Presentation6 Acquired Immunity

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    Dr. A. A. Wegdan

    Acquired Immunity

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    Acquired Immunity

    Definition

    - Acquired immunity is a specific immunity

    occurring in certain individuals after exposure

    to a particular antigen

    Types:

    - Humoral (i.e. due to production of antibodies)

    - Cell mediated (i.e. due to activation of Tlymphocytes).

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    Antigen (Immunogen)

    An immunogen is a substance that can induce

    an immune response and reacts specifically with

    the components of this response

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    Hapten

    It is a low molecular weight substance which is

    non immunogenic by itself, but if it is carried on a

    large molecule i.e. if it is bound to a protein

    carrier, it becomes immunogenic. e.g.polysaccharide capsule of pneumococci, drugs,

    aspirin.

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    Epitopes

    These are small chemical groupings (aminoacids or oligosaccharides) present on thesurface or within the antigen molecules.

    These epitopes are responsible for thespecificity of the immune response because theyare the sites with which the antibodies combine.

    Epitopes are usually multiple and the valency of

    the antigen equals the number of its epitopes. Removal or addition of epitopes may alter the

    antigen

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    Immunogenicity

    1- Foreignness: In general, molecules recognizedas self are not immunogenic. To be immunogenic,molecules must be recognized as non-self i.e. foreign

    2 - Molecular size: The most potent 2 are proteinswith high molecular weights i.e. above 100,000.Generally, molecules with molecular weight below10,000 are weakly immunogenic e.g. amino acids.Substances of low molecular weight may act as

    haptens.3 - Chemical-structural complexity:A certain

    amount of chemical complexity is required. Proteins

    are more immunogenic than carbohydrates and lipids

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    Immunogenicity

    4- Dose of the antigen:Within an appropriate dose, optimumimmunogenicity is obtained. Extremely low dose results in a state oflow-zone tolerance and extremely high dose results in a state ofhigh-zone tolerance.

    5- Route of administration:Antigens administered by S.C., I.M.,

    I.V. or by inhalation are more immunogenic than those administeredorally.

    6- Adjuvants: These are substances which can enhanceimmunogenicity of antigens without altering their chemical nature,for example,

    Mineral gels e.g. aluminium hydroxide. Bacterial products e.g. endotoxin, killed tubercle bacilli, killed

    Bordetella pertussis.

    Oil in water emulsion

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    Common Types of Antigen

    1 - Bacterial antigense.g. cell wall (somatic or O) antigens, flagellar(H) antigens, capsular antigens, fimbrial antigens, virulence (Vi) antigens,intracellular antigens e.g. nucleoproteins and extracellular antigens such asbacterial toxins.

    2- Other microbial antigenssuch as viral, fungal and parasiticantigens.

    3- Tissue antigens e.g. Blood group antigens (ABO antigens and Rh antigens).

    Major histocompatibility complex (MHC) antigens or human, leucocyteantigens (HLA): These are glycoprotein antigens classified into two classes;

    4- Drugs:Some drugs acts as antigens while others can act as haptens.

    5 - Food antigenssuch as proteins of milk, eggs and other foods.

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    Classes of Antigens

    1- T-dependent Antigens These are antigens require the aid of T-helper cells to

    stimulate B-lymphocytes to produce the antibody.

    These are called T-dependent antigens, e.g. complexproteins (serum proteins).

    2- T-independent Antigens Some antigens can elicit a humoral response without the

    cooperation of T-cells. These are called T-independent antigens, e.g.

    lipopolysaccharides, polymers of D-amino acids,dextran.

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    THE HUMORAL IMMUNE RESPONSE

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    Humoral Immune Responce

    FUNCTIONS

    Destruction of extracellular pathogens

    Prevention of spread of intracellular pathogens

    How?

    By: ANTIBODIES (IMMUNOGLOBULINS

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    Resting nave B cells Plasma cells Antibodies

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    Immunoglobulins

    Glycoproteins

    Bind specifically to antigens that induced their

    formation

    Present in gamma globulin fraction of plasmaproteins

    Present in extravascular compartment

    Five classes: IgG IgA IgM IgE IgD Subclasses also present: IgG1, IgG2, IgG3,

    IgG4

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    Functions of Antibodies

    1. Agglutination

    2. Neutralization

    3. Opsonization4. Complement activation

    5. Antibody-dependent-cell-mediated

    cytotoxicity (ADCC)

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    Immune Response

    Primary Immune Response

    Long induction period

    Low antibody level

    Short duration Predominantly IgM

    No memory cells were

    present

    Secondary Immune Response

    Short induction period

    High antibody level

    Long duration Predominantly IgG

    Memory cells were present

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    T-Cell Mediated Immunity

    Main functions of T cells :

    Destruction of Intracellular pathogens

    Helping other cells of the immune system

    T cells cannot recognize antigen directly

    It must be presented to them by special cells

    called: Antigen Presenting Cells (APCs)

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