Adaptive & Innate Immunity The Immune Response and Immunity • Immune response ▫ Innate (non-specific) ▫ Adaptive (specific): Primary: when encountering the microorganism for the first time. Secondary: in recurrent infections (memory) Acquisition of Immunity ▫ Natural: - active - passive ▫ Artificial: - active - passive Naturally Acquired Immunity • Active: ▫ Acquired through contact with microorganisms (infection). ▫ Provides long term protection. • Passive: ▫ Antibodies pass from mother to fetus across placenta or in breast milk (IgG) ▫ Provides immediate short term protection (few months) Artificially Acquired Immunity • Active: ▫ Antigens introduced through vaccination. ▫ Provides long term protection. • Passive: ▫ Induced by the transfer of antibodies. ▫ Referred to as: Immune serum. globulins(ISG), immune globulins (IG) or gamma globulins ▫ Provides immediate short term protection active natural passive adaptive active immunity artificial innate passive Soluble mediators of the adaptive immune system: Immunoglobulins. Cytokines and interferons. Complement. Immunoglobulins Immunoglobulins (Ig): • Are gamma globulins (proteins) of defined specificity for different epitopes that make up antigens. • They are produced by plasma cells (differentiated B cells). N epitopes Immunoglobulins are divided into five classes (isotypes): • Three major classes ( IgG, IgM, IgA). • Two minor classes (IgD and IgE). Basic Structure of Immunoglobulin: • The immunoglobulin molecule consists of four polypeptides chains: two heavy (H) and two light (L) chains fastened together by disulfide bonds. N • Heavy and light chains consist of two different domains (constant, and variable). • A light chain variable domain and a heavy chain variable domain together form a pocket that constitutes the antigen-binding region (Fab). • The flexibility of Ig is associated with the presence of the hinge region. • Heavy chains are designated by using of Greek letters (α, γ, δ, Є, and μ), and the immunoglobulins produced are IgA, IgG, IgD, IgE, and IgM, respectively. • Each immunoglobulin isotype carry one type of light chain kappa(κ) or lambda(λ) chains. Immunoglobulins Isotypes: IgG • IgG accounts for approximately 7585% of the total serum Ig • It is the most abundant antibody produced during secondary humoral immune response. • Have monovalent affinity. • It is the only class that can cross the placenta. IgG structure: • n IgM: • Form ~ 5-8 % of serum immunoglobulins. • Present on B lymphocyte surfaces. • Normally secreted as a J-chain containing pentamer. (either as a B cell bound monomer or as a secreted pentamer). • Dominates in early primary immune response. • Anti-A and Anti-B blood groups. • Complement fixation. • Multivalent avidity (10 antigens). IgM Structure: • n IgA: It accounts for 10-16% of serum Igs. Abundant in saliva, tears, intestinal mucus, bronchial secretions, milk, prostatic fluid (body fluids & secretions, secretory IgA). The predominant Immunoglobulin produced in Peyer’s patches (illume submucosa), tonsils and other submucosal lymphoid tissue. It has two subclass: in - Monomer in the serum. - Dimer when secreted (secretory IgA). IgA1: IgA2 ratio in blood is 5:1 IgD • Has a molecular weight of 180 KD. • Present as monomer on B-cell surface. IgE: Form less than 1% of total serum Igs. A unique high affinity Fc receptor on mast cell and basophils. (bounded) Great role in allergy, through cross linking and release of histamine from mast cells and basophils. Play a role in helminths infection. Summary • There are 5 isotypes of immunoglobulins. • IgG is the most abundant in serum, the most important in secondary infections and the only one that can cross the placenta. • IgM is the most important in the primary exposure and in complement fixation. • The secretory IgA is most important in immunity in body secretions, submucosa and lumens. • IgD