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Pathogens
viruses
Bacteria
Fungi
Protzoa
Helminths
Threats: altered self
cancer cells
infected cells
damaged cells
Threats: foreign non-living matter
Toxins
venoms
Transplants
Levels of protection
1) Anatomic barriers
2) Complement/antimicrobial proteins
3) innate immune cells
4) adaptive immunity
Most external threats are stopped by when?
Anatomic barriers or complement/antimicrobial proteins
Most remaining threats are inhibited by which point?
Innate immune cells or adaptive immunity
Central/primary lymphoid organs
bone marrow
thymus
Peripheral/secondary lympoid organs
Spleen
Lymph nodes
mucosal lymphoid tissues
mucosa
Complement proteins
Whole cocktail of proteins circulating in the plasma
Stick to foreign particles and organisms
When one stickes in changes shape or cleaves
activates the next one
Membrane attack complex
Complement inserts a hole into the bacterial membrane
Causes cell lysis
WBC shared characteristics
Nucleated
Lots of types
Mobile
Chemical communication
Blood is transit, not home
Dramatic variation of WBC
Lifespan: hourse to decades
Size: 7 um to 50 um
Number <1% to >70%
Production 100,000,000,000 per day to 1 per lifetime
Hematopoiesis
creates new blood cells
Macrophage
Tissue resident
First responders
uses phagocytosis and activation of bacterial machanisms, antigen presentation
Neutrophil
Rapid response
NETosis
uses phagocytosis and activation of bacterial mechanisms
Respiratory burst
Increased oxygen consumption
High production of reactive oxygen species (ROS)
ROS kill ingested bacteria
Eosinophil
kills antibody-coated parasites
Basophil
promotion of allergic reponses and augmentation or anti-parasitic immunity
Granulocytes
Basophils
Neutrophil
Eosinophil
Granules contain
enzymes
bleach
reactive oxygen species (ROS)
Mast cells
Release of granules containing histamine and active agents
natural killer cells
releases lytic granules that kill some virus- infected cells; tumor killing
Dendritic cell
Antigen uptake in peripheral sites
Antigen presentation
T cells/T lymphocytes
Kill infected host cells
control immune responses
help activate B cells
B cells/B lymphocytes
Produce antibodies
Antibodies
Bind and neutralize foreign substances
activate complement to destroy targets
Facilitate recognition by phagocytes
Antibody order of function
2) Acts as opsonins
3) Causes antigen clumping and inactivation of bacterial toxins
6) Activates complement
Large numbers of macrophages are found in
the spleen and lymph nodes
Large numbers of dendritic cells are found in
Spleen, lymph nodes, bone marrow, mucosa
Large numbers of neutrophils are found in
bone marrow
Large numbers of lymphocytes are found in
the spleen, lymph nodes, and thymus
Immune cell coordination
1) Bacteria trigger macrophages to release cytokins and chemokines
2) Vasodilation and increase vascular permeability cause redness, heat, and swelling
3) Inflammatory cells migrate into tissue, releasing inflammatory mediators that cause pain
Immune cell trafficking
extravasation= leaving a blood vessel to enter a tissue
Amoenoid motion= movement within a tissue
Chemotaxis= migration toward a chemical signal
Steps of extravasation
Expression of adhesion molecules
Adhesion
Diapedesis
Steps of Amoeboid motion
Pesudopods extend and attach to material
Cell pulls itself forward
Pseudopods detachment and reextend to new spot
Causes inflammation
blood clots stop blood loss, close off wound
increased vascular permeability facilitates protein and cell entry
Activates repair processes
Innate cell characteristics
Genome encoded
Highly conserved
rapid responses (minutes/hours)
Nonspecific
no long-term memory
Constitutive defenses
Physical
Chemical
biological
Innate recognition
Pattern-recognition receptors= recognize molecules that are commonly associated with pathogens
Pathogen-associated molecular patterns
Danger-associated molecular patterns
how long is the innate immune response?
day 0-5 of infection
Cytokine
protein secreted by immune cells
affects the behavior of nearby cells bearing appropriate receptors
Chemokine
Proteins secreted by immune cells
chemoattractants of immune (and non-immune) cells bearing appropriate receptors
types of cytokines
IL-1B
TNF
IL-6
Sickness behavior
Lethargy
cold
Headache
anhedonia
Anorexia
Social isolation
What causes sickness behavior?
cytokines
Pathgoen destruction: 2 types
Neutrophils engulf and kill the microbes to which they bind
Phagosomes fuse with primary and secondary granules. Rac2 induces assembly of a functionl NADPH oxidase in the phagolysosome membrane, leading to generation of O2. Acidification as a result of ion influx releases granule proteases from granule matrix
What happens to neutrophils after they use up their granules?
they die —> major component of pus
Cytokine storm
Uncontrolled cytokine production
Activates repair processes
Outcome of cytokine storm
ARDS
Multi-organ failure
Hyperinflammation syndrome
Death
Shock
Macrophage proinflammatory functions
Leukocyte recriutment
Activation of vascular endothelium
Leukocyte activation
Activation/modulation of adaptive immune system
Macrophage pro-resolution functions
Production of anti-inflammatory factors
Clearance of dead cells
inhibition of leukocyte recruitment
Tissue repair
What from the brain regulates immune response in the body?
