Basic Immunology I

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    Basic Immunology I

    May 20, 2008

    MD3

    Microbiology

    Dr. K Ronquillo

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    Primary Lymphoid Organs

    Bone Marrow

    Thymus

    Spleen,Liver

    Secondary Lymphoid organs

    Lymph Nodes

    Spleen

    Tonsils

    Mucosa-associated lymphoid tissue (MALT) GALTBALT

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    THYMUS

    Cortex: immature T

    cells, epithelial

    cells and

    macrophagesmedulla, which

    mature T cells and

    Hassal corpuscles

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    LYMPH NODES

    most commonsite for the

    production of the

    adaptive immune

    responseB cells:cortex

    Tcells:

    paracortex

    Germinal centers:plasma cells

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    SPLEEN

    peripheral lymphoid organ: adults

    primary lymphoid organ: fetal period

    function?

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    Spleen zones

    White pulpperiarteriolar lymphatic sheath (PALS) :

    T cellsMarginal zones: B cells

    Primary follicles: B cells,dendritic cells

    Red pulpsite of blood filtration

    sinusoids

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    BRONCHUS-ASSOCIATED LYMPHOUD

    TISSUE (BALT)

    Tonsils

    lymphoid tissues under the respiratory

    mucosa

    types of tonsils:

    1. palatine tonsils

    2. lingual tonsils

    3. pharyngeal tonsils ;adenoids

    Lymph node swelling

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    CELLS OF THE IMMUNE SYSTEM

    Monocytes-macrophages

    Dendritic cells

    Granulocytes(polymorphonuclear leukocytes)neutrophils

    Eosinophils

    basophils

    Lymphocytes

    B lymphocytesT lymphocytes

    Natural Killer cells

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    Monocytes-macrophages

    liver macrophages Kupffer cells

    Brain macrophages Microglial cellsLung macrophages alveolar

    macrophages

    Macrophages in granulomas epitheloid cells

    Cluster of epitheloid cells giant cells

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    M & M

    Stimuli: LYMPHOKINES

    INTERFERON gamma

    causes increased lysosomal enzyme

    production

    increased chemotactic abilities

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    Functions of M and M

    secrete mediators of inflammation

    Opsonization (C3b)

    PhagocytosisAntigen-presenting cells (MHC)

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    DENDRITIC CELLS

    also APCs

    peripheral blood,

    lymphoid organs

    Langerhans cell:

    skin

    Reticulum cells:spleen and lymph

    nodes

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    Granulocytes

    NEUTROPHILS

    first cell in acute inflammation

    azurophilic granules:

    myeloperoxidase

    hydrogen peroxide; toxic oxygen

    radicals

    receptors for IgG, C3b

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    EOSINOPHILS

    late inflammatory reactions, allergies,

    parasitic infections

    chemotactic factors include: histamine,

    C5a, LTB4, PAF, ECF-A

    Major Basic Proteins, Peroxidase

    receptors for complement

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    BASOPHILS

    receptors for IgE

    release of histamine

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    B LYMPHOCYTES

    differentiate into plasma cells

    respond to 2 types of antigens;

    a. T-cell independent antigens:

    absence of CD4 Th cells

    antigens are polysaccharides

    b. T-cell dependent antigens;CLASS

    SWITCHING

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    T LYMPHOCYTES

    two major types depending on their CD

    proteins

    Th1 cell: promote cytotoxic T-cell

    (CD8+ cells) responses and delayed

    hypersensitivity reactionsrecognize APC with MHC class I

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    Th2 cell: stimulate B cells to proliferate

    -differentiate into antibody

    producing cells

    Both Th1 and Th2 have CD4+ proteins;

    recognize APC with MHC class II

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    NATURAL KILLER CELLS

    kill tumor cells and viruses without the

    need for MHC

    mediate ADCC (antibody-mediated

    cellular cytotoxicity)

    activated by interferon gamma and

    IL-2

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    THE IMMUNE RESPONSE

    Innate immunity

    Acquired ImmunityHumoral immune response

    Cellular immune response

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    ANTIGENS

    any substance which is bounded by

    an antibody or T cell receptor

    Immunogen: a substance that

    induces a specific immune response

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    Hapten

    non-immunogenic

    Have to be coupled to a carrier

    molecule

    have the property of antigenicity but

    not immunogenicity

    Example: penicillin

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    Factors which contribute to

    immunogenicity

    the immune system normally recognize foreignsubstances

    the larger the molecule, the more antigenic it is

    the more complex the structure, especiallyproteins

    lipids are usually not immunogenic

    polysaccharides are also good immunogens

    nucleic acids are poor immunogens

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    HLA CLASS I

    found on all the surfaces of nucleatedcells and platelets

    present them to CD8+ cytotoxic Tcells.

