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IMMUNOLOGY
MAN BAHADUR RANA
BPH
ACAS,NEPAL
2
Immunology
ā€¢ study of our protection from foreign macromolecules or
invading organisms and our responses to them.
Overview of Immune system
3
Immune system and immunity
ā€¢ In the battle ļƒ microbial invaders and humans and other
vertebratesļƒ  protection ļƒ  complex array of defensive
measures ļƒ  collectively ļƒ Immune system.
ā€¢ Immunity ļƒ State of resistance or insusceptibility
exhibited by the host ļƒ  toxic molecules, microorganism
and foreign cells.
Overview of Immune system
4
The need of immune system
Overview of Immune system
5
Immunity
Overview of Immune system
-Species
-Racial
-Individual
6
Innate/Natural/Non specific Immunity
ļƒ resistance with which a person is born
ļƒ genetically passed
ļƒ mediated by anatomic and non specific
immunological factors
ļƒ provides first line of defense against infection
ļƒ Level of innate immunity varies
Overview of Immune system
7
Types of Innate Immunity
1. Species Immunity:
Resistance to infection varies with the species
The basic physiological, metabolic and anatomical
characteristics of a species ļƒ determine the immunity.
2. Racial Immunity:
Various animals and plant breeds ļƒ Marked difference in
their resistance to certain infectious diseases
Overview of Immune system
8
Types of Innate Immunity
3. Individual immunity
Different individual of same speciesļƒ  outbreak
Escape Sub clinical Develop
Disease infection disease
Overview of Immune system
9
Acquired/Specific Immunity
ļƒ Develops ļƒ  exposed to ļƒ specific pathogen or other
foreign materials.
ā€¢ Second line of response (if innate fails)
ā€¢ relies on mechanisms that adapt after infection
ā€¢ handled by T- and B- lymphocytes
Overview of Immune system
10
Types of Acquired Immunity
1. Active immunity 2. Passive immunity
Resistanceļƒ after effective contact with an antigen
Immune response
Overview of Immune system
Humoral or antibody
mediatedļƒ 
Cell mediated
11
1. Active Immunity
Natural active Artificial active
-Natural infections -Bacterial vaccines
-Subclinical infections -Viral vaccines
Overview of Immune system
12
2. Passive immunity
ļƒ transfer of preformed (ready-made) antibodies.
ļƒ important role to new born and immunocompromised
individiuals.
Natural Passive Artificial passive
Maternal antibody Parenteral administr-
ļƒ fetus and infants -ation of antibodies
Overview of Immune system
13
Difference between active and passive immunity
Overview of Immune system
14
Antigens
Proteins, nucleoproteins, polysaccharides, and some
glycolopids ļƒ  vertebrate host ļƒ  immune response ļƒ 
specific antibody or sensitized T cells or both.
Overview of Immune system
15
Types of Antigens
1. Complete antigen or immunogen
ā€¢ Immunogenicity and antigenicity
ā€¢ Generally high molecular weight ļƒ  mostly
proteinaceous and polysaccharides.
2. Incomplete antigen or hapten
ā€¢ Antigenic but not immunogenic
ā€¢ Usually low molecular weight.
ā€¢ carrier molecules+ hapten ļƒ  immunogenic
Overview of Immune system
16
Types of Antigens
Overview of Immune system
17
Antigenic determinant or epitope
Discrete sites on the macromolecules recognized by
lymphocytes
Sites either on or within the antigenļƒ antibodes react.
Very small ļƒ  four or five aminoacid or monosaccharide
residue
Overview of Immune system
18
Heterophile antigens
ā€¢ Similar in nature, if not identical, present in different
tissues of more than one species.
ā€¢ Cross reacting
ā€¢ Examples
RBC of blood group Bļƒ E. coli
Spirocheteļƒ Cardiolipin
Forssaman antigenļƒ red cells of many animals
Overview of Immune system
ANTIBODIES
ā€¢ Antigen specific proteins ļƒ  plasma cells
ā€¢ Belong to immunoglobulin.
ā€¢ Located ļƒ blood and extravascular tissues,
secretions and excretions
ā€¢ Bind pathogenic microorganism and their
toxins ļƒ  extracellular compartments
19
Structural configuration of Antibody
Dr.T.V.Rao MD 20
CLASSES (ISOTYPES) OF IMMUNOGLOBULINS
ā€¢ Classes based on constant region of heavy chains
ā€¢ (IgA)(IgD)(IgE)(IgG) (IgM)
ā€¢ Differentiation of heavy chains
ā€“ Length of C region, location of disulfide bonds, hinge
region, distribution of carbohydrate
ā€¢ Classes have different effector functions
21
Different classes of Antibodies
22
Immunoglobulin Classes
I. IgG
ļµStructure: Monomer
ļµLocation: Blood, lymph, intestine
ļµKnown Functions: Enhances phagocytosis, neutralizes
toxins and viruses, protects fetus and newborn.
23
Immunoglobulin Classes
II. IgM
ļµLocation: Blood, lymph, B cell surface (monomer)
ļµKnown Functions: First antibodies ļƒ  in infection.
Effective against microbes
24
Immunoglobulin Classes
III. IgA
ļµLocation: Secretions (tears, saliva, intestine,
milk), blood and lymph.
ļµKnown Functions: Localized protection of
mucosal surfaces. Provides immunity to infant in
digestive tract.
25
Immunoglobulin Classes
IV. IgD
V. Location: B-cell surface, blood, and lymph
ļµKnown Functions: In serum function is unknown.
On B cell surface, initiate immune response.
26
Immunoglobulin Classes
V. IgE
ļµLocation: Bound to mast cells and basophils
throughout body. Blood.
ļµKnown Functions: Allergic reactions. Possibly
lysis of worms.
27

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Introduction of immunology for bph class

  • 2. 2 Immunology ā€¢ study of our protection from foreign macromolecules or invading organisms and our responses to them. Overview of Immune system
  • 3. 3 Immune system and immunity ā€¢ In the battle ļƒ microbial invaders and humans and other vertebratesļƒ  protection ļƒ  complex array of defensive measures ļƒ  collectively ļƒ Immune system. ā€¢ Immunity ļƒ State of resistance or insusceptibility exhibited by the host ļƒ  toxic molecules, microorganism and foreign cells. Overview of Immune system
  • 4. 4 The need of immune system Overview of Immune system
  • 5. 5 Immunity Overview of Immune system -Species -Racial -Individual
  • 6. 6 Innate/Natural/Non specific Immunity ļƒ resistance with which a person is born ļƒ genetically passed ļƒ mediated by anatomic and non specific immunological factors ļƒ provides first line of defense against infection ļƒ Level of innate immunity varies Overview of Immune system
  • 7. 7 Types of Innate Immunity 1. Species Immunity: Resistance to infection varies with the species The basic physiological, metabolic and anatomical characteristics of a species ļƒ determine the immunity. 2. Racial Immunity: Various animals and plant breeds ļƒ Marked difference in their resistance to certain infectious diseases Overview of Immune system
  • 8. 8 Types of Innate Immunity 3. Individual immunity Different individual of same speciesļƒ  outbreak Escape Sub clinical Develop Disease infection disease Overview of Immune system
  • 9. 9 Acquired/Specific Immunity ļƒ Develops ļƒ  exposed to ļƒ specific pathogen or other foreign materials. ā€¢ Second line of response (if innate fails) ā€¢ relies on mechanisms that adapt after infection ā€¢ handled by T- and B- lymphocytes Overview of Immune system
  • 10. 10 Types of Acquired Immunity 1. Active immunity 2. Passive immunity Resistanceļƒ after effective contact with an antigen Immune response Overview of Immune system Humoral or antibody mediatedļƒ  Cell mediated
  • 11. 11 1. Active Immunity Natural active Artificial active -Natural infections -Bacterial vaccines -Subclinical infections -Viral vaccines Overview of Immune system
  • 12. 12 2. Passive immunity ļƒ transfer of preformed (ready-made) antibodies. ļƒ important role to new born and immunocompromised individiuals. Natural Passive Artificial passive Maternal antibody Parenteral administr- ļƒ fetus and infants -ation of antibodies Overview of Immune system
  • 13. 13 Difference between active and passive immunity Overview of Immune system
  • 14. 14 Antigens Proteins, nucleoproteins, polysaccharides, and some glycolopids ļƒ  vertebrate host ļƒ  immune response ļƒ  specific antibody or sensitized T cells or both. Overview of Immune system
  • 15. 15 Types of Antigens 1. Complete antigen or immunogen ā€¢ Immunogenicity and antigenicity ā€¢ Generally high molecular weight ļƒ  mostly proteinaceous and polysaccharides. 2. Incomplete antigen or hapten ā€¢ Antigenic but not immunogenic ā€¢ Usually low molecular weight. ā€¢ carrier molecules+ hapten ļƒ  immunogenic Overview of Immune system
  • 16. 16 Types of Antigens Overview of Immune system
  • 17. 17 Antigenic determinant or epitope Discrete sites on the macromolecules recognized by lymphocytes Sites either on or within the antigenļƒ antibodes react. Very small ļƒ  four or five aminoacid or monosaccharide residue Overview of Immune system
  • 18. 18 Heterophile antigens ā€¢ Similar in nature, if not identical, present in different tissues of more than one species. ā€¢ Cross reacting ā€¢ Examples RBC of blood group Bļƒ E. coli Spirocheteļƒ Cardiolipin Forssaman antigenļƒ red cells of many animals Overview of Immune system
  • 19. ANTIBODIES ā€¢ Antigen specific proteins ļƒ  plasma cells ā€¢ Belong to immunoglobulin. ā€¢ Located ļƒ blood and extravascular tissues, secretions and excretions ā€¢ Bind pathogenic microorganism and their toxins ļƒ  extracellular compartments 19
  • 20. Structural configuration of Antibody Dr.T.V.Rao MD 20
  • 21. CLASSES (ISOTYPES) OF IMMUNOGLOBULINS ā€¢ Classes based on constant region of heavy chains ā€¢ (IgA)(IgD)(IgE)(IgG) (IgM) ā€¢ Differentiation of heavy chains ā€“ Length of C region, location of disulfide bonds, hinge region, distribution of carbohydrate ā€¢ Classes have different effector functions 21
  • 22. Different classes of Antibodies 22
  • 23. Immunoglobulin Classes I. IgG ļµStructure: Monomer ļµLocation: Blood, lymph, intestine ļµKnown Functions: Enhances phagocytosis, neutralizes toxins and viruses, protects fetus and newborn. 23
  • 24. Immunoglobulin Classes II. IgM ļµLocation: Blood, lymph, B cell surface (monomer) ļµKnown Functions: First antibodies ļƒ  in infection. Effective against microbes 24
  • 25. Immunoglobulin Classes III. IgA ļµLocation: Secretions (tears, saliva, intestine, milk), blood and lymph. ļµKnown Functions: Localized protection of mucosal surfaces. Provides immunity to infant in digestive tract. 25
  • 26. Immunoglobulin Classes IV. IgD V. Location: B-cell surface, blood, and lymph ļµKnown Functions: In serum function is unknown. On B cell surface, initiate immune response. 26
  • 27. Immunoglobulin Classes V. IgE ļµLocation: Bound to mast cells and basophils throughout body. Blood. ļµKnown Functions: Allergic reactions. Possibly lysis of worms. 27