Overview of immunology as the study of the immune system's response to foreign substances.
Key Topics Covered:
Immunity and immunization
Innate vs adaptive immunity
Cells of the innate and adaptive immune systems
Organs of the immune system
Immunology: Study of host responses to foreign substances with a focus on:
Discrimination between self and non-self
Elimination of non-self components such as infectious agents
Medical consequences of these mechanisms' failure or exaggeration
Antigens: Foreign substances inducing host immune response.
Antibody: Glycoprotein produced by the body that neutralizes and eliminates antigens.
Immunity: Resistance to infection.
Attenuation: Making a pathogen less virulent through methods like heat or chemicals.
Innate Immunity (NI):
Non-specific and immediate response using body’s natural functions.
Responses are identical regardless of the pathogen.
Adaptive Immunity (AI):
Specific responses requiring prior exposure to the pathogen.
Involves lymphocyte activation.
Serology: Study of antigen-antibody reactions in vitro, applying immunologic principles for disease monitoring.
429 BC: Thucydides notes smallpox immunity.
900 A.D.: Chinese variolation using smallpox scabs.
1717: Lady Mary Montagu introduces variolation to Europe.
1798: Edward Jenner's cowpox vaccination for smallpox.
1879: Louis Pasteur’s germ theory discovery and production of attenuated vaccines.
1882: Robert Koch isolates anthrax virus.
1883: Metchnikoff's hypothesis of cellular immunity through phagocytosis.
1890s: Emil von Behring’s humoral immunity studies; masters of agglutination and precipitation techniques.
1903: Almroth Wright links humoral and cellular factors in immunity.
1920: Introduction of vaccines for diphtheria, tetanus, and tuberculosis.
1930: Karl Landsteiner’s discovery of ABO blood types and haptens.
Leukocytes (WBC): Role in innate/adaptive immunity; found in peripheral blood.
Types of WBCs:
Neutrophils
Eosinophils
Basophils
Monocytes
Lymphocytes
50-70% of WBCs.
Functions: First responders and phagocytosis, responding to infection via chemotaxis.
1-3% of circulating WBCs.
Functions: Neutralize basophil and mast cell products; assist against helminths.
<1% of WBCs.
Functions: Induce allergic responses and release histamine.
4-10% of WBCs.
Functions: Phagocytosis and transition into macrophages in tissues.
Various names based on location: Kupffer cells in liver, microglial cells in brain.
20-40% of WBCs; main actors in adaptive immunity.
Subtypes include T cells (cell-mediated immunity), B cells (humoral immunity), and NK cells (innate immunity).
Initiate/regulate immune responses, conducting various immune functions across multiple tissues.
Similar to basophils; role in allergic reactions and antigen presentation.
Most effective antigen-presenting cells, crucial for signaling other immune cells.
Bone Marrow: Main source of hematopoietic stem cells; B cell maturation location.
Thymus: T cell maturation organ; where thymocytes develop.
Lymph Nodes: Filters lymph fluid, generates B cell memory.
Spleen: Largest secondary lymphoid organ; contains red and white pulp.
MALT (Mucosa-associated lymphoid tissue): Non-encapsulated lymphoid tissue in mucosal areas.
Tonsils: Respond to pathogens entering the respiratory and alimentary tracts.
CALT (Cutaneous-associated lymphoid tissue): Immune cells located in skin layers.
Primary: Source of immune cells, maturation of T and B lymphocytes.
Secondary: Filters blood, facilitates interactions among immune cells.
Innate immunity: General resistance to infections.
Adaptive immunity: Specific immune responses, relying on memory and lymphocyte activation.
Origin of all blood cells is from hematopoietic stem cells in the bone marrow.
NK cells respond to infected/cancerous cells without previous exposure.
Primary lymphoid organs: Bone marrow and thymus; Secondary: Spleen, lymph nodes, MALT, CALT.