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What is the immune system?
The collection of molecules, cells, and tissues that work together in establishing immunity
What is immunity?
The state or quality of being protected from the invasion of foreign organisms or substances
What are examples of antigens?
Living microorganisms, microbial toxins/byproducts
Pollens, pet dander, chemicals
Aged, damaged, and mutant cells in the host
What are antigens?
Foreign organisms and substances
What are pathogens?
Antigens that can cause disease, typically infectious microorganisms
What are examples of cellular/living pathogens?
Parasites
Protozoa
Fungi
Prokaryote (bacteria)
What are examples of acellular/non-living pathogens?
Viruses
Prions
What are non-microbial antigens?
Antigens that can be recognized by the immune system, but do not cause disease
What are allergens?
Antigens that can cause an allergic reaction in sensitive individuals
What are examples of airborne non-microbial antigens?
Pollen
Dust mites
Pet dander
Mold and mildew
What are examples of skin transmitted non-microbial antigens?
Nickel
Latex
Fragrances
Cleaners
Cosmetics
Plants
What are examples of food transmitted non-microbial antigens?
Tree nuts/peanuts
Milk
Eggs
Soybeans
Fish/shellfish
Wheat
What are examples of medications that are considered non-microbial antigens?
Chemotherapy medicines
Sulfa drugs
Penicillin
NSAIDs
Anticonvulsants
What are the components of innate immunity?
Physical barriers
Secretions
Phagocytosis
Complement pathway
What are the 2 types of physical barriers of the innate immune system?
Strong (hair, skin, nails)
Fragile (mucosal)
What are the mechanical and chemical, barriers of the skin?
Mechanical: epithelial cells joined by tight junctions, longitudinal flow of air or fluid
Chemical: fatty acids, antimicrobial peptides
What are the mechanical and chemical barriers of the gut?
Mechanical: epithelial cells joined by tight junctions, longitudinal flow of air or fluid
Chemical: low pH, antimicrobial enzymes and peptides
What are the mechanical and chemical barriers of the lungs?
Mechanical: epithelial cells joined by tight junctions, movement of mucus by cilia
Chemical: pulmonary surfactant, antimicrobial peptides
What are the mechanical and chemical barriers of the eyes/nose/oral cavity?
Mechanical: epithelial cells joined by tight junctions, tears, nasal cilia
Chemical: antimicrobial enzymes in tears/saliva, antimicrobial peptides
What is the function of secretions?
Traps, washes off, and destroys antigens
Contain lysozymes (enzyme that kills bacteria)
Prevent bacterial colonization and growth
What are examples of secretions?
Tears
Saliva
Sweat
Gastric acid
Other body fluids
What is phagocytosis?
Uptake of pathogens by immune cells
What are the main phagocytes?
Macrophages and neutrophils
What are the 3 functions of complement?
Opsonization
Inflammation
Lysis
What is opsonization in complement?
Tags and glues bacteria to immune cells for easier phagocytosis
What is inflammation in complement?
Induces immune cell recruitment and activation
What is lysis in complement?
Directly kills bacteria by MAC formation
What are the 2 types of adaptive immunity?
Humoral immunity
Cell-mediated immunity
Humoral immunity is mediated by...
Antibodies
What are the components of humoral immunity?
B cells and plasma cells
Antibodies
What are antibodies?
Soluble proteins with specificity
Also known as immunoglobulin
Can detect and neutralize, and help eliminate specific antigens/pathogens
What are the main producers of antibodies?
Plasma cells
What are the components of cell-mediated immunity?
CD8 T cells
CD4 T cells
Antibodies anchor to the surface of __ and become __
B cells
B cell receptors (BCR)
What do B cells differentiate to and when?
After antigen recognition, B cells differentiate into plasma cells
Explain antibody specificity.
An antibody recognizes only its specific antigenic determinant
Antibody paratope is complementary to a specific antigen epitope
What is an epitope?
The specific molecular region on an antigen that is recognized and bound by the immune system (B/T cells, antibodies)
One antigen can have multiple epitopes
What is the function of antibodies?
Can neutralize bacterial toxins before they bind to their receptors on target cells
Opsonization, can coat pathogens and work with complement
What are the 3 receptors found on immune cells that allow for binding?
Antigen receptor
Antibody receptor
Complement receptor
What are the 2 types of T cells?
CD8 T cells
CD4 T cells
How are B and T cells different?
T cells cannot directly recognize pathogens, it must be presented by an MHC molecule
What are the MHC molecules for the 2 types of T cells?
CD8 T cells- MHC class 1
CD4 T cells- MHC class 2
What are alternative names for CD8 T cells?
Cytotoxic T cells (Tc)
Cytotoxic T lymphocytes (CTLs)
What are alternative names for CD4 T cells?
Helper T cells (Th)
What is the function of CD8 T cells?
Kills virus infected cells
What is the function of CD4 T cells?
Help other immune cells through recruitment/activation to clear viruses, bacteria, and parasites
Can produce cytokines
MHC class 1 binds what type of antigens?
Intracellular or endogenous antigens (viral), tumor cells
MHC class 2 binds what type of antigens?
Extracellular or exogenous antigens (bacterial, parasitic)
What are MHC molecules?
Major histocompatibility complexes
Cell surface proteins essential for the immune system to differentiate between self and non-self antigens
Is phagocytosis needed for MHC classes 1 and 2?
Not needed for MHC class 1
Needed for MHC class 2
On what cells is MHC class 1 expressed?
All nucleated cells
On what cells is MHC class 2 expressed?
Antigen-presenting cells such as macrophages, dendritic cells, and B cells
How do B and T cells rely on each other?
B cells present antigen to activate T cells
T cells produce cytokines to further activate B cells
B cells then differentiate into plasma cells
What are cytokines?
Proteins secreted by cells to regulate immune responses
Bind to specific receptors on target cells
Different cell types produce characteristic cytokines
What are examples of cytokines?
TNF (tumor necrosis factor)
IFN (interferon)
IL (interleukin)
What are the main differences between innate and adaptive immunity?
Speed
Antigen specificity
Memory
What are characteristics of innate immunity?
Rapid response within hours, first line of defense
Fixed number of antigen receptors, < 100
Limited number of specificities, only recognize patterns/groups
Constant during the course of response
What are characteristics of adaptive immunity?
Slow response in days to weeks
Variable amount of antigen receptors, > 10^9
Numerous highly selective specificities, recognize antigens individually
Improve during the course of response, has memory
What is special about toll-like receptors?
Don't initiate phagocytosis, initiate activation signaling
Macrophages can be activated and secrete cytokines
What is clonal selection in adaptive immunity?
On infection, lymphocytes with receptors that recognize the pathogen are selected, and proliferation/differentiation of selected lymphocytes occurs
Happens over 1-2 weeks