overview on the immune system
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Overview on the Immune SystemTRANSCRIPT
Overview on the Immune System
A M Musa
Introduction
Immune system: Why is it evolved? Immune response: Machinery? Primary;
secondary;- Definition- The outcome is determined by:
host immune status
pathogen, virulence, route
dose of the pathogen
The main types of immunity in man
Immune System consists of: Primary lymphoid organs----necessary for
development & maturation of lymphocytes: thymus & bone-marrow.
Secondary lymphoid organs--------- trap Ags, site where mature lymph. Can interact effectively with Ags: lymph-nodes, spleen, tonsils,peyer’s patches.
Blood vessels & LS connect the organs uniting them into a functional whole.
The immune response
Immune response: It is the response made by the host to defend itself
against a pathogen. It is described as appropriate (protective).
Manipulation of the immune response:- Induction (vaccination, immunotherapy etc)- Measurements (diagnosis, prognosis) Immunoregulation:- ?? Why do we need it?- Clinical application (specific suppression)
Migration and homing of the lymphocytes
Blood lymphocyte pool
Bone marrowthymus
MALT
Lymph node
Spleen
Peripheral tissue
Immune System Overview
There are two major functions of the immune system:
destroy pathogens detect and kill abnormal cells, such as cancerous cells
Pathogens are classified according to their size and where they are located in the body; there are 5 types of pathogens:
1. parasitic worms
2. fungi
3. protozoa
4. bacteria
5. viruses
Immune System Overview
INNATE DEFENSES (nonspecific defenses)
innate external defenses - these are surface barriers, such as the skin and mucous membranes; if the innate external defenses are penetrated then the next line of defense is the innate internal defenses
innate internal defenses - these include cells and chemicals in body fluids (e.g. phagocytes and NK cells), fever, and inflammation; internal defenses identify enemies by recognizing markers that are unique to the pathogens; when they are overwhelmed, they secrete chemical messengers to mobilize adaptive defenses
Immune System Overview ADAPTIVE DEFENSES differ from innate defenses:
specific (directed against an identifiable enemy)
B and T lymphocytes
memory; they recognize an enemy if it attacks the body in the future
systemic (can act anywhere in the body)
B and T lymphocytes recognize pathogens by binding to them; they recognize antigens of the pathogen by shape, also known as the antigenic determinant
specific B cells called plasma cells secrete antibodies, which bind to the antigens
Immune System Overview Humoral (antibody-mediated) vs. Cellular (cell-mediated)
Immunity
humoral, or antibody-mediated, immunity is directed against pathogens in extracellular fluid; this immunity involves B lymphocytes and antibodies
cellular, or cell-mediated, immunity is directed against pathogens within the cells; this immunity involves T lymphocytes; for example T cells would be activated if a cell has become cancerous or attacked by a virus, or if a cell has been transplanted from another individual
Innate defenses: External and Internal
Innate External Defense System - first line of defense
surface barriers include the skin and mucous membranes of the respiratory, digestive, urinary, and reproductive tracts
characteristics of skin that help it to resist invasion:
water-resistant and tough keratin outer layer
intercellular junctions hold skin cells tightly together
skin secrections are acidic and have chemicals that make the skin inhospitable to pathogens; e.g. lysozyme destroys cell walls of certain bacteria
mucous membranes not only provide a barrier, but also produce a variety of protective chemicals (e.g. lysozyme) and acidic secretions
the stomach secretes digestive enzymes and has a very low pH
the digestive and respiratory pathways are lined with sticky mucous that traps pathogens
Innate Host Defenses Innate Internal Defense System - second line of
defense; attempts to limit the spread of pathogens; this system is fast-acting and nonspecific
the internal defense system has 5 components: phagocytic cells (e.g. neutrophils and
monocytes/macrophages) NK cells (natural killer cells) antimicrobial proteins (complement and
interferon) inflammation fever
Innate Host Defenses Innate Internal Defense System - second line of defense; attempts to limit the spread of
pathogens; this system is fast-acting and nonspecific
phagocytes
neutrophils are the first cells to leave the blood and enter tissues at the sites of infection or trauma; these cells are short-lived
monocytes follow the influx of neutrophils into the affected tissue; once in the tissue, they transform into macrophages; they phagocytize many more pathogens than neutrophils
