Adaptive Immunity

  • Specific Immunity: The Adaptive Line of Defense

    • third line of defense - acquired

      • dual system of

        • B lymphocytes (humoral immunity)

        • T lymphocytes (cell mediated or cellular immunity)

    • uses antigens - molecules that stimulate a response by T and B cells

    • Two features that characterize specific immunity:

      • specificity - antibodies produced, function only against the antigen the antigen that they were produced in response to

      • memory - lymphocytes are programmed to ‘recall’ their first encounter with an antigen and respond rapidly to subsequent encounters


B Cells and T Cells


Antibody Generator

  • antigen (Ag) is a substance that provokes an immune response in specific lymphocytes

  • property of behaving as an antigen is antigenicity

    • foreignness, size (larger), shape (definite shape), and accessibility can all improve antigenicity


Characteristics of Antigens

  • perceived as foreign

  • antigenic determinant, epitope - small molecular group that is recognized by lymphocytes

  • molecules and cells have many antigenic determinants


Antigens


Haptens

  • small foreign molecules that consist only of a determinant group

  • not antigenic unless attached to a larger carrier

  • carrier group contributes to the size of the complex and enhances the orientation of the antigen


Special Categories of Antigens

  • alloantigens - cell surface markers and molecules that occur in some members of the same species but not in others

  • superantigens - potent T cell stimulators; provoke an overwhelming response

  • allergen - antigen that evokes allergic reactions

  • autoantigens - molecules on self tissues for which tolerance is inadequate


Primary and Secondary Immune Response


Development of the Immune Response System

  • cell receptors or markers confer specificity and identify of a cell

    • major functions of receptors are:

      • to perceive and attach to nonself or foreign molecules/cells

      • to promote the recognition of your own (self) molecules/ cells

      • to receive and transmit chemical messages among other cells of the system

      • to aid in cellular development


Major Histocompatibility Complex (MHC)

  • receptors found on all cells except RBCs

  • AKA human leukocyte antigen (HLA)

  • plays a role in recognition of self by the immune system and in rejection of foreign tissue


Functions of MHC

  • class I - markers that display unique characteristics of self molecules and regulation of immune reactions

    • involved in presenting antigen to CD8 T-cells

  • class II - regulatory receptors found in macrophages, dendritic cells, and B cells

    • found only on the above WBC

    • involved in presenting antigen to CD4 T-cells


Lymphocyte Receptors

  • surveillance and recognition is a function of their receptors

  • b- cell receptors - bind free antigens

  • t - cell receptors - bind processed antigens together with the MHC molecules on the cells that present antigens to them


Clonal Selection Theory

  • 500 genes = variety of specific receptors

  • continuous series of divisions and genetic changes that generate millions of different cell types

  • each cell has a particular/unique receptor specificity

  • over 15,000,000 combinations of variable, diversity and joining gene segments are possible!!


The Development of Lymphocytes

  • in the bone marrow, lymphocytic stem cells differentiate into either T or B cells

  • B cells stay in the bone marrow

  • T cells migrate to the thymus

  • both T and B cells migrate to secondary lymphoid tissue


Lymphocyte Development


Clonal Selection


Specific B-Cell Receptor: Immunoglobulin

  • 4 polypeptide chains:

    • 2 identical heavy chains (H)

    • 2 identical light chains (L)

  • Y shaped arrangement - ends of the forks antigen binding sites

  • variable regions and constant regions

  • B- cell receptors are embedded in the membranes of B cells. the variable regions of all of the receptors on a single cell bind the same specific antigen


Antigen-Antibody Binding


Lymphocyte Responses and Antigens

  • B-cell maturation:

    • directed by bone marrow sites that harbor stromal cells, which nurture the lymphocyte stem cells and provide hormonal signals

    • millions of distinct B cells develop and ‘home’ to specific sites in the lymph nodes, spleen, and GALT

    • come into contact with antigens throughout life

    • have immunoglobulin as surface receptors for antigens


B Cell Responses

  • B-cell activation and antibody production

    • B cells process the Ag

    • interact with TH cells

    • stimulated by growth and differentiation factors

    • to enter the cell cycle in preparation for mitosis and clonal expansion

    • divisions give rise to plasma cells that secrete antibodies and memory cells that can react to the same antigen later


