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Immunology 
Immunology is a branch of biomedical science that 
covers the study of all aspects of the immune system in 
all organisms. 
It deals with: 
the physiological functioning of the immune system in 
states of both health and diseases; 
malfunctions of the immune system in immunological 
disorder (autoimmune diseases, hypersensitivities, 
immune deficiency, transplant rejection); 
the physical, chemical and physiological characteristics 
of the components of the immune system in vitro, in situ, 
and in vivo.
3 
The Immune System 
 The immune system is the body's defense against infectious 
organisms and other invaders. 
 Each exposure (to the same pathogen) increases the effectivity of 
the response 
 Primary Lymphoid organs of the immune system 
I. Thymus 
II. bone marrow 
 Secondary lymphoid organs 
I. Lymph nodes 
II. Spleen 
III. Skin 
IV. liver 
V. Tonsils 
VI. Small intestine
4 
Basic Immunology 
 Depends on the ability of the immune system to 
distinguish between self and non-self molecules 
 Self molecules are those components of an 
organism's body that can be distinguished from 
foreign substances by the immune system 
 Autoimmunity is an immune reaction against self 
molecules (causes various diseases) 
 Non-self molecules are those recognized as 
foreign molecules 
 One class of non-self molecules are called antigens ( 
antibody generators) and are defined as substances 
that bind to specific immune receptors and elicit an 
immune response
Immunity 
Immunity is the state of having sufficient biological 
defences to avoid infection, disease, or other unwanted 
biological invasion. It is the capability of the body to resist 
harmful microbes from entering it. 
Components of the Immune system 
Immunity involves both specific and non-specific 
components. 
1.The non-specific components act either as barriers or as 
eliminators of wide range of pathogens irrespective of 
antigenic specificity. 
2.Specific components of the immune system adapt 
themselves to each new disease encountered and are 
able to generate pathogen-specific immunity. 
5
6
Components of the immune system 
Innate immune system 
 Response is non-specific 
 Exposure leads to 
immediate maximal 
response 
 Cell-mediated and 
humoral components 
 No immunological 
memory 
 Found in nearly all forms 
of life (plants & animals) 
Adaptive immune system 
 Pathogen and antigen 
specific response 
 Lag time between 
exposure and maximal 
response 
 Cell-mediated and 
humoral components 
 Exposure leads to 
immunologic memory 
 Found only in jawed 
vertebrates
 Innate immunity, or nonspecific immunity is the natural resistances 
with which a person is born. 
 It provides resistances through several physical, chemical and 
cellular approaches. 
 Microbes first encounter the epithelial layers, physical barriers that 
line skin and mucous membranes. 
 Subsequent general defences include secreted chemical signals 
(cytokines), antimicrobial substances, fever, and phagocytic activity 
associated with the inflammatory responses. 
8
Adaptive immunity 
 This is inducible and develops slowly than the innate 
response. This is specific kind of immunity and has 
memory, therefore providing long term protection. This 
occurs with contact of foreign particle 
 Adaptive immunity is often sub-divided into two major 
types depending on how the immunity was introduced. 
I. Naturally acquired immunity occurs through contact 
with a disease causing agent, when the contact was not 
deliberate 
II. Artificially acquired immunity develops only 
through deliberate actions such as vaccination 
9
Types of Adaptive immunity 
a. Naturally acquired active immunity occurs when the 
person is exposed to a live pathogen, develops the 
disease, and becomes immune as a result of the 
primary immune response. 
b. Artificially acquired active immunity can be induced 
by a vaccine, a substance that contains the antigen. A 
vaccine stimulates a primary response against the 
antigen without causing symptoms of the disease. 
10
c. Artificially acquired passive immunity is a short-term 
immunization by the injection of antibodies, such as 
gamma globulin, that are not produced by the recipient's 
cells. 
d. Naturally acquired passive immunity occurs during 
pregnancy, in which certain antibodies are passed from the 
maternal into the fetal bloodstream 
11
Antigen 
 an antigen is a molecule that induces an 
immune response in the body. 
12
Origin of antigen 
 Exogenous antigens 
are antigens that have entered the body from the 
outside, for example by inhalation, ingestion, 
or injection. 
 Endogenous antigens 
are antigens that have been generated within previously 
normal cells as a result of normal cell metabolism, or 
because of viral or intracellular bacterial infection 
13
 An autoantigen is usually a normal protein or complex of 
proteins (and sometimes DNA or RNA) that is 
recognized by the immune system of patients suffering 
from a specific autoimmune disease. 
 These antigens should, under normal conditions, not be 
the target of the immune system, but, due to mainly 
genetic and environmental factors, the 
normal immunological tolerance for such an antigen has 
been lost in these patients. 
14
Immunogen 
An immunogen is in analogy to the antigen a substance (or a 
mixture of substances) that is able to provoke an immune 
response if injected to the body. An immunogen is able 
to initiate an innate immune response first, later leading to 
the activation of the adaptive immune response, whereas an 
antigen is able to bind the highly variable immunoreceptor 
products (B-cell receptor or T-cell receptor) once these have 
been produced. 
Immunogenicity is the ability to induce a humoral and/or cell-mediated 
immune response 
Antigenicity is the ability to combine specifically with the final 
products of the immune response (i.e. secreted antibodies 
and/or surface receptors on T-cells). Although all molecules that 
have the property of immunogenicity also have the property of 
antigenicity, the reverse is not true
Epitope – The portion of an antigen that is 
recognized and bound by an antibody or TCR-MHC 
combination; also called antigenic determinant. 
