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    Ib-202-18

    Immune system continued

    (Chapt 43 all)

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    Antigen Recognition by

    ymphocytes

    ! "he #e$teb$ate body is populated by t%o main types o&

    lymphocytes

    ' lymphocytes ( cells) and " lymphocytes (" cells) %hich

    ci$culate th$ough the blood In mic$oscope can*t telldi&&e$ence

    ! "he plasma memb$anes o& both cells

    and " cells--

    ' ha#e about 100+000 embedded antigen $ecepto$s that all$ecogni,e the same epitope (speci&ic) the$ cells

    $ecogni,e othe$ epitopes "he$e a$e enough di&&e$ent cells

    %ith di&&e$ent speci&icities to $ecogni,e most allthe epitopes

    p$esent in the mic$obial %o$ld

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    B Cell Receptors for Antigens! bind to speci&ic+ intact antigens eithe$ in solution o$ ones that a$e

    pa$t o& a &$agment o& a mic$obial cell %all

    ' A$e o&ten called memb$ane antibodies o$ memb$aneimmunoglobulins because they a$e embedded in the cellmemb$ane the$ antibodies ci$culate as &$ee molecules inthe blood

    Figure 43.8a

    Antigen-

    binding

    site

    Antigen-

    binding site

    Disulfidebridge

    Light

    chain

    Heavy chains

    Cytoplasm of B cell

    V

    A B cell receptor consists of two identical heavy

    chains and two identical light chains linked by

    several disulfide bridges.

    (a)

    ariable

    regions

    Constant

    regions

    !ransmembrane

    region

    "lasma

    membrane

    B cell

    VV

    C

    C C

    C

    V

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    Antigen-

    Binding site

    chain

    Disulfide bridge

    chain

    ! cell

    A ! cell receptor consists of onechain and one chain linked bya disulfide bridge. #!C$%

    (b)

    ariable

    regions

    Constant

    regions

    !ransmembrane

    region

    "lasma

    membrane

    Cytoplasm of ! cell

    T Cell Receptors for Antigens and the Role of the

    MHC! .ach " cell $ecepto$ consists o& t%o di&&e$ent

    polypeptide chains embedded in the " cell memb$ane

    Figure 43.8b

    V V

    C C

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    ! " cells bind to small &$agments o& antigens' "hat a$e bound to no$mal cell-su$&ace p$oteins called /C

    molecules (mao$ histocompatibilty comple) amed sobecause only identical t%ins could tole$ate sin g$a&ts5i&&e$ent /Cs caused g$a&t $eection

    ! /C molecules' A$e encoded by a &amily o& genes called the mao$

    histocompatibility comple "he$e a$e t%o types+ /C I

    ' and /C II

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    ! 6i$us in&ected cells p$oduce /C molecules

    (/C I)' 7hich bind to antigen &$agments &$om deg$adationo& the antigen p$oteins and then a$e t$anspo$ted tothe cell su$&ace in a p$ocess called antigen

    p$esentation "he antigens a$e peptides o& about -11 amino acids de$i#ed &$om the &o$eign p$otein

    ! A nea$by cytotoic " cell' Can then $ecogni,e the antigen &$agment displayed

    on the cell*s su$&ace by means o& its speci&ic " cell$ecepto$

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    Cytoto*ic ! cell

    "erforin

    +ran(ymes

    CD,!C$

    Class & 'HC

    molecule

    !arget

    cell "eptide

    antigen

    "ore

    $eleased

    cytoto*ic

    ! cell

    Apoptotic

    target cell

    Ca!cer

    cell

    Cytotoxic

    T cell

    A specific cytoto*ic ! cell binds to a

    class & 'HCantigen comple* on a

    target cell via its !C$ with the aid of

    CD,. !his interaction) along with

    cytokines from helper ! cells) leads to

    the activation of the cytoto*ic cell.