is bounded to the surface of B cells. • IgE is bounded to the mast cells and basophils and is the most important in allergic reactions and helminths infestation. Second Lecture Primary & Secondary Antibody Response • Primary Response ▫ Following the first exposure to an antigen, there is a slow rise in IgM followed by a slow rise in IgG • Secondary Response ▫ Following exposure to previously encountered antigen, there is a rapid rise in IgG and slow or no rise in IgM Molecules of Cellular Interaction: Cytokines: low-molecular weight soluble protein messengers that are involved in: ▫ Cellular interaction; inflammatory response in innate and adaptive immunity. ▫ Cellular growth, differentiation, and repair mechanism. Cytokines are produced by a wide variety of immune and non-immune somatic cells. Cytokines produced by lymphocytes are known as lymphokines. Cytokine IL-1 Targets Function Macrophage, B T cell, B cell, Leukocyte cell Endothelial cells. activation, endothelial adhesion N IL-2 Cellular Source CD4 cell (TH1) T cell, B cell, NK T cell proliferation. IL-4, IL-5 CD4 cell (TH2) B cell, T cell, Eos Differentiation of TH2 and B cell IL-10, IL-13 TH2, CD8 cells B cell, TH2, Macrophage. Inhibits IL-2, and INFγ. Down reg. IL-12 TNF-α Mac, PMN, T, B cells. Mac, PMN, T, End. Inflammatory Mediator. TNF-β Lymphocytes Wide Variety of cells Inflammatory Mediator. • N cell, macrophages Cytokines and Immune cells interaction: N IL-4, IL-10, IL-13 - B cell - Immunoglobulin - Extracellular pathogens (humoral mediated immunity; phagocytosis independent) - Macrophages (phagocytosis) - CD8 T cytotoxic - Intracellular pathogens (cell mediated immunity) Interferons (IFNs): are low molecular weight soluble proteins. • Activated by presence of intracellular pathogens such as viruses ,bacteria, parasites or tumor cells. • Released by lymphocytes and other somatic non-immune cells. • Major action: - anti-viral infection. - Fight tumors. N N Interferons Cellular Source Targets Function INF-α Lymphocytes, Epithelium, DC fibroblasts. Wide variety of cells. -Up-regulates MHC Class I. -Inhibit viral proliferation INF-β Epithelium, fibroblasts. Wide variety of cells. Up-regulates MHC Class I. Inhibit viral proliferation INF-γ CD8*& CD4*T cells, and NK cells. T , B, macrophages, NK, endothelial cells. Anti-viral. Anti-parasitic. Enhances MHC Class I and II expression. Complement system: Complement system: series of soluble enzymes and proteins (C1,C2…….C9) + other actors that function in both innate and adaptive immune response against pathogens. Complement activation can be initiated via: ▫ Classical pathway. ▫ Alternative pathway. ▫ Mannan lectin pathway. Classical pathway of complement: Starts by antigen - antibody interaction. C1 (q, r, s) binding to the Ag- Ab complex. C1qrs will split C2 and C4. C4b2b will split C3. (C4b2b = C3 convertase). C4b2b3b = C5 convertase. C5b will adhere to the microbe. continue tell MAC formation (C5, C6, C7, C8 and multiple C9). Alternative pathway: • Activation of the alternate pathway started from C3 in the presence of the microbe. • C3 splits into C3a and C3b. • C3b bind to the microbe surface with factor B.( C3bBb= C3 convertase) • C3Bb3b = C5 convertase, this will split C5 and the process will continue tell formation of the membrane attack complex (MAC). Mannan lectin pathway • Mannan is polymer of the sugar mannose (part of the bacterial cell wall). • Lectins are serum proteins that bind to mannan. • This pathway is activated by binding of lectin to mannan on certain microbes, and continue tell MAC formation. • N The Complement Anaphylatoxins: • The small fragments (C3a, C4a, C5a) act as anaphylotoxins. • They attract and activate neutrophils, phagocytes and mast cells to the site of infection. • Produce an inflammatory reaction. Mechanism of Inflammation: N
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