Antigen(ic) specificity 
is the ability of the host cells to recognize an antigen 
specifically as a unique molecular entity and distinguish it from another 
with exquisite precision. Antigen specificity is due primarily to the side-chain 
conformations of the antigen. 
Hapten 
is a small molecule that can elicit an immune response only when 
attached to a large carrier such as a protein; the carrier may be one 
that also does not elicit an immune response by itself. 
Epitope: 
The portion of an antigen that recognize and bound by antibody also 
called antigenic determinant. 
.
An antigen-presenting cell (APC) or accessory cell is 
a cell that displays foreign antigens complexed 
with major histocompatibility complexes (MHC's) on their 
surfaces; this process is known as antigen 
presentation. T-cells may recognize these complexes 
using their T-cell receptors (TCRs). These 
cells process antigens and present them to T-cells. 
Eg. 
Dendritic cell, 
macrophages, 
B cell, 
epithelial cells, 
fibroblast
Antibody 
An antibody (Ab), also known as an immunoglobulin (Ig), is a large 
Y-shape protein produced by B cells that is used by the immune 
system to identify and neutralize foreign objects such 
as bacteria and viruses. 
The antibody recognizes a unique part of the foreign target, called an 
antigen. 
Each tip of the "Y" of an antibody contains a paratope (a structure 
analogous to a lock) that is specific for one 
particular epitope(similarly analogous to a key) on an antigen, 
allowing these two structures to bind together with precision. 
Using this binding mechanism, an antibody can tag a microbe or an 
infected cell for attack by other parts of the immune system, or can 
neutralize its target directly (for example, by blocking a part of a 
microbe that is essential for its invasion and survival). 
The production of antibodies is the main function of the humoral 
immune system.
Antibodies are secreted by a type of white blood 
cell called a plasma cell. 
Antibodies can occur in two physical forms 
1. a soluble form that is secreted from the cell, 
2. a membrane-bound form that is attached to the 
surface of a B cell and is referred to as the B cell 
receptor (BCR). The BCR is only found on the surface 
of B cells and facilitates the activation of these cells 
and their subsequent differentiation into either 
antibody factories called plasma cells or memory B 
cells that will survive in the body and remember that 
same antigen so the B cells can respond faster upon 
future exposure.
Fig.2. Antibody structure
Mechanism of Actions of Antibodies 
Antibodies protect the body from invading organisms in two ways (Fig.b): 
1. By direct actions 
2. Through complement system 
Direct Actions of Antibodies 
Antibodies directly inactivate the invading organism by any one of the 
following methods: 
i. Agglutination: In this, the foreign bodies like bacteria with antigens on 
their surfaces are held together in a clump by the antibodies. 
ii. Precipitation: In this, the soluble antigens like tetanus toxin are 
converted into insoluble forms and then precipitated. 
iii. Neutralization: During this, the antibodies cover the toxic sites of 
antigenic products. 
iv. Lysis: It is done by the most potent antibodies.These antibodies rupture 
the cell membrane of the organisms and then destroy them.
Complement System 
 The complement system is a biochemical cascade of the innate immune 
system that helps clear pathogens from an organism. 
 It is derived from many small plasma proteins that work together to disrupt 
the target cell's plasma membrane leading to cytolysis of the cell. 
 The complement system consists of 9 proteins from c1 to c9, 
 The complement system is involved in the activities of both innate 
immunity and acquired immunity. 
 Two biochemical pathways activate the complement system: 
 classical complement pathway, 
 alternate complement pathway, 
 The classical complement pathway typically requires antibodies for 
activation and is a specific immune response, 
 while the alternate pathway can be activated without the presence of 
antibodies and is considered a non-specific immune response. 
 A.Classical complement pathway 
 In this the C1 binds with the antibodies and triggers a series of events. 
Byproducts formed during these events produce the following activities: 
22
1.Opsonization: 
Activation of neutrophils and macrophages to engulf the bacteria, which 
are bound with a protein in the plasma called opsonin. 
ii. Lysis: 
Destruction of bacteria by rupturing the cell membrane. 
iii. Chemotaxis: 
Attraction of leukocytes to the site of antigen-antibody reaction. 
iv. Agglutination: 
Clumping of foreign bodies like RBCs or bacteria. 
v. Neutralization: 
Covering the toxic sites of antigenic products. 
vi. Activation of mast cells and basophils, which liberate histamine: Histamine 
dilates the blood vessels and increases capillary permeability.So, plasma 
proteins from blood enter the tissues and inactivate the antigenic products. 
B. Alternate pathway: 
Activation of Complementary system is due to a protein in circulation called 
factor I. It binds with polysaccharides present in the cell membrane of the 
invading organisms.This binding activates C3 and C5, which ultimately attack 
23 
the antigenic products of invading organism.
Fig b.,Mechanism of action of antibodies
Functions of Different Antibodies 
1. IgA plays a role in localized defense mechanism in 
external secretions like tear 
2. IgD is involved in recognition of the antigen by B 
lymphocytes 
3. IgE is involved in allergic reactions 
4. IgG is responsible for complement fixation 
5. IgM is also responsible for complement fixation.
Dual nature of specific immunity 
Immunization occurs when an individual naturally or artificially 
exposed to an antigen and the immune system is activated to produce 
humoral immunity and cellular immunity. 
