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Immunology and Serology
Immunology: The study of all aspects of the immune
system including its structure and function, disorders of the
immune system, blood banking, immunization and organ
transplantation.
History of immunology:
In the year 1798 Edward Jenner discovered the small
pox vaccine by using the cow pox material and injected
into healthy individual. The term vaccination was coined
in honor of the work Edward Jenner hence in Latin
“Vacca” means cow.
In the 19th century French scientist Louis Pasteur
discovered the vaccine of anthrax, rabies & fowl
cholera.(ARF)
Elie Metehnikoff (1883), he was a Russian Zoologist.
He discovered the process of phagocytosis by
experiment on star fish.
Von Behrins and Kitasato (1890) they developed the
toxoids of diphtheria and tetanus.
Paul Ehrlich(1897)-he discovered side-chain receptor
of antibody synthesis.
Karl Landgeiner(1900)-Blood group ,Ag and their
crossespond
Immunity: “Free from burden”. Ability of
an organism to recognize and defend itself
against specific pathogens or antigens.
Immune Response: Third line of defense.
Involves production of antibodies and
generation of specialized lymphocytes
against specific antigens.
Antigen: Molecules from a pathogen or
foreign organism that provoke a specific
immune response.
The Immune System is the Third Line
of Defense Against Infection
Immunity: Immunity is the ability of an organism to recognize and defend itself
against agents that are “foreign” to it. In other word immunity means body
defense against the pathogens.
Types of immunity:
Broadly there are two types of immunity-
1. Non specific immunity
2. Specific immunity
NON SPECIFIC IMMUNITY:
The body possesses many mechanisms that impart nonspecific defenses that are
given bellow…
I. Mechanical and chemical barrier
II. Phagocytosis
III. Inflammation
IV. Moderate fever
V. Natural killer cell
VI. Complement
MECHANICAL AND CHEMICAL BARRIER
Mechanical and chemical barrier act as first line defense of non specific
immunity.
Mechanical barrier:
Skin:
The skin is the single largest organ of the body that cover the entire body
and prevent the entrance of microorganism into body.
The epidermis has several layers of dead epithelial cells that function as an
excellent barrier against injury and infection of deeper layers of the body.
The cells contain keratin, which prevents water-soluble substances from
entering the body.
Skin is some what dry due to dryness no growth and multiplication of
organism occur.
 Mucous membrane:
 Mucous membrane lined by epithelial cell and connective tissue.
That them prevent the entrance of organism into the body.
  The Goblet cells of the epithelial layer of the mucous membranes
secrete mucus, a thick but watery secretion that form a protective
layer over the epidermal cells, preventing drying and cracking of the
membrane.
  Mucus also traps pathogens before they can establish an infection.
  Cilia of the mucous membrane drived the trapping microorganism
into the mouth and nose.
 Lacrimal apparatus:
Lacrimal apparatus secrete tear. Microorganism spell out through the
tear secreted by lacrimal apparatus.
Salivery gland:
Salivery gland secrete saliva that help to spell out of
organism through these saliva.
Chemical barrier:
Sebum:
 Sebum secreted by the sebaceous gland of the skin. Sebum is
composed of protein, fat and salt. These sebum form a film layer
over the skin as a result microorganism can not enter into the body.
 Sebum also contain unsaturated fatty acid as a result organism can
not grow and multiply.
 Sebum (organic acids and lipids) is an oily secretion
maintains an acid pH in the skin that discourages bacterial
growth[[
 Due to acidic condition of sebum microorganism can not
grow and multiply.
Perspiration:
 Perspiration secreted by the sweat gland of the skin. Perspiration
contain lysosyme enzyme that disintegrate the cell wall of Gram +ve
and Gram –ve bacteria.
 However, perspiration keeps the skin salty and consequently an
inhospitable site for most microbial growth.
Gastric juice:
 Gastric juice contain Hcl that maintain acidic pH of the stomach.
 The high acidity of the stomach (pH 1.2 to 3.0) is especially
inhibiting of microorganism survival.
Hcl itself also disintegrate microorganism.
 Lactoferrin and Transferrin:
 Lactoferrin and Transferrin are iron binding protein present
in the blood. This iron binding protein bind with the iron of
the blood as a result the organism cannot grow and multiply
due to lack of iron.
Macrophage: is nothing but mono nucleated phagocytic cell.
 Single, rounded or bean shaped or idented nucleus
 Posses cytoplasm that contain-
• Lysosome
•Endoplasmic reticulum
•Golgi apparatus
•Mitochondria
Development of Macrophage:
Monoblast is one originated from bone marrow stem cells
Convert into promonocytes
Monocytes
Go to the blood stream
Circulate into the blood for 3-4 days (before enter into tissue)
Then go to the tissue, where the microorganisms invade, enlarged and developed
in the duration of migration to tissue
Maturation take place and formation of active phagocytic macrophage
Types of macrophage:
There are two types of macrophage
1. Permanent macrophage: are those , which remain in the organ or tisuues
Macrophages in the
connective tissue Histiocytes
Liver Von kupffer cells
Lungs Alveolar macrophage/ dust cells
Brain Microglial cell
Bone Osteoclast
Kidney Mesangeal cell
spleen Diplittoral cell
Skin Langerhan’s cell
2. Wandering macrophage: are those type of macrophage are called wandering
macrophage, which roans in the tissues surrounding the infected area.
Macrophages in the reticuloendothelial system
Phagocytosis
Phagocytosis: Engulfment of microbes or foreign particle by the cell is called phagocytosis.
Phagocytosis involve several steps-
1. Chemotaxis: Chemo means chemical and taxis means attraction. So attraction of
the chemical substances by microorganisms is called chemotaxis.
Receptor located in the cell wall of the organism, pick up the stimuli from the
environmlent
Stimuli go to the movement organelles (flagella)
Attraction of the organisms to the favorable condition and away from the adverse
condition to stimuli
2. Adherence: Attachment of the microorganism to the plasma membrane of the host
tissue or the phagocyte. Some organism adhere quickly and some slowly.
Adherence depends on the opsonization of the organisms.
Opsonization: When the microorganisms coated with the serum protein (opsonin), the
process is called oposonization. Opsonized organism easily adhere with the
plasmamenbrane of the phagocytic cells than the non opsonized organisms.
3. Ingestion: The engulfment of the organisms by the macrophage during this
process. The plasma membrane of the microphage extend the projection called
pseudopod.
The pseudopod fused and form phagocytic vesicle called phagosome
The phagosome pinch off from the plasma membrane and enter into the cytoplasm
of the phagocytes
Then the phagosome contact with the lysosome and fused to form phagolysosome
4.Digestion: Lysosome secrete some enzymes that disintegrate the different
structure of organism.
For example, Lysozyme enzyme break down the peptidoglycan of the bacterial
cell wall and lipase enzyme destroy the lipid of the microbes.
It will takes 10-30 minutes to phagocytize the microorganism
Microbial Evasion of Phagocytosis
 Some bacteria have structures that inhibit adherence. Eg M protein
of Streptroccus pyogenes inhibits the attachment of phagorytes to
their surface.
Heavily encapsulated microorganism eg. Streptorocus
pneumoniae can be phagocytized only if the phagocyte traps the
organism against rough surface, such as blood vessel, blood clot,
C.T. fiber.
 Some microbes may be ingested but not killed.
eg. Staphylococcus
Produces
Leukocidins
Kills
Phagocytes release microbes
 A number of intracellular pathogens
Secret
MAC
lyse
Phagolysosome membrane
Release
Microbes into cytoplasm of phagocyte
Propagate
Secrete MAC
Lyse plasma membrane of phagocyte --relase the microbes
Eg. Listeria monocytogenes
 Some microbes have the ability to survive inside the phagocyte
The microbes then multiply within the phagocyte
Completely filling it
Phagocytes dies
Microbes are released automatically and infect the other
hosts.
Eg. Mycobacterium tuberculosis
 Some microbes remain dormant within phagocytes
for months or years at a time
Eg. Brucella
 Some microbes survive within the phagocytes
Escape from a phagosome before it fuses with a
lysosome
Eg. Coxiella burnetii, causative agent of Q feuer
Inflammation
Tissue damage
Release histamin (present in many cell of the body specially in mast cell in
connective tissue, circulating basophil and blood platelets) in react to response to
injury of the cells that contains it.
