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    J. IMMUNITYImmune system = bodys defense system

    Antigen = any molecule that body recognises as foreign

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    Learning Objective / Outcomes:

    Phagocytes & lymphocytes: Structure, origin,maturation & mode of action

    To explain meaning of the term immune response

    T & B lymphocytes : mode of action, origin, function Role of memory cells in long-term immunity

    Molecular structure of antibodies related to theirfunction

    Active & passive immunity

    Natural & artificial immunity

    Vaccination

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    4co

    mponents

    ofblood???

    1

    2

    3

    4

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    White Blood Cells/ Leucocytes (0.5%):

    Lifespan: (varying)Contents: Phagocytes

    Lymphocytes

    Function:

    Immunity

    - inflammation- phagocytosis- antibody production

    Eosinophils, basophils

    Monocytes/macrophages

    neutrophil

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    Blood cells

    :: how to tell them apart::

    RBC

    - 7 m wide- nonucleus- biconcave

    WBCs

    Granulated Agranulated

    Eosinophil- 2 x RBC- multilobe

    nucleus

    Basophil

    - 2 x RBC- bean nucleus

    Monocyte

    - 2 x RBC- bean nucleus

    Macrophage- 2.5 x RBC- bean nucleus

    Neutrophil- 2 x RBC

    - multilobenucleus

    Lymphocyte- same as RBC

    - oval nucleus

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    Functions of WBCs

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    White blood cells

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    Origins - Cells of the immune system

    The cells of the immune system originate fromthe bone marrow.

    There are 2 groups of these cells:

    i) phagocytes (e.g. neutrophils and macrophages/ monocyte)

    ii) lymphocytes (T and B cells)

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    Phagocytes & phagocytosis

    (Non specific immune response) Phagocytes

    - produced & stored in bone marrow before distributed in blood circulation- feed likeAmoeba on bacteria, viruses and dead body cells.

    Neutrophils Macrophages

    60% of WBC in blood (most

    abundance)travel throughout the body (blood)

    squeeze through the capillary wall

    and into the infected tissue, engulf and

    digest offending bacteria

    short-lived cells released in largenumbers during infection

    Larger than neutrophils

    found mostly in lung, liver, kidney,spleen, & lymph nodes, rather remain

    in blood

    leave the bone marrow & travel in

    blood as MONOCYTES then

    develop into MACROPHAGES oncesettle in organs

    long-lived cells which initiate

    immune response by displaying

    antigens to be recognised by

    lymphocytes

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    ingestion of invading microorganisms by certain type of

    white blood cells which are phagocytic / phagocytes Phagocytes attach to microbes via microbes surface receptors

    Phagocyte engulfs the microbes, form a vacuole that fuses with

    a lysosome

    Lysosomes destroy microbes by 2 ways:

    1. Nitric oxide & other toxic forms of oxygen contained in

    lysosomes poison the engulfed microbes

    2. Lysozyme & other enzyme degrade the microbial

    components However, some microbes can evade from the attachment &

    destruction of phagocytes because their receptors are

    surrounded by outer capsule. Some resistant to lysosomes.

    Phagocytosis

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    Cells under attack respond by

    releasing histamine, attractpassing neutrophils (chemotaxis)

    neutrophils move towards the

    pathogen & its plasma membrane

    engulf the pathogens & trap it toform a phagosome.

    Inside the vacuole, digestive

    enzymes are secreted to kill the

    pathogen

    After killing & digesting the

    pathogens, the neutrophils die.

    Dead neutrophils often collect at a

    site of infection to form pus

    Phagocytosis - Neutrophils

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    Phagocytosis - Neutrophils

    1. Attraction (chemotaxis)

    2. Recognition & attachment

    3. Endocytosis

    4. Bacteria within a phogocytic vacuole

    5. Fusion of lysosomes & phagocytic vacuole

    6. Killing & digestion

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    Phagocytosis - Macrophage

    Cut antigen up that it

    can be recognised by

    lymphocytes

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    Phagocytosis of bacteria by a macrophage

    bacteria

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    Smaller than phagocytes, with a large nucleus fills

    most of the cell 2 types:

    1. B lymphocytes ( B-cell)

    2. T lymphocytes ( T-cell)

    Similarities:

    Both B & T cells are produced before birth in bonemarrow

    Only mature lymphocytes can carry out immuneresponse.