This means that the effectors of specific immunity are found in both 
the humoral phase of the body fluids(eg.blood serum)and among the 
white blood cells in the blood and lymphoid organs. 
These two effectors of immunity are different physically and 
functionally eg they resist different types of pathogens 
I. Antibodies(soluble mediators in body fluids)are more effective 
against pathogen found outside cells 
II. Immune cells(cellular elements especially T 
lymphocytes,macrophages and natural killer cells)are more effective 
against pathogen found inside cells. 
Thus humoral immunity defends the body primarily against 
bacteria,bacterial toxins and viruses in body fluids. 
Cellular immunity defends the host from bacteria and viruses located 
within infected cells or phagocytic cells as well as from fungi,protozoa 
and other parasites
Humoral immunity or B cell immunity 
Humoral immunity is defined as the immunity mediated by antibodies, which 
are secreted by B lymphocytes.B lymphocytes secrete the antibodies into the 
blood and lymph. The blood and lymph are the body fluids (humours or 
humors in Latin). Antibodies are produced by B lymphocytes. These 
antibodies fight against the invading organisms. The humoral immunity is the 
major defense mechanism against the bacterial infection. The macrophages 
and other antigen-presenting cells play an important role in the development 
of humoral immunity 
Presentation of Antigen 
Antigen-presenting cells present the antigenic products bound with HLA (which 
is present in class II MHC molecule) to B cells. This activates the B cells 
through series of events. 
Sequence of Events during Activation of B Cells 
1. B cell recognizes the antigen displayed on the surface of the antigen-presenting 
cell, with the help of its own surface receptor protein called B cell 
receptor. 
2. Recognition of the antigen by the B cell initiates a complex interaction 
between the B cell receptor and the antigen. This reaction activates B cells.
3. At the same time, macrophages (the antigen-presenting 
cells) release interleukin-1, which facilitates the activation and 
proliferation of B cells. 
4. Activated B cells proliferate and the proliferated cells carry out 
the further actions. 
5.Simultaneously, the antigen bound to class II MHC molecules 
activates the helper T cells, also resulting in development of cell-mediated 
immunity. 
ROLE OF HELPER T CELLS 
Helper T cells are simultaneously activated by antigen. 
Activated helper T cells secrete two substances called 
interleukin-2 and B cell growth factor, which promote: 
1. Activation of more number of B lymphocytes. 
2. Proliferation of plasma cells. 
3. Production of antibodies.
Cellular immunity or T cell immunity 
Cell-mediated immunity is defined as the immunity developed by cell-mediated 
response. Cellular immunity is the major defense mechanism 
against infections by viruses, fungi and few bacteria like tubercle 
bacillus. It is also responsible for delayed allergic reactions and the 
rejection of transplanted tissues. 
Cell-mediated immunity is offered by T lymphocytes 
and it starts developing when T cells come in contact 
with the antigens. Usually, the invading microbial or 
non-microbial organisms carry the antigenic materials. 
These antigenic materials are released from invading 
organisms and are presented to the helper T cells by 
antigen-presenting cells 
. 
Presentation of Antigen 
Antigen-presenting cells present their class II MHC molecules together 
with antigen-bound HLA to the helper T cells. This activates the helper 
T cells through series of events (Fig.a). 
Sequence of Events during Activation of Helper T cells 
1. Helper T cell recognizes the antigen displayed on the surface of the 
antigen presenting cell with the help of its own surface receptor protein 
called T cell receptor. 
2. Recognition of the antigen by the helper T cell initiates a complex 
interaction between the helper T cell receptor and the antigen. This 
reaction activates helper T cells.
3. At the same time, macrophages (the antigen-presenting cells) 
release interleukin-1, which facilitates the activation and proliferation of 
helper T cells. 
4. Activated helper T cells proliferate and the proliferated cells enter 
the circulation for further actions. 
Fig a., Antigen presentation. The antigen-presenting cells present their class II MHC 
molecules together with antigen-bound HLA to the helper T cells.
Cytotoxic T cells 
Cytotoxic T cells that are activated by helper T cells,circulate through 
blood, lymph and lymphatic tissues and destroy the invading organisms by 
attacking them directly. 
Mechanism of Action of Cytotoxic T Cells 
1. Receptors situated on the outer membrane of cytotoxic T cells bind the 
antigens or organisms tightly with cytotoxic T cells. 
2. Then, the cytotoxic T cells enlarge and release cytotoxic substances like 
the lysosomal enzymes. 
3. These substances destroy the invading organisms. 
4. Like this, each cytotoxic T cell can destroy a large number of 
microorganisms one after another.
WBC(leukocytes) in circulating blood 
Types of leucocyte %age in a normal 
leukocyte differential 
account 
Functions 
Granulocytes 
Neutrophils 
Basophils 
Eosinophils 
Agranulocytes 
Monocytes 
Lymphocytes 
60-70 
0.5-1 
2-4 
3-8 
20-25 
Phagocytosis 
Production of heparin and 
histamine 
Phagocytosis 
Phagocytosis 
Specific immunity
Lymphocytes 
Lymphocytes are competent to initiat an immune respose 
 A lymphocyte is any of 3 types of white blood cell in 
a vertebrate's immune system. All 3 are agranulocytes. 
