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Immunology (PHRD-309)
                         First Lecture
                    Jan 18th, Wednesday
                         Overview

Insong James Lee, Ph.D.
Office: Bunting Hall, room 206
Office hours: Tuesdays and Wednesdays, 1-3:00 PM
   , Fridays, 10:00 AM to 1:00 PM
Office tel: 410-532-5042
E-mail: ilee@ndm.edu
Department of Pharmaceutical Sciences
School of Pharmacy
Notre Dame of Maryland University
Baltimore, MD
Have you previously taken a college or
   higher level Immunology class?

                        50%   50%
    1. Yes
    2. No




                        s




                              No
                       Ye
Was immunology a significant
 component (>10%) of your
    microbiology class?

                   50%   50%
1. Yes
2. No



                   s




                         No
                  Ye
How many of you have read chapt 1 of
The immune system by Peter Parham?

                       50%   50%
    1. Yes
    2. No



                       s




                             No
                      Ye
What is Immunology?

Websters New Collegiate Dictionary:
A science that deals with the phenomena and causes of
immunity. Immunity: the quality or state of being immune.
Immune: having a high degree of resistance (Latin;
Immunitas; freedom from).

Peter Parham, Ph.D.:
Is the study of the physiological mechanisms that humans
and animals use to defend their bodies from invasion by
other organisms.
You need to know Immunology in order to:

understand:

• How our bodies protect against infectious agents.
• Pathophysiological processes of immunological
  related diseases.
• Drug targets.
• Mechanism of drug action.
• To better assess the efficacy of new therapies and
  products.
• To find ways to improve the function of your and
  your patients’ immune system for healthier lives.
Course Description:

This course is an introduction to the organization, function and
regulation of the immune system including the basic properties
of humoral and cell-mediated immune responses, antigen and
antibody structure and function, effector
mechanisms, complement, major histocompatibility
complexes, and cytotoxic responses. The role of these basic
immunology principles in immuno-deficiencies, auto-immune
disorders, hypersensitivity reactions, immunity issues
associated with transplantation, cancer and antibody based
drug therapy will also be covered. Three hours of lecture per
week.



Required Textbook: The immune
system, Peter Parham. Third edition,
Garland Sciences
Learning Outcomes:

Apply knowledge of biomedical and pharmaceutical sciences
and evolving scientific technologies to make medication
therapy decisions and improve patient outcomes.

1.1 Integrate and apply knowledge of the biomedical sciences
(anatomy, physiology, biochemistry, immunology, pharmacolog
y) to make medication therapy decisions and improve patient
outcomes.

1.3 Use knowledge of evolving scientific technologies to make
medication therapy decisions and improve patient outcomes.

1.4 Communicate with patients, caregivers, health care
professionals, and the lay public about biomedical and
pharmaceutical concepts using appropriate scientific terms.
Learning Strategies/methodologies:
This class will involve self-directed learning and peer to
  peer learning as well as guided learning (from
  professor).
• Students are expected to “preview” and/or read all
  reading assignments prior to class. Must learn to read
  scientific literature!
• The reading material and directed reading questions will be
  discussed in class with participation expected of every
  student.
• Active learning exercises will be provided at the end of
  certain lectures in the form of problem to reinforce the
  learning of information and concepts discussed in class.
  Students are encouraged to work on the problems and see
  Dr Lee during office hrs if they have problems with the
  learning exercises.
Reading science literature, including textbooks:


Before you start reading, “preview” first!!!

What is preview?

It is the act of finding the FRAMEWORK of a given learning
    event (lecture notes or a textbook reading assignment)
    before engaging in that learning event (attending lecture
    or reading textbook).

This should not be achieved linearly (reading from
  beginning to end in one pass) and it should be time
  sensitive (about 15 minutes long).
This is constructivist learning: by building the framework
  first, you will augment attention, retention, connectivity
  and engagement.

For significant learning, we need to revisit ideas, ponder
  them, try them out, play with them and use them. This
  cannot happen just by reading or memorizing.