    1 !he activated ! cell releases perforin

    molecules) which form pores in the

    target cell membrane) and proteolytic

    en(ymes #gran(ymes%) which enter the

    target cell by endocytosis.

    !he gran(ymes initiate apoptosis within the

    target cells) leading to fragmentation of the

    nucleus) release of small apoptotic bodies)

    and eventual cell death. !he released

    cytoto*ic ! cell can attack other target cells.

    3

    1

    3

    Figure 43.1"

    ! "he acti#ated cytotoic " cell

    ' :ec$etes p$oteins that dest$oy the in&ected ta$get

    cell

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    /C II! Class II /C molecules+ located mainly on dend$itic

    cells+ mac$ophages+ and cells' 5isplay antigens to helpe$ " cells

    1

    Figure 43.9b

    'icrobe Antigen-

    presenting

    cell

    Antigenfragment

    Class II MHC

    molecule

    ! cellreceptor

    Hel#er T cell

    A fragment of

    foreign protein

    #antigen% inside thecell associates with

    an 'HC molecule

    and is transported

    to the cell surface.

    1

    !he combination of'HC molecule and

    antigen is recogni(ed

    by a ! cell) alerting it

    to the infection.

    (b)

    !hese cells

    engulf antigens)

    degrade them

    and display

    peptide

    fragments on

    their 'HC &&molecules at the

    surface.

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    13

    B cell

    Bacterium

    "eptide

    antigen

    Class &&

    'HC

    molecule

    !C$

    Helper ! cell

    CD

    Activated

    helper ! cell Clone of memory

    B cells

    Cytokines

    Clone of plasma cells/ecreted antibody

    molecules

    0ndoplasmic

    reticulum of

    plasma cell

    'acrophage

    After a macrophage engulfs and degrades

    a bacterium) it displays a peptide antigen

    comple*ed with a class && 'HC molecule.

    A helper ! cell that recogni(es the displayed

    comple* is activated with the aid of cytokinessecreted from the macrophage) forming a

    clone of activated helper ! cells #not shown%.

    1 A B cell that has taken up and degraded the

    same bacterium displays class && 'HCpeptide

    antigen comple*es. An activated helper ! cell

    bearing ! cell receptors specific for the same

    antigen displayed on the macrophage antigenbinds to the B cell. !his interaction) with the aid

    of cytokines from the ! cell) activates the B cell.

    !he activated B cell proliferates

    and differentiates into memory

    B cells and antibody-secreting

    plasma cells. !he secreted

    antibodies are specific for thesame bacterial antigen that

    initiated the response.

    3

    Figure 43.1$

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    Clonal Selection of Lymphocytes

    ! In a p$ima$y immune $esponse

    ' inding o& antigen to a matu$e lymphocyte

    induces the lymphocyte*s p$oli&e$ation anddi&&e$entiation+ a p$ocess called clonal

    selection

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    ' Clonal selection o& cells

    ' ;ene$ates a clone o& sho$t-li#ed acti#ated e&&ecto$

    cells and a clone o& long-li#ed memo$y cells

    Figure 43.1

    Antigen molecules

    Antigen

    receptor

    B cells that

    differ in

    antigen

    specificity

    Antibody

    molecules

    Clone of memory cellsClone of plasma cells

    Antigen molecules

    bind to the antigen

    receptors of only one

    of the three B cells

    shown.

    !he selected B cell

    proliferates) forming

    a clone of identical

    cells bearing

    receptors for the

    selecting antigen.

    /ome proliferating

    cells develop into

    short-lived plasma

    cells that secrete

    antibodies specific

    for the antigen.

    /ome proliferating cells

    develop into long-lived

    memory cells that can

    respond rapidly upon

    subse1uent e*posure

    to the same antigen.