 Mammalian stem cells differentiate into several kinds of 
blood cell within the bone marrow. This process is 
called haematopoiesis. 
 All lymphocytes originate, during this process, from a 
common lymphoid progenitor before differentiating into 
their distinct lymphocyte types. 
 The formation of lymphocytes is know as lymphopoiesis. 
 Following maturation,the lymphocytes enter the 
circulation and peripheral lymphoid organs (e.g. 
spleen and lymph nodes) where they survey for 
invading pathogens and/or tumor cells. 
35
36
Types of Lymphocytes 
 1. T lymphocytes or T cells, which are responsible for the development of 
cellular immunity 
 2. B lymphocytes or B cells, which are responsible for humoral immunity 
 T cells (thymus cells) and B cells (bursa-derived cells]) are the major cellular 
components of the adaptive immune response. 
 Types of B Lymphocytes 
After processing, the B lymphocytes are transformed into two types: 
 a. Plasma cells. destroy the foreign organisms by producing the antibodies 
 b. Memory Bcells. occupy the lymphoid tissues throughout the body. The 
memory cells are in inactive condition until the body is exposed to the same 
organism for the second time.During the second exposure,the memory cells 
are stimulated by the antigen and produce more quantity of potent 
antibodies at a faster rate than in the first exposure eg immunity to chicken 
pox after you’ve had it 
 Storage of B Lymphocytes After transformation, the B lymphocytes are 
stored in the lymphoid tissues of lymph nodes, spleen, bone marrow and 
the GI tract. 
 The function of T cells and B cells is to recognize specific “non-self” 
antigens, Once they have identified an invader, the cells generate specific 
responses that are tailored to maximally eliminate specific pathogens or 
pathogen-infected cells. 
37
38 
Types of T Lymphocytes 
 During the processing, T lymphocytes are transformed 
into four types: 
1. Helper T cells or inducer T cells. These cells are also called CD4 
cells because of the presence of molecules called CD4 on their 
surface. Helper T cells (CD4 cells) which enter the circulation activate 
all the other T cells and B cells 
 2. Cytotoxic T cells or killer T cells. These cells are also called 
CD8 cells because of the presence of molecules called CD8 on 
their surface. Cytotoxic T cells that are activated by helper T 
cells,circulate through blood, lymph and lymphatic tissues and 
destroy the invading organisms by attacking them directly. 
 3.Suppressor T cells are also called regulatory T cells.These T 
cells suppress the activities of the killer T cells.Thus, the suppressor 
T cells play an important role in preventing the killer T cells from 
destroying the body’s own tissues along with invaded organisms. 
Suppressor cells suppress the activities of helper T cells also.
 4.Memory T Cells: the memory cells migrate to various lymphoid 
tissues throughout the body. When the body is exposed to the same 
organism for the second time,the memory cells identify the organism 
and immediately activate the other T cells. So, the invading 
organism is destroyed very quickly. The response of the T cells is 
also more powerful this time. 
 Storage of T Lymphocytes 
After the transformation, all the types of T lymphocytes leave the 
thymus and are stored in lymphoid tissues of lymph nodes, spleen, 
bone marrow and GI tract. 
39
3.Natural killer cells 
 NK cells are a part of the innate immune system and play a major 
role in defending the host from both tumors and virally infected cells. 
 NK cells distinguish infected cells and tumors from normal and 
uninfected cells by recognizing changes of a surface molecule 
called MHC (major histocompatibility complex) class I. 
 NK cells are activated in response to a family of cytokines called 
interferons. Activated NK cells release cytotoxic (cell-killing) 
granules which then destroy the altered cells.They were 
named "natural killer cells" because of the initial notion that they do 
not require prior activation in order to kill cells. 
40
Major histocompatibility complex 
 The MHC is a set of cell surface molecules encoded by 
a large gene family in all vertebrates. MHC molecules 
mediate interactions of leukocytes, which are immune 
cells, with other leukocytes or body cells. MHC 
determines compatibility of donors for organ 
transplant as well as one's susceptibility to 
an autoimmune disease via cross reacting immunization. 
 In humans, MHC is also called human leukocyte 
antigen (HLA). 
41
….. MHC molecules in human beings are divided into two types: 
 1. Class I MHC molecule: It is found on every cell in human body. It 
is specifically responsible for presentation of endogenous antigens 
(antigens produced intracellularly such as viral proteins and tumor 
antigens) to cytotoxic T cells. 
 2. Class II MHC molecule: It is found on B cells,macrophages and 
other antigen-presenting cells. It is responsible for presenting the 
exogenous antigens(antigens of bacteria or viruses which are 
engulfed by antigen-presenting cells) to helper T cells. 
42 
 CD8+ = proteins associated with Tc 
(cytotoxic or killer T cells) 
 CD4+ = proteins associated with Th 
(helper T cells)
Cytokines 
 Cytokines are a broad category of small proteins (~5–20 
kDa) that are important in cell signaling - they are 
released by cells and affect the behavior of other cells, 
and sometimes the releasing cell itself. 
 Cytokines include 
chemokines, interferons, interleukins, lymphokines, tumo 
ur necrosis factor but not hormones or growth factors. 