If you reflect on anything you have learned, you soon
   realize that it is the product of repeated exposure
   and thought. Moments of insight can be traced back to
 longer periods of preparation.
Preview is not about the details.
Therefore, for this course, the quizzes
will only cover material already
discussed in class.

However, everyone will be required to
hand in previews for the next three
lectures
Biochemistry and Immunology are subjects that constantly
builds upon prior knowledge. Without an understanding of
previous ideas, new material are harder to understand and
making connections become more difficult.


The more connections you make to prior knowledge, the more
connections you make to your own life, and the more
connections you make to things you have learned in other
classes, the better you will learn, enjoy, and remember the
material.


This is the key not only to getting a higher grade, but to
becoming a better pharmacist and more well rounded human
being.
Effective Study Habits
• Professional school! Need to spend significant
  time on class preparation and studying
  (approximately 10 hrs/week). Quiet space, (50-
  10 rule for 3 hrs).
• Maturity and discipline (limit distractions
  including: cell
  phone, facebook, texting, tweeting, etc)
• Employment: (<15 hrs per week).
• Delayed gratification!
Student Assessment Techniques:

4 midterm exams (17% each) and 1 comprehensive final (22%):
   total of 90% of grade.
Quizzes and preview hand-ins: 10% of grade.
Students are expected to self-assess using the problem sets
   handed out at the end of classes.

Final Course Grade Scale
93 - 100 = A
87 - 92 = B+
80 - 86 = B
75 - 79 = C+
70 - 74 = C
60 - 69 = D
< 59     =F
Classroom etiquette:

Students will be expected to use:

• A respectful tone of voice and appropriate
       content during verbal communication.
•Appropriate behavior in the class. Everyone has a
       right to be heard and should be able to
       express constructive comments without
       ridicule.
• No eating in the classroom.
Notre Dame of Maryland University
          distinctives:

 Challenge women and men:
 • To strive for intellectual and professional
       excellence.
 • To build inclusive communities.
 • To engage in service to others.
 • To promote social responsibility.


“The capacity to care is the thing that gives life its deepest
                 meaning and significance”
                         Pablo Casals
http://www.youtube.com/watch?
         v=9fxiWx0etvs
Course outline
Innate immunity (not intrinsically affected by prior
    contact with the infectious agent)
•   Anatomy & antimicrobial peptides
•   Complement
•   Cells of the immune system
•   TLR receptors & NFkB
•   Cytokines
•   Inflammation



Adaptive immunity (modified by previous exposure to
    Infectious agent)
•   Antibodies and Immunoglobulin Genes
•   Generation of B cell diversity
•   Antigen recognition by T lymphocytes
•   MHC-I&II
•   Development of B and T lymphocytes
•   T cell mediated immunity
•   Immunity mediated by B cells and antibodies
Clinical immunology

•   The body’s defenses against infection
•   Failures of the body’s defenses
•   HIV and AIDS
•   Hypersensitivity
•   Disruption of healthy tissue by the immune response
•   Cancer-immunological component
•   Immunological techniques
•   Vaccines/vaccine development
•   Transplantation of tissues/organs
•   Gut flora/mind-immune function
Immunology (PHRD-309)

         First lecture: Innate immunity
      -anatomy and antimicrobial peptides


Insong James Lee, Ph.D.
Office: Doyle Building, room 148
Office hours: Tuesdays and Thursdays, 3:00 PM
   to 4:00 PM, Fridays, 12:00 to 2:00 PM
Office tel: 410-532-5042
E-mail: ilee@ndm.edu
Department of Pharmaceutical Sciences
School of Pharmacy
College of Notre Dame of Maryland
Baltimore, MD
First lecture: Innate immunity
    -anatomy and antimicrobial peptides


Learning objectives:

• Differentiate between innate and acquired
       immunity.
• Be able to describe the four major class of
       infectious agents.
• Demonstrate the anatomical and biochemical
       (antimicrobial peptides) aspects of innate
       immunity.