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    ! "he $ole o& helpe$ " cells in ac

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    ymphocyte de#elopment! e%ly &o$med lymphocytes a$ise &$om bone

    ma$$o% stem cells and a$e all alie' ut they late$ de#elop into cells o$ " cells+ depending

    on %he$e they continue thei$ matu$ation

    Figure 43.1

    Bone marrow

    Lymphoid

    stem cell

    B cell

    Blood) lymph) and lymphoid tissues

    #lymph nodes) spleen) and others%

    ! cell

    !hymus

    Circulating

    lymphocytes

    appear the same in

    the microscope) but

    are functionally

    different.

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    Generation of Lymphocyte Diversity by Gene

    Rearrangement

    ymphocytes a$ise &$om plu$ipotent stemcells in the bone ma$$o% .a$ly in

    de#elopment+ $andom+ pe$manent gene$ea$$angement taes place' =o$ms &unctional genes encoding the o$ "

    cell antigen $ecepto$ chains

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    Testing and Removal of Self

    Reactive Lymphocytes! As and " cells a$e matu$ing in the bone and

    thymus thei$ antigen $ecepto$s a$e tested &o$

    possible sel&-$eacti#ity! ymphocytes bea$ing $ecepto$s &o$ antigens(sel& p$oteins o$ &$agments o& p$oteins) al$eadyp$esent in the body a$e dest$oyed by apoptosis

    o$ $ende$ed non&unctional! /C I and II cells a$e both ep$essed at high

    le#els in the thymus and bone ma$$o%

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    Immuni,ation! In the seconda$y immune $esponse

    ' /emo$y cells &acilitate a &aste$+ mo$e e&&icient

    $esponse

    Antibody

    concentration

    #arbit

    raryunits%

    26

    264

    263

    262

    266

    6 ; 2 32 3, 47 3 5 7irst

    e*posure to

    antigen A

    1 Day 3,=

    /econd e*posure

    to antigen A: first

    e*posure to

    antigen B

    3 2eco!'ary res#o!seto anti-

    gen A produces antibodies

    to A: #rimary res#o!seto anti-

    gen B produces antibodies to B

    4

    "rimary

    response of

    antigen B

    same as

    primary

    response of A

    even though

    secondary

    response of A

    is much

    greater.

    8ote log

    scale?

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    ! Concept 433? umo$al and cell-mediated

    immunity de&end against di&&e$ent types o&th$eats

    ! Ac

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    ! "he $oles o& the mao$ pa$ticipants in the

    acirst e*posure to antigen

    &ntact antigensAntigens engulfed and

    displayed by dendritic cells

    Antigens displayed

    by infected cells

    Activate Activate Activate

    +ives rise to +ives rise to +ives rise to

    B cellHelper

    ! cellCytoto*ic

    ! cell

    "lasma

    cells

    'emory

    B cells

    Active and

    memory

    helper

    ! cells

    'emory

    cytoto*ic

    ! cells

    Active

    cytoto*ic

    ! cells

    /ecrete antibodies that defend against

    pathogens and to*ins in e*tracellular fluid

    Defend against infected cells) cancer

    cells) and transplanted tissues

    /ecreted

    cytokines

    activate

    Humoral @ blood?

    cell and

    helpe$ " cell$ecogni,e same

    antigen so latte$

    stimulates the

    &o$me$9

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    Antibody Classes

    ! "he &i#e mao$ classes o& antibodies+ o$

    immunoglobulins

    ' 5i&&e$ in thei$ dist$ibutions and &unctions%ithin the body

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    ! "he &i#e classes o& immunoglobulins

    Figure 43.18

    >irst &g class produced after initial e*posure to

    antigen: then its concentration in the blood declines

    'ost abundant &g class in blood: also present in

    tissue fluids

    nly &g class that crosses placenta) thus conferringpassive immunity on fetus

    "romotes opsoni(ation) neutrali(ation) and agglutination

    of antigens: less effective in complement activation than

    &g' #see >igure 4.25%

    "resent in secretions such as tears) saliva) mucus)

    and breast milk

    !riggers release from mast cells and basophils of

    histamine and other chemicals that cause allergic

    reactions #see >igure 4.36%

    "resent primarily on surface of naive B cells that havenot been e*posed to antigens