phagocytes use special membrane receptors to recognize and bind molecules that are found on pathogens, but not on normal body cells
when a phagocyte recognizes a pathogen it:
- ingests the pathogen
- releases chemical alarm signals that mobilize other cells of innate and adaptive immunity
OPSONIZATION - some bacteria have capsules that make it difficult for phagocytes to grab them; the immune system makes molecules that “coat” the bacteria and enhance phagocytosis; this is called opsonization; both complement and antibodies can act as opsonins
Innate Host Defenses
Innate Internal Defense System - second line of defense; attempts to limit the spread of pathogens; this system is fast-acting and nonspecific
NK cells (natural killer cells)
type of lymphocyte involved in innate immunity
attack body cells that have been invaded by pathogens (e.g. viruses) or cancer; they will also attack the cells of transplanted tissues
NK cells are larger than B and T cells, and unlike B and T cells, do not have antigen receptors
both NK cells and T cells are involved in IMMUNE SURVEILLANCE (they continually scan our cells for abnormalities)
Innate Host Defenses
Innate Internal Defense System - second line of defense; attempts to limit the spread of pathogens; this system is fast-acting and nonspecific
antimicrobial proteins
interferons- interfere with viral replication and activate immune cells; cells that have been attacked by a virus release interferon to help protect neighboring cells that have not yet been affected
complement (complement system) - it “complements” or enhances other components of both innate and adaptive defenses; it can mark cells for phagocytosis, promote inflammation, and kill some bacteria
Innate Host Defenses
Innate Internal Defense System - second line of defense; attempts to limit the spread of pathogens; this system is fast-acting and nonspecific
inflammation
when the body is injured (e.g. a cut, abrasion, or bruise) a sequence of events called inflammation is initiated
tonsillitis, tendonitis, and laryngitis are examples of short-lived, or acute, inflammation; arthritis is an example of long-term, or chronic, inflammation
there are 4 cardinal signs of inflammation: pain, swelling, redness, and heat
the purpose of inflammation is to bring white blood cells and plasma proteins into an injured area; inflammatory mediators (e.g. histamine from basophils and mast cells) cause vasodilation (increasing blood flow to the area) and an increase in vascular permeability (allowing phagocytes and plasma proteins to enter the tissue)
plasma proteins and more fluid than usual leak into the injured area causing EDEMA (increased interstitial fluid); edema causes swelling, which can contribute to the sensation of pain
Innate Host Defenses
Innate Internal Defense System - second line of defense; attempts to limit the spread of pathogens; this system is fast-acting and nonspecific
fever
generalized increase in body temperature
PYROGENS - chemicals secreted by leukocytes and macrophages that have been exposed to foreign substances in the body; they cause the body’s thermostat (located in the hypothalamus) to set its temperature higher
higher body temperatures enhance phagocytosis and cause the liver and spleen to sequester iron and zinc (making these essential elements less available to bacteria); pathogens also do not grow very well at higher temperatures
Adaptive Defenses- B and T Lymphocytes
Adaptive Defenses are Specific, Systemic, and have Memory; they include Humoral Immunity (antibody-mediated) and Cellular Immunity (cell-meditated)
B and T Lymphocytes are key players in adaptive immunity
Antigens have multiple antigenic determinants (based on shapes)
self-antigens are the shapes that lymphocytes expect to find in the body (thus lymphocytes do not normally attack them)
antigen receptors are specific and diverse
Adaptive Defenses “Education” of Lymphocytes
immunocompetence - the lymphocyte is able to recognize its one specific antigen by binding to it
self-tolerance - the lymphocyte is unresponsive to self-antigens, so that it does not attack the body’s own cells
T cells become immunocompetent and self-tolerant in the thymus, whereas for B cells this occurs in the bone marrow
Autoimmune Diseases - lymphocytes attack the body’s own cells; e.g. Type 1 Diabetes mellitus, Grave’s disease, and Multiple sclerosis
Memory Cells - are created in large numbers during a primary immune response (exposed to antigen for first time); memory cells create a larger number of effector cells during a secondary immune response (exposed to antigen again); thus, the response to the second attack will be much greater