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Biology 151 Lectures 14-15 HYPERSENSITIVITIES & IMMUNITY TO INFECTIOUS DISEASES PARUNGAO-BALOLONG 2011 Thursday, March 3, 2011

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Page 1: Bio 151 lec 14 15 h & iid

Biology 151 Lectures 14-15 HYPERSENSITIVITIES &

IMMUNITY TO INFECTIOUS DISEASESPARUNGAO-BALOLONG 2011

Thursday, March 3, 2011

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WHAT YOU NEED TO KNOW...

4 TYPES OF HYPERSENSITIVITIES

VIRAL INFECTIONS

BACTERIAL INFECTIONS

PROTOZOANS AND HELMINTHS (PARASITIC)

EMERGING AND RE-EMERGING INFECTIONS

PARUNGAO-BALOLONG 2011Thursday, March 3, 2011

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HYPERSENSITIVITIESRECALL!

Inflammatory response - local, eliminates antigen without extensively damaging the host’s tissue

Hypersensitivity - immune & inflammatory responses that are harmful to the host (von Pirquet, 1906)

PARUNGAO-BALOLONG 2011Thursday, March 3, 2011

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IMMEDIATE!!!

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TYPE I HYPERSENSITIVITY REACTION

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PARUNGAO-BALOLONG 2011

Systemic (Anaphylaxis shock)

Symptoms include: labored breathing, drop in blood pressure, smooth muscle contraction, bronchiole constriction (suffocation)

Localized

Examples: Hay fever (allergic rhinitis), asthma (allergic or intrinsic), food allergies, atopic dermatitis (eczema)

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CYTOTOXIC!!!

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EXAMPLES

Transfusion Reactions

Occurs with ABO blood antigen groups

Complement mediated lysis

Drug Induced Hemolytic Anemia

Occurs when an antibiotic forms a complex with red blood cell membrane protein (similar to hapten carrier complex)

Induces formation of antibodies

Complement

Hemolytic Disease of the Newborn

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Transfusion Reactions

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Transfusion Reactions

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Hemolytic Disease of the Newborn

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IMMUNE-COMPLEX MEDIATED!!!

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TYPE III HYPERSENSITIVITY

Occurs when antigen enters bloodstream,

circulating immune complexes form

Symptoms include: Fever ; Weakness;

Rashes; ETC.

Complement initiates mast cell degranulation

Neutrophils are chemotactically attracted to

the site

Neutrophils release lytic enzyme after failed

attempts to endocytose the immune complex

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PARUNGAO-BALOLONG 2011

Hypersensitivity pneumonitis is inflammation of the lungs due to breathing in a foreign substance, usually certain types of dust, fungus, or molds

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DELAYED!!!

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urushiol

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UPDATE ON SCHEDULE

PLAN A

March 7: Immunity and Emerging Diseases

March 14: Vaccines and Special Topics

March 21: Plenary Reports

March 28: Examination 2

PLAN B

Lecture Hand-outs thru FB

Take-Home Examination!

24 hours to complete

Plenary Reports Submitted in PPT format

Parungao-Balolong 2011

Thursday, March 3, 2011

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IMMUNITY AND INFECTIOUS DISEASES

PARUNGAO-BALOLONG 2011Thursday, March 3, 2011

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OUR FOCUS...

Overview: Innate and Adaptive Immunity as Response to Infectious Diseases

Viral, Bacterial, Fungal, Parasitic/Helminths/Protozoa

Emerging & Re-emerging Infections

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OUR RESPONSE TO INFECTIOUS AGENTS

PARUNGAO-BALOLONG 2011

INNATE IMMUNE RESPONSE : forms the initial defense against

pathogens

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OUR RESPONSE TO INFECTIOUS AGENTS

PARUNGAO-BALOLONG 2011

Humoral and Cell-Mediated Response: for the specific infections may be caused by the host response to the pathogen and its products rather than the pathogen itself response to infectious agents

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OUR RESPONSE TO INFECTIOUS AGENTS

PARUNGAO-BALOLONG 2011

NOTE:

The survival and pathogenicity of pathogens in a host are critically influenced by their ability to evade or resist protective immunity

Tissue injury and disease consequent to infections may be caused by the host response to the pathogen and its products rather than the pathogen itself

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IMMUNITY AND VIRAL INFECTIONS

PARUNGAO-BALOLONG 2011Thursday, March 3, 2011

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VIRUSES...

•Obligatory intercellular pathogens that replicate within cells

•Use the nucleic acid and protein synthetic machineries of the host cell

•Infect a variety of cell populations by utilizing normal cell surface molecules as receptors to enter cell

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The Outcome of the Infection Depends on How Effectively the Host’s Defensive Mechanisms Resist the Offensive Tactics of the Virus....