 Cytokines are produced by broad range of cells, 
including immune cells like macrophages, B 
lymphocytes and T lymphocytes, mast cells, as well 
as endothelial cells, fibroblasts, 
 a given cytokine may be produced by more than one 
type of cell 43
 Chemokines (Greek -kinos, movement) are a family of 
small cytokines, or signaling proteins secreted by cells. 
Their name is derived from their ability to induce 
directed chemotaxis in nearby responsive cells; they 
are chemotactic cytokines. 
44
45
Vaccine 
 A vaccine is a biological preparation that improves 
immunity to a particular disease. A vaccine typically 
contains an agent that resembles a disease-causing 
microorganism and is often made from weakened or 
killed forms of the microbe, its toxins or one of its surface 
proteins. The agent stimulates the body'simmune 
system to recognize the agent as foreign, destroy it, and 
keep a record of it, so that the immune system can more 
easily recognize and destroy any of these 
microorganisms that it later encounters. 
46

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Immunity types and compliment system ppt

  • 1.
  • 2. Immunology Immunology is a branch of biomedical science that covers the study of all aspects of the immune system in all organisms. It deals with: the physiological functioning of the immune system in states of both health and diseases; malfunctions of the immune system in immunological disorder (autoimmune diseases, hypersensitivities, immune deficiency, transplant rejection); the physical, chemical and physiological characteristics of the components of the immune system in vitro, in situ, and in vivo.
  • 3. 3 The Immune System  The immune system is the body's defense against infectious organisms and other invaders.  Each exposure (to the same pathogen) increases the effectivity of the response  Primary Lymphoid organs of the immune system I. Thymus II. bone marrow  Secondary lymphoid organs I. Lymph nodes II. Spleen III. Skin IV. liver V. Tonsils VI. Small intestine
  • 4. 4 Basic Immunology  Depends on the ability of the immune system to distinguish between self and non-self molecules  Self molecules are those components of an organism's body that can be distinguished from foreign substances by the immune system  Autoimmunity is an immune reaction against self molecules (causes various diseases)  Non-self molecules are those recognized as foreign molecules  One class of non-self molecules are called antigens ( antibody generators) and are defined as substances that bind to specific immune receptors and elicit an immune response
  • 5. Immunity Immunity is the state of having sufficient biological defences to avoid infection, disease, or other unwanted biological invasion. It is the capability of the body to resist harmful microbes from entering it. Components of the Immune system Immunity involves both specific and non-specific components. 1.The non-specific components act either as barriers or as eliminators of wide range of pathogens irrespective of antigenic specificity. 2.Specific components of the immune system adapt themselves to each new disease encountered and are able to generate pathogen-specific immunity. 5
  • 6. 6
  • 7. Components of the immune system Innate immune system  Response is non-specific  Exposure leads to immediate maximal response  Cell-mediated and humoral components  No immunological memory  Found in nearly all forms of life (plants & animals) Adaptive immune system  Pathogen and antigen specific response  Lag time between exposure and maximal response  Cell-mediated and humoral components  Exposure leads to immunologic memory  Found only in jawed vertebrates
  • 8.  Innate immunity, or nonspecific immunity is the natural resistances with which a person is born.  It provides resistances through several physical, chemical and cellular approaches.  Microbes first encounter the epithelial layers, physical barriers that line skin and mucous membranes.  Subsequent general defences include secreted chemical signals (cytokines), antimicrobial substances, fever, and phagocytic activity associated with the inflammatory responses. 8
  • 9. Adaptive immunity  This is inducible and develops slowly than the innate response. This is specific kind of immunity and has memory, therefore providing long term protection. This occurs with contact of foreign particle  Adaptive immunity is often sub-divided into two major types depending on how the immunity was introduced. I. Naturally acquired immunity occurs through contact with a disease causing agent, when the contact was not deliberate II. Artificially acquired immunity develops only through deliberate actions such as vaccination 9
  • 10. Types of Adaptive immunity a. Naturally acquired active immunity occurs when the person is exposed to a live pathogen, develops the disease, and becomes immune as a result of the primary immune response. b. Artificially acquired active immunity can be induced by a vaccine, a substance that contains the antigen. A vaccine stimulates a primary response against the antigen without causing symptoms of the disease. 10
  • 11. c. Artificially acquired passive immunity is a short-term immunization by the injection of antibodies, such as gamma globulin, that are not produced by the recipient's cells. d. Naturally acquired passive immunity occurs during pregnancy, in which certain antibodies are passed from the maternal into the fetal bloodstream 11
  • 12. Antigen  an antigen is a molecule that induces an immune response in the body. 12
  • 13. Origin of antigen  Exogenous antigens are antigens that have entered the body from the outside, for example by inhalation, ingestion, or injection.  Endogenous antigens are antigens that have been generated within previously normal cells as a result of normal cell metabolism, or because of viral or intracellular bacterial infection 13
  • 14.  An autoantigen is usually a normal protein or complex of proteins (and sometimes DNA or RNA) that is recognized by the immune system of patients suffering from a specific autoimmune disease.  These antigens should, under normal conditions, not be the target of the immune system, but, due to mainly genetic and environmental factors, the normal immunological tolerance for such an antigen has been lost in these patients. 14
  • 15. Immunogen An immunogen is in analogy to the antigen a substance (or a mixture of substances) that is able to provoke an immune response if injected to the body. An immunogen is able to initiate an innate immune response first, later leading to the activation of the adaptive immune response, whereas an antigen is able to bind the highly variable immunoreceptor products (B-cell receptor or T-cell receptor) once these have been produced. Immunogenicity is the ability to induce a humoral and/or cell-mediated immune response Antigenicity is the ability to combine specifically with the final products of the immune response (i.e. secreted antibodies and/or surface receptors on T-cells). Although all molecules that have the property of immunogenicity also have the property of antigenicity, the reverse is not true
  • 16. Epitope – The portion of an antigen that is recognized and bound by an antibody or TCR-MHC combination; also called antigenic determinant. Antigen(ic) specificity is the ability of the host cells to recognize an antigen specifically as a unique molecular entity and distinguish it from another with exquisite precision. Antigen specificity is due primarily to the side-chain conformations of the antigen. Hapten is a small molecule that can elicit an immune response only when attached to a large carrier such as a protein; the carrier may be one that also does not elicit an immune response by itself. Epitope: The portion of an antigen that recognize and bound by antibody also called antigenic determinant. .
