Ch. 14 p 213-219 Normal Immune Response only

Here’s a detailed yet digestible summary of Chapter 14: Immune Responses and Transplantation while maintaining all key information.


Conceptual Focus Areas

  • Functional Ability – The immune system's ability to protect and function effectively.

  • Immunity – How the body defends itself against disease.

  • Infection – The role of immunity in preventing and combating infections.

  • Inflammation – The immune response to harmful stimuli.

  • Tissue Integrity – How immune function preserves and repairs body tissues.


The Normal Immune Response

Functions of the Immune System

  1. Defense – Identifies and eliminates pathogens and foreign substances.

  2. Homeostasis – Removes damaged or dead cells to maintain balance.

  3. Surveillance – Detects and destroys abnormal or mutated cells.

Antigens

  • Any substance that triggers an immune response.

  • Most antigens are proteins, but carbohydrates, lipoproteins, and nucleic acids can also act as antigens.

  • The body recognizes its own antigens and does not react to them (self-tolerance).


Types of Immunity

Innate Immunity (Natural Immunity)

  • Present at birth and provides the first line of defense.

  • Nonspecific – Can respond quickly to pathogens without prior exposure.

  • Involves neutrophils and monocytes (types of white blood cells).

Acquired Immunity (Developed Immunity)

Divided into active and passive immunity:

Type

Natural

Artificial

Active Immunity

Acquired through infection (e.g., chickenpox, measles)

Acquired through vaccination (e.g., flu shot)

Passive Immunity

Passed from mother to child via placenta or breast milk

Injection of antibodies (e.g., hepatitis B immune globulin)

  • Active Immunity: Long-lasting because the body creates memory cells.

  • Passive Immunity: Immediate but short-term protection (no memory cell production).


Lymphoid Organs & Their Role in Immunity

  1. Primary (Central) Lymphoid OrgansThymus and Bone Marrow

    • Bone marrow: Produces all blood cells, including immune cells (B and T lymphocytes).

    • Thymus: Matures T cells; shrinks with age, reducing immune function.

  2. Peripheral Lymphoid OrgansLymph Nodes, Spleen, Tonsils, Mucosal Tissues

    • Lymph Nodes: Filter pathogens and interact with B and T cells.

    • Spleen: Filters blood for foreign antigens.

    • Mucosal Lymphoid Tissue: Located in the gut, genitals, lungs, and skin; provides localized immune protection.


Cells Involved in the Immune Response

Mononuclear Phagocytes (Monocytes & Macrophages)

  • Capture, process, and present antigens to T and B cells to initiate an immune response.

Lymphocytes (B & T Cells)

  • B cells → Differentiate into plasma cells, which produce antibodies (humoral immunity).

  • T cells → Responsible for cell-mediated immunity, targeting infected and abnormal cells.

Types of T Cells
  • T Cytotoxic (CD8) Cells: Attack virus-infected and cancer cells.

  • T Helper (CD4) Cells: Regulate immune response and activate other immune cells.

  • Memory T Cells: Retain information for a quicker future response.

  • Natural Killer (NK) Cells: Destroy infected and cancerous cells without prior sensitization.

Dendritic Cells
  • Capture antigens and transport them to T cells, playing a role in immune activation.


Immunoglobulins (Antibodies) & Their Roles

Immunoglobulin (Ig)

Function

IgG (76%)

Most abundant; crosses placenta for fetal immunity; strong secondary response.

IgA (15%)

Found in secretions (tears, saliva, breast milk); protects mucosal surfaces.

IgM (8%)

First antibody made in response to an infection; key for blood type reactions.

IgD (1%)

Found on immature B cells; role in B cell activation.

IgE (0.002%)

Causes allergic reactions and defends against parasites.


Humoral vs. Cell-Mediated Immunity

Characteristic

Humoral Immunity

Cell-Mediated Immunity

Main Cells

B cells, plasma cells

T cells, macrophages

Product

Antibodies

Sensitized T cells, cytokines

Protection Against

Bacteria, respiratory & GI pathogens

Viruses, fungi, cancer, transplanted tissues

Examples

Anaphylactic shock, bacterial infections

Graft rejection, tumor destruction, TB

  • Primary Response (First Exposure): Takes 4-8 days to develop; IgM is produced first.

  • Secondary Response (Repeat Exposure): Occurs 1-3 days; faster and stronger due to memory B cells, primarily producing IgG.


Cytokines: Chemical Messengers of the Immune System

Cytokines regulate immune responses and inflammation.

Key Cytokine Groups & Functions

Cytokine Type

Function

Interleukins (ILs)

Stimulate immune cell growth and differentiation.

Interferons (IFNs)

Help fight viral infections and activate immune cells.

Tumor Necrosis Factor (TNF)

Kills tumor cells and promotes inflammation.

Colony-Stimulating Factors (CSFs)

Promote growth of blood cells (e.g., erythropoietin for red blood cells).


Effects of Aging on the Immune System (Immunosenescence)

  • Increased risk of infections and cancer due to declining immune function.

  • Decreased production of antibodies and T cells.

  • Thymus gland shrinks, leading to fewer new T cells.

  • Weaker response to vaccinations.

Age-Related Immune Changes

Autoantibodies (increased risk of autoimmune diseases)
T cell and B cell function
Delayed hypersensitivity response
Response to vaccines


Key Takeaways

  • The immune system has two main responses: humoral (antibody-mediated) and cell-mediated (T cell response).

  • Innate immunity provides general protection, while acquired immunity is specific and long-lasting.

  • Lymphoid organs (bone marrow, thymus, spleen, lymph nodes) play a crucial role in immune cell production and function.

  • Cytokines are chemical messengers that regulate immune responses, inflammation, and cell growth.

  • Aging weakens immune responses, making older adults more prone to infections and cancer.


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