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VIRUS NEUTRALIZATION : ANTIBODIES

PARUNGAO-BALOLONG 2011

Antibodies: effective in protecting against localized infection (site of viral entry)

SURFACE RECEPTOR MOLECULES: enable them to initiate infection = binding to specific host-cell membrane molecules

EXAMPLES:

Influenza: binds to sialic acid residues in cell membrane glycoproteins and glycolipids

Rhinovirus: binds to intercellular adhesion molecules (ICAMs)

Epstein-Barr virus: binds to type 2 complement receptors on B cells

NOTE: If antibody to the viral receptor is produced, it can block infection altogether by preventing the binding of viral particles to host cells

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Oseltamivir was developed through modifications to the sialic acid analogue

A: Rhinovirus binds to ICAM-1 on cell surface

B: ICAM-1 binding triggers a conformational change of virus, and leads to a release of RNA, which is transported into the inside of cells

C: Use the first domain of ICAM-1 to neutralize virus = inhibit rhinovirus infection

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VIRUS NEUTRALIZATION : ANTIBODIES

PARUNGAO-BALOLONG 2011

Secretory IgA in mucous secretions plays an important role in host defense against viruses by blocking viral attachment to mucosal epithelial cells

EXAMPLE: attenuated oral polio vaccine

induces production of secretory IgA

effectively blocks attachment of poliovirus along the gastrointestinal tract

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CELL-MEDIATED IMMUNITY: VIRAL CONTROL & CLEARANCE

PARUNGAO-BALOLONG 2011

• ANTIBODIES: contain the spread of a virus in the acute phases of infection

• BUT, cannot eliminate the virus once infection has occurred—particularly if the virus is capable of entering a latent state in which its DNA is integrated into host chromosomal DNA

• Once an infection is established, cell-mediated immune mechanisms are most important in host defense

CASE: HIV

Neutralizing antibodies are efficient in blocking virus particles but poorly effective against cell-associated virus, such as virus-infected cells

CTLs are effective against virus-infected cells but not against free virus particles

Neither antibodies nor CTLs are effective against latently infected cells

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CELL-MEDIATED IMMUNITY: VIRAL CONTROL & CLEARANCE

PARUNGAO-BALOLONG 2011

In most viral infections, specific CTL activity arises within 3–4 days after infection, peaks by 7–10 days, and then de- clines

Within 7–10 days of primary infection, most virions have been eliminated, paralleling the development of CTLs

CTLs specific for the virus eliminate virus-infected self-cells and thus eliminate potential sources of new virus

INFLUENZA

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EVASION: VIRUSES (Antonio Alcami and Ulrich H. Koszinowski, 2000. IMMUNOLOGY TODAY. Vol.21 No.9 447)

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EVASION: VIRUSES (Antonio Alcami and Ulrich H. Koszinowski, 2000. IMMUNOLOGY TODAY. Vol.21 No.9 447)

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EVASION: VIRUSES (Antonio Alcami and Ulrich H. Koszinowski, 2000. IMMUNOLOGY TODAY. Vol.21 No.9 447)

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EVASION: VIRUSES (Antonio Alcami and Ulrich H. Koszinowski, 2000. IMMUNOLOGY TODAY. Vol.21 No.9 447)

PARUNGAO-BALOLONG 2011

To prolong cell viability and facilitate their own replication, viruses have evolved multiple mechanisms to inhibit the host apoptotic response

Cellular proteases such as caspases and serine proteases are instrumental in promoting apoptosis

Thus, these enzymes are logical targets for virus-mediated modulation to suppress cell death

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EVASION: VIRUSES (Antonio Alcami and Ulrich H. Koszinowski, 2000. IMMUNOLOGY TODAY. Vol.21 No.9 447)

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EVASION: VIRUSES (Antonio Alcami and Ulrich H. Koszinowski, 2000. IMMUNOLOGY TODAY. Vol.21 No.9 447)

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EVASION OF NATURAL KILLER CELLS

PARUNGAO-BALOLONG 2011

(a) NK cells can be inhibited by a viral MHC class I homolog

(b) Viruses can inhibit expression of HLA-A and HLA-B, resulting in a relative increase in HLA-C and HLA-E on the surface of the target cell; these inhibit NK cells

(c) Virus-encoded proteins can function as cytokine binding proteins that block the action of NK cell activating cytokines

(d) NK cell activities can also be avoided by decreased expression of NK cell−activating ligands in virus-infected target cells, which prevent signal transduction via NK cell−activating receptors.

(e) Viruses can also directly inhibit NK cells by infecting them or using envelope proteins to ligate NK cell inhibitory receptors

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NEXT MEETING:SPECIAL IMMUNOLOGY CASES

INFLUENZA & HIV etc......

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PLS. CHOOSE YOUR PREFERENCE

PLAN A

March 7: Immunity and Emerging Diseases

March 14: Vaccines and Special Topics

March 21: Plenary Reports

March 28: Examination 2

PLAN B

Lecture Hand-outs thru FB

Take-Home Examination!

24 hours to complete

Plenary Reports Submitted in PPT format

Parungao-Balolong 2011

Thursday, March 3, 2011