 Corresponding pgs of Peter Parham’s, The immune
 system, Chapt 1, Pgs 1-26 and Chapt 2 43-44.
The importance of our immune system
David Vetter
SCIDs:
Severe Combined Immunodeficiency.
Characterized by a severe defect in
both the T- & B-lymphocyte systems.
World wide deaths from infectious disease
            in the year 2000




  Estimate by the World Health Organization

  http://www.who.int/topics/infectious_diseases/en/
Human Immunodeficiency                                        Staphylococcus aureus
      Virus (HIV)                  Influenza virus         (colonizes skin-causes acne)




  Streptococcus pyogenes          Salmonella enteritidis   Mycobacterium tuberculosis
(tonsillitis and scarlet fever)     (food poisoning)             (tuberculosis)
Listeria monocytogenes      Pneumocystis carinii       Epidermophyton floccosum
       (listeriosis)       (opportunistic fungus)             (ringworm)




   Candida Albicans          Trypanosoma brucei         Schistosoma mansoni
       (thrush)          (African sleeping sickness)      (Schistosomiasis)
Relative sizes of infectious agents




Schistosoma mansoni




                                             Salmonella enteritidis


                 (1mM)
Trypanosoma brucei


                (0.1mM)


                                                 Influenza virus
The immune system can be thought of
  as being comprised of two parts:


Innate immunity: the body’s immediate immune
response to foreign invaders that is not dependent on
prior exposure to the same invader.

Adaptive immunity: the response of antigen-
specific B and T lymphocytes to antigen, including the
development of immunological memory (which takes
time to build).
Differences between innate and
       adaptive immunity
First line of defense: skin
Strong barriers to
infection, ie, hair, nails
and skin: Blue

Mucosal membrane: Red
Schematic diagram of cross section
             of skin
Epithelial cell junctions
     Apical compartment




         Basolateral
        compartment
glandular epithelia
Glycocalyx and mucous layers
Mucus
   The viscoelastic, polymer-like properties of mucus are
derived from the major gel-forming glycoprotein components
                       called mucins.

Mucins consist of a peptide backbone containing alternating
 glycosylated and nonglycosylated domains, with O-linked
 glycosylated regions comprising 70–80% of the polymer.

 N-Acetylglucosamine, N-acetylgalactosamine, fucose, and
    galactose are the 4 primary mucin oligosaccharides
Mucin genes

          Major                    Respiratory Tract
Gene      Tissue localization         Expression

MUC 1      all secretory epithelial cells   +
          (carcinomas)
MUC 2     small intestine, colon            +
MUC 3     small intestine
MUC 4     airways, colon                    +
MUC 5AC   airways, stomach                  +
MUC 5B    airways, submaxillary glands      +
MUC 6     stomach, ileum, gall bladder
MUC 7     sublingual and submax. glands     +
MUC 8     airways                           +
MUC 9     oviduct
MUC 11    colon
MUC 12    colon
MUC 13    colon, airway                     +
Guaifenesin: (3-(2-methoxyphenoxy)propane-1,2-diol)
 Similar medicines derived from the guaiac tree were in use as
a generic remedy by Native Americans when explorers reached
                 North America in the 1500s.

      Guaifenesin may act as an irritant to gastric vagal
 receptors, and recruit efferent parasympathetic reflexes that
cause glandular exocytosis of a less viscous mucus mixture.
    Cough may be provoked. This combination may flush
tenacious, congealed mucopurulent material from obstructed
    small airways and lead to a temporary improvement in
              dyspnea or the work of breathing.

                                 C10H14O4
Lysozyme:

Known to facilitate the hydrolysis of a
β-1-4-glycosidic bond between N-
acetylglucosamine and N-
acetylmuramic acid in bacterial cell
walls
Human defensin proteins
Antibiotic mechanism of defensins
First lecture: Innate immunity
   -anatomy and antimicrobial peptides

Summary:

•There is a myriad of infectious agents that can
      harm human beings (pathogens).