  • 17. An antigen-presenting cell (APC) or accessory cell is a cell that displays foreign antigens complexed with major histocompatibility complexes (MHC's) on their surfaces; this process is known as antigen presentation. T-cells may recognize these complexes using their T-cell receptors (TCRs). These cells process antigens and present them to T-cells. Eg. Dendritic cell, macrophages, B cell, epithelial cells, fibroblast
  • 18. Antibody An antibody (Ab), also known as an immunoglobulin (Ig), is a large Y-shape protein produced by B cells that is used by the immune system to identify and neutralize foreign objects such as bacteria and viruses. The antibody recognizes a unique part of the foreign target, called an antigen. Each tip of the "Y" of an antibody contains a paratope (a structure analogous to a lock) that is specific for one particular epitope(similarly analogous to a key) on an antigen, allowing these two structures to bind together with precision. Using this binding mechanism, an antibody can tag a microbe or an infected cell for attack by other parts of the immune system, or can neutralize its target directly (for example, by blocking a part of a microbe that is essential for its invasion and survival). The production of antibodies is the main function of the humoral immune system.
  • 19. Antibodies are secreted by a type of white blood cell called a plasma cell. Antibodies can occur in two physical forms 1. a soluble form that is secreted from the cell, 2. a membrane-bound form that is attached to the surface of a B cell and is referred to as the B cell receptor (BCR). The BCR is only found on the surface of B cells and facilitates the activation of these cells and their subsequent differentiation into either antibody factories called plasma cells or memory B cells that will survive in the body and remember that same antigen so the B cells can respond faster upon future exposure.
  • 21. Mechanism of Actions of Antibodies Antibodies protect the body from invading organisms in two ways (Fig.b): 1. By direct actions 2. Through complement system Direct Actions of Antibodies Antibodies directly inactivate the invading organism by any one of the following methods: i. Agglutination: In this, the foreign bodies like bacteria with antigens on their surfaces are held together in a clump by the antibodies. ii. Precipitation: In this, the soluble antigens like tetanus toxin are converted into insoluble forms and then precipitated. iii. Neutralization: During this, the antibodies cover the toxic sites of antigenic products. iv. Lysis: It is done by the most potent antibodies.These antibodies rupture the cell membrane of the organisms and then destroy them.
  • 22. Complement System  The complement system is a biochemical cascade of the innate immune system that helps clear pathogens from an organism.  It is derived from many small plasma proteins that work together to disrupt the target cell's plasma membrane leading to cytolysis of the cell.  The complement system consists of 9 proteins from c1 to c9,  The complement system is involved in the activities of both innate immunity and acquired immunity.  Two biochemical pathways activate the complement system:  classical complement pathway,  alternate complement pathway,  The classical complement pathway typically requires antibodies for activation and is a specific immune response,  while the alternate pathway can be activated without the presence of antibodies and is considered a non-specific immune response.  A.Classical complement pathway  In this the C1 binds with the antibodies and triggers a series of events. Byproducts formed during these events produce the following activities: 22
  • 23. 1.Opsonization: Activation of neutrophils and macrophages to engulf the bacteria, which are bound with a protein in the plasma called opsonin. ii. Lysis: Destruction of bacteria by rupturing the cell membrane. iii. Chemotaxis: Attraction of leukocytes to the site of antigen-antibody reaction. iv. Agglutination: Clumping of foreign bodies like RBCs or bacteria. v. Neutralization: Covering the toxic sites of antigenic products. vi. Activation of mast cells and basophils, which liberate histamine: Histamine dilates the blood vessels and increases capillary permeability.So, plasma proteins from blood enter the tissues and inactivate the antigenic products. B. Alternate pathway: Activation of Complementary system is due to a protein in circulation called factor I. It binds with polysaccharides present in the cell membrane of the invading organisms.This binding activates C3 and C5, which ultimately attack 23 the antigenic products of invading organism.
  • 24. Fig b.,Mechanism of action of antibodies
  • 25. Functions of Different Antibodies 1. IgA plays a role in localized defense mechanism in external secretions like tear 2. IgD is involved in recognition of the antigen by B lymphocytes 3. IgE is involved in allergic reactions 4. IgG is responsible for complement fixation 5. IgM is also responsible for complement fixation.
