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What are adaptive defenses?
Once the inate defenses have been exhausted, the body will start to target specific pathogens
This response is based on exposure
The two pathways of adaptive defenses:
B-Lymphocytes
T-lymphocytes

B-Lymphocytes
Mature in the bone marrow
Cause the humoral response, they attack pathogens located in the body’s fluids; like the blood or the interstitial fluid

T-Lymphocytes
These cells mature in the thymus
T-Helper Cells
Cytotoxic T-Cells
These conduct the cell-mediated response, for when pathogens get into the non-fluid tissues of the body

How do B-cells attach themselves to foreign invaders?
Every B-Cell has around 10,000 membrane-bound antibodies
Each one of those antibodies has a variable region, a region that allows the B-Cell to attach to potential pathogens
Each variable region is unique, giving rise to 10^10 combinations of variable regions
We need this variation because pathogens are constantly mutating, but since we have so many different variable region combinations across so many B-Cells, we are guaranteed to have at least one successful match.

How do we get different kinds of variable regions for each B-Cell?
Through the process of “random shuffling,” slightly different combinations of genes produce totally different and random variable regions, leading to unique B-Cells.
What if this random shuffling leads to a B-Cell that recognizes host cells as targets?
We obliterate it
What happens once a B-Cell attaches to the pathogen?
Secret step
B-Cell activates
B-Cell begins to replicate into one of two things, either a Memory B-Cell or a Plasma Cell

Memory B-Cell
Is identical to the original B-Cell
Has a very long life span
Serves as a memory cell for the immune system so that the immune response against the same pathogen in the future is much faster

Plasma Cell
Serves as an antibody factory, secreting 2000 antibodies every second
These antibodies can then:
Clump viruses, disabling them and making it easier for phagocytes to destroy them (Opsonization)
Neutralize bacteria by just sitting on them, preventing the pathogen from interacting with the body

What is an Antigen Presenting Cell (APC)?
It is a cell that displays pieces of a pathogen to alert and inform other immune cells of a foreign invader by forming a Major Histocompatibility Complex

MHC1
Formed by phagosomes

MHC2
A B-Cell forms plasma cells
Plasma secretes antibodies
An antibody attaches to the pathogen
The B-Cell engulfs the antibody-pathogen complex
B-Cell presents the pathogen
Also when macrophages or dendritic cells present

Cell Mediated Response
Done by T-Cells
Utilized for attacking pathogens that have entered into the cells
T-Helper Cells
Cytotoxic T-Cells
What Does a T-Helper Cell Do?
Forms a T-Cell Receptor (TCR) which recognizes a specific antigen with a specific antibody.
This activates the T-Helper cell, forming:
Memory T-Cells
Effecter T-Cells

Memory T-Cells
Remain in the body for a long time and holds onto that specific TCR, in case the same pathogen attacks again

Effector T-Cells:
Secreted molecules called cytokines:
IFN
TNF
IL2
T+ Replication T-Cells
These cytokines fully activate B-Cells

CD+4
Helps bind t-helper cells to MHC 2

CD+8
Helps bind t-helper cells to MHC 8

What does a Cytotoxic T-Cell do?
Binds to MHC 1 receptors, which are located on all nucleated cells.
Memory T-Cells
More cytotoxic T-Cells
Memory T-Cells
Just forms more T-Cells with the same receptor to remember this particular pathogen

Cytotoxic T-Cells
Release Self Destruction Proteins that make the infected cell kill itself

Where do Lymphocytes originate?
B-Cells in the bone marrow
T-Cells in the thymus
What are the two factors that lymphocytes must have to be considered mature?
They must be immunocompetent, recognizing foreign species.
They must be self tolerant, not recognizing our own tissue as dangerous
Positive Selection Test:
The T-Cells are tested to see if they can recognize MHC and bind to it.
If not, they undergo apoptosis (KILL YO SELF)
Negative Selection Test
The T-Cells are tested to see if they will fail to regonize our antigens
If they recognize our antigens, apoptosis
If they pass the tests?
The naive cells are sent to seed secondary lymphoid tissues
Process of Clonal Selection
Each T-Cell and B-Cell coresponds to a single antigen
They migrate to the lymph node
A dendritic cell arives with a protein on its MH2 receptor, the associated B and T-Cell will be activated
These B and T cells will clone themselves, producing more B and T cells that can respond to infection
“Clone themselves'“ hence clonal selection :P

What is the process of phagocyte mobilization? How do they know where to go?
Macrophage phagocytes a harmful pathogen.
The Macrophage releases cytokines, a chemical messenger.
Endothelial cells express “sticky” proteins
Neutrophils also express “sticky proteins
When neutrophils get close to these endothelial cells, they stick together, guiding neutrophils to the infection.
Neutrophils enter via diapedesis, they consume the bacteria, and die.
Macrophages present the pathogen on MHC 2.
Macrophages travel down the lymphatic vessel, into a lymph node, and activate B-Cells and T-Cells
The B-Cells, T-Cells, and their associated antibodies travel into the blood and towards the site of infection via chemotaxis.

Why does immunological memory matter?
With no knowledge of infection, it can take seven days to form antibodies, and 10 days to reach the peak amount.
With memory, antibodies are produced instantly, only take 5 days to peak, and produce exponentially more antibodies to fight the infection.

Active Humoral Immunity, 2 types:
Artificial
Natural
Artificial Immunity
Cause a low level immune response by exposing the immune system to a “gutted” pathogen (only has receptors)
B-Cells attack the pathogen, form memory B-Cells
u good twin
Natural Immunity
Normal response to infection
U gonna get sick tho
Passive Humoral Immunity
Introduction of already made antibodies
Downside is that B-Cells never form memory B-Cells
You are only protected until the antibodies degrade.
Can be aquired through breast milk
Can be aquired via injection
What abdnormalities do Natural Killer Cells recognize?
Lack of Cells with MHC 1
Antibodies coating a cell
Different surface markers (cancer)