Kinin present in blood plasma and play a role in chemotaxis by attracting
phagocytic granulocyte, neutrophil to the injured area
Prostaglandins released by damaged cell and leukotrienes produced by mast cell,
present in connective tissue of skin and respiratory system
Vasodilation and increase permeability of blood vessels
Help deliver clotting elements of blood into the injured area
Blood clots that form around the site of activity prevent the microbes or toxins
from spreading the other part of the body
As a result there may be localized collection of pus, mixture of dead cells and
body fluid in a cavity form by the break down of body tissues
Abscess formation
Flow of blood gradually decreases
Stick/attached the phagocytic cells with endothelial cells of blood vessels (this
condition is called marginaion)
Phagocyte squeeze within the endothelial cells of the blood vessel to reached the
damaged area
Migrate to the infected area (emmigration)
Phagocytosis of microorganism
Tissue repair
Moderate fever: Moderate fever is useful for host defense.
Due to activation of macrophage and/or microbial infection of the body
Endogenous pyrogen (IL-1) is produced in the body
Affect the hypothalamus
Stimulate the rising of body temperature
Increase cell metabolism
Increase phagocytic activity of the
phagocytic cells
Killing of microbes
Rapid tissue repair
Constrict the blood vessel
Denying blood to the skin
Kepping heat within the body
Inhibit the growth and multiplication
of some bacteria
(Mesophilic & Psychrophilic)
Natural killer cell
Natural killer cell recognize and kill the abnormal cell of the body (abnormal cells are
cancer cell, virus infected cell). A group of defensive lymphocytes present in the
circulating blood are called natural killer cells.
The natural killer cell contain several receptor in their surface. The surface receptor
bind with the target cell and forming a complex before cell to cell interaction takes
place.
The surface receptor site match with class-I MHC (Major Histocompatibility
complex) molecules, which are found in the all body cells. When the MHC molecules
present in natural killer cells recognize the target cell by matching the MHC
molecules and expelled it. When MHC molecules are absent or reduced in amount in
the cells, the NK cells bind with the target cell , damage the cell surface and lysis of
cell.
Complement:
Complement are the series of protein molecules arranges in a cascade produced by
the liver, circulating in the blood and lymph. Complement marks the pathogen for
destruction.
The complement protein work on three path way-
I. Classical path way
II. Alternative path way III) Lectin Path way
Antigen-antibody complex
Activate complement protein
Activate C3
C3
Pathogen
Bind with C3
Hydrolized to
C3a C3b
Vasodilation and increase permeability of blood
vessels
Inflamatory response
C5
Hydrolized to
C5a
C5b
Opsonization
Phagocytosis
C6 ,C7, C8 ,C9
Membrane attack complex
Lysis of the pathogen by forming hole
in the surface of pathogen
Antigen-antibody complex activate C1
C2, C4
C2a, C4a
Hydrolized to
Classical path way Lectin path way Alternative path way
Innate or Genetic Immunity: Immunity an
organism is born with.
Genetically determined.
May be due to lack of receptors or other
molecules required for infection.
 Innate human immunity to canine distemper.
 Immunity of mice to poliovirus.
Acquired Immunity:Immunity that an
organism develops during lifetime.
Not genetically determined.
May be acquired naturally or artificially.
 Development of immunity to measles in response to
infection or vaccination.
Components of Human Immune System
Types of Acquired Immunity
I. Naturally Acquired Immunity: Obtained in
the course of daily life.
A. Naturally Acquired Active Immunity:
 Antigens or pathogens enter body naturally.
Body generates an immune response to antigens.
Immunity may be lifelong (chickenpox or mumps)
or temporary (influenza or intestinal infections).
B. Naturally Acquired Passive Immunity:
Antibodies pass from mother to fetus via placenta
or breast feeding (colostrum).
No immune response to antigens.
Immunity is usually short-lived (weeks to months).
Protection until child’s immune system develops.
Types of Acquired Immunity (Continued)
II. Artificially Acquired Immunity: Obtained by
receiving a vaccine or immune serum.
1. Artificially Acquired Active Immunity:
 Antigens are introduced in vaccines (immunization).
 Body generates an immune response to antigens.
 Immunity can be lifelong (oral polio vaccine) or temporary
(tetanus toxoid).
2. Artificially Acquired Passive Immunity:
 Preformed antibodies (antiserum) are introduced into body
by injection.
 Snake antivenom injection from horses or rabbits.
 Immunity is short lived (half life three weeks).
 Host immune system does not respond to antigens.
Serum: Fluid that remains after blood has clotted
and cells have been removed.
Antiserum: Serum containing antibodies to a
specific antigen(s). Obtained from injecting an
animal (horse, rabbit, goat) with antigen (snake
venom, botulism or diphtheria toxin).
Serology: The study of reactions between
antibodies and antigens.
Gamma Globulins: Fraction of serum that
contains most of the antibodies.
Serum Sickness: Disease caused by multiple
injections of antiserum. Immune response to
foreign proteins. May cause fever, kidney
problems, and joint pain. Rare today.
Origin and Development of B-cell and T-cell
Haemopoietic stem cell
(Primitive cells of yolk sac, bone marrow and fetus liver)
Myeloid progenitor Lymphoid progenitor
(Responsible for the production of RBC (Responsible for the production of lymphocyte)
and most of the WBC)
Go the thymus
Maturation and addition of
surface protein
T lymphocyte
Circulation
Localized in lymphnode
and spleen
Remain in bone marrow
or bursa
Maturation and addition
of surface protein
B lymphocyte
Circulation
Localized in Different parts of the
body
Primary lymphoid organ: The organ where the lymphocyte produce and
differentiate. E.g. Bone marrow, Bursa, Thymus, Peyers patches of the intestine.
Secondary Lymphoid organ: The organ developed at the late stage of foetus
life like lymphnode, spleen. This organs are riched of macrophage and dendritic
cell. This macrophage and dendritic cell trough the organism and processing the
antigen. This organ is also rich in T and B cell which are responsible for the
production of immune response.
Duality of Immune System
I. Humoral (Antibody-Mediated) Immunity
 Involves production of antibodies against foreign
antigens.
 Antibodies are produced by a subset of lymphocytes
called B cells.
 B cells that are stimulated will actively secrete
antibodies and are called plasma cells.
 Antibodies are found in extracellular fluids (blood
plasma, lymph, mucus, etc.) and the surface of B cells.
 Defense against bacteria, bacterial toxins, and viruses
that circulate freely in body fluids, before they enter
cells.
 Also cause certain reactions against transplanted
tissue.
Antibodies are Produced by B Lymphocytes
Antibodies are Proteins that Recognize Specific Antigens
Duality of Immune System (Continued)
II. Cell Mediated Immunity
 Involves specialized set of lymphocytes called T cells
that recognize foreign antigens on the surface of cells,
organisms, or tissues:
 Helper T cells
 Cytotoxic T cells
 T cells regulate proliferation and activity of other cells
of the immune system: B cells, macrophages,
neutrophils, etc.
 Defense against:
 Bacteria and viruses that are inside host cells and are
inaccessible to antibodies.
 Fungi, protozoa, and helminths
 Cancer cells
 Transplanted tissue
Cell Mediated Immunity is Carried Out by T Lymphocytes
Antigens
 Most are proteins or large polysaccharides from
a foreign organism.
 Microbes: Capsules, cell walls, toxins, viral capsids,
flagella, etc.
 Nonmicrobes: Pollen, egg white , red blood cell
surface molecules, serum proteins, and surface
molecules from transplanted tissue.
 Lipids and nucleic acids are only antigenic when
combined with proteins or polysaccharides.
 Molecular weight of 10,000 or higher.
 Hapten: Small foreign molecule that is not antigenic. Must be
coupled to a carrier molecule to be antigenic. Once antibodies
are formed they will recognize hapten.
Antigens
Epitope:
Small part of an antigen that interacts
with an antibody.
Any given antigen may have several
epitopes.
Each epitope is recognized by a different
antibody.
Epitopes: Antigen Regions that Interact
with Antibodies
Antibodies
 Proteins that recognize and bind to a particular
antigen with very high specificity.
 Made in response to exposure to the antigen.
 One virus or microbe may have several antigenic
determinant sites, to which different antibodies
may bind.
 Each antibody has at least two identical sites
that bind antigen: Antigen binding sites.
 Valence of an antibody: Number of antigen
binding sites. Most are bivalent.
 Belong to a group of serum proteins called
immunoglobulins (Igs).
Antibody Structure
 Monomer: A flexible Y-shaped molecule with
four protein chains:
 2 identical light chains
 2 identical heavy chains
 Variable Regions: Two sections at the end of
Y’s arms. Contain the antigen binding sites
(Fab). Identical on the same antibody, but vary
from one antibody to another.
