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    BASIC CONCEPTSIN IMMUNOLOGY

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    The perfect world

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    The real world

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    IMMUNOLOGYKEYS

    Immunity: resistance to disease

    Immune System: the collection of cells, tissuesand molecules that mediate the resistance

    Immune Response: the response made by host to defend itself against

    foreign substances

    The coordinated work of these cells and molecules

    The Physiological Function: preventand eradicate

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    DEFENCE AGAINST INFECTION

    A. Physical barriers

    B. Innate immunity

    C. Adaptive immunity

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    BODYDEFENSE

    1. quick healing if broken

    2. Skin

    Fatty acid on the skin

    3. Tight epithelial junction

    4. Self cleaning

    Coughing sneezing

    Mucous & air flow in the

    RT

    Urine flow in the UT

    Diarrhea and vomiting

    Saliva, sweat & tears

    5. In-hostile environment

    PH (stomach and urine)

    Anti-microbial peptides Defensins by epithelial cells

    Cryptidins by intestinal

    epithelial cells

    Surfactant factors in the RT

    The presence of normal flora Competetion

    Secretion of antibacterial

    substances (Colicins)

    Enzymes lysozymes

    A. Physical barriers (mechanical, chemical & microbial)

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    BODYDEFENSES

    B. Innate immunity Consist of chemical and cellular defense mechanism First line of defense Lacks the ability to recognize certain pathogens Lacks the ability to provide specific protective immunity that

    prevents re-infection (no memory) Triggered immediately Focusing of these mechanisms to site of invasion (inflammation) if inflammation does not remove invaders, Adaptive immunity

    get activated

    C. Acquired (adaptive immunity) development of immunological memory. Specificity Is generated by clonal selection of lymphocytes (theory- Fig 1)

    Takes time Strengthen with second exposure primary response vs

    secondary response (Fig 2)

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    THEPRINCIPLEMECHANISMSOF

    INNATEANDADAPTIVEIMMUNITY

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    MECHANISMSOFADAPTIVEIMMUNITY

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    CLONALSELECTIONTHEORY- FIGURE 1

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    HISTORY

    Early human societies Outbreaks

    many died

    survivals remain healthy on subsequent outbreaks

    Smallpox- Variola major ~40-80% mortality

    Variola minor 5-10% mortality

    Rinderpest (cattle plaque)

    Jenner-1798 used cowpox or vaccinia ---1979eradicated - Fig 3

    Cowpox and canine distemper (failed)

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    BY 1979 WHO DECLAREDSMALLPOXERADICATED (FIG 3)

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    HISTORY

    Pasteur-1880s- vaccine against Fowl cholera in chickens (Pasteurella

    multocida)

    Old culture protect accidentally allowed to age

    Birds remain healthy Second infection with fresh P. multocida no disease

    Virulent vs avirulent

    Anthrax & rabies vaccine

    Salmon in the USAalso dead organism could be

    used as a vaccine

    Robert Koch: infectious disease caused bymicroorganism (pathogens) each responsible for aparticular disease (pathology)

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    HISTORY

    Serum can neutralize toxins and can protect Antibodies

    Tetanus toxin is antigen.

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    THECOURSEOFATYPICALADAPTIVEIMMUNE

    RESPONSE- FIGURE 2

    Lag phase 2

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    Important principle of Humoral

    immunity

    After single injection no Ab is detectable for several days Lag

    period.

    Abfirst detectable about one week post injection, and climbs for

    10-14 days before declining again and disappeared within fewweeks primary response.

    Second dose injection, 2 days lag period. Faster response, high

    level of Ab, and more prolonged protection up to months or years.

    memory cells.

    Third dose response??

    Negative response????

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    IMPORTANTPRINCIPLEOF CELL-

    MEDIATEDIMMUNITY

    Destruction and removal of abnormal cells, cancer cells,

    virus infected cells, and graft rejection.

    First-set reaction: 7-10 days.

    Second-set reaction: 1-2 days, and more powerful.

    Lymphocye.

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    TERMS

    Immune responseAntibody

    Antigen

    Antigenicity

    ImmunogenicityAntigenic determinant (Epitopes)

    Haptens

    Opsonization

    Antigen presentation Phagocytosis

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    IMMUNOLOGYKEYS

    Immune response: the response made by host to defend itselfagainst foreign substances

    Tolerance: immune system able to recognize its own cellas not foreign, and not elicit immune response

    Antibody is a protein that binds specifically to a substance (antigen)

    all antibodies have the same basic structure

    produced by cells known as plasma cells

    binds to and neutralizes foreign substances (pathogens) and prepare themto be engulfed

    Phagocytosis : Active process rounded a particle matter(internalization) by cells - usually referred to as phagocytic cells(phagocytes)

    Haptens: small molecule

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    IMMUNOLOGYKEYS Opsonization: alteration of the surface of a pathogen or

    other particles so that it can be ingested by phagocytes

    Antigen: any molecule that can bind specifically to antibody.

    not all antigens can generate antibody

    those antigen that can generate antibody are calledimmunogens.