•The innate immune response provides the first
       line of defense but does not improve with
       repeated exposure to infection.

• The innate immune system is partly comprised
       of the secretion of mucus, antimicrobial
       peptides and others.

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01 phrd 309-immunology-first_class-1-18-12

  • 1. Immunology (PHRD-309) First Lecture Jan 18th, Wednesday Overview Insong James Lee, Ph.D. Office: Bunting Hall, room 206 Office hours: Tuesdays and Wednesdays, 1-3:00 PM , Fridays, 10:00 AM to 1:00 PM Office tel: 410-532-5042 E-mail: ilee@ndm.edu Department of Pharmaceutical Sciences School of Pharmacy Notre Dame of Maryland University Baltimore, MD
  • 2. Have you previously taken a college or higher level Immunology class? 50% 50% 1. Yes 2. No s No Ye
  • 3. Was immunology a significant component (>10%) of your microbiology class? 50% 50% 1. Yes 2. No s No Ye
  • 4. How many of you have read chapt 1 of The immune system by Peter Parham? 50% 50% 1. Yes 2. No s No Ye
  • 5. What is Immunology? Websters New Collegiate Dictionary: A science that deals with the phenomena and causes of immunity. Immunity: the quality or state of being immune. Immune: having a high degree of resistance (Latin; Immunitas; freedom from). Peter Parham, Ph.D.: Is the study of the physiological mechanisms that humans and animals use to defend their bodies from invasion by other organisms.
  • 6. You need to know Immunology in order to: understand: • How our bodies protect against infectious agents. • Pathophysiological processes of immunological related diseases. • Drug targets. • Mechanism of drug action. • To better assess the efficacy of new therapies and products. • To find ways to improve the function of your and your patients’ immune system for healthier lives.
  • 7. Course Description: This course is an introduction to the organization, function and regulation of the immune system including the basic properties of humoral and cell-mediated immune responses, antigen and antibody structure and function, effector mechanisms, complement, major histocompatibility complexes, and cytotoxic responses. The role of these basic immunology principles in immuno-deficiencies, auto-immune disorders, hypersensitivity reactions, immunity issues associated with transplantation, cancer and antibody based drug therapy will also be covered. Three hours of lecture per week. Required Textbook: The immune system, Peter Parham. Third edition, Garland Sciences
  • 8. Learning Outcomes: Apply knowledge of biomedical and pharmaceutical sciences and evolving scientific technologies to make medication therapy decisions and improve patient outcomes. 1.1 Integrate and apply knowledge of the biomedical sciences (anatomy, physiology, biochemistry, immunology, pharmacolog y) to make medication therapy decisions and improve patient outcomes. 1.3 Use knowledge of evolving scientific technologies to make medication therapy decisions and improve patient outcomes. 1.4 Communicate with patients, caregivers, health care professionals, and the lay public about biomedical and pharmaceutical concepts using appropriate scientific terms.
  • 9. Learning Strategies/methodologies: This class will involve self-directed learning and peer to peer learning as well as guided learning (from professor). • Students are expected to “preview” and/or read all reading assignments prior to class. Must learn to read scientific literature! • The reading material and directed reading questions will be discussed in class with participation expected of every student. • Active learning exercises will be provided at the end of certain lectures in the form of problem to reinforce the learning of information and concepts discussed in class. Students are encouraged to work on the problems and see Dr Lee during office hrs if they have problems with the learning exercises.
  • 10. Reading science literature, including textbooks: Before you start reading, “preview” first!!! What is preview? It is the act of finding the FRAMEWORK of a given learning event (lecture notes or a textbook reading assignment) before engaging in that learning event (attending lecture or reading textbook). This should not be achieved linearly (reading from beginning to end in one pass) and it should be time sensitive (about 15 minutes long).
