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Immunology
The branch of science that deals with the study of the immune system.
The Body’s Defense system against infections, disease, and abnormal cells
Function of the immune system
White blood cells and Molecules/Substances
Components involved in the immune system
Neutrophils
Eosinophils
Monocytes
Macrophages
Basophils
Dendritic cells
T cells
B cells
What are the WBCs in the immune system
Antibodies
Cytokines
Lymphokines
Organs ( bone marrow, thymus, spleen)
Molecules or substances involved in the immune system
Antigen-Antibody Reaction
Basic principle of immunology
Immune response
The reaction of the body against antigens or foreign substances to react or fight the infection
Antigen
Any substance with the ability to combine or recognized with an antibody
Immunogens
Substances (also an antigen) that is capable of inducing an immune response
Bacteria, Parasites, Viruses, fungi
Examples of foreign substance Antigen
Polen, Dust, Transplanted organs, Inhibitor cancer cells
Examples of Non-infectious Sources of Antigen
Self-antigens
Antigens from our body
Antigenicity / Specific Reactivity
The ability of an antigen to react specifically with the antibodies or cells it provoked.
Immunogenicity
The ability to provoke an immune response by stimulating the production of specific T cells
All Immunogens are antigens but not all antigens are immunogens
General rule in differentiating antigens and immunogens
A
Antigen of type A
B
Antigen of Type B
None
Antigen of Type O
A,B
Antigen of type AB
Anti-B
Antibody of type A
Anti-A
Antibody of type B
Anti-A and Anti-B
Antibody of type O
None
Antibody of type AB
Antigen-Antibody reaction —> immune response —> Hemolytic Anemia
What happens if the antibody and antigen are the same ?
ABO systems
Strong immunogens
Rh Factor
From the Rhesus Monkey
Has D antigen
Epitope
Part of an antigen that reacts specifically with an antibody or T-lymphocyte receptor.
Dictates the shape of the antibody
Antigenic Determinant
Epitope is also known as?
Amino Acids
Building blocks of proteins
Proteins
Can be primary, secondary, tertiary , quarternary structure
Linear Epitope
Conformational Epitope
Types of epitope
Linear Epitope
Sequential amino acids on a single polypeptide chain
Conformational Epitope
Folding of one or more polypeptide chains, bringing together amino acids that may be distant from each other.
Foreignness
Size
Chemical Composition and Complexity
Route, Dosage and Timing
Degradability
Adjuvants
Factors affecting Immunogenicity
Foreignness
The degree to which antigenic determinants are recognized as nonself by an individual’s immune system.
Increased immune response
High foreignness
Weak immune response
Low foreignness
Size
High molecular Wight = high immune response
< 5,000
How many daltons can not trigger antibody production or immune response by?
Potential Antigen
> 10,000 Daltons MW
Good Immunogen
40,000 Daltons (albumin)
Excellent Immunogens
1 million Daltons (hemacyanin)
Proteins
They are effective antigens because they have high MW and structural complexity
most immunogenic
Polysaccharide
Second Immunogenic, too small to function as antigen; rapidly degraded
Lipids
Least immunigenic; low MW and; low stability; relatively simple
Nucleic acid
Building blocks of DNA and RNA; Single-stranded; can become immunogenic; molecular flexibility
Lipoprotein
Only Lipid that is immunogenic because it is combined with protein
Good antigen
If structural stability is stable
Poor antigen
If structural stability is not stable
Complex
_______ proteins are better antigens than large repeating polymers such as lipids, carbohydrates, and Nucleic acids.
Intravenous, intradermal, Subcutaneous, Intramuscular, Oral
Different ways to deliver an antigen
Bacillus Calmette - Guerin (BCG) vaccine
Example of Intradermal
Oral
This route is very convenient but immune response is very weak because of oral tolerance
Oral tolerance
Phenomenon where antigens delivered via the gastrointestinal tract are ignored by the cells of the adaptive immune system.
Histamine
Responsible for allergic reaction
Dosage
Very important when it comes to vaccines,
Response may be partially dependent on the nature of immunigen processing.
should be optimal
Might not provide sufficient stimulus
What happens if optimal dose is too low?