B Cell Activation and Differentiation

  • in T cell-dependent activation of B cells, the B cell recognizes and internalizes an antigen and presents it to a helper T cell that is specific to the same antigen

  • the helper T cell interacts with the antigen presented by the B cell, which activates the T cell and stimulates the release of cytokines that then activate the B cell

  • activation of the B cell triggers proliferation and differentiation into B cells and plasma cells


Antibody-Antigen Interactions

  • agglutination - Ab aggregation; cross-linking cells or particles into large clumps

  • complement fixation - activation of the classical complement pathway can result in the specific rupturing of cells and some viruses (IgM best)

  • precipitation - aggregation of particulate antigen

  • opsonization - process of coating microorganisms or other particles with specific antibodies so they are more readily recognized by phagocytes (IgG best)

  • neutralization - abs fills the surface receptors on a virus or the active site on a microbial enzyme to prevent it from attaching

  • activation of mast cells - IgE

  • antibody dependent cell mediated cytotoxicity (ADCC): activate killing by NK cells

  • protection of different sites -

    • mucosal surfaces: IgA

    • crosses placenta: IgG


5 Classes of Immunoglobulins

  • IgG - produced by plasma cells (primary response) and memory cells (secondary), most prevalent, crosses placenta

  • IgA - dimer, secretory, mucous membranes, & breastmilk

  • IgM - five monomers, first class synthesized following Ag encounter, receptor for antigen on B cells

  • IgE - involved in allergic responses and parasitic worm infections

  • IgD - serves as a receptor for antigen on B cells, not secreted

Think of GAMED to remember the classes


Primary and Secondary Response to Antigen

  • primary response - after first exposure to an Ag immune system produces IgM and a gradual increase in Ab titer (concentration of antibodies) with the production of IgG

  • secondary response - after second contact with the same Ag, immune system produces a more rapid, stronger response due to memory cells


Monoclonal Antibodies

  • originate from a single clone and have a single specificity for antigen

  • to make a monoclonal antibody, researchers first have to identify the right antigen to attack

  • used in diagnosis of disease, identification of microbes and therapy


T- Cells

  • i don’t see antigen unless it is presented by antigen presenting cells


T Cell Receptor

  • a T- cell receptor spans the cytoplasmic membrane and projects variable binding regions into the extracellular space to bind processed antigens associated with MHC I or MHC II molecules

  • formed by genetic recombination, with variable and constant regions

  • 2 parallel polypeptide chains

  • small, not secreted


Lymphocyte Responses and Antigens

  • T-cell maturation

    • maturation is directed by the thymus gland and its hormones

    • different classes of T-cell receptors termed CD- cluster of differentiation

      • CD4 and CD8

    • mature T cells migrate to lymphoid organs


T Cells and Cell-Mediated Immunity

  • T Lymphocytes

  • T-cells can directly act against Ag and foreign cells when presented in association with an MHC carrier

  • T cells secrete cytokines that act on other cells and stimulate them to react

  • sensitized T cells proliferate into long-lasting memory T cells


Types of T Cells

  • T helper cells (CD4 or TH) most prevalent type of T cell

    • regulate immune reaction to antigens, including other T and B cells

    • also involved in activating macrophages and increasing phagocytosis

    • differentiate into

      • TH1- activate Tc cells, macrophages, make IFN

      • TH2- activate B cells, IL-4, IL%

      • Th17- recruit innate cells, IL-17

      • Treg- turn down specific responses, 1L10 and TGF

  1. Cytotoxic T cells (CD8 or Tc) destroy foreign or abnormal cells by secreting perforins that lyse cells

  2. natural killer T-cells - lack specificity; circulate through the spleen, blood, and lungs and bind to certain tumor cells and virus-infected cells without the stimulation of antigens, and kill them by the insertion of granules containing perforin