    IgM

    #pentamer%

    Ig

    #monomer%

    Ig*

    #dimer%

    Ig(mo!omer)

    chain

    /ecretory

    component

    chain

    !ransmembrane

    region

    Ig&

    #monomer%

    "romotes neutrali(ation and agglutination of

    antigens: very effective in complement activation

    #see >igure 4.25%

    "rovides locali(ed defense of mucous membranes by

    agglutination and neutrali(ation of antigens #see

    >igure 4.25%

    "resence in breast milk confers passive immunity on

    nursing infant

    Acts as antigen receptor in antigen-stimulated

    proliferation and differentiation of B cells #clonalselection%

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    ! Antibody-mediated mechanisms o& antigendisposal

    ,i!'i!g o+ a!tibo'ies to a!tige!s

    i!acti5ates a!tige!s by

    Viral !eutrali6atio!

    (bloc7s bi!'i!g to 0ost)

    a!' o#so!i6atio! (i!creases

    #0agocytosis)

    *ggluti!atio! o+

    a!tige!-beari!g #articles

    suc0 as microbes

    reci#itatio! o+

    soluble a!tige!s

    *cti5atio! o+ com#leme!t system

    a!' #ore +ormatio!

    Bacterium

    irus Bacteria

    /oluble

    antigens >oreign cell

    Complement

    proteins'AC

    "ore

    0nhances

    0agocytosis

    Leads to

    Cell lysis

    'acrophageFigure 43.19

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    Acti#e and @assi#e Immuni,ation! Acti#e immunity

    ' 5e#elops natu$ally in $esponse to an in&ection

    ' Can also de#elop &ollo%ing immuni,ation+ also called#accination

    ! @assi#e immunity+ %hich p$o#ides immediate+sho$t-te$m p$otection' Is con&e$$ed natu$ally %hen Ig; c$osses the placenta

    &$om mothe$ to &etus o$ %hen IgA passes &$om mothe$

    to in&ant in b$east mil' Can be con&e$$ed a$ti&icially by inecting antibodies

    into a non-immune pe$son Immunoglobulins &o$snae bites (anti $attle snae se$um) to t$eat #ictims o&snae bites eed to no% %hat ind o& snae

    inected the #enom

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    ! In immuni,ation

    ' A nonpathogenic &o$m o& a mic$obe o$ pa$t o&

    a mic$obe elicits an immune $esponse to animmunological memo$y &o$ that mic$obe

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    ! Concept 434? "he immune system*s ability todistinguish sel& &$om nonsel& limits tissue

    t$ansplantation

    ! "he immune system' Can %age %a$ against cells &$om othe$ indi#iduals

    ! "$ansplanted tissues

    ' A$e usually dest$oyed by the $ecipient*s immunesystem

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    lood ;$oups and "$ans&usions

    ! Ce$tain antigens on $ed blood cells' 5ete$mine %hethe$ a pe$son has type A+ +

    A+ o$ blood

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    ! Antibodies to non-sel& blood types

    ' Al$eady eist in the body p$obably &$om

    eposu$e to saccha$ides on bacte$ial %alls! "$ans&usion %ith incompatible blood

    ' eads to dest$uction o& the t$ans&used cells

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    ! Recipient-dono$ combinations

    ' Can be &atal o$ sa&e

    Table 43.1

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    "issue and $gan "$ansplants! /C molecules

    ' A$e $esponsible &o$ stimulating the $eection o& tissueg$a&ts and o$gan t$ansplants

    ! "he chances o& success&ul t$ansplantation a$einc$eased' I& the dono$ and $ecipient /C tissue types a$e %ell

    matched

    ' I& the $ecipient is gi#en immunosupp$essi#e d$ugs

    ! ymphocytes in bone ma$$o% t$ansplants' /ay cause a g$a&t #e$sus host $eaction in $ecipients