Can lead to excessive inflammation or tolerance
What happens when Optimal Dose is too high?
Dose-Response Relationship
As the dose of antigen increase, the immune response also increases up to certain point.
Timing
can enhance the strength and longevity of the immune response
Primary Immune Response
Initial reaction to Ag + productive of Ab and immune cells = immune response is slow
Secondary Immune response
Re - exposure to the same Ag and is stronger and faster due to memory cells = immune response is Faster
Window of Opportunity
Time when immune response is most effective
Degradability
Refers to the immunogen’s ability to be broken down into smaller fragments that can be recognized and presented by cells of the immune system (APCs)
Defective immune response
Failure of degradability will lead to?
Cherika Higashi Syndrome
Rare genetic disorder where lysosomes are defective
Lysosome
Responsible to produce acids in degrading antigens
Adjuvants
Substances added to vaccines to enhance/boost the body’s immune response to the vaccine antigen.
Important for weak immunogenic antigen
Antigen delivery systems/ immunopotentiators
Adjuvants are also known as ?
Hepatitis B vaccine
Aluminum salts
Oil-in-water emulsions
Micro particles
Examples of an Adjuvant
Amorphous aluminum hydroxyphosphate sulfate
Hepatitis B vaccine is Adjuvated with?
Antigen Presentation
Inflammation and cytokines release
Enhance T cell activation
Memory cell formation
Stimulation of innate immunity
How adjuvants enhance the immune response
Aluminum salts
Most commonly used adjuvants in vaccine
Oil - in - water emulsions
Squalene based produces → promote Ag intake and migration of APCs
Virosome
Is a virus-like microparticles without genetic material.
Hapten
Small molecules that cannot elicit an immune response on its own.
Low MW
Non-protein
Carrier
Large moleculem(usually a protein) that can elicit an immune response.
High MW
Protein
Complete Antigen
capable of stimulating Ab synthesis and can also reacts with antibody
Hapten/ Incomplete Antigen
Cannot by themselves stimulate an immune response but can react with antibody
Autologous Antigen
Known as autoantigen,
Found within the same individual ; not foreign
Insulin
It is an autogène in type 1 diabetes
Sequestered antigen
Autologous antigens that do not usually come in contact with antibody-producing cells since they Aren accessible to anti-body forming tissues
Immune -privileged sites (eyes,testes,Ovaries,CNS)
Examples for sequestered antigen
Tissue Specific Antigen
These are proteins or molecules predominantly expressed in specific tissues or organs of the body.
Thyroglobulin and Myelin Basic Protein
Examples of Tissue specific antigen
Thyroglobulin
Protein produced by thyroid gland.
(E.g. Hashimoto’s thyroiditis & Graves‘s disease)
Myelin Basic Protein
protein found in myelin
sheath that surround the
nerve cells
Multiple sclerosis
Syngeneic Antigen
Found in individuals of an
inbred strain (or between identical twins), who are genetically identical
Same genetic markers
Allogenic / Homologous Antigen
Known as alloantigen. Antigens that are found on the surface of cells from individuals of the same species but with different genetic backgrounds, particularly in the context of MHC.
Organ transplant
Example of alloantigen
Xenogeneic/ Heterologous Antigen
Known as heteroantigen or antigens.
Antigens present in the tissues or cells of a different species that can trigger an immune response if transplanted or introduced into a human
Animal to human, Transplants (Xenotransplantation)
Example of Xenogeneic
Superantigens
They are a special class of microbial proteins (usually toxins) that cause massive, non-specific activation of T-cells, leading to an exaggerated immune response
Staphylococcus aureus - Toxic Shock Syndrome, enterotoxin
Streptococcus pyogenes - exotoxin
Example of Superantigens
Vaccines
An antigen suspension derived from a pathogen.
Routinely administered to healthy individuals to stimulate an immune response to an infectious disease
Immunoprophylaxis
Prevents but does not treat infections
Active and Passive Immunization
Types of vaccines
Active Immunization
Exposure to antigen leads to immunity through creation of antibodies by the recipient
Passive Immunization
Transfer of humoral immunity in the form of antibodies
Active immunization, Natural
person contracted the disease and the immune system creates antibodies naturally