Antigen Processing and Presentation to Lymphocytes

  • antigen presenting cells (APC) - T helper cell

  • APCs modify the antigen; then the Ag is moved to the APC surface and bound to MHC receptor

antigen processing by MHC/HLA molecules T Helper Activation

T Cells and Superantigens

  • superantigens are a form of a virulence factor

  • non-specifically activate CD4 T-cells

  • provoke overwhelming immune responses by large numbers of T cells

    • release of cytokines

    • blood vessel damage

    • toxic shock

    • multiorgan damage


Classifying Immunities

  • active immunity - results when a person is challenged with antigen that stimulates production of antibodies; creates memory, takes time, and is lasting

  • passive immunity - preformed antibodies are donated to an individual; does not create memory, acts immediately, and is short term

  • natural immunity - acquired as part of normal life experiences

  • artificial immunity - acquired through a medical procedure such as vaccine


Artificial Passive Immunity

  • immunotherapy

    • administration of antiserum containing preformed antibodies

    • provides immediate protection

    • protection lasts 2-3 months

    • Antisera have several limitations

      • contain many antibodies not just what you want

      • allergic reactions- serum sickness can occur

      • viral pathogens may be present

      • antibodies degraded relatively quickly


Artificial Active Immunity = Vaccination

  • vacinnation - deliberate exposure of a person to material that is antigenic but not pathogenic

    • principle is to stimulate a primary and secondary amamnestic response to prepare the immune system for future exposure to a wild virulent pathogen

    • response to a future exposure will be immediate, powerful, and sustained


Vaccine Types

  1. Live, attenuated cells or viruses

  2. killed whole cells or inactivated viruses

  3. subunit-antigenic molecules derived from bacterial cells or viruses

  4. toxoid vaccines

  5. conjugate vaccines


Killed of Inactivated Vaccines

  • treat strain with some agent that kills the pathogen but does not destroy its antigenicity

  • often need larger dose and more boosters


Live Attenuated Cells or Viruses

  • uses pathogens with reduced virulence

  • elicits strong immune because it is live

  • typically long lasting immunity

  • can provide contact immunity - the attenuated virus is shed and others may come into contact with it

  • usually require fewer doses and boosters

  • limitations

    • mild infections possible

    • require special storage

    • can be transmitted to other people

    • can conceivably mutate back to virulent stain


Antigenic Molecules

  • acellular or subcellular vaccines (subunit- if a virus)

  • exact antigenic determinants can be used when known:

    • capsules- pneumococcus, meningococcus

    • surface protein- anthrax, hepatitis B

    • exotoxins (toxoid)- diphtheria, tetanus


Toxoid Vaccines

  • contain inactivated bacterial toxins, called toxoids

  • prevent diseases in which bacterial toxins play an important role in pathogenesis

  • limitations

    • protective against toxin but not bacterial infection

    • may need boosters


Conjugate Vaccines

  • type of subunit vaccine that consists of a protein conjugated to a capsule polysaccharide

  • developed to enhance the efficacy of subunit vaccines against pathogens that have protective polysaccharide capsules that help them evade phagocytosis

  • limitations:

    • children under the age of 2 years do not respond effectively to these vaccines

    • costly to produce

    • no protection against antigenic variation


Genetically Engineered Vaccines

  • insert genes for pathogen’s antigen into plasmid vector, and clone them in an appropriate host cell

    • stimulated the clone host cell to synthesize and secrete a protein product (antigen), harvest and purify and protein- hepatitis


Route of Administration and Side Effects

  • most administered by injection; few oral, nasal

  • some vaccines require adjuvant to enhance immunogenicity and prolong retention of antigen

  • stringent requirements for development of vaccines

More benefit than risk


Herd Immunity

  • immune individuals will not harbor it, reducing the occurrence of pathogens- herd immunity

  • less likely that a non-immunized person will encounter the pathogen


Summary

  • third line of defense- specific and acquired through life

    • involves B and T cells

    • makes memory so you remember past infections

  • B cells - made and mature in bone marrow

    • produce antibodies which bind to specific antigens

    • primary response and secondary response to infection and antibody production


Summary

  • t cells - made in bone marrow and mature in the thymus

    • 2 specific types of cells

    • helper T cells - recruits help

    • cytotoxic T cells - kills infected cells

    • immunity

    • active and passive

    • natural and artificial

    • vaccines- provide an artificial way to be exposed to infections but not get sick

    • B and T cells make memory to vaccines