    When mature, all B & T cells circulate betweenblood & lymph

    Lymphocytes

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    Lymphocytes: B cells and T cellsDifferences:

    B cells T cells

    remain in bone marrow until

    they are mature

    then spread throughout the

    body concentrating in lymph

    nodes & spleen

    Y-shape and 4 polypeptide

    chain

    Bind with 2 antigen

    Immune system- humoral

    respond

    T cells mature once migrated

    from the bone marrow to the

    thymus gland.

    2 polypeptide chain

    bind with 1 antigen.

    Immune system- cell mediated

    respondThymus- a gland lies in

    the chest just beneath thesternum

    Double in size between

    birth & puberty

    Shrinks after puberty

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    Adenoid

    Tonsil

    Lymph nodes

    Right lymphatic

    duct, entering

    vein

    Thymus

    Appendix

    Thoracic

    duct

    Bone

    marrow Lymphatic

    vessels

    Spleen

    Thoracic duct,

    entering veinLymph node

    Masses of

    lymphocytes and

    macrophages

    Valve

    Lymphatic vessel

    Blood capillary

    Tissue

    cellsInterstitial

    fluid

    Lymphatic

    capillary

    Human lymphatic system consists of lymphatic vessels, through whichlymph travels, & various structures that trap foreign molecules. These

    structures include the adenoids, tonsils, lymph nodes, spleen & appendix.Macrophages are either residents permanently in the spleen, lymph nodes &

    other tissues of lymphatic system to combat infectious agents or migrate

    throughout the body.

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    ???

    State the sites of origin & maturation of B cells & T cells.

    Suggest why the thymus gland becomes smaller after

    puberty.

    Origin: bone marrow

    B cell mature in bone marrow; T cell mature in thymes gland

    By puberty, T cell have matured and left the thymus gland. Thus, thymus has

    no further use so it decrease in size.

    NKC k b

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    Immunity

    There are 2 major kinds of defense:

    1. Innate Immunity External defenses & Internal defenses

    2. Acquired Immunity

    Overview ofvertebratedefensesagainstpathogens

    NKC- non phagocytic WBC,

    patrols in body,

    performs apoptosis

    Phagocytes & NKC

    Lymphocytes

    NKC work by

    undergoes

    apoptosis

    which is burst

    together with

    the bacteria

    Cytotoxic T-cells (Killer T-cells)

    Only B-cells can secrete

    antibodies.

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    How do lymphocyteswork? Antigen Recognition

    2 main types of lymphocytes:

    B lymphocytes (B cells): helper B cell

    T lymphocytes (T cells): cytotoxic/ killer, helper T

    Both circulate through blood & lymph, concentrated inlymphoid tissues

    Posses many identical antigen-specific receptors which

    embedded in their plasma membranes can recognizesame epitope(name) of antigens or closely related antigens

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    B Cell Receptors

    A Y-shaped molecule

    Consist of 4 polypeptide chains: 2 identical heavy chains

    2 identical light chains

    These chains linked by disulfide bridges

    Tail portion of molecule is the transmembrane regionanchors

    receptor in the cells plasma membrane

    Short region at the end of tail extends into cytoplasm

    Variable regionsamino acid sequences vary extensively from 1 B

    cell to another

    Remainder of the molecule made up of constant (C) regions Each B cell receptor has 2 identical antigen-binding site

