IMMUNITY
CHAPTER 35
IMMUNITY
• INNNATE IMMUNITY
– generalized, non-specific type, non-antigen specific
• ACQUIRED IMMUNITY
– Humoral immunity
– cell mediated immunity
INNATE IMMUNITY
• Phago-cytosis of bacteria and other invaders by white blood
cells and tissue macrophage system
• Inflammation
• Acid secretions of the stomach and the digestive enzymes.
• Resistance of the skin
• Blood compounds are
– lysozyme, a mucolytic polysaccharide that attacks bacteria
and causes them to dissolute;
– The complement complex
– Natural killer lymphocytes that can recognize and destroy
foreign cells, tumor cells, and even some infected cells.
ACQUIRED IMMUNITY
• Humoral &
• Cell-Mediated
• Both Types of Acquired Immunity Are
Initiated by Specific Antigens
• Lymphocytes Are Responsible for Acquired
Immunity
LYMPHOCYTES
• T- Lymphocytes
– Helper T cells Function
– Killer/Cytotoxic T cells
– Suppressor T cells
• B- Lymphocytes
• NK Cells ( Natural Killer Cells)
• Memory cells & immunization
Lympho-Poesis
• PHSC
• LSC (lymphoid stem cells)
• T cells; processed in the “Thymus”
• B cells; processed in the liver during fetal life and
bone marrow in late fetal life and after birth.
• lymphoid tissues; spleen, lymph nodes, peyer’s
patches, liver
• LYMPHATIC SYSTEM
TOLERANCE; ROLE OF prePROCESSING IN
THYMUS & BONE MARROW
CYTOTOXIC T CELL
• Killer cells
• TLR (Toll like receptors) recognizes Antigen
• Macrophages acting as APC may present
antigen via MHC
• Attach to infected (antigen containing) cell
(cell mediated immunity)
• perforins punch holes and leave
HELPER T CEL
• Most numerous ( affected in HIV)
• activated via MHC-II APC presentation
• Multiple functions of HELPing
– T cells
– B Cells &
– Macrophages.
MHC
(Major histo-compatability complex)
• MHC-I
– Present on WBCs (Macrophages)
– Activates Cytotoxic cells
• MHC-II
– Present on most body cells
– helper cells
SUPPRESSOR T Cell
• controls cytotoxic T cells function
• HOW?
HUMORAL IMMUNITY
• B lymphocytes with blood proteins systems
( Immuno-globulins & complements system).
Activation of B Lymphocytes
– Can recognize an intact Antigen
– Macrophages via IL-1
– Helper
Is there any link between innate and
acquired immunity ?
ANTIBODIES
• Formed by plasma cells
• Nature
• Classes (IgM, IgA, IgG, IgE , IgD)
• Specificity
What will be the life of antibodies in blood?
What is the Difference between active and
passive acquired immunity ?
• Serology tests (Antibody test)
MEMORY CELLS
• Formation
• importance
• Active acquired immunity
Immunization
Target of immunization?
Active (acquired) Immunity
Passive (acquired) Immunity
• Mother feeding is example of which type of
immunity ? Any other example ?
• Do we need to immunize (give vaccine) to a
person who had a past infection of that
disease?
Mechanisms of Action of Antibodies
• Direct attack on the invader and
– Agglutination
– Precipitation
– Neutralization
– Lysis
• Activation of the "complement system" that
then has multiple means of its own for
destroying the invader.
Complement System
Classic Pathway
Alternate Pathway
Effects of Complement system
• Opsonization and phagocytosis. C3b,.
• Lysis. lytic complex, C5b6789.
• Agglutination.
• Neutralization of viruses.
• Chemotaxis C5a
• Activation of mast cells and basophils. Fragments C3a, C4a,
and C5a
• Inflammatory effects
(1) increased blood flow
(2) the capillary leakage (Exudation) of proteins to be increased
(3) the interstitial fluid proteins to coagulate in the tissue spaces,
walling off
Lymph-adeno-pathy
• ANTIBIOTICS MOA
Allergy and HSR
• Allergy
• Atopic Allergy
• Types of HSR
– Type I HSR
– Type II HSR
– Type III HSR
– Type IV HSR
• Anaphylaxis
• Examples: Asthma, Hay Fever, Urticaria