    HLA-A, HLA-B AND HLA-C

    recognize cells which have beeninfected by viruses, bacteria,parasites and tumors

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    HLA CLASS II

    found only on the cell surfaces of:

    dendritic cellsLangerhans cells

    activated macrophages

    B cellsthymic epithelial cells

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    HLA Class II

    antigen recognition by T helper cells

    (CD4+ cells)

    HLA-DP, HLA-DQ, HLA-DR

    recognizes cell which have been

    infected by bacteria, parasites or

    injected proteins

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    IgG gamma heavy chains

    IgA alpha heavy chains

    IgM mu heavy chainsIgE epsilon chains

    IgD delta chains

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    Functional parts of the

    Immunoglobulin

    Fab fragment : portion which bind the

    antigen

    Fc fragment portion which binds

    complement

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    ANTIGEN-BINDING SITES

    variable region of the light chain and

    heavy chain

    also called the PARATOPE

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    Epitope

    Antigenic Determinant

    specific site on the antigen which is

    recognized by the B cell or the T cell

    receptor

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    IgG

    most versatile immunoglobulin

    75% of serum Ig is IgG

    only class of Ig that crosses theplacenta.

    fixes complement

    binding to cells like macrophages,monocytes, PMN's and some

    lymphocytes: Fc receptors

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    IgA

    2nd most common serum Ig.

    major class of Ig in secretions

    local (mucosal) immunity.

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    IgD

    primarily found on B cell surfaces

    functions as a receptor for antigen

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    IgE

    least common serum Ig

    allergic reactions

    parasitic helminth diseasesIgE does not fix complement

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    ACQUIRED IMMUNE RESPONSE

    : Humoral type

    1. PRIMARY IMMUNE RESPONSE

    first response to antigenic stimuli

    no antibodies can be measured in the1st 3 to 5 days

    IgM: first detected

    class switching: IgG predominates

    IgA:oral or mucosal antigens

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    ACQUIRED IMMUNE RESPONSE

    : Humoral type

    2. SECONDARY IMMUNE

    RESPONSE

    memory or anamnestic response

    memory B and T cells

    IgA

    IgE: helminths

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    ACQUIRED IMMUNE RESPONSE

    : Cellular type

    major cell type : T cell

    APC present the antigens to Th cells (MHCII),

    secrete cytokines and IFN- gammaproliferation, differentiation of CTL,macrophages

    CTL will bind to cells infected by viruses or

    tumors (MHC Class I)enzymes are secreted which kill the cells

    CD4+ cells activate NK cells ormacrophages and neutrophils

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    Immunosuppression

    active immunologic unresponsiveness

    IFN gamma

    IL-10

    X-ray and UV radiation

    surgical removal of thymus, Lymphnodes and spleen

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    Corticosteroids

    *peripheral blood lymphopenia

    *inhibit RNA and DNA synthesis*decrease macrophage responses

    *decrease monocyte chemotaxis

    *decrease IgG response

    CYTOKINES

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    CYTOKINES

    Proteins

    regulate immunologic and

    inflammatory response in injury

    resting cells do not secrete cytokines

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    Cytokines

    Stimulate T and B cells

    Mediate signs of inflammation

    Stimulate class switchingExpression of MHC I and II

    Stimulate M & Ms

    COMPLEMENT SYSTEM

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    COMPLEMENT SYSTEM

    proteins found in the blood and tissue

    fluids

    important in opsonization

    regulation of inflammatory response

    killing cells and microbes

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    Two pathways

    Classical Pathway

    most rapid, most

    efficient

    antigen-antibody

    complexes

    Alternative pathway

    activated by:

    *cell wall of gram-

    negative bacteria

    *bacterial and plant

    polysaccharides

    *cobra venom factor

    *endotoxins

    *aggregated IgA, IgG,

    IgG, IgM

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    Final Product for both pathways:

    Membrane attack complex

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    Basic Immunology II:Immunologic techniques and

    Immunization