    Interaction with antigen stabilized by multiple non-covalent

    bonds between chemical groups on molecules

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    Immunoglobulins

    An antibodies secreted by lymphocytes

    Structurally similar to B cell receptors

    But lack of the transmemberane regions that anchor

    receptors in plasma membrane

    Thus, B cell receptors also called = membrane

    antibodies / membrane immunoglobulins

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    Consists of2 different polypeptide chains ( and

    chains) linked by disulfide bridge Transmembrane region anchors the molecule in the

    cells plasma membrane

    Out tip of these chain are variable (V) regions, form a

    single antigen binding site

    Remainder of the molecule is constant (C) regions

    T Cell Receptors

    B Cell Receptorsvs

    T Cell Receptors B cell receptors recognize intact antigens

    T cell receptors recognize small fragments of antigens that

    bound to normal cells surface proteins (MHC molecules)

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    Interaction of T cells with MHC molecules

    MHC

    Antigen presentation

    MHC Major Histocompatibility Complex

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    Acquired Immune Response

    Cell-mediated immune response involves the activation & clonal selection ofcytotoxic T

    cells, which directly destroy certain target cells

    Humoral immune response

    involves the activation & clonal selection ofB cells, causes

    the production of secreted antibodies which will circulate in

    blood & lymph

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    T cells develop surface receptors called T-cellreceptorswhere they become programmed for theantigen of their specific enemy

    If an antigen is presented to a T cell with a

    complementary shaped receptor, the T cell isstimulated, increases in size and starts to dividecytotoxic T cells/ killer cells + helper T cellsmemory cells

    T cells reproduce rapidly, however they do notproduce antibodies like B cells

    Cell-mediated immunity

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    Chemical

    substances

    Only Active helper T-

    cell will release

    chemical substance

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    T Helper Cytotoxic T cell /Killer T

    recognise the non-self antigen

    (from the foreign cells) that themacrophages display on their outer

    surface.

    release a powerful group of

    chemicals called cytokines tostimulate B cells to proliferate

    stimulate macrophages to carry out

    phagocytosis more vigorously.

    Cytotoxic (kill cell)

    attack & kills body cells that have

    been infected by virus, bacteria or

    fungus.

    Kill the infected cells by secretingproteins (perforin) that punch holes

    in the membrane of the cell, and the

    contents ooze out.

    In addition to helper & killer cells, memory T cell are produced whichremain in the body & become active quickly during secondary response

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    A T cell

    l

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    32C

    ytotoxicT

    cellsattackingaca

    ncercell

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    A human helper T cell (green) under attack by HIV

    (red spheres)

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    When the pathogen first enter the body, macrophages engulf anddigest microbes (including their antigens) through a process of

    called phagocytosis.

    Some of the digested antigens are then displayed on the surfaces of

    the macrophages. This is called antigen presentation T-helpercellsantigen presentation B cell

    OR any B cells whose cell surface receptors fit theantigens, can

    respond directly

    B cell dividing repeatedly by mitosis& after several generations

    will differentiate intoplasma cell (antibodies) + memory B cells

    Humoral Immunity response

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    of Humurolell-Mediatedond

    by antigen,nition

    mitosis

    atured

    s(receptor)

    een Humurolell-Mediatedondcell

    HC molecule

    estroy

    infected celldirectly (Killer-

    T cell

    produced

    perforin)

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    Memory Cells

    Remain circulating in the bodies for long time/ life

    time

    If antigens reintroduce after 1st infection, memory

    cells divide rapidly & develop into plasma cell (Bcells) or killer cells (T cells) + more memory cells

    Thus, infection can be destroyed & removed before

    any symptoms of disease develop

    Ch i ib d i i bl d

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    Changes in antibody concentration in blood

    Primary

    response:1st response at 1st

    infection

    Slow

    Why?

    Very few B cells

    are specific to the

    antigen at this stage

    Take times toreplicate more

    plasma cell (give

    antibodies)

    Secondary

    response

    2nd exposure toantigen

    Faster

    Why?

