1.Innate-Adaptive B9

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    Immune system -

    why?

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    The major types of pathogen

    confronting the immune system

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    Innateand

    Adaptive

    immunity

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    Gastrointestinal,

    respiratory and

    Infection occur only when the pathogen can

    colonize or cross through these barriers

    These barriers are

    permanently present.

    They do not normally

    increase in concentration or

    respond to specific

    pathogens.

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    Cellular innate immunity:

    Granulocytes(polymorphonuclear

    leukocytes)

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    Macrophages

    are activated by

    pathogens and

    both engulf

    them and initiateinflammatory

    responses

    Pattern recognition receptors (PRRs)

    on phagocytic cells recognize and are

    activated by pathogen-associated

    molecular patterns (PAMPs)

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    Cytokines are small proteins (~ 25 kDa) thatare released by various cells in the body,

    usually in response to an activating stimulus,and they induce responses through binding to

    specific receptors.

    They can act in autocrine manner,affecting the behavior of the cell that

    releases the cytokine, in a paracrine

    manner, affecting the behavior of adjacencells and some cytokines are stable

    enough to act in an endocrine manner,

    affecting the behavior of distant cells.

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    Infection triggers an inflammatory response

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    leukocytes leave the blood and migrate to sites of infection in

    a multistep process mediated through adhesive interactions

    Selectins

    Chemokines

    Integrins

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    Bactericidal agents produced or released by

    phagocytes on the ingestion of microorganisms

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    Mannose-

    binding

    lectinrecognizes

    bacterial

    surfaces bytheir

    particular

    spacing of

    carbohydraeresidues

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    Schematic overview of the

    complement cascade

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    The actions of the innateimmune systems are a

    prerequisite for thedevelopment of the adaptive

    immunity

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    All the cellular

    elements of

    the bloodarise from

    pluripotent

    hematopoieticstem cells in

    the bone

    marrow

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    Adaptive

    immunity

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    Clonal

    selection

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    1 lymphocyte=

    1specificity

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    A specific immune response,

    such as the production of antibodies

    or activation ofT cells against aparticular pathogen, is known as an

    adaptive immune response,because it occurs during the life

    time as an adaptation to infection

    with that pathogen.

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    The key difference between the innate

    and adaptive immune systems is thatresistance to infection is not improved

    by repeated infection in the innate

    immune system. In contrast, theadaptive immune system will increase

    the ferocity of its defense to a pathogen

    with repeated infection.

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    Fab

    Fc

    Fab

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    Antibodies can participate in host defense in three main ways

    FcR

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    FcR

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    The T-cell

    receptor

    resembles a

    membrane-bound

    Fab fragment

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    TCR has

    constant and

    variable regionshomologous in

    structure and

    function to thoseof

    immunoglobulins

    (TCR has only a

    membrane form)

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    Tri-molecular interaction

    MHC-Ag-TCR CD4

    MHC-II

    E

    F

    TCR

    MHC-

    MajorHistocompatibility complex

    TCR- TCell Receptor

    Ag- antigen

    CD8

    E F

    MHC--I

    TCR

    Ag

    Professional APC

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    MHC-I molecules are expressed at

    low level on the vast majority of our cells

    RBCLiver

    cell

    MHC--I

    Kidneycell

    MHC-I

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    MHC Class I

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    CD8 T cells kill viral

    infected and malignant

    target cells by lythic

    granules (granzyme and perforin)

    and receptor-induced apoptosis

    Fas Ligand

    Fas

    Target cell

    CD8

    EF

    TCR

    DNA fragmentation

    Caspasses

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    Nature reviews microbiology 3:59 (2005)

    The missing

    self hypothesis

    Downregulation of

    MHC class-I molecules

    from the cell surface

    by oncogenic

    transformation

    or virus infection

    renders these cells

    more susceptible

    to attack by NK cells

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    Professional

    Antigen

    PresentingCells (APCs)

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    MHC Class II

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    macrophages

    B cells

    DC

    express MHC-IIand present antigen

    to CD4 T cells

    Professional APC

    CD8

    E F

    MHC I

    TCR

    CD4

    B cell

    MHC II

    CD4

    MHC II

    E F

    TCR

    Th di ib i f l h id i i h b d

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    The distribution of lymphoid tissues in the body

    Lymphatics drain

    extracellular fluid (lymph)

    from the peripheral tissues

    into the thoracic duct

    Primary

    lymph nodes

    peripheral

    Lymph nodes