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Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
PowerPoint Lectures for
Biology, Seventh Edition
Neil Campbell and Jane Reece
Lectures by Chris Romero
Chapter 43
The Immune System
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• Overview: Reconnaissance, Recognition, and
Response
• An animal must defend itself
– From the many dangerous pathogens it may
encounter in the environment
• Two major kinds of defense have evolved that
counter these threats
– Innate immunity and acquired immunity
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• Innate immunity
– Is present before any exposure to pathogens
and is effective from the time of birth
– Involves nonspecific responses to pathogens
Figure 43.1 3µm
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• Acquired immunity, also called adaptive
immunity
– Develops only after exposure to inducing
agents such as microbes, toxins, or other
foreign substances
– Involves a very specific response to pathogens
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• A summary of innate and acquired immunity
INNATE IMMUNITY
Rapid responses to a
broad range of microbes
ACQUIRED IMMUNITY
Slower responses to
specific microbes
External defenses Internal defenses
Skin
Mucous membranes
Secretions
Phagocytic cells
Antimicrobial proteins
Inflammatory response
Natural killer cells
Humoral response
(antibodies)
Cell-mediated response
(cytotoxic
lymphocytes)
Invading
microbes
(pathogens)
Figure 43.2
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• Concept 43.1: Innate immunity provides broad
defenses against infection
• A pathogen that successfully breaks through
an animal’s external defenses
– Soon encounters several innate cellular and
chemical mechanisms that impede its attack
on the body
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External Defenses
• Intact skin and mucous membranes
– Form physical barriers that bar the entry of
microorganisms and viruses
• Certain cells of the mucous membranes
produce mucus
– A viscous fluid that traps microbes and other
particles
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• In the trachea, ciliated epithelial cells
– Sweep mucus and any entrapped microbes
upward, preventing the microbes from entering
the lungs
Figure 43.3
10µm
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• Secretions of the skin and mucous membranes
– Provide an environment that is often hostile to
microbes
• Secretions from the skin
– Give the skin a pH between 3 and 5, which is
acidic enough to prevent colonization of many
microbes
– Also include proteins such as lysozyme, an
enzyme that digests the cell walls of many
bacteria
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Internal Cellular and Chemical Defenses
• Internal cellular defenses
– Depend mainly on phagocytosis
• Phagocytes, types of white blood cells
– Ingest invading microorganisms
– Initiate the inflammatory response
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Phagocytic Cells
• Phagocytes attach to their prey via surface receptors
– And engulf them, forming a vacuole that fuses with a
lysosome
Figure 43.4
Pseudopodia
surround
microbes.
1
Microbes
are engulfed
into cell.
2
Vacuole
containing
microbes
forms.
3
Vacuole
and lysosome
fuse.
4
Toxic
compounds
and lysosomal
enzymes
destroy microbes.
5
Microbial
debris is
released by
exocytosis.
6
Microbes
MACROPHAGE
Vacuole Lysosome
containing
enzymes
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• Macrophages, a specific type of phagocyte
– Can be found migrating through the body
– Can be found in various organs of the
lymphatic system
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Adenoid
Tonsil
Lymph
nodes
Spleen
Peyer’s patches
(small intestine)
Appendix
Lymphatic
vessels
Masses of
lymphocytes and
macrophages
Tissue
cells
Lymphatic
vessel
Blood
capillary
Lymphatic
capillaryInterstitial
fluid
Lymph
node
• The lymphatic system
– Plays an active role in defending the body from
pathogens
Interstitial fluid bathing the
tissues, along with the white
blood cells in it, continually
enters lymphatic capillaries.
1
Figure 43.5
Fluid inside the
lymphatic capillaries,
called lymph, flows
through lymphatic
vessels throughout
the body.
2
Within lymph nodes,
microbes and foreign
particles present in
the circulating lymph
encounter macro-
phages, dendritic cells,
and lymphocytes,
which carry out
various defensive
actions.
3
Lymphatic vessels
return lymph to the
blood via two large
ducts that drain into
veins near the
shoulders.
4
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Antimicrobial Proteins
• Numerous proteins function in innate defense
– By attacking microbes directly of by impeding
their reproduction
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• About 30 proteins make up the complement
system
– Which can cause lysis of invading cells and
help trigger inflammation
• Interferons
– Provide innate defense against viruses and
help activate macrophages
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Inflammatory Response
• In local inflammation, histamine and other
chemicals released from injured cells
– Promote changes in blood vessels that allow
more fluid, more phagocytes, and antimicrobial
proteins to enter the tissues
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• Major events in the local inflammatory response
Figure 43.6
Pathogen Pin
Macrophage
Chemical signals
Capillary
Phagocytic cells
Red blood cell
Blood
clotting
elements
Blood clot
Phagocytosis
Fluid, antimicrobial proteins,
and clotting elements move
from the blood to the site.
Clotting begins.
2Chemical signals released
by activated macrophages
and mast cells at the injury
site cause nearby capillaries
to widen and become more
permeable.
1 Chemokines released by various
kinds of cells attract more
phagocytic cells from the blood
to the injury site.
3 Neutrophils and macrophages
phagocytose pathogens and
cell debris at the site, and the
tissue heals.
4
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Natural Killer Cells
• Natural killer (NK) cells
– Patrol the body and attack virus-infected body
cells and cancer cells
– Trigger apoptosis in the cells they attack
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Invertebrate Immune Mechanisms
• Many invertebrates defend themselves from
infection
– By many of the same mechanisms in the
vertebrate innate response
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• Concept 43.2: In acquired immunity,
lymphocytes provide specific defenses against
infection
• Acquired immunity
– Is the body’s second major kind of defense
– Involves the activity of lymphocytes
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Antigen-
binding
sitesAntibody A
Antigen
Antibody B
Antibody C
Epitopes
(antigenic
determinants)
• An antigen is any foreign molecule
– That is specifically recognized by lymphocytes
and elicits a response from them
• A lymphocyte actually recognizes and binds
– To just a small, accessible portion of the antigen
called an epitope
Figure 43.7
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
Antigen Recognition by Lymphocytes
• The vertebrate body is populated by two main
types of lymphocytes
– B lymphocytes (B cells) and T lymphocytes
(T cells)
– Which circulate through the blood
• The plasma membranes of both B cells
and T cells
– Have about 100,000 antigen receptor that all
recognize the same epitope
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B Cell Receptors for Antigens
• B cell receptors
– Bind to specific, intact antigens
– Are often called membrane antibodies or membrane
immunoglobulins
Figure 43.8a
Antigen-
binding
site
Antigen-
binding site
Disulfide
bridge
Light
chain
Heavy chains
Cytoplasm of B cell
V
A B cell receptor consists of two identical heavy
chains and two identical light chains linked by
several disulfide bridges.
(a)
Variable
regions
Constant
regions
Transmembrane
region
Plasma
membrane
B cell
V
V
C
C C
C
V
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Antigen-
Binding site
β chain
Disulfide bridge
α chain
T cell
A T cell receptor consists of one
α chain and one β chain linked by
a disulfide bridge.
(b)
Variable
regions
Constant
regions
Transmembrane
region
Plasma
membrane
Cytoplasm of T cell
T Cell Receptors for Antigens and the Role of the MHC
• Each T cell receptor
– Consists of two different polypeptide chains
Figure 43.8b
V V
C C