    Many memory

    cells available

    Can quickly

    divide &

    differentiate into

    plasma cells

    Give antibodies

    ~15 days~8 days

    ************

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    What is antibody? Antibodies are globular glycoproteins and form the group of

    plasma proteins called immunoglobins.

    A protein made by the immune system in response to the presence

    of an antigen & targeted specifically at it

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    Antibody Structure

    Four polypeptide chains

    two light chains

    two heavy chains

    All the chains are joint bydisulphide bond

    Each chain has a variableregion

    Made up of different aminoacid

    Bind to same Antigen Different Antibody has

    different variable region

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    Hinge region.. Spring like..

    The hinge region gives theflexibilityfor antibody to

    bind to antigens that are

    differently spaced

    microorganism

    antigen

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    Fab and Fc Regions

    Fab (Fragment antigen binding)

    region contains the antigen-binding

    site

    Different antibody has different

    antigen-binding sites Fc (Fragment crystallisable)

    region

    Different Antibodies have same

    Fc region

    Fab

    Fc

    Disulphide bridges

    How do Antibodies Work?

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    How do Antibodies Work?(1) Prevent entry (2) prevent movement (3) agglutination

    (4) lysis (5) opsonisation (6)neutralisation

    Four Classes of Antibodies

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    Four Classes of Antibodies

    monomer

    monomer

    dimer

    pentamer

    Ig GAME

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    A ib d (R )!!!!

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    Antibody (Recap)!!!!

    Definition of antibody

    Globular glycoprotein, immunoglobulin Molecular structure of antibody

    4 chains: 2 light & 2 heavy chains

    disulphide bridges

    Antigen-binding sites : variable regions Fab (Fragment antigen binding) region& Fc (Fragment crystallisable)

    region

    4 classes of antibody

    IgG, IgA, IgM, IgE 6 functions of antibody

    (1) Prevent entry (2) prevent movement (3) agglutination(4) lysis (5) opsonisation (6)neutralisation

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    ??? Why polysaccharides would not be suitable for

    making antibody molecules?

    There are many different strains of the rhinovirus,

    which causes the common cold. Explain why peoplecan catch several different colds in the space of a fewmonths.

    -Polysaccharides are made from only a small number of different sugar unlike

    protein that are made from 20 different amino acid.

    - Polysaccharides would not give the same huge number of different molecule

    shape as is achieved with protein in the variable region of antibodies.

    -Immunity to one strain does not provide immunity to all of them as they do not

    all share the same antigens.

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    Why people are often ill for several weeks after they

    catch a disease, even though they can makeantibodies against the disease?

    - Because the primary respond to an antigen is slow.

    - It take several weeks (usually~16 days) to produce enough antibody to

    fight the infection effectively

    - During this time, we usually shows the symptoms of the disease

    concerned.

    June 07 Paper 1

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    June 07/P1

    N/04

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    N/06

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    J/08

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    J/08

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    - Infection todisease

    - Maternal

    antibodies

    - Vaccination

    - Synthetic

    antibodies

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    Active immunity

    immunity gained following infection

    Because lymphocytes are activated by antigens on surface ofpathogens that invaded into the body

    Activate B or T cells to give effective defense

    1. Natural Active immunity

    body manufactures antibodies when exposed to an

    infectious agent.

    2. Artificial Active Immunity

    injection of antigens into body, taking by mouth

    vaccination or immunisation

    Does it safe?

    ll d f ti i ll f b th th i

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    small dose of antigen is usually safe because the pathogen is

    either killed or attenuated (pathogen has being weaken)

    individual does not contract the disease itself, but is stimulated to

    manufacture antibodies against the antigen. second booster/ injection is given and this stimulates a much

    quicker production of antibody.

    Longterm

    immunity

    V i ti

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    Vaccination

    Is a preparation containing:

    antigenic material (live/ dead/ harmless/ attenuatedmicrobes),

    harmless toxin,

    or a preparation of surface antigen

    Highly effective vaccines1 injection may give alifetimes protection

    Less effective vaccinesneed booster injections tostimulate 2nd respond

    Does every single vaccine work?

