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    CHAPTER 21

    ~IMMUNITY~

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    Different antibody molecules may combine with single

    antigen

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    21.2 DEVELOPMENT OF IMMUNITY :

    PRIMARY AND SECONDARY

    RESPONSE

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    At the end of this topic, students should be

    able to:-

    Explain the primary and secondary

    immune response Explain the concept of self and non-self

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    IMMUNE RESPONSE

    1) PRIMARY IMMUNE RESPONSE

    2) SECONDARY IMMUNE RESPONSE

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    IMMUNE RESPONSE

    Primary:

    First time exposureto certain antigen

    Secondary:

    Second exposure to same antigen

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    PRIMARY IMMUNE RESPONSE

    Results from 1st exposureof B cell to an antigen

    Includes series ofcell

    division, differentiation,antibody production.

    IgM&IgD antibodies:

    receptors on surface of B-cell

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    PRIMARY IMMUNE RESPONSE

    Before stimulation by an antigen, B cells are smalllymphocytes.

    After activation, B cell undergo a series of divisions

    to produce large lymphocytes. Some enlarge cells become plasma cells

    Produce antibodies

    Others revert back to small lymphocytes become

    memory B cells.

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    Low [antibodies]

    produced at early

    stagepeak up weeks

    after exposure

    PRIMARY IMMUNE RESPONSE

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    Has lag time: slowreaction

    3-6 days after the

    exposure B cells specific

    for that antigen

    multiply,develop

    plasma cells

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    Plasma cells

    secrete antibody

    antibody

    concentrationrise

    reach the

    peaks 10-12days

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    PRIMARY IMMUNE RESPONSE

    IgM is the first antibody produced Later other classes of antibodies are produced as well

    Takes 3-14 days to produce enough antibodies

    To be effective against antigen

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    PRIMARY IMMUNE RESPONSE

    Meantime, individual usually develops diseasesymptoms because the antigen has had time to

    cause tissue damage

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    PRIMARY IMMUNE RESPONSE

    Primary response

    lasts several days

    or weeks

    [antibodies] plasma cell die

    memory B cell

    left in the body

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    SECONDARY IMMUNE

    RESPONSE

    The response of

    immune system to

    the second

    infection for sameantigen.

    Memory cell

    recognize the sameantigen faster.

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    Within hours after second exposure:

    B memory cell proliferate & differentiate

    rapidly into

    plasma cell

    produce antibody

    IgGmainly antibody produced

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    Within 2-3 days, antibody rises steeply

    Higher than in primary response

    Remain high for weeks to month Plasma cells functioning for much longer than

    in primary cell

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    Memory B cell able to recognize antigen forlonger period

    May persist for many years and probably for

    life

    SECONDARY IMMUNE

    RESPONSE

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    VACCINATION

    Process: vaccination

    Antigen : vaccine

    Some parts of the microorganism or

    A dead microorganism or

    A live, altered microorganism.

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    VACCINATION

    DEF:

    Injecting small amounts of antigen, vaccine

    into the body To stimulates the immune system

    to manufacture antibodies

    Without disease symptoms do not cause illness

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    VACCINATION

    Active artificial immunity acquiring adaptive

    immunity

    Common vaccinations :-

    - BCG

    - Rubella

    - Hepatitis

    - Triple antigen

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    Widely used vaccination in the world.

    Made of a live, weakened strain of

    Mycobacterium tuberculosis.

    Disease: Tuberculosis (TB)

    Weight loss, cough

    Sputum may contain blood

    BCG (Bacille Calmatte Guerin)

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    In older children & adults

    Made of living attenuated virus

    Disease: German measles (Rubella)

    Affects respiratory passage, lymph nodes in neck,

    eyes, skin

    Causes complication in pregnancy

    miscarriages, stillbirth or

    birth defect in unborn babies

    eg: blindness, deafness

    Rubella

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    A serious liver disease caused by viruses

    Eg: hepatitis B

    Flu-like symptoms

    Jaundice, nausea

    Severe loss of appetite

    Vaccination: genetically engineered (new vaccine)

    Hepatitis

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    New vaccines :

    Modern techniques of molecular biology +

    genetic engineering

    Antigen made of protein coded by gene

    Gene of antigen transferred into bacterium bacterium as a factory producing large

    quantities of antigen for use in vaccine

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    Will be learn later in the last chapter

    RECOMBINANT DNA TECHNOLOGY

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    Triple Antigen

    (Diphtheria, Pertussis and Tetanus Vaccine

    DPT)

    Disease : Diphtheria

    very contagious and life-threatening bacterial disease

    usually attack the throat and nose vaccination: toxoid

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    Toxoid:

    toxins produced by tetanus and diphtheria

    bacteria are detoxified with formaldehyde,

    yet their antigen properties remain.