  • 11. This is constructivist learning: by building the framework first, you will augment attention, retention, connectivity and engagement. For significant learning, we need to revisit ideas, ponder them, try them out, play with them and use them. This cannot happen just by reading or memorizing. If you reflect on anything you have learned, you soon realize that it is the product of repeated exposure and thought. Moments of insight can be traced back to longer periods of preparation.
  • 12. Preview is not about the details. Therefore, for this course, the quizzes will only cover material already discussed in class. However, everyone will be required to hand in previews for the next three lectures
  • 13. Biochemistry and Immunology are subjects that constantly builds upon prior knowledge. Without an understanding of previous ideas, new material are harder to understand and making connections become more difficult. The more connections you make to prior knowledge, the more connections you make to your own life, and the more connections you make to things you have learned in other classes, the better you will learn, enjoy, and remember the material. This is the key not only to getting a higher grade, but to becoming a better pharmacist and more well rounded human being.
  • 14. Effective Study Habits • Professional school! Need to spend significant time on class preparation and studying (approximately 10 hrs/week). Quiet space, (50- 10 rule for 3 hrs). • Maturity and discipline (limit distractions including: cell phone, facebook, texting, tweeting, etc) • Employment: (<15 hrs per week). • Delayed gratification!
  • 15. Student Assessment Techniques: 4 midterm exams (17% each) and 1 comprehensive final (22%): total of 90% of grade. Quizzes and preview hand-ins: 10% of grade. Students are expected to self-assess using the problem sets handed out at the end of classes. Final Course Grade Scale 93 - 100 = A 87 - 92 = B+ 80 - 86 = B 75 - 79 = C+ 70 - 74 = C 60 - 69 = D < 59 =F
  • 16. Classroom etiquette: Students will be expected to use: • A respectful tone of voice and appropriate content during verbal communication. •Appropriate behavior in the class. Everyone has a right to be heard and should be able to express constructive comments without ridicule. • No eating in the classroom.
  • 17. Notre Dame of Maryland University distinctives: Challenge women and men: • To strive for intellectual and professional excellence. • To build inclusive communities. • To engage in service to others. • To promote social responsibility. “The capacity to care is the thing that gives life its deepest meaning and significance” Pablo Casals
  • 20. Innate immunity (not intrinsically affected by prior contact with the infectious agent) • Anatomy & antimicrobial peptides • Complement • Cells of the immune system • TLR receptors & NFkB • Cytokines • Inflammation Adaptive immunity (modified by previous exposure to Infectious agent) • Antibodies and Immunoglobulin Genes • Generation of B cell diversity • Antigen recognition by T lymphocytes • MHC-I&II • Development of B and T lymphocytes • T cell mediated immunity • Immunity mediated by B cells and antibodies
  • 21. Clinical immunology • The body’s defenses against infection • Failures of the body’s defenses • HIV and AIDS • Hypersensitivity • Disruption of healthy tissue by the immune response • Cancer-immunological component • Immunological techniques • Vaccines/vaccine development • Transplantation of tissues/organs • Gut flora/mind-immune function
  • 22. Immunology (PHRD-309) First lecture: Innate immunity -anatomy and antimicrobial peptides Insong James Lee, Ph.D. Office: Doyle Building, room 148 Office hours: Tuesdays and Thursdays, 3:00 PM to 4:00 PM, Fridays, 12:00 to 2:00 PM Office tel: 410-532-5042 E-mail: ilee@ndm.edu Department of Pharmaceutical Sciences School of Pharmacy College of Notre Dame of Maryland Baltimore, MD