    Problems with vaccines

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    Problems with vaccines

    1. Poor respond

    Some people do not respond well / or not at all to vaccines Because ofdefective immune system:

    a) Inborn / Primary Immunodeficiency

    An immunodeficiency disease caused by a genetic or

    developmental defect in immune system Example: Severe combined immunodeficiency (SCID)

    both humoral & cell-mediated branches of acquiredimmunity fail to function

    b) Acquired / Secondary Immunodeficiency

    An immunodeficiency disease that develops later in lifefollowing exposure to various chemical or biologicalagents

    Example:Acquired immunodeficiency syndrome (AIDS)

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    Poor respond also because ofmalnutrition

    Especially protein energy malnutrition

    Do not have enough protein to make antibodies or clonesof lymphocytes

    Higher risk to develop infectious disease

    2. Antigenic variation

    Rhinovirus- colds- has at least 113 different strains

    Trypanosoma- sleeping sickness- has 1000 different

    antigens, & changes them every 4 or 5 days

    Antigenic drift- minor changes in antigen structure,

    memory cells can work

    Antigenic shift- major changes

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    3. Antigenic concealment

    Some pathogens hide inside cells

    Plasmodium enters liver cells or red blood cells,

    protected against antibodies in the plasma

    Some parasitic worms cover their bodies in host

    proteins, invisible to immune system

    Some pathogens parasiting the macrophages & T

    cells

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    Passive immunity

    immunity gained by antibodies made other than in the host

    1. Natural passive immunity

    Antibodies made in one individual are passed into another

    individual of the same species.

    Mother fetus

    Antibodies from mother cross the placenta during

    pregnancy, remain in the infant for several months

    Example: Ig G ( circulates in the blood, prevent the growthof bacteria & virus)

    Explain the pattern of maternal & infant IgG.

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    Concentrations

    of antibody in

    the blood of

    fetus & an infant

    Maternal IgG increases during pregnancy as it crosses the placenta (natural passive

    immunity)

    It decreases after birth as it is removed from the circulation

    Fetus does not produce its own antibodies because does not have mature T/B cells,

    & is kept in sterile environment

    Infant produces its own antibodies shortly after birth as it begins to encounter

    infections

    fetus

    2 A tifi i l i i it

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    2. Artificial passive immunity

    Antibodies which have been made in one individual are

    extracted and then injected into the blood of another

    individual which may, or may not, be of the same species

    Tetanus: kills quickly, body needs immediate defense

    a prolonged contraction of skeletal muscle fibres, bacterial

    infection at wound contamination.

    Injection of antitoxin: provides immediate protection but

    only temporary. Why?

    Antibodies not produced by the bodys own B/T cells &therefore regarded as foreign

    Will remove from circulation by phagocytes in the liver &

    spleen (No memory cells)

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    Immunity Antigen

    encountered

    Immune

    respond

    time before

    antibodies

    appear in blood

    Production of

    memory cells

    protection

    Active yes yes Several week yes long term

    Passive no no immediate no temporary

    ???

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    ???What are the difference between artificial active immunisation

    (vaccination) and artificial passive immunisation?

    Artificial Active Imm Artificial Passive Imm

    Antigen are introduced into the

    body by injection/ by mouth

    Antibodies are injected into the

    body

    To stimulate an respond by B /

    T cells

    Temporary /Short-term

    immunity, no immune respond

    Gives a long term immunity

    (memory cells are generated)

    Temporary/ short-term

    immunity, remove from

    circulation soon

    But respond not immediate Gives an immediate respond

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    Pass Year Questions J

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    Pass Year Questions - J

    O/N 08/ P2 No.1

    O/N 05/P2 No.4 (c)

    M/J 04/ P2 No. 6

    O/N 03/ P2 No. 3, No.5 (c) and (d) O/N 02/ P2 No. 5