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    ! Concept 43? .agge$ated+ sel&-di$ected+ o$

    diminished immune $esponses can cause disease

    ! I& the delicate balance o& the immune system is

    dis$upted

    ' "he e&&ects on the indi#idual can $ange &$om mino$

    to o&ten &atal conse

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    ! In locali,ed alle$gies such as hay &e#e$

    ' Ig. antibodies p$oduced a&te$ &i$st eposu$e toan alle$gen attachs to $ecepto$s on mast cells

    ! "he net time the alle$gen ente$s the body

    ' It binds to mast cell'associated Ig. molecules! inding causes the mast cells to $elease

    histamine and othe$ mediato$s

    ' "hat cause #ascula$ changes and typicalsymptoms

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    ! "he net time the alle$gen ente$s the body

    ' It binds to mast cell'associated Ig. molecules

    ! "he mast cells then $elease histamine and othe$mediato$s

    ' "hat cause #ascula$ changes and symptoms typical

    o& hay &e#e$ (%eeping mucous memb$anes+ s%elling

    o& mucous memb$anes etc)

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    ! "he alle$gic $esponse

    Figure 43.

    &g0 antibodies produced in

    response to initial e*posure

    to an allergen bind to

    receptors or mast cells.

    1 n subse1uent e*posure to the

    same allergen) &g0 molecules

    attached to a mast cell recog-

    ni(e and bind the allergen.

    Degranulation of the cell)

    triggered by cross-linking of

    ad9acent &g0 molecules)

    releases histamine and other

    chemicals) leading to allergysymptoms.

    3

    1

    3

    Allergen

    &g0

    Histamine

    +ranule

    'ast cell

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    ! An acute alle$gic $esponse sometimes leads toanaphylactic shoc because o& massi#e $elease o&histimine 5ilates #asculatu$e lood pools incapilla$y beds leading to blood p$essu$e d$ops lo%enough so that the hea$t has no blood to pump' Can occu$ %ithin seconds o& eposu$e to an alle$gen

    "$eat %ith epineph$in to counte$act the e&&ect o&histamine

    ' Alle$gies to bees stings+ peanuts and ce$tain shell &ish

    p$otein :ome people ha#e such an alle$gy topenicillium

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    Autoimmune 5iseases

    ! In indi#iduals %ith autoimmune diseases

    ' "he immune system loses tole$ance &o$ sel&

    and tu$ns against ce$tain molecules o& thebody

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    ! Rheumatoid a$th$itis

    ' Is an autoimmune disease that leads to damage

    and pain&ul in&lammation o& the ca$tilage and

    bone o& oints

    Figure 43.1

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    ! the$ eamples o& autoimmune diseases include' :ystemic lupus e$ythematosus ($eaction against

    histones and 5A leads to &e#e$+ a$th$itis and idneydys&unction)

    ' /ultiple scle$osis ($eaction against myelin sheath o&the ne$#ous system leads to loss o& moto$ cont$ol o&muscles)

    ' Insulin-dependent diabetes (dest$uction o& eta cellsin panc$eas leads to child onset diabetes Can*t

    cont$ol blood suga$ le#el at 100 mg>100ml blood

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    Immunode&iciency 5iseases! An inbo$n o$ p$ima$y immunode&iciency

    ' Results &$om he$edita$y o$ congenital de&ects that

    p$e#ent p$ope$ &unctioning o& innate+ humo$al+ and>o$

    cell-mediated de&enses

    ! In se#e$e combined immunode&iciency (:CI5)

    ' oth the humo$al and cell-mediated b$anches o&

    ac

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    ! Ac

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    ! Ac

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    :ome d$ug a#ailable to p$e#ent $eplication

    o& #i$us+ but #i$us eeps mutating and

    becomes d$ug $esistant

    1mFigure 43.