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    Disease: Pertussiscommonly known as whooping cough

    cause by Bordetella pertussis rod shape, Gram -ve

    mainly in young children

    vaccination: killed bacteria

    extremely contagious disease

    may affect the brain severe coughing bouts with 'whoop' sound

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    Disease: Tetanus

    caused by a Clostridium tetani

    rod shape, Gram +ve

    enter the body through a cut, wound or anybreak in the skin

    causes serious, painful spasms of all

    muscles and can lead to locking of the jawVaccination: toxoid

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    SELF & NON-SELF

    CONCEPT

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    ANTIGEN: any foreign substances that elicits an

    immune response

    All cells posses ANTIGEN in their cell surface

    membrane

    - acts as markers

    - enables cells to recognize each other

    own antigens : self

    foreign antigens : non-self

    ANTIGEN RECALL!!ANTI GE N R E CALL !!

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    SELF & NON-SELF CONCEPT

    MHC:

    In human, referred to as HLA

    Human leukocyte antigen

    Immune system can distinguish between self-

    cells and foreign cells because of they are both

    marked with HLAs.

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    SELF & NON-SELF CONCEPT

    MHC

    (group of

    glycoprotein)

    = HLA = Self-markers

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    IMMUNE SYSTEM DOES NOT RESPOND TO

    'SELF' ANTIGENS

    Lymphocytes do not attack tissues that carry a

    self-marker.

    Non-self : pathogens & cells from other

    individuals of the same species.

    Stimulates immune response.

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    SELF & NON-SELF CONCEPT

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    SELF & NON-SELF CONCEPT

    eg. organ transplant

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    Very rare for 2 individuals to have same set

    HLA genes

    except identical twins

    The closer the relationship between 2

    individuals, the greater the like hood ofsharing the same HLA genes

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    ORGAN TRANSPLANT

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    Immune Rejection:

    cells transferred from one person to another

    can be attacked by immune defenses

    Host's immune system recognizes the foreign

    tissue as non-self

    T-cells attack the transplanted tissue and destroy it

    **Humoral or cell-mediated response? Answer??

    complicates transplant of tissues or organs

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    ORGAN TRANSPLANT

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    1. Tissue compability test

    Before transplant

    Tissue from donors must match the host's tissue

    Increase the chances of successful

    transplantation

    Tissue matching:

    > close relatives

    < non-relatives

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    Prevention of Graft rejection

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    2. Exposure of bone marrow and lymph tissue to

    radiation by X-rays

    Inhibit production of lymphocytes

    Slows down rejection

    But may cause:

    Unpleasant side-effects Increased risk of infection during treatment

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    Prevention of Graft rejection

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    3. Immunosuppression

    Certain drugs used to suppress the immune

    system

    graft rejection delayed

    But patients becomes:

    Suseptible to all kind of infections

    More prone to develop cancer

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    Prevention of Graft rejection

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    4. Suppress the killer T-cells

    Cell responsible for rejection

    Can overcome the problem of radiation and

    immunosuppression

    Patient treat with monoclonal antibodies that

    recognize and destroy the killer T cells

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    Prevention of Graft rejection

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    PRIMARY IMMUNE RESPONSE

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    First exposure to an antigenstimulates a primary

    response

    First exposure to an antigenstimulates a primary

    response

    Infection causes specific

    antibodies to appear in the

    blood plasma in 3 to 14 days

    Infection causes specific

    antibodies to appear in the

    blood plasma in 3 to 14 days

    Time is taken for B-cell and T-

    cell to proliferate

    Time is taken for B-cell and T-

    cell to proliferate

    PRIMARY IMMUNE RESPONSE

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    Second exposure to the

    same antigen stimulates a

    second response.

    Second exposure to the

    same antigen stimulates a

    second response.

    More memory B-cellproduce more plasma cell

    More memory B-cellproduce more plasma cell

    More antibodies are

    produced

    More antibodies are

    produced

    The response is

    more rapid

    The response is

    more rapid

    SECONDARY IMMUNE RESPONSE

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    BCGBCG

    RubellaRubellaRubellaRubella

    HepatitisHepatitis

    TripleTripleantigenantigenTripleTripleantigenantigen

    VACCINATION FOR HEALTH

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    21.3 Immune disorder: AIDS