  • 23. First lecture: Innate immunity -anatomy and antimicrobial peptides Learning objectives: • Differentiate between innate and acquired immunity. • Be able to describe the four major class of infectious agents. • Demonstrate the anatomical and biochemical (antimicrobial peptides) aspects of innate immunity. Corresponding pgs of Peter Parham’s, The immune system, Chapt 1, Pgs 1-26 and Chapt 2 43-44.
  • 24. The importance of our immune system David Vetter SCIDs: Severe Combined Immunodeficiency. Characterized by a severe defect in both the T- & B-lymphocyte systems.
  • 25. World wide deaths from infectious disease in the year 2000 Estimate by the World Health Organization http://www.who.int/topics/infectious_diseases/en/
  • 26. Human Immunodeficiency Staphylococcus aureus Virus (HIV) Influenza virus (colonizes skin-causes acne) Streptococcus pyogenes Salmonella enteritidis Mycobacterium tuberculosis (tonsillitis and scarlet fever) (food poisoning) (tuberculosis)
  • 27. Listeria monocytogenes Pneumocystis carinii Epidermophyton floccosum (listeriosis) (opportunistic fungus) (ringworm) Candida Albicans Trypanosoma brucei Schistosoma mansoni (thrush) (African sleeping sickness) (Schistosomiasis)
  • 28.
  • 29.
  • 30.
  • 31. Relative sizes of infectious agents Schistosoma mansoni Salmonella enteritidis (1mM) Trypanosoma brucei (0.1mM) Influenza virus
  • 32.
  • 33. The immune system can be thought of as being comprised of two parts: Innate immunity: the body’s immediate immune response to foreign invaders that is not dependent on prior exposure to the same invader. Adaptive immunity: the response of antigen- specific B and T lymphocytes to antigen, including the development of immunological memory (which takes time to build).
  • 34. Differences between innate and adaptive immunity
  • 35.
  • 36. First line of defense: skin
  • 37. Strong barriers to infection, ie, hair, nails and skin: Blue Mucosal membrane: Red
  • 38. Schematic diagram of cross section of skin
  • 39. Epithelial cell junctions Apical compartment Basolateral compartment
  • 42. Mucus The viscoelastic, polymer-like properties of mucus are derived from the major gel-forming glycoprotein components called mucins. Mucins consist of a peptide backbone containing alternating glycosylated and nonglycosylated domains, with O-linked glycosylated regions comprising 70–80% of the polymer. N-Acetylglucosamine, N-acetylgalactosamine, fucose, and galactose are the 4 primary mucin oligosaccharides
  • 43. Mucin genes Major Respiratory Tract Gene Tissue localization Expression MUC 1 all secretory epithelial cells + (carcinomas) MUC 2 small intestine, colon + MUC 3 small intestine MUC 4 airways, colon + MUC 5AC airways, stomach + MUC 5B airways, submaxillary glands + MUC 6 stomach, ileum, gall bladder MUC 7 sublingual and submax. glands + MUC 8 airways + MUC 9 oviduct MUC 11 colon MUC 12 colon MUC 13 colon, airway +
  • 44. Guaifenesin: (3-(2-methoxyphenoxy)propane-1,2-diol) Similar medicines derived from the guaiac tree were in use as a generic remedy by Native Americans when explorers reached North America in the 1500s. Guaifenesin may act as an irritant to gastric vagal receptors, and recruit efferent parasympathetic reflexes that cause glandular exocytosis of a less viscous mucus mixture. Cough may be provoked. This combination may flush tenacious, congealed mucopurulent material from obstructed small airways and lead to a temporary improvement in dyspnea or the work of breathing. C10H14O4
  • 45. Lysozyme: Known to facilitate the hydrolysis of a β-1-4-glycosidic bond between N- acetylglucosamine and N- acetylmuramic acid in bacterial cell walls
  • 47.
  • 48.
  • 50. First lecture: Innate immunity -anatomy and antimicrobial peptides Summary: •There is a myriad of infectious agents that can harm human beings (pathogens). •The innate immune response provides the first line of defense but does not improve with repeated exposure to infection. • The innate immune system is partly comprised of the secretion of mucus, antimicrobial peptides and others.

Editor's Notes

  1. Students have developed science reading skills to some level as undergraduates so want to refresh them and also develop their skills further.
  2. Students have developed science reading skills to some level as undergraduates so want to refresh them and also develop their skills further.