    Antigenic determinant: a portion of an antigen that isbound to a given antibody (also called epitope).

    Antigen presentation: describes the process by whichthe antigen displayed as a peptide fragments bound to amolecule known as MHC Major histocompatibility complexfound on the surface of a cell.

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    ANTIGENICITY VS IMMUNOGENICITY

    Antigenicity: the ability of molecule to be recognized by a

    product of immune system. Size, complexity, stability, degradability, and foreignness.

    Immunogenicity: the ability of molecule to elicit animmune response.

    Antigenicity, foreignness

    Plastic and Stainless steel??

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    Lipid and nucleic acids are a poor antigenic

    Simplicity, instability, rapidly degenerated, Act as Haptens.

    Bacterial antigens:

    Cell wall: enodtoxin

    Capsule: K antigen

    Pili:

    Flagella: flagellin protein, H antigen

    Exotoxin: secreated by bacteria.

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    DETERMINANTS RECOGNIZEDBYTHE

    INNATE IMMUNE SYSTEM

    Adaptive Immune System Discrete Determinants ( )

    Reacts with a specific pathogen

    Innate Immune System Broad Molecular Patterns

    Reacts with a variety of pathogens

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    DETERMINANTS RECOGNIZEDBYTHE

    INNATE IMMUNE SYSTEM

    PAMPs Pathogen Associated Molecular Patterns

    PRRs Pattern Recognition Receptors

    Biological

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    PAMP

    PRR

    Biological

    Consequence of

    Interaction

    Microbial cell wall

    components

    Complement Opsonization;

    Complement

    activation

    Mannose-

    containing

    carbohydrates

    Mannose-binding

    protein

    Opsonization;

    Complement

    activation

    Polyanions Scavenger receptors Phagocytosis

    Lipoproteins of

    Gram + bacteriaYeast cell wall

    components

    TLR-2 (Toll-like

    receptor 2)

    Macrophage

    activation;Secretion of

    inflammatory

    cytokines

    CpG islands orCG islands (CGI) are genomic regions that contain a high frequency of CpGsites. The " " in C G refers to the hos hodiester bond between the c tosine and the uanine

    http://en.wikipedia.org/wiki/CpG_sitehttp://en.wikipedia.org/wiki/CpG_sitehttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/Cytosinehttp://en.wikipedia.org/wiki/Guaninehttp://en.wikipedia.org/wiki/Guaninehttp://en.wikipedia.org/wiki/Cytosinehttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/CpG_sitehttp://en.wikipedia.org/wiki/CpG_sitehttp://en.wikipedia.org/wiki/CpG_site
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    PAMP PRR

    Biological

    Consequence of

    Interaction

    Viral double

    stranded RNA

    TLR-3 Production of

    interferon

    (antiviral)

    LPS

    (lipopolysaccharideof Grambacteria

    TLR-4 Macrophage

    activation;Secretion of

    inflammatory

    cytokines

    Flagellin (bacterialflagella)

    TLR-5 Macrophageactivation;

    Secretion of

    inflammatory

    cytokines

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    PAMP PRR

    Biological

    Consequence of

    Interaction

    U-rich single

    stranded viral RNA

    TLR-7 Production of

    interferon

    (antiviral)

    CpG containing

    DNA

    TLR-9 Macrophage

    activation;

    Secretion of

    inflammatory

    cytokines

    CpGoffrequencyhighacontainthatregionsgenomicare(CGI)islandsCGorislandsCpGguaninetheandcytosinethebetweenbondphosphodiesterthetorefersCpGin"p"The.sites

    http://en.wikipedia.org/wiki/CpG_sitehttp://en.wikipedia.org/wiki/Guaninehttp://en.wikipedia.org/wiki/Cytosinehttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/CpG_sitehttp://en.wikipedia.org/wiki/CpG_sitehttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/Phosphodiester_bondhttp://en.wikipedia.org/wiki/Cytosinehttp://en.wikipedia.org/wiki/Guaninehttp://en.wikipedia.org/wiki/CpG_sitehttp://en.wikipedia.org/wiki/CpG_site
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    Viral antigens:

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    Cell-Surface antigens:

    Blood group Ag: A, B. O,

    Histocompatibility Ag:MHC1, MHC2

    The major histocompatibility complex (MHC) is a set of cell

    surface molecules encoded by a large gene family in all

    vertebrates. MHC molecules mediate interactions of

    leukocytes, with other leukocytes or body cells.

    Clusters of Differentiation: CD4, CD8, .

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    Cross Reactivity

    Anti-A

    Ab

    Ag A

    Anti-A

    Ab

    Ag B

    Shared epitope

    Anti-A

    Ab

    Ag C

    Similar epitope

    Cross reactions