  • 26. Dual nature of specific immunity Immunization occurs when an individual naturally or artificially exposed to an antigen and the immune system is activated to produce humoral immunity and cellular immunity. This means that the effectors of specific immunity are found in both the humoral phase of the body fluids(eg.blood serum)and among the white blood cells in the blood and lymphoid organs. These two effectors of immunity are different physically and functionally eg they resist different types of pathogens I. Antibodies(soluble mediators in body fluids)are more effective against pathogen found outside cells II. Immune cells(cellular elements especially T lymphocytes,macrophages and natural killer cells)are more effective against pathogen found inside cells. Thus humoral immunity defends the body primarily against bacteria,bacterial toxins and viruses in body fluids. Cellular immunity defends the host from bacteria and viruses located within infected cells or phagocytic cells as well as from fungi,protozoa and other parasites
  • 27. Humoral immunity or B cell immunity Humoral immunity is defined as the immunity mediated by antibodies, which are secreted by B lymphocytes.B lymphocytes secrete the antibodies into the blood and lymph. The blood and lymph are the body fluids (humours or humors in Latin). Antibodies are produced by B lymphocytes. These antibodies fight against the invading organisms. The humoral immunity is the major defense mechanism against the bacterial infection. The macrophages and other antigen-presenting cells play an important role in the development of humoral immunity Presentation of Antigen Antigen-presenting cells present the antigenic products bound with HLA (which is present in class II MHC molecule) to B cells. This activates the B cells through series of events. Sequence of Events during Activation of B Cells 1. B cell recognizes the antigen displayed on the surface of the antigen-presenting cell, with the help of its own surface receptor protein called B cell receptor. 2. Recognition of the antigen by the B cell initiates a complex interaction between the B cell receptor and the antigen. This reaction activates B cells.
  • 28. 3. At the same time, macrophages (the antigen-presenting cells) release interleukin-1, which facilitates the activation and proliferation of B cells. 4. Activated B cells proliferate and the proliferated cells carry out the further actions. 5.Simultaneously, the antigen bound to class II MHC molecules activates the helper T cells, also resulting in development of cell-mediated immunity. ROLE OF HELPER T CELLS Helper T cells are simultaneously activated by antigen. Activated helper T cells secrete two substances called interleukin-2 and B cell growth factor, which promote: 1. Activation of more number of B lymphocytes. 2. Proliferation of plasma cells. 3. Production of antibodies.
  • 29. Cellular immunity or T cell immunity Cell-mediated immunity is defined as the immunity developed by cell-mediated response. Cellular immunity is the major defense mechanism against infections by viruses, fungi and few bacteria like tubercle bacillus. It is also responsible for delayed allergic reactions and the rejection of transplanted tissues. Cell-mediated immunity is offered by T lymphocytes and it starts developing when T cells come in contact with the antigens. Usually, the invading microbial or non-microbial organisms carry the antigenic materials. These antigenic materials are released from invading organisms and are presented to the helper T cells by antigen-presenting cells . Presentation of Antigen Antigen-presenting cells present their class II MHC molecules together with antigen-bound HLA to the helper T cells. This activates the helper T cells through series of events (Fig.a). Sequence of Events during Activation of Helper T cells 1. Helper T cell recognizes the antigen displayed on the surface of the antigen presenting cell with the help of its own surface receptor protein called T cell receptor. 2. Recognition of the antigen by the helper T cell initiates a complex interaction between the helper T cell receptor and the antigen. This reaction activates helper T cells.
  • 30. 3. At the same time, macrophages (the antigen-presenting cells) release interleukin-1, which facilitates the activation and proliferation of helper T cells. 4. Activated helper T cells proliferate and the proliferated cells enter the circulation for further actions. Fig a., Antigen presentation. The antigen-presenting cells present their class II MHC molecules together with antigen-bound HLA to the helper T cells.
  • 31. Cytotoxic T cells Cytotoxic T cells that are activated by helper T cells,circulate through blood, lymph and lymphatic tissues and destroy the invading organisms by attacking them directly. Mechanism of Action of Cytotoxic T Cells 1. Receptors situated on the outer membrane of cytotoxic T cells bind the antigens or organisms tightly with cytotoxic T cells. 2. Then, the cytotoxic T cells enlarge and release cytotoxic substances like the lysosomal enzymes. 3. These substances destroy the invading organisms. 4. Like this, each cytotoxic T cell can destroy a large number of microorganisms one after another.
  • 32.
  • 33.
