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Overall goal of the adaptive immune system
To respond to foreign microbes that have breached the external and internal innate defense mechanisms.
Four principles of adaptive immunity: Diversity
Able to respond to an almost infinite number of antigens.
Four principles of adaptive immunity: Specificity
Specific to a target antigen.
Four principles of adaptive immunity: Memory
Remembers and recognizes antigens if they enter again.
Four principles of adaptive immunity: Differentiation
Distinguishes 'self' from 'non-self'.
Cell types associated with humoral immunity
B cells and Helper T (TH) cells.
Goals of humoral immunity
Eliminates extracellular antigens and triggers production of specific antibodies.
MHC class I molecules
Present endogenous antigens and are produced by all nucleated cells.
MHC class II molecules
Present exogenous antigens and are produced by antigen-presenting cells like dendritic cells, B cells, and macrophages.
Humoral response if a helper T cell recognizes the antigen presented on the B cell
Activates B lymphocytes to produce antibodies.
Humoral response if a helper T cell doesn’t recognize the antigen presented on the B cell
No activation of B cells; humoral response is not triggered.
Clonal selection theory
Binding to specific antigen 'selects' a B cell for clonal expansion.
Two main parts of an antibody
The Fab fragment (responsible for antigen binding) and the Fc fragment.
IgM
First class produced during primary response, plays a primary role in bloodstream infections.
IgG
Most abundant class in blood and tissue fluids, provides long-term protection, and can cross the placenta.
IgA
Most abundant class produced overall, provides mucosal immunity against toxins and microbes.
IgD
Involved in the development and maturation of antibody response.
IgE
Responsible for allergic reactions.
Viral inhibition outcome of antibodies
Antibodies attach to surfaces of viruses, preventing attachment to host cells.
Agglutination outcome of antibodies
Antibodies bind antigens on cell surfaces, restricting movement of cells.
Precipitation outcome of antibodies
Antibodies cause soluble antigens to precipitate.
Neutralization outcome of antibodies
Antitoxins bind to toxin molecules to neutralize them.
Opsonization outcome of antibodies
Enhances phagocytosis by marking pathogens for destruction.
Complement activation outcome of antibodies
Bound antibodies activate complement, leading to bacterial lysis.
Primary immune response
First encounter with an antigen taking 10-14 days for antibody accumulation; person may get sick.
Secondary immune response
Faster and more effective than primary due to memory B cells, higher antibody numbers, and often prevents illness.
Cell types in cell-mediated immune response
Cytotoxic T cells and Helper T cells.
Goals of cell-mediated immune response
Targets antigens residing within host cells, including tumor and virally infected cells.
Activation process for T cells
TC cells recognize antigens presented on MHC class I molecules and induce apoptosis via cytotoxic mechanisms.
Process of immunization
Induces immunity by producing memory B cells.
Natural active immunity example
Infection; contact with pathogen.
Natural passive immunity example
Antibodies from mother to fetus via placenta or through milk.
Artificial active immunity example
Vaccination using dead or attenuated pathogens.
Artificial passive immunity example
Administration of exogenous antibodies (gamma globulin).
Three goals of vaccination
Production of memory B cells, high antibody titers, and protection of individual and population (herd immunity).
Herd immunity
A significant portion of the population is immune, preventing disease spread.
Requirements for an ideal vaccine
Should be safe, effective, and stable.
Importance of childhood vaccination
Prevents illness and deaths from vaccine-preventable diseases.
Attenuated vaccine
Live, weakened version of an organism that induces a strong immune response.
Inactivated vaccine
Dead version of an organism that elicits immune response without disease.
Composition of toxoid vaccines
Toxins treated to destroy toxicity but retain antigen.
Composition of subunit vaccines
Key protein antigens or antigenic fragments from pathogens.
mRNA vaccine
Uses mRNA to program cells to create viral antigens and mount an immune response.