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Antigen (Ag)
Any molecule that can specifically bind to an antibody or a T cell receptor. Not all antigens stimulate a full immune response.
Immunogen
An antigen that does trigger an adaptive immune response on its own.
All immunogens are antigens, but not all antigens are immunogens.
Epitope
The specific region of an antigen that is recognized by antibodies or T cells.
B cells/antibodies bind external epitopes (linear or conformational).
T cells recognize internal peptide fragments presented by MHC.
Hapten
A small molecule that is antigenic but not immunogenic by itself. Needs to bind to a carrier protein to trigger a response
Host Factors Influencing Antigen Response
Age:
Neonates → weak, immature responses (maternal antibodies help).
Elderly → immune function declines.
Health: Malnutrition, stress, fatigue, or underlying disease = weaker immunity.
Genetics: Inherited differences in BCRs, TCRs, and MHC proteins determine which antigens each person can recognize.
Antigen Factors Influencing Response
Dose:
Small dose → may be cleared by innate immunity.
Moderate dose → adaptive response.
Very high dose → tolerance (no response).
Route of entry:
IV → goes to spleen.
Subcutaneous/intradermal → local lymph nodes.
Oral → mucosa-associated lymphoid tissue (MALT).
Size: Larger molecules (>10 kDa, often >100 kDa) are more immunogenic.
Foreignness: More different from self = stronger response.
Composition/complexity:
Proteins → strongest (many structures).
Carbs → weaker.
Lipids/DNA → poor unless attached to carrier.
Repetitive synthetic molecules → usually no response.
Processability: Must be broken down and presented on MHC to trigger T cells.
Autoantigens
Self-antigens. If immune system reacts → autoimmune disease
Alloantigens
Antigens from another individual of the same species (e.g., organ transplant)
Heteroantigens
Antigens from a different species (e.g., xenotransplant)
Heterophile antigens
Structurally similar antigens found in unrelated species. → Can cause cross-reactive antibody responses. Example: ABO blood group antigens share similarity with bacterial structures
Cytokines (definition and how they act)
Messenger proteins secreted by immune cells
Paracrine (nearby cells), autocrine (same cell), endocrine (long-distance)
Cytokine functions
Activate/inhibit gene transcription.
Direct cell growth, survival, differentiation.
Drive inflammation or anti-inflammation.
Regulate adaptive immunity
Cytokine Traits
Redundancy
Pleiotropy
Synergy
Antagonism
Redundancy
different cytokines, same effect
Pleiotropy
one cytokine, many effects
Synergy
cytokines enhance each other
Antagonism
one cytokine blocks another
Cytokine Networks
Cytokines often act in cascades, creating feedback loops
Innate Cytokines
(early, nonspecific defense)
Innate cytokines can activate adaptive immunity (e.g., IL-12 pushes T cells toward Th1; IL-6 helps Th17 differentiation).
IL-1 (α, β)
TNF-α
IL-6
TGF-β
IFN-α/β
Chemokines (e.g., IL-8)
IL-1 (α, β)
inflammation, fever, acute-phase proteins
TNF-α
inflammation, fever, ↑ vascular permeability; septic shock
IL-6
pro- and anti-inflammatory; stimulates B/T cells, acute-phase proteins
TGF-β
anti-inflammatory; inhibits T cells and macrophages
IFN-α/β
antiviral; activate NK cells; ↑ antigen presentation
Chemokines (e.g., IL-8)
recruit immune cells via chemotaxis
Adaptive Cytokines
helper T cell subsets
Th1
Th2
Th17
Treg (Regulation)
Th1
(cell-mediated immunity): IFN-γ, IL-2 → activate macrophages, NK cells, cytotoxic T cells
Th2
(humoral immunity): IL-4, IL-5, IL-13, IL-10 → stimulate B cells, antibodies, allergy, parasites
Th17
(extracellular defense): IL-17, IL-23 → recruit neutrophils, inflammation, mucosal defense. Dysregulation = autoimmune disease
Greg (Regulation)
IL-10, IL-35 → suppress immune responses, prevent autoimmunity
Chemokines
Specialized cytokines that direct cell movement (chemotaxis).
Recruit white blood cells to infection sites.
Families: CXC, CC, C, CX3C (classified by cysteine motifs).
Example: IL-8 (CXCL8) attracts neutrophils.
Hematopoietic Growth Factors
Cytokines that regulate blood/immune cell production in bone marrow.
IL-7
lymphoid lineage (T & B cells).
IL-3
works with others for multiple cell types
GM-CSF
granulocytes + macrophages.
M-CSF
monocytes/macrophages.
G-CSF
neutrophils
IL-5 (with IL-3, GM-CSF)
eosinophils
Erythropoietin
red blood cells (clinically treats anemia).