  • 34. WBC(leukocytes) in circulating blood Types of leucocyte %age in a normal leukocyte differential account Functions Granulocytes Neutrophils Basophils Eosinophils Agranulocytes Monocytes Lymphocytes 60-70 0.5-1 2-4 3-8 20-25 Phagocytosis Production of heparin and histamine Phagocytosis Phagocytosis Specific immunity
  • 35. Lymphocytes Lymphocytes are competent to initiat an immune respose  A lymphocyte is any of 3 types of white blood cell in a vertebrate's immune system. All 3 are agranulocytes.  Mammalian stem cells differentiate into several kinds of blood cell within the bone marrow. This process is called haematopoiesis.  All lymphocytes originate, during this process, from a common lymphoid progenitor before differentiating into their distinct lymphocyte types.  The formation of lymphocytes is know as lymphopoiesis.  Following maturation,the lymphocytes enter the circulation and peripheral lymphoid organs (e.g. spleen and lymph nodes) where they survey for invading pathogens and/or tumor cells. 35
  • 36. 36
  • 37. Types of Lymphocytes  1. T lymphocytes or T cells, which are responsible for the development of cellular immunity  2. B lymphocytes or B cells, which are responsible for humoral immunity  T cells (thymus cells) and B cells (bursa-derived cells]) are the major cellular components of the adaptive immune response.  Types of B Lymphocytes After processing, the B lymphocytes are transformed into two types:  a. Plasma cells. destroy the foreign organisms by producing the antibodies  b. Memory Bcells. occupy the lymphoid tissues throughout the body. The memory cells are in inactive condition until the body is exposed to the same organism for the second time.During the second exposure,the memory cells are stimulated by the antigen and produce more quantity of potent antibodies at a faster rate than in the first exposure eg immunity to chicken pox after you’ve had it  Storage of B Lymphocytes After transformation, the B lymphocytes are stored in the lymphoid tissues of lymph nodes, spleen, bone marrow and the GI tract.  The function of T cells and B cells is to recognize specific “non-self” antigens, Once they have identified an invader, the cells generate specific responses that are tailored to maximally eliminate specific pathogens or pathogen-infected cells. 37
  • 38. 38 Types of T Lymphocytes  During the processing, T lymphocytes are transformed into four types: 1. Helper T cells or inducer T cells. These cells are also called CD4 cells because of the presence of molecules called CD4 on their surface. Helper T cells (CD4 cells) which enter the circulation activate all the other T cells and B cells  2. Cytotoxic T cells or killer T cells. These cells are also called CD8 cells because of the presence of molecules called CD8 on their surface. Cytotoxic T cells that are activated by helper T cells,circulate through blood, lymph and lymphatic tissues and destroy the invading organisms by attacking them directly.  3.Suppressor T cells are also called regulatory T cells.These T cells suppress the activities of the killer T cells.Thus, the suppressor T cells play an important role in preventing the killer T cells from destroying the body’s own tissues along with invaded organisms. Suppressor cells suppress the activities of helper T cells also.
  • 39.  4.Memory T Cells: the memory cells migrate to various lymphoid tissues throughout the body. When the body is exposed to the same organism for the second time,the memory cells identify the organism and immediately activate the other T cells. So, the invading organism is destroyed very quickly. The response of the T cells is also more powerful this time.  Storage of T Lymphocytes After the transformation, all the types of T lymphocytes leave the thymus and are stored in lymphoid tissues of lymph nodes, spleen, bone marrow and GI tract. 39
  • 40. 3.Natural killer cells  NK cells are a part of the innate immune system and play a major role in defending the host from both tumors and virally infected cells.  NK cells distinguish infected cells and tumors from normal and uninfected cells by recognizing changes of a surface molecule called MHC (major histocompatibility complex) class I.  NK cells are activated in response to a family of cytokines called interferons. Activated NK cells release cytotoxic (cell-killing) granules which then destroy the altered cells.They were named "natural killer cells" because of the initial notion that they do not require prior activation in order to kill cells. 40
  • 41. Major histocompatibility complex  The MHC is a set of cell surface molecules encoded by a large gene family in all vertebrates. MHC molecules mediate interactions of leukocytes, which are immune cells, with other leukocytes or body cells. MHC determines compatibility of donors for organ transplant as well as one's susceptibility to an autoimmune disease via cross reacting immunization.  In humans, MHC is also called human leukocyte antigen (HLA). 41
  • 42. ….. MHC molecules in human beings are divided into two types:  1. Class I MHC molecule: It is found on every cell in human body. It is specifically responsible for presentation of endogenous antigens (antigens produced intracellularly such as viral proteins and tumor antigens) to cytotoxic T cells.  2. Class II MHC molecule: It is found on B cells,macrophages and other antigen-presenting cells. It is responsible for presenting the exogenous antigens(antigens of bacteria or viruses which are engulfed by antigen-presenting cells) to helper T cells. 42  CD8+ = proteins associated with Tc (cytotoxic or killer T cells)  CD4+ = proteins associated with Th (helper T cells)
  • 43. Cytokines  Cytokines are a broad category of small proteins (~5–20 kDa) that are important in cell signaling - they are released by cells and affect the behavior of other cells, and sometimes the releasing cell itself.  Cytokines include chemokines, interferons, interleukins, lymphokines, tumo ur necrosis factor but not hormones or growth factors.  Cytokines are produced by broad range of cells, including immune cells like macrophages, B lymphocytes and T lymphocytes, mast cells, as well as endothelial cells, fibroblasts,  a given cytokine may be produced by more than one type of cell 43
  • 44.  Chemokines (Greek -kinos, movement) are a family of small cytokines, or signaling proteins secreted by cells. Their name is derived from their ability to induce directed chemotaxis in nearby responsive cells; they are chemotactic cytokines. 44
  • 45. 45
  • 46. Vaccine  A vaccine is a biological preparation that improves immunity to a particular disease. A vaccine typically contains an agent that resembles a disease-causing microorganism and is often made from weakened or killed forms of the microbe, its toxins or one of its surface proteins. The agent stimulates the body'simmune system to recognize the agent as foreign, destroy it, and keep a record of it, so that the immune system can more easily recognize and destroy any of these microorganisms that it later encounters. 46