Glucocorticoids (Cortisol)
What regulates the immune system from the body to the brain?
IL-1B, TNF, IL-6
Core immune system functions
Recognizes: Identifies threats
Removes: Kills pathogens, clears debris and dead cells
Remembers: Immune memory allows recall of previous encounters
Regulates: prevents itself from going out of control
Adaptive immune chracteristics
Not genome encoded
Slow response (days)
Pathogen-specific
Long lasting memory
Antigen receptors
T cells have T cell receptors (TCRs)
detects intracellular targets
B cells have B cell receptors (BCRs)
Like cell-surface antibdoies
Detects extracellular targets
Antigen
antibody generating substance
Epitope
specific part of the antigen that an antibody recognizes
what do TCRs recognize?
peptides presented by MHC
Major histocompatibility complex proteins
a little hand to hold peptides
displays intracellular proteins (allows virus detection)
MHC class II
displays extracellular proteins
When is diversiy generated?
during T cell, B cell development
Positive selection
T cells only mature is their TCR is able to signal
Negative selection
T cells only mature if they do NOT strongly target self tissues
What kind of T cells mature and leave the thymus?
only useful T cells
When does the adaptive immune response occur?
Day 2-10
What happens to adaptive immune cells during clonal selection?
Some stay and help B cells get activated
Some leave the lymph node to go fight the infection
Some prevent harmful responses
Cytotoxic T cells
Very specific, with little or no collateral damage
Perforin and granzyme are molecules used to kill cells
Antibody functions
Bind and neutralize foreign substances
Activate complement to destroy targets
Facilitate recognition by phagocytes
Where is antibody IgA found?
mucosa
where is antibody IgD found?
Naive B cells
What does antibody IgE do?
attacks helminths and plays a role in allergic reactions
Where is antibody IgG found?
plasma
What does anitbody IgM do?
initial response
Immune memory cells
Long-lived plasma cells in the bone marrow
Memory B cells
Memory T cells in lymphoid organs
Memory T cells in the tissues
Vaccine types
mRNA vaccine
DNA vaccine
Subunit vaccine
Live attenuated vaccine
Inactivated vaccine
Recombinant vector vaccine
Vaccine components
active ingredient/antigen
Adjuvants
stabilizers
Water, salt, buffers
Delivery ingredients
Manufacturing traces
Live attenuated vaccines approach
acutal infection with related but less harmful pathogen
Live attenuated vaccine pros
1 dose= strong immune activation
Multiple or all epitopes present
Activation in relevant tissues
Live attenuated vaccine cons
Storage and transport
can cause disease in susceptible poeple
can revert to disease-causing form
Inactivated vaccine approach
kill the pathogen, then administer
Pros of inactivated vaccine
Stable
Easy to store and transport
Cannot cause disease
Cons of inactivated vaccines
3D pathogen structure maintenance is difficult
Weaker immune response- boosters required
subunit vaccine approach
administer pathogen protein component paired to adjuvant
Subunit vaccine pros
very stable
No containment requirements (harmless if released)
Subunit vaccine cons
needs an adjuvant
Stable but cannot be frozen
Multiple doses required
Toxoid vaccine appraoch
administer pathogen toxin paired to adjuvant
Toxoid vaccine pros
Cheapest of all options
well understood so new vaccines require minimal testing
Toxoid vaccine cons
Needs an adjuvant
stable but cannot be frozen
Injection only
multiple doses required
personal (not community) protection
Conjugate vaccines approach
bacterial sugar attached to carrier protein
Immune system treats the sugar like a protein, generating a strong response
Conjugate vaccine pros
high quality anti-sugar anitbodies
Effective in infants (highest risk population)
Stable storage and shipment)
Conjugate vaccine cons
Many sugars used by different bacteria, and use can change
Multiple doses needed
Difficult to grow and prepare ($$$)
Viral vector vaccine approach
Take surface protein from a harmful pathogen
Engineer a harmless virus to express that surface protein
Pros of viral vector vaccines
1 dose= strong immune activation
Fast redesign
Some are 4 degrees stable
Cons of viral vector vaccines
Immune response also against vector (VSV)
Unstable, unltracold storage
mRNA vaccine approach
Inject with mRNA that encodes target antigen
mRNA vaccine pros
can vaccine against any protein
Easy to modify and update
mRNA vaccine cons
unstable, ultracold storage
herd immunity
indirect protection from an infectious disease that happens when a large percentage of a population becomes immune