 Constant Regions: Stem of monomer and lower
parts of Y arms.
 Fc region: Stem of monomer only. Important
because they can bind to complement or cells.
Antibody Structure
Immunoglobulin Classes
I. IgG
 Structure: Monomer
 Percentage serum antibodies: 80%
 Location: Blood, lymph, intestine
 Half-life in serum: 23 days
 Complement Fixation: Yes
 Placental Transfer: Yes
 Known Functions: Enhances phagocytosis,
neutralizes toxins and viruses, protects fetus and
newborn.
Immunoglobulin Classes
II. IgM
 Structure: Pentamer
 Percentage serum antibodies: 5-10%
 Location: Blood, lymph, B cell surface (monomer)
 Half-life in serum: 5 days
 Complement Fixation: Yes
 Placental Transfer: No
 Known Functions: First antibodies produced
during an infection. Effective against microbes and
agglutinating antigens.
Immunoglobulin Classes
III. IgA
 Structure: Dimer
 Percentage serum antibodies: 10-15%
 Location: Secretions (tears, saliva, intestine, milk),
blood and lymph.
 Half-life in serum: 6 days
 Complement Fixation: No
 Placental Transfer: No
 Known Functions: Localized protection of mucosal
surfaces. Provides immunity to infant digestive
tract.
Immunoglobulin Classes
IV. IgD
 Structure: Monomer
 Percentage serum antibodies: 0.2%
 Location: B-cell surface, blood, and lymph
 Half-life in serum: 3 days
 Complement Fixation: No
 Placental Transfer: No
 Known Functions: In serum function is unknown.
On B cell surface, initiate immune response.
Immunoglobulin Classes
V. IgE
 Structure: Monomer
 Percentage serum antibodies: 0.002%
 Location: Bound to mast cells and basophils
throughout body. Blood.
 Half-life in serum: 2 days
 Complement Fixation: No
 Placental Transfer: No
 Known Functions: Allergic reactions. Possibly
lysis of worms.
Characters IgG IgM IgA IgD IgE
Structure Monomer Pentamer Dimer Monomer Monomer
Molecular
weight
(Dalton)
1,80,000 9,00,000 3,60,000 2,00,000 1,80,000
% of serum
antibody
80 5-10 10-15 0.2 0.002
Secretion in Spleen and
lymphnode
Spleen and
lymphnode
Respiratory
and intestinal
tract
Respiratory
and intestinal
tract
Spleen and
lymphnode
Location of
antibody
Blood,
lymph,
intestine
Blood, lymph,
Bursa cell
surface
Blood, lymph,
and secretion
like tear,
saliva
Blood, lymph,
Bursa cell
surface
Blood
Types of antibody
Characters IgG IgM IgA IgD IgE
Complement
fixation
Yes Yes No No No
Placental
transfer
Yes No No No No
Half life 23 days 5 days 6 days 2 days 3 days
Specific
function
Phagocytosis
Neutralize bacterial
toxin and virus and
also
protect the fetus
•Act against
microorganism
also responsible
for agglutination
reaction.
• Initial Ab
production
through the
response of Ag
•Protection
of the local
mucosal cell
surface
•Immune
response
•Hyperse
nsitivity
reaction
How Do B Cells Produce Antibodies?
B cells develop from stem cells in the bone
marrow of adults (liver of fetuses).
After maturation B cells migrate to lymphoid
organs (lymph node or spleen).
Clonal Selection: When a B cell encounters an
antigen it recognizes, it is stimulated and divides
into many clones called plasma cells, which
actively secrete antibodies.
Each B cell produces antibodies that will
recognize only one antigenic determinant.
Clonal Selection of B Cells is Caused
by Antigenic Stimulation
Humoral Immunity (Continued)
Apoptosis
Programmed cell death (“Falling away”).
Human body makes 100 million lymphocytes
every day. If an equivalent number doesn’t die,
will develop leukemia.
B cells that do not encounter stimulating antigen
will self-destruct and send signals to phagocytes
to dispose of their remains.
Many virus infected cells will undergo apoptosis,
to help prevent spread of the infection.
Humoral Immunity (Continued)
Clonal Selection
Clonal Selection: B cells (and T cells) that
encounter stimulating antigen will proliferate into
a large group of cells.
Why don’t we produce antibodies against our
own antigens? We have developed tolerance to
them.
Clonal Deletion: B and T cells that react against
self antigens appear to be destroyed during fetal
development. Process is poorly understood.
Consequences of Antigen-Antibody Binding
Antigen-Antibody Complex: Formed when an
antibody binds to an antigen it recognizes.
Affinity: A measure of binding strength.
1. Agglutination: Antibodies cause antigens
(microbes) to clump together.
 IgM (decavalent) is more effective that IgG (bivalent).
 Hemagglutination: Agglutination of red blood cells.
Used to determine ABO blood types and to detect
influenza and measles viruses.
2. Opsonization: Antigen (microbe) is covered with
antibodies that enhances its ingestion and lysis by
phagocytic cells.
Consequences of Antibody Binding
Humoral Immunity (Continued)
3. Neutralization: IgG inactivates viruses by
binding to their surface and neutralize toxins by
blocking their active sites.
4. Antibody-dependent cell-mediated cytotoxicity:
Used to destroy large organisms (e.g.: worms).
Target organism is coated with antibodies and
bombarded with chemicals from nonspecific
immune cells.
5. Complement Activation: Both IgG and IgM
trigger the complement system which results in
cell lysis and inflammation.
Consequences of Antibody Binding
Immunological Memory
Antibody Titer: The amount of antibody in the
serum.
Pattern of Antibody Levels During Infection
Primary Response:
After initial exposure to antigen, no antibodies are
found in serum for several days.
A gradual increase in titer, first of IgM and then
of IgG is observed.
Most B cells become plasma cells, but some B cells
become long living memory cells.
Gradual decline of antibodies follows.
Immunological Memory (Continued)
Secondary Response:
Subsequent exposure to the same antigen displays
a faster and more intense antibody response.
Increased antibody response is due to the
existence of memory cells, which rapidly produce
plasma cells upon antigen stimulation.
Antibody Response After Exposure to Antigen
T Cells and Cell Mediated Immunity
Antigens that stimulate this response are mainly
intracellular.
Requires constant presence of antigen to remain
effective.
Unlike humoral immunity, cell mediated immunity
is not transferred to the fetus.
Cytokines: Chemical messengers of immune cells.
Over 100 have been identified.
Stimulate and/or regulate immune responses.
 Interleukins: Communication between WBCs.
 Interferons: Protect against viral infections.
 Chemokines: Attract WBCs to infected areas.
T Cells and Cell Mediated Immunity
Cellular Components of Immunity:
T cells are key cellular component of immunity.
T cells have an antigen receptor that recognizes
and reacts to a specific antigen (T cell receptor).
T cell receptor only recognize antigens combined
with major histocompatability (MHC) proteins on
the surface of cells.
 MHC Class I: Found on all cells.
 MHC Class II: Found on phagocytes.
Clonal selection increases number of T cells.
T Cells Only Recognize Antigen Associated
with MHC Molecules on Cell Surfaces
T Cells and Cell Mediated Immunity
Types of T cells
1. T Helper (TH) Cells: Central role in immune
response.
 Most are CD4+
 Recognize antigen on the surface of antigen presenting
cells (e.g.: macrophage).
 Activate macrophages
 Induce formation of cytotoxic T cells
 Stimulate B cells to produce antibodies.
Central Role of Helper T Cells
Types of T cells (Continued)
2. Cytotoxic T (Tc) Cells: Destroy target cells.
 Most are CD4 negative (CD4 -).
 Recognize antigens on the surface of all cells:
• Kill host cells that are infected with viruses or bacteria.
• Recognize and kill cancer cells.
• Recognize and destroy transplanted tissue.
 Release protein called perforin which forms a pore in
target cell, causing lysis of infected cells.
 Undergo apoptosis when stimulating antigen is gone.
Cytotoxic T Cells Lyse Infected Cells
Types of T cells (Continued)
3. Delayed Hypersensitivity T (TD) Cells: Mostly T
helper and a few cytotoxic T cells that are
involved in some allergic reactions (poison ivy)
and rejection of transplanted tissue.
4. T Suppressor (Ts) Cells: May shut down
immune response.
Nonspecific Cellular Components
1. Activated Macrophages: Stimulated phagocytes.
 Stimulated by ingestion of antigen
 Larger and more effective phagocytes.
 Enhanced ability to eliminate intracellular bacteria,
virus-infected and cancerous cells.
2. Natural Killer (NK) Cells:
 Lymphocytes that destroy virus infected and tumor
cells.
 Not specific. Don’t require antigen stimulation.
 Not phagocytic, but must contact cell in order to lyse it.
Relationship Between Cell-Mediated
and Humoral Immunity
1. Antibody Production
T-Dependent Antigens:
 Antibody production requires assistance from T helper cells.
 A macrophage cells ingest antigen and presents it to TH cell.
 TH cell stimulates B cells specific for antigen to become plasma
cells.
 Antigens are mainly proteins on viruses, bacteria, foreign red
blood cells, and hapten-carrier molecules.
T-Independent Antigens:
 Antibody production does not require assistance from T cells.
 Antigens are mainly polysaccharides or lipopolysaccharides with
repeating subunits (bacterial capsules).
 Weaker immune response than for T-dependent antigens.
Humoral Response to T Dependent Antigens
Humoral Response to T Dependent Antigens
Relationship Between Cell-Mediated
and Humoral Immunity
2. Antibody Dependent Cell Mediated
Cytotoxicity
 Target cell is covered with antibodies, leaving Fc
portion sticking outwards.
 Natural killer and other nonspecific cells that have
receptors for Fc region are stimulated to kill targeted
cells.
 Target organism is lysed by substances secreted by
attacking cells.
 Used to destroy large organisms that cannot be
phagocytosed.
Destruction of Large Parasites by ADCC
T-Cell
T-Cells: The cells containing receptor in their surface which is protein substances
linked by dipeptide bond cells . T cells are the key cellular component of immunity.
T cells develop from stem cells in the bone marrow.
Classification of T cell:
According to the function T-cells are 4 types
1) Helper T-cells (TH)
2) Cytotoxic T-cells (TC)
3) Suppressor T-cell (TS )
4) Delayed hypersensitivity T-cell (TD)
Functions of different T cells:
Helper T cell: Two types of helper T cells
i. TH1 cells: Activate the cells associated with immune response.
Eg. Macrophage, NK-cells, CD8+T cell
ii. TH2 Cells: Stimulate the production of eosinophils, Ig-M, Ig-E, Ig-A
Cytotoxic T cell (TC): Destroy the infected cells by cell to cell contact
Suppressor T-cell (TS ) : Regulate the immune system/response and help to
maintain tolerance of the body.
Delayed hypersensitivity T-cell (TD): Protect the body from infection by the
Cytokines
Cytokines: The cells of immune system secreted a variety of proteinaceous substances which
regulate the immune responses by signaling between cells.
Interleukin: The cytokines act as a chemical mediators which regulate the interaction between the
lymphocytes and other leukocytes population, so they are called interleukin. The number of interleukin
is based on amino acid sequence. When the much information is known including amino acid sequence
of the cytokines that are numbered by the international committee. The number of cytokines are 26.
Functions of some important cytokines:
1) Interleukin-1 (IL-1):
 It activate the helper T cell and binding the antigen processing cells in presence of antigen
peptide.
 Chemo-attraction of macrophage to the inflammatory response
2) Interleukin-2 (IL-2):
 Proliferate the antigen binding helper T cells
 Proliferate and differentiate B cell
 Activate the cytotoxic T cells (Tc cell) and natural killer cell
3) Interleukin-8 (IL-8):
 chemo-attraction of immune cells and phagocytosis to the site of inflammation
4) Interleukin-12 (IL-12):
 Differentiate CD 4
5) Gamma-interferon (γ-IFN):
 Inhibit the replication of the infecting agent like virus
 Activate the phagocytic cell
6) Tumor necrosis factor β (TNF-β):
 Cytotoxic of tumor cells
 Increase the activity of the macrophage
7) Granulocytes-Macroophage colony stimulating factor (GM-CSF):
 Stimulate the production of red and white blood cells from stem cell
Cluster of Differentiation (CD)
Cluster of Differentiation (CD):
CD are the glycoproteins located on the surface of the all nucleated cells of the body and also
in the surface of macrophage.
It acts co-receptor involve in the T-cell.
On the basis of co-receptor T cells are two types-
1. CD4:
 Found in the surface of helper T cell (TH)
 Responsible for the production of antibody mediated immunity
 Recognize the antigen peptide associated with class-II MHC molecule
2. CD8:
 found in the surface of cytotoxic T cell
 Responsible for the production of cell mediated immunity
 Recognize the antigen peptide associated with MHC class-I molecules in infected
cells
Specific Antigean is injected into mouse
The antibody is produced against specific antigen
Spleen of mouse is removed from the body and make a suspension of spleen
Spleen containing B cell having the capability of to produce antibody
Suspension of spleen mixed with myoloma cell culture
The mixed cell having the power to proliferate but not capability to produce antibody
Some spleenic B cell and myoloma cells fused with B cells to form another type of cells is called
hybrid cells
This hybrid cell having the capability to produce antibody
When this hybrid cells grow in selective media is to form hybridoma cells
This hybridoma cells are responsible for the production of monoclonal antibody
Process of cell mediated cytotoxicity
Antigen presenting cells (macrophage) engulf the antigen
Encounter, enter and digest the antigen
Antigen become fragmented and antigen peptide bind with MHC Class-II molecules
Present on the surface of APC
CD 4 of the helper T-cells recognizes the antigen peptide and MHC Class-II molecules
TH Cells bind with the complex of antigen peptide and MHC class-II molecule
The TH cell stimulate the APC to secrete IL-1
IL-1 stimulate the TH cells to secrete the IL-2
The TH cells become proliferate
Produce clone of TH cells
Some clone of TH cells go to the tissue for long period as a memory cells
Other clone of TH cells secrete the IL-2 this activate the TC cells
Continued
Proliferate the TC cells and clone of TC cells
Migrate to lymph and gland and ultimately go to the infected area
Bind with the infected cells at antigen peptide associated with Class-I MHC molecules
Then the TC cells release the perforin and granzyme enzyme. They form a pore in the
membrane of target cell causing lysis
Overview of the Immune Response
Vaccine
Vaccine: is a suspension of microorganism or portion of microbes, which is induced to
produce immunity.
Types of vaccine:
1. 1st Generation vaccine: When the whole microorganisms either live or inactivated or
killed used for production of vaccine, is called 1st generation vaccine. Live vaccine and
killed vaccine are used in Bangladesh.
Live vaccine: act as an intracellular antigen and stimulate immune response by cell
mediated cytotoxicity. Sometimes live vaccines are hazardous, due to residual virulence.
i.e. the vaccine virus produce the disease (in stress condition of the body)
Killed vaccine: acts as an extracellular and stimulate the immune response dominated by
CD4+Helper T-cells. Sometimes killed vaccine can not produce appropriate immune
response, but they are safer. Both vaccines are ideal and highly antigenic. They have no
adverse side effect.
2. 2nd Generation vaccine/sub-unit vaccine:
When the part of the microbes/sub-unit of the microorganisms used for the production of
vaccine called 2nd generation/sub-unit vaccine.
E.g. pili of the organism, extracted and purified for vaccine. The pili produce the antipili
antibody and bind with pili and resulting the bacteria loss their adhering capability.
Conjugate vaccine: is 2nd generation vaccine composed of different polysaccharide of
capsule of different strain of same microrganism.
3. 3rd Generation vaccine/synthetic vaccine:
This one is sophisticated promising vaccine produced by recombinant DNA technology.
Immune stimulating antigen must be identified. Living cells must be re-engineered to
produce the desired antigen. The antigen must be increased to promote phagocytosis and
immune response.
Characteristics of Ideal vaccine:
I. An ideal vaccine must produce prolonged strong immunity
II. The ideal vaccine must be free from adverse side effect
III. The ideal vaccine must be cheaper, stable and adaptable to mass vaccination
IV. An ideal vaccine must produce an immune response distinguishable from that due to
natural infection so that immunization and eradication may proceed simultaneously
V. Effectiveness of vaccine have four critical properties-
 Stimulate antigen presenting cells and they process the antigen and produce the
remarkable interleukin (cytikine)
 Stimulate B-lymphocyte and T-lymphocyte as a result generation of large number
of memory cells
 Stimulate helper T-cell and Tc
 Having the capability to persist the antigen in the suitable area in the lymphoid
system and as a result generation of the immune cells and produce long running
immunity.
Causes of vaccine failure:
Wrong strain of organism and insufficient antigen in vaccine leads to
vaccine failure
Lack of proper storage leads to death of live vaccine resulting vaccination
failure
Non-conventional route of vaccination leads to vaccination failure
Wrong manufacturing process
Presence of other microorganism (mixed infection)
If not maintain proper cool chain
If persistent infection present in the host
Over dose of vaccine
Inadequate dose of vaccine
The use of antibiotic with live bacterial vaccine
 Vaccination given too late, incubating the disease already
Vaccination failure due to high infectious disease against which herd
immunity is poor
In case of immunosuppressed animal

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Immunology and Serology.ppt

  • 1. Immunology and Serology Immunology: The study of all aspects of the immune system including its structure and function, disorders of the immune system, blood banking, immunization and organ transplantation. History of immunology: In the year 1798 Edward Jenner discovered the small pox vaccine by using the cow pox material and injected into healthy individual. The term vaccination was coined in honor of the work Edward Jenner hence in Latin “Vacca” means cow. In the 19th century French scientist Louis Pasteur discovered the vaccine of anthrax, rabies & fowl cholera.(ARF)
  • 2. Elie Metehnikoff (1883), he was a Russian Zoologist. He discovered the process of phagocytosis by experiment on star fish. Von Behrins and Kitasato (1890) they developed the toxoids of diphtheria and tetanus. Paul Ehrlich(1897)-he discovered side-chain receptor of antibody synthesis. Karl Landgeiner(1900)-Blood group ,Ag and their crossespond
  • 3. Immunity: “Free from burden”. Ability of an organism to recognize and defend itself against specific pathogens or antigens. Immune Response: Third line of defense. Involves production of antibodies and generation of specialized lymphocytes against specific antigens. Antigen: Molecules from a pathogen or foreign organism that provoke a specific immune response.
  • 4. The Immune System is the Third Line of Defense Against Infection
  • 5. Immunity: Immunity is the ability of an organism to recognize and defend itself against agents that are “foreign” to it. In other word immunity means body defense against the pathogens. Types of immunity: Broadly there are two types of immunity- 1. Non specific immunity 2. Specific immunity NON SPECIFIC IMMUNITY: The body possesses many mechanisms that impart nonspecific defenses that are given bellow… I. Mechanical and chemical barrier II. Phagocytosis III. Inflammation IV. Moderate fever V. Natural killer cell VI. Complement
  • 6. MECHANICAL AND CHEMICAL BARRIER Mechanical and chemical barrier act as first line defense of non specific immunity. Mechanical barrier: Skin: The skin is the single largest organ of the body that cover the entire body and prevent the entrance of microorganism into body. The epidermis has several layers of dead epithelial cells that function as an excellent barrier against injury and infection of deeper layers of the body. The cells contain keratin, which prevents water-soluble substances from entering the body. Skin is some what dry due to dryness no growth and multiplication of organism occur.
  • 7.  Mucous membrane:  Mucous membrane lined by epithelial cell and connective tissue. That them prevent the entrance of organism into the body.   The Goblet cells of the epithelial layer of the mucous membranes secrete mucus, a thick but watery secretion that form a protective layer over the epidermal cells, preventing drying and cracking of the membrane.   Mucus also traps pathogens before they can establish an infection.   Cilia of the mucous membrane drived the trapping microorganism into the mouth and nose.  Lacrimal apparatus:
  • 8. Lacrimal apparatus secrete tear. Microorganism spell out through the tear secreted by lacrimal apparatus. Salivery gland: Salivery gland secrete saliva that help to spell out of organism through these saliva. Chemical barrier: Sebum:  Sebum secreted by the sebaceous gland of the skin. Sebum is composed of protein, fat and salt. These sebum form a film layer over the skin as a result microorganism can not enter into the body.  Sebum also contain unsaturated fatty acid as a result organism can not grow and multiply.
  • 9.  Sebum (organic acids and lipids) is an oily secretion maintains an acid pH in the skin that discourages bacterial growth[[  Due to acidic condition of sebum microorganism can not grow and multiply.
  • 10. Perspiration:  Perspiration secreted by the sweat gland of the skin. Perspiration contain lysosyme enzyme that disintegrate the cell wall of Gram +ve and Gram –ve bacteria.  However, perspiration keeps the skin salty and consequently an inhospitable site for most microbial growth. Gastric juice:  Gastric juice contain Hcl that maintain acidic pH of the stomach.  The high acidity of the stomach (pH 1.2 to 3.0) is especially inhibiting of microorganism survival. Hcl itself also disintegrate microorganism.
  • 11.  Lactoferrin and Transferrin:  Lactoferrin and Transferrin are iron binding protein present in the blood. This iron binding protein bind with the iron of the blood as a result the organism cannot grow and multiply due to lack of iron.
  • 12. Macrophage: is nothing but mono nucleated phagocytic cell.  Single, rounded or bean shaped or idented nucleus  Posses cytoplasm that contain- • Lysosome •Endoplasmic reticulum •Golgi apparatus •Mitochondria Development of Macrophage: Monoblast is one originated from bone marrow stem cells Convert into promonocytes Monocytes Go to the blood stream Circulate into the blood for 3-4 days (before enter into tissue) Then go to the tissue, where the microorganisms invade, enlarged and developed in the duration of migration to tissue Maturation take place and formation of active phagocytic macrophage
  • 13. Types of macrophage: There are two types of macrophage 1. Permanent macrophage: are those , which remain in the organ or tisuues Macrophages in the connective tissue Histiocytes Liver Von kupffer cells Lungs Alveolar macrophage/ dust cells Brain Microglial cell Bone Osteoclast Kidney Mesangeal cell spleen Diplittoral cell Skin Langerhan’s cell 2. Wandering macrophage: are those type of macrophage are called wandering macrophage, which roans in the tissues surrounding the infected area. Macrophages in the reticuloendothelial system
  • 14. Phagocytosis Phagocytosis: Engulfment of microbes or foreign particle by the cell is called phagocytosis. Phagocytosis involve several steps- 1. Chemotaxis: Chemo means chemical and taxis means attraction. So attraction of the chemical substances by microorganisms is called chemotaxis. Receptor located in the cell wall of the organism, pick up the stimuli from the environmlent Stimuli go to the movement organelles (flagella) Attraction of the organisms to the favorable condition and away from the adverse condition to stimuli 2. Adherence: Attachment of the microorganism to the plasma membrane of the host tissue or the phagocyte. Some organism adhere quickly and some slowly. Adherence depends on the opsonization of the organisms. Opsonization: When the microorganisms coated with the serum protein (opsonin), the process is called oposonization. Opsonized organism easily adhere with the plasmamenbrane of the phagocytic cells than the non opsonized organisms.
  • 15. 3. Ingestion: The engulfment of the organisms by the macrophage during this process. The plasma membrane of the microphage extend the projection called pseudopod. The pseudopod fused and form phagocytic vesicle called phagosome The phagosome pinch off from the plasma membrane and enter into the cytoplasm of the phagocytes Then the phagosome contact with the lysosome and fused to form phagolysosome 4.Digestion: Lysosome secrete some enzymes that disintegrate the different structure of organism. For example, Lysozyme enzyme break down the peptidoglycan of the bacterial cell wall and lipase enzyme destroy the lipid of the microbes. It will takes 10-30 minutes to phagocytize the microorganism
  • 16.
  • 17. Microbial Evasion of Phagocytosis  Some bacteria have structures that inhibit adherence. Eg M protein of Streptroccus pyogenes inhibits the attachment of phagorytes to their surface. Heavily encapsulated microorganism eg. Streptorocus pneumoniae can be phagocytized only if the phagocyte traps the organism against rough surface, such as blood vessel, blood clot, C.T. fiber.  Some microbes may be ingested but not killed. eg. Staphylococcus Produces Leukocidins Kills Phagocytes release microbes  A number of intracellular pathogens Secret MAC
  • 18. lyse Phagolysosome membrane Release Microbes into cytoplasm of phagocyte Propagate Secrete MAC Lyse plasma membrane of phagocyte --relase the microbes Eg. Listeria monocytogenes  Some microbes have the ability to survive inside the phagocyte The microbes then multiply within the phagocyte
  • 19. Completely filling it Phagocytes dies Microbes are released automatically and infect the other hosts. Eg. Mycobacterium tuberculosis  Some microbes remain dormant within phagocytes for months or years at a time Eg. Brucella
  • 20.  Some microbes survive within the phagocytes Escape from a phagosome before it fuses with a lysosome Eg. Coxiella burnetii, causative agent of Q feuer
  • 21. Inflammation Tissue damage Release histamin (present in many cell of the body specially in mast cell in connective tissue, circulating basophil and blood platelets) in react to response to injury of the cells that contains it. Kinin present in blood plasma and play a role in chemotaxis by attracting phagocytic granulocyte, neutrophil to the injured area Prostaglandins released by damaged cell and leukotrienes produced by mast cell, present in connective tissue of skin and respiratory system Vasodilation and increase permeability of blood vessels Help deliver clotting elements of blood into the injured area
  • 22. Blood clots that form around the site of activity prevent the microbes or toxins from spreading the other part of the body As a result there may be localized collection of pus, mixture of dead cells and body fluid in a cavity form by the break down of body tissues Abscess formation Flow of blood gradually decreases Stick/attached the phagocytic cells with endothelial cells of blood vessels (this condition is called marginaion) Phagocyte squeeze within the endothelial cells of the blood vessel to reached the damaged area Migrate to the infected area (emmigration) Phagocytosis of microorganism Tissue repair
  • 23.
  • 24. Moderate fever: Moderate fever is useful for host defense. Due to activation of macrophage and/or microbial infection of the body Endogenous pyrogen (IL-1) is produced in the body Affect the hypothalamus Stimulate the rising of body temperature Increase cell metabolism Increase phagocytic activity of the phagocytic cells Killing of microbes Rapid tissue repair Constrict the blood vessel Denying blood to the skin Kepping heat within the body Inhibit the growth and multiplication of some bacteria (Mesophilic & Psychrophilic)
  • 25. Natural killer cell Natural killer cell recognize and kill the abnormal cell of the body (abnormal cells are cancer cell, virus infected cell). A group of defensive lymphocytes present in the circulating blood are called natural killer cells. The natural killer cell contain several receptor in their surface. The surface receptor bind with the target cell and forming a complex before cell to cell interaction takes place. The surface receptor site match with class-I MHC (Major Histocompatibility complex) molecules, which are found in the all body cells. When the MHC molecules present in natural killer cells recognize the target cell by matching the MHC molecules and expelled it. When MHC molecules are absent or reduced in amount in the cells, the NK cells bind with the target cell , damage the cell surface and lysis of cell. Complement: Complement are the series of protein molecules arranges in a cascade produced by the liver, circulating in the blood and lymph. Complement marks the pathogen for destruction. The complement protein work on three path way- I. Classical path way II. Alternative path way III) Lectin Path way
  • 26. Antigen-antibody complex Activate complement protein Activate C3 C3 Pathogen Bind with C3 Hydrolized to C3a C3b Vasodilation and increase permeability of blood vessels Inflamatory response C5 Hydrolized to C5a C5b Opsonization Phagocytosis C6 ,C7, C8 ,C9 Membrane attack complex Lysis of the pathogen by forming hole in the surface of pathogen Antigen-antibody complex activate C1 C2, C4 C2a, C4a Hydrolized to Classical path way Lectin path way Alternative path way
  • 27. Innate or Genetic Immunity: Immunity an organism is born with. Genetically determined. May be due to lack of receptors or other molecules required for infection.  Innate human immunity to canine distemper.  Immunity of mice to poliovirus. Acquired Immunity:Immunity that an organism develops during lifetime. Not genetically determined. May be acquired naturally or artificially.  Development of immunity to measles in response to infection or vaccination.
  • 28. Components of Human Immune System
  • 29. Types of Acquired Immunity I. Naturally Acquired Immunity: Obtained in the course of daily life. A. Naturally Acquired Active Immunity:  Antigens or pathogens enter body naturally. Body generates an immune response to antigens. Immunity may be lifelong (chickenpox or mumps) or temporary (influenza or intestinal infections). B. Naturally Acquired Passive Immunity: Antibodies pass from mother to fetus via placenta or breast feeding (colostrum). No immune response to antigens. Immunity is usually short-lived (weeks to months). Protection until child’s immune system develops.
  • 30. Types of Acquired Immunity (Continued) II. Artificially Acquired Immunity: Obtained by receiving a vaccine or immune serum. 1. Artificially Acquired Active Immunity:  Antigens are introduced in vaccines (immunization).  Body generates an immune response to antigens.  Immunity can be lifelong (oral polio vaccine) or temporary (tetanus toxoid). 2. Artificially Acquired Passive Immunity:  Preformed antibodies (antiserum) are introduced into body by injection.  Snake antivenom injection from horses or rabbits.  Immunity is short lived (half life three weeks).  Host immune system does not respond to antigens.
  • 31. Serum: Fluid that remains after blood has clotted and cells have been removed. Antiserum: Serum containing antibodies to a specific antigen(s). Obtained from injecting an animal (horse, rabbit, goat) with antigen (snake venom, botulism or diphtheria toxin). Serology: The study of reactions between antibodies and antigens. Gamma Globulins: Fraction of serum that contains most of the antibodies. Serum Sickness: Disease caused by multiple injections of antiserum. Immune response to foreign proteins. May cause fever, kidney problems, and joint pain. Rare today.
  • 32. Origin and Development of B-cell and T-cell Haemopoietic stem cell (Primitive cells of yolk sac, bone marrow and fetus liver) Myeloid progenitor Lymphoid progenitor (Responsible for the production of RBC (Responsible for the production of lymphocyte) and most of the WBC) Go the thymus Maturation and addition of surface protein T lymphocyte Circulation Localized in lymphnode and spleen Remain in bone marrow or bursa Maturation and addition of surface protein B lymphocyte Circulation Localized in Different parts of the body
  • 33. Primary lymphoid organ: The organ where the lymphocyte produce and differentiate. E.g. Bone marrow, Bursa, Thymus, Peyers patches of the intestine. Secondary Lymphoid organ: The organ developed at the late stage of foetus life like lymphnode, spleen. This organs are riched of macrophage and dendritic cell. This macrophage and dendritic cell trough the organism and processing the antigen. This organ is also rich in T and B cell which are responsible for the production of immune response.
  • 34. Duality of Immune System I. Humoral (Antibody-Mediated) Immunity  Involves production of antibodies against foreign antigens.  Antibodies are produced by a subset of lymphocytes called B cells.  B cells that are stimulated will actively secrete antibodies and are called plasma cells.  Antibodies are found in extracellular fluids (blood plasma, lymph, mucus, etc.) and the surface of B cells.  Defense against bacteria, bacterial toxins, and viruses that circulate freely in body fluids, before they enter cells.  Also cause certain reactions against transplanted tissue.
  • 35. Antibodies are Produced by B Lymphocytes
  • 36. Antibodies are Proteins that Recognize Specific Antigens
  • 37. Duality of Immune System (Continued) II. Cell Mediated Immunity  Involves specialized set of lymphocytes called T cells that recognize foreign antigens on the surface of cells, organisms, or tissues:  Helper T cells  Cytotoxic T cells  T cells regulate proliferation and activity of other cells of the immune system: B cells, macrophages, neutrophils, etc.  Defense against:  Bacteria and viruses that are inside host cells and are inaccessible to antibodies.  Fungi, protozoa, and helminths  Cancer cells  Transplanted tissue
  • 38. Cell Mediated Immunity is Carried Out by T Lymphocytes
  • 39. Antigens  Most are proteins or large polysaccharides from a foreign organism.  Microbes: Capsules, cell walls, toxins, viral capsids, flagella, etc.  Nonmicrobes: Pollen, egg white , red blood cell surface molecules, serum proteins, and surface molecules from transplanted tissue.  Lipids and nucleic acids are only antigenic when combined with proteins or polysaccharides.  Molecular weight of 10,000 or higher.  Hapten: Small foreign molecule that is not antigenic. Must be coupled to a carrier molecule to be antigenic. Once antibodies are formed they will recognize hapten.
  • 40. Antigens Epitope: Small part of an antigen that interacts with an antibody. Any given antigen may have several epitopes. Each epitope is recognized by a different antibody.
  • 41. Epitopes: Antigen Regions that Interact with Antibodies
  • 42. Antibodies  Proteins that recognize and bind to a particular antigen with very high specificity.  Made in response to exposure to the antigen.  One virus or microbe may have several antigenic determinant sites, to which different antibodies may bind.  Each antibody has at least two identical sites that bind antigen: Antigen binding sites.  Valence of an antibody: Number of antigen binding sites. Most are bivalent.  Belong to a group of serum proteins called immunoglobulins (Igs).
  • 43. Antibody Structure  Monomer: A flexible Y-shaped molecule with four protein chains:  2 identical light chains  2 identical heavy chains  Variable Regions: Two sections at the end of Y’s arms. Contain the antigen binding sites (Fab). Identical on the same antibody, but vary from one antibody to another.  Constant Regions: Stem of monomer and lower parts of Y arms.  Fc region: Stem of monomer only. Important because they can bind to complement or cells.
  • 45. Immunoglobulin Classes I. IgG  Structure: Monomer  Percentage serum antibodies: 80%  Location: Blood, lymph, intestine  Half-life in serum: 23 days  Complement Fixation: Yes  Placental Transfer: Yes  Known Functions: Enhances phagocytosis, neutralizes toxins and viruses, protects fetus and newborn.
  • 46. Immunoglobulin Classes II. IgM  Structure: Pentamer  Percentage serum antibodies: 5-10%  Location: Blood, lymph, B cell surface (monomer)  Half-life in serum: 5 days  Complement Fixation: Yes  Placental Transfer: No  Known Functions: First antibodies produced during an infection. Effective against microbes and agglutinating antigens.
  • 47. Immunoglobulin Classes III. IgA  Structure: Dimer  Percentage serum antibodies: 10-15%  Location: Secretions (tears, saliva, intestine, milk), blood and lymph.  Half-life in serum: 6 days  Complement Fixation: No  Placental Transfer: No  Known Functions: Localized protection of mucosal surfaces. Provides immunity to infant digestive tract.
  • 48. Immunoglobulin Classes IV. IgD  Structure: Monomer  Percentage serum antibodies: 0.2%  Location: B-cell surface, blood, and lymph  Half-life in serum: 3 days  Complement Fixation: No  Placental Transfer: No  Known Functions: In serum function is unknown. On B cell surface, initiate immune response.
  • 49. Immunoglobulin Classes V. IgE  Structure: Monomer  Percentage serum antibodies: 0.002%  Location: Bound to mast cells and basophils throughout body. Blood.  Half-life in serum: 2 days  Complement Fixation: No  Placental Transfer: No  Known Functions: Allergic reactions. Possibly lysis of worms.
  • 50. Characters IgG IgM IgA IgD IgE Structure Monomer Pentamer Dimer Monomer Monomer Molecular weight (Dalton) 1,80,000 9,00,000 3,60,000 2,00,000 1,80,000 % of serum antibody 80 5-10 10-15 0.2 0.002 Secretion in Spleen and lymphnode Spleen and lymphnode Respiratory and intestinal tract Respiratory and intestinal tract Spleen and lymphnode Location of antibody Blood, lymph, intestine Blood, lymph, Bursa cell surface Blood, lymph, and secretion like tear, saliva Blood, lymph, Bursa cell surface Blood Types of antibody
  • 51. Characters IgG IgM IgA IgD IgE Complement fixation Yes Yes No No No Placental transfer Yes No No No No Half life 23 days 5 days 6 days 2 days 3 days Specific function Phagocytosis Neutralize bacterial toxin and virus and also protect the fetus •Act against microorganism also responsible for agglutination reaction. • Initial Ab production through the response of Ag •Protection of the local mucosal cell surface •Immune response •Hyperse nsitivity reaction
  • 52. How Do B Cells Produce Antibodies? B cells develop from stem cells in the bone marrow of adults (liver of fetuses). After maturation B cells migrate to lymphoid organs (lymph node or spleen). Clonal Selection: When a B cell encounters an antigen it recognizes, it is stimulated and divides into many clones called plasma cells, which actively secrete antibodies. Each B cell produces antibodies that will recognize only one antigenic determinant.
  • 53. Clonal Selection of B Cells is Caused by Antigenic Stimulation
  • 54. Humoral Immunity (Continued) Apoptosis Programmed cell death (“Falling away”). Human body makes 100 million lymphocytes every day. If an equivalent number doesn’t die, will develop leukemia. B cells that do not encounter stimulating antigen will self-destruct and send signals to phagocytes to dispose of their remains. Many virus infected cells will undergo apoptosis, to help prevent spread of the infection.
  • 55. Humoral Immunity (Continued) Clonal Selection Clonal Selection: B cells (and T cells) that encounter stimulating antigen will proliferate into a large group of cells. Why don’t we produce antibodies against our own antigens? We have developed tolerance to them. Clonal Deletion: B and T cells that react against self antigens appear to be destroyed during fetal development. Process is poorly understood.
  • 56. Consequences of Antigen-Antibody Binding Antigen-Antibody Complex: Formed when an antibody binds to an antigen it recognizes. Affinity: A measure of binding strength. 1. Agglutination: Antibodies cause antigens (microbes) to clump together.  IgM (decavalent) is more effective that IgG (bivalent).  Hemagglutination: Agglutination of red blood cells. Used to determine ABO blood types and to detect influenza and measles viruses. 2. Opsonization: Antigen (microbe) is covered with antibodies that enhances its ingestion and lysis by phagocytic cells.
  • 58. Humoral Immunity (Continued) 3. Neutralization: IgG inactivates viruses by binding to their surface and neutralize toxins by blocking their active sites. 4. Antibody-dependent cell-mediated cytotoxicity: Used to destroy large organisms (e.g.: worms). Target organism is coated with antibodies and bombarded with chemicals from nonspecific immune cells. 5. Complement Activation: Both IgG and IgM trigger the complement system which results in cell lysis and inflammation.
  • 60. Immunological Memory Antibody Titer: The amount of antibody in the serum. Pattern of Antibody Levels During Infection Primary Response: After initial exposure to antigen, no antibodies are found in serum for several days. A gradual increase in titer, first of IgM and then of IgG is observed. Most B cells become plasma cells, but some B cells become long living memory cells. Gradual decline of antibodies follows.
  • 61. Immunological Memory (Continued) Secondary Response: Subsequent exposure to the same antigen displays a faster and more intense antibody response. Increased antibody response is due to the existence of memory cells, which rapidly produce plasma cells upon antigen stimulation.
  • 62. Antibody Response After Exposure to Antigen
  • 63. T Cells and Cell Mediated Immunity Antigens that stimulate this response are mainly intracellular. Requires constant presence of antigen to remain effective. Unlike humoral immunity, cell mediated immunity is not transferred to the fetus. Cytokines: Chemical messengers of immune cells. Over 100 have been identified. Stimulate and/or regulate immune responses.  Interleukins: Communication between WBCs.  Interferons: Protect against viral infections.  Chemokines: Attract WBCs to infected areas.
  • 64. T Cells and Cell Mediated Immunity Cellular Components of Immunity: T cells are key cellular component of immunity. T cells have an antigen receptor that recognizes and reacts to a specific antigen (T cell receptor). T cell receptor only recognize antigens combined with major histocompatability (MHC) proteins on the surface of cells.  MHC Class I: Found on all cells.  MHC Class II: Found on phagocytes. Clonal selection increases number of T cells.
  • 65. T Cells Only Recognize Antigen Associated with MHC Molecules on Cell Surfaces
  • 66. T Cells and Cell Mediated Immunity Types of T cells 1. T Helper (TH) Cells: Central role in immune response.  Most are CD4+  Recognize antigen on the surface of antigen presenting cells (e.g.: macrophage).  Activate macrophages  Induce formation of cytotoxic T cells  Stimulate B cells to produce antibodies.
  • 67. Central Role of Helper T Cells
  • 68. Types of T cells (Continued) 2. Cytotoxic T (Tc) Cells: Destroy target cells.  Most are CD4 negative (CD4 -).  Recognize antigens on the surface of all cells: • Kill host cells that are infected with viruses or bacteria. • Recognize and kill cancer cells. • Recognize and destroy transplanted tissue.  Release protein called perforin which forms a pore in target cell, causing lysis of infected cells.  Undergo apoptosis when stimulating antigen is gone.
  • 69. Cytotoxic T Cells Lyse Infected Cells
  • 70. Types of T cells (Continued) 3. Delayed Hypersensitivity T (TD) Cells: Mostly T helper and a few cytotoxic T cells that are involved in some allergic reactions (poison ivy) and rejection of transplanted tissue. 4. T Suppressor (Ts) Cells: May shut down immune response.
  • 71. Nonspecific Cellular Components 1. Activated Macrophages: Stimulated phagocytes.  Stimulated by ingestion of antigen  Larger and more effective phagocytes.  Enhanced ability to eliminate intracellular bacteria, virus-infected and cancerous cells. 2. Natural Killer (NK) Cells:  Lymphocytes that destroy virus infected and tumor cells.  Not specific. Don’t require antigen stimulation.  Not phagocytic, but must contact cell in order to lyse it.
  • 72. Relationship Between Cell-Mediated and Humoral Immunity 1. Antibody Production T-Dependent Antigens:  Antibody production requires assistance from T helper cells.  A macrophage cells ingest antigen and presents it to TH cell.  TH cell stimulates B cells specific for antigen to become plasma cells.  Antigens are mainly proteins on viruses, bacteria, foreign red blood cells, and hapten-carrier molecules. T-Independent Antigens:  Antibody production does not require assistance from T cells.  Antigens are mainly polysaccharides or lipopolysaccharides with repeating subunits (bacterial capsules).  Weaker immune response than for T-dependent antigens.
  • 73. Humoral Response to T Dependent Antigens
  • 74. Humoral Response to T Dependent Antigens
  • 75. Relationship Between Cell-Mediated and Humoral Immunity 2. Antibody Dependent Cell Mediated Cytotoxicity  Target cell is covered with antibodies, leaving Fc portion sticking outwards.  Natural killer and other nonspecific cells that have receptors for Fc region are stimulated to kill targeted cells.  Target organism is lysed by substances secreted by attacking cells.  Used to destroy large organisms that cannot be phagocytosed.
  • 76. Destruction of Large Parasites by ADCC
  • 77. T-Cell T-Cells: The cells containing receptor in their surface which is protein substances linked by dipeptide bond cells . T cells are the key cellular component of immunity. T cells develop from stem cells in the bone marrow. Classification of T cell: According to the function T-cells are 4 types 1) Helper T-cells (TH) 2) Cytotoxic T-cells (TC) 3) Suppressor T-cell (TS ) 4) Delayed hypersensitivity T-cell (TD) Functions of different T cells: Helper T cell: Two types of helper T cells i. TH1 cells: Activate the cells associated with immune response. Eg. Macrophage, NK-cells, CD8+T cell ii. TH2 Cells: Stimulate the production of eosinophils, Ig-M, Ig-E, Ig-A Cytotoxic T cell (TC): Destroy the infected cells by cell to cell contact Suppressor T-cell (TS ) : Regulate the immune system/response and help to maintain tolerance of the body. Delayed hypersensitivity T-cell (TD): Protect the body from infection by the
  • 78. Cytokines Cytokines: The cells of immune system secreted a variety of proteinaceous substances which regulate the immune responses by signaling between cells. Interleukin: The cytokines act as a chemical mediators which regulate the interaction between the lymphocytes and other leukocytes population, so they are called interleukin. The number of interleukin is based on amino acid sequence. When the much information is known including amino acid sequence of the cytokines that are numbered by the international committee. The number of cytokines are 26. Functions of some important cytokines: 1) Interleukin-1 (IL-1):  It activate the helper T cell and binding the antigen processing cells in presence of antigen peptide.  Chemo-attraction of macrophage to the inflammatory response 2) Interleukin-2 (IL-2):  Proliferate the antigen binding helper T cells  Proliferate and differentiate B cell  Activate the cytotoxic T cells (Tc cell) and natural killer cell 3) Interleukin-8 (IL-8):  chemo-attraction of immune cells and phagocytosis to the site of inflammation 4) Interleukin-12 (IL-12):  Differentiate CD 4 5) Gamma-interferon (γ-IFN):  Inhibit the replication of the infecting agent like virus  Activate the phagocytic cell
  • 79. 6) Tumor necrosis factor β (TNF-β):  Cytotoxic of tumor cells  Increase the activity of the macrophage 7) Granulocytes-Macroophage colony stimulating factor (GM-CSF):  Stimulate the production of red and white blood cells from stem cell Cluster of Differentiation (CD) Cluster of Differentiation (CD): CD are the glycoproteins located on the surface of the all nucleated cells of the body and also in the surface of macrophage. It acts co-receptor involve in the T-cell. On the basis of co-receptor T cells are two types- 1. CD4:  Found in the surface of helper T cell (TH)  Responsible for the production of antibody mediated immunity  Recognize the antigen peptide associated with class-II MHC molecule 2. CD8:  found in the surface of cytotoxic T cell  Responsible for the production of cell mediated immunity  Recognize the antigen peptide associated with MHC class-I molecules in infected cells
  • 80. Specific Antigean is injected into mouse The antibody is produced against specific antigen Spleen of mouse is removed from the body and make a suspension of spleen Spleen containing B cell having the capability of to produce antibody Suspension of spleen mixed with myoloma cell culture The mixed cell having the power to proliferate but not capability to produce antibody Some spleenic B cell and myoloma cells fused with B cells to form another type of cells is called hybrid cells This hybrid cell having the capability to produce antibody When this hybrid cells grow in selective media is to form hybridoma cells This hybridoma cells are responsible for the production of monoclonal antibody
  • 81. Process of cell mediated cytotoxicity Antigen presenting cells (macrophage) engulf the antigen Encounter, enter and digest the antigen Antigen become fragmented and antigen peptide bind with MHC Class-II molecules Present on the surface of APC CD 4 of the helper T-cells recognizes the antigen peptide and MHC Class-II molecules TH Cells bind with the complex of antigen peptide and MHC class-II molecule The TH cell stimulate the APC to secrete IL-1 IL-1 stimulate the TH cells to secrete the IL-2 The TH cells become proliferate Produce clone of TH cells Some clone of TH cells go to the tissue for long period as a memory cells Other clone of TH cells secrete the IL-2 this activate the TC cells Continued
  • 82. Proliferate the TC cells and clone of TC cells Migrate to lymph and gland and ultimately go to the infected area Bind with the infected cells at antigen peptide associated with Class-I MHC molecules Then the TC cells release the perforin and granzyme enzyme. They form a pore in the membrane of target cell causing lysis
  • 83. Overview of the Immune Response
  • 84. Vaccine Vaccine: is a suspension of microorganism or portion of microbes, which is induced to produce immunity. Types of vaccine: 1. 1st Generation vaccine: When the whole microorganisms either live or inactivated or killed used for production of vaccine, is called 1st generation vaccine. Live vaccine and killed vaccine are used in Bangladesh. Live vaccine: act as an intracellular antigen and stimulate immune response by cell mediated cytotoxicity. Sometimes live vaccines are hazardous, due to residual virulence. i.e. the vaccine virus produce the disease (in stress condition of the body) Killed vaccine: acts as an extracellular and stimulate the immune response dominated by CD4+Helper T-cells. Sometimes killed vaccine can not produce appropriate immune response, but they are safer. Both vaccines are ideal and highly antigenic. They have no adverse side effect. 2. 2nd Generation vaccine/sub-unit vaccine: When the part of the microbes/sub-unit of the microorganisms used for the production of vaccine called 2nd generation/sub-unit vaccine. E.g. pili of the organism, extracted and purified for vaccine. The pili produce the antipili antibody and bind with pili and resulting the bacteria loss their adhering capability. Conjugate vaccine: is 2nd generation vaccine composed of different polysaccharide of capsule of different strain of same microrganism.
  • 85. 3. 3rd Generation vaccine/synthetic vaccine: This one is sophisticated promising vaccine produced by recombinant DNA technology. Immune stimulating antigen must be identified. Living cells must be re-engineered to produce the desired antigen. The antigen must be increased to promote phagocytosis and immune response. Characteristics of Ideal vaccine: I. An ideal vaccine must produce prolonged strong immunity II. The ideal vaccine must be free from adverse side effect III. The ideal vaccine must be cheaper, stable and adaptable to mass vaccination IV. An ideal vaccine must produce an immune response distinguishable from that due to natural infection so that immunization and eradication may proceed simultaneously V. Effectiveness of vaccine have four critical properties-  Stimulate antigen presenting cells and they process the antigen and produce the remarkable interleukin (cytikine)  Stimulate B-lymphocyte and T-lymphocyte as a result generation of large number of memory cells  Stimulate helper T-cell and Tc  Having the capability to persist the antigen in the suitable area in the lymphoid system and as a result generation of the immune cells and produce long running immunity.
  • 86. Causes of vaccine failure: Wrong strain of organism and insufficient antigen in vaccine leads to vaccine failure Lack of proper storage leads to death of live vaccine resulting vaccination failure Non-conventional route of vaccination leads to vaccination failure Wrong manufacturing process Presence of other microorganism (mixed infection) If not maintain proper cool chain If persistent infection present in the host Over dose of vaccine Inadequate dose of vaccine The use of antibiotic with live bacterial vaccine  Vaccination given too late, incubating the disease already Vaccination failure due to high infectious disease against which herd immunity is poor In case of immunosuppressed animal