating the activation of B and T cells • APCs take up antigens and subject them to proteolytic degradation in various compartments of the cell in a process called antigen processing Components of the immune System • This process is important because T-cell receptors for antigen recognize only process antigen displayed on APCs • B-cell antigen receptors bind directly to antigen • The peptide antigens are displayed in the peptide-binding groove of MHC molecules Active and Passive Immunity • Active Immunity occurs when the individual plays a direct role in responding to the antigen eg encounter with a virus • Passive immunity Immunity is transferred from one individual to another by transferring immune cells or serum from an immunized person to unimmunized individual eg antibodies to rabies virus provided after a dog bite Phases of an Immune Response 1. Cognitive phase • When the antigen is recognized • Antigen encounters a cell bearing a receptor that fits the antigen • Cell is activated and proliferates Phases of an Immune Response 2. Activation phase • More and more of the same clone of cells is produced • Cells undergo various changes referred to as differentiation, to enable a response • Eg a B cell goes through differentiation to become a plasma cell that synthesizes and secretes large amounts of antibody molecules Phases of an Immune Response 3. Effector phase • Various steps take place to down regulate the response once the antigen is eliminated.
❑The above 3 phases are designed to regulate the response and
prevent it from continuing after the antigen or microbe is neutralized or eliminated Types of Immune Response Type 1 Type 2 Type 3 Examples of Pathogens Mycobacteria (eg TB), Helminths, Arthropods Bacteria (eg viruses, protozoa Staphylococcus), fungi (eg Candida) Innate immune System Interferon, macrophages, Mast Cells, Eosinophils Neutrophils Components NK cells Adaptive Immune System THI T cells, Cytotoxic T TH 2 T cells, Ig E TH I 7 T Cells Components lymphocytes, Ig M, Ig G, Ig A Immunopathology Autoimmune disease Allergy Autoimmune disease • Check out this your tube video:
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