Introduction to the Adaptive Immune System

Clonal Deletion and Selection

  • Discussed as part of the adaptive immune system.

  • Explains how B cells and T cells recognize and destroy specific pathogens, adapting to the environment over time.

Types of T Cells

  1. Cytotoxic T Cells

    • Function: Kill other cells (toxic).

    • Mechanism: Produce toxic agents and chemicals to destroy infected or diseased cells in the organism.

  2. Helper T Cells

    • Function: Stimulate B cells to make antibodies and activate other T cells.

    • Role: Act as signals for both T cells and B cells to respond appropriately during an immune response.

  3. Regulatory T Cells

    • Function: Suppress immune responses to prevent overreaction, which can cause excessive symptoms or harm to the body.

    • Example Symptoms: Fever, body aches, runny nose, and sore throat during sickness are symptoms of an overactive immune system.

Antigen Presentation (Stage Two of Adaptive Immune System)

  • Definition: The process in which an antigen from a digested microbe is presented on the cell surface by an MHC class II molecule.

  • Key Cell Types: The only cells capable of antigen presentation (APCs) via MHC class II molecules include:

    • Dendritic cells

    • Macrophages

    • B cells

Mechanism of Antigen Presentation:

  • APCs (dendritic cells, macrophages, B cells) engulf and destroy microbes, then display a piece of that microbe on their surface.

  • The process of how antigens are chosen is complex and not fully understood.

  • Purpose: To signal to the immune system that an antigen (foreign pathogen) is present and needs to be dealt with.

Activation of Helper T Cells

  • When a helper T cell encounters an antigen presented by an MHC class II molecule, it:

    • Binds to the specific antigen.

    • Becomes activated, proliferates by making clones, and creates a large number of cells that recognize the same antigen.

    • These activated helper T cells then signal and activate other immune components, including cytotoxic T cells and B cells.

Stages Three and Four of T Cells and B Cells

T Cells
  • Helper T Cells: Provide activation signals to other immune cells.

  • Cytotoxic T Cells:

    • Activated by helper T cells.

    • Hunt down and destroy infected cells and pathogens.

  • Regulatory T Cells:

    • Suppress immune response to prevent overactivity and maintain balance.

B Cells:
  • Become activated through interactions with already activated helper T cells (MHC class II interaction).

  • Upon activation, B cells can differentiate into:

    1. Plasma Cells: Produce antibodies specific to the antigen.

    2. Memory Cells: Last long-term to provide immunological memory against previously encountered pathogens.

Importance of B Cell Activation

  • Both B and T cell activation is crucial, as multiple stages are required for the immune system to respond effectively.

  • B cells require helper T cell interaction for activation to ensure that the immune system does not overreact to every antigen.

Antibodies: Definition and Structure

  • Definition: Antibodies (immunoglobulins) are proteins produced by plasma cells in response to an antigen.

  • Structure:

    • Composed of two heavy chains and two light chains arranged in a Y-shape.

    • Contains two types of regions:

      • Variable Regions: Unique and specific to each antibody's target antigen.

      • Constant Regions: Identical in all antibodies of the same type.

    • Each antibody monomer has two antigen-binding sites.

Classes of Antibodies

  • Five primary classes of antibodies (immunoglobulins):

    1. IgG

      • Most prevalent in serum during infection.

      • Main role in secondary immune response.

    2. IgA

      • Found in secretions like saliva, sweat, and breast milk; acts as a first line of defense in mucous membranes.

    3. IgM

      • Largest antibody; first produced during an initial immune response.

    4. IgD

      • Functions as a B cell receptor, aiding B cell activation.

    5. IgE

      • Associated with allergic responses and defense against parasitic infections.

Functions of Antibodies

  1. Opsonization: Antibodies coat pathogens, making them easier targets for phagocytosis (e.g., marking them for destruction).

  2. Neutralization: Antibodies bind to pathogens (particularly viruses), blocking their ability to attach to host cells and cause infection.

  3. Agglutination: Antibodies clump pathogens together to enhance phagocytosis and filtration by the immune system.

  4. Activation of Complement: IgG and IgM can activate the complement system, leading to destruction or lysis of pathogens.

  5. Antitoxin Properties: Antibodies can bind to toxins and neutralize them, preventing harmful effects on host cells.

Immune Response Overview

  • Primary Response: Characterized by a lag phase (latent period) lasting about 10 days before antibodies are produced, mainly IgM initially and later IgG.

  • Secondary Response: Faster and stronger due to memory cells, leading to a quicker and more substantial IgG response upon re-exposure to an antigen.

Conclusions on Immunity

  • Immunity occurs through memory cells generated from either prior infection or vaccination.

  • Vaccination is categorized into natural and artificial immunity:

    1. Natural Active Immunity: Developing immunity from actual infection.

    2. Natural Passive Immunity: Receiving antibodies (e.g., through breast milk).

    3. Artificial Active Immunity: Immunization through vaccines.

    4. Artificial Passive Immunity: Receiving pre-formed antibodies from medications (e.g., monoclonal antibodies).

Vaccination History and Importance

  • First true vaccine developed by Edward Jenner in 1796 against smallpox.

  • Vaccines can be live attenuated, killed (inactivated), or subunit (antigen components).

  • COVID-19 Vaccine: The first mRNA vaccine has proven to be faster, easier, and cheaper to produce than traditional vaccines, showcasing the efficiency of modern medicine.

Vaccine Safety and Monitoring

  • Vaccines undergo rigorous development, approval, and monitoring processes to ensure safety and effectiveness.

  • Concerns regarding vaccine safety may stem from a lack of experience with diseases that vaccines prevent.

  • Ongoing monitoring is crucial to identify any long-term effects post-vaccination, although data shows mRNA vaccines have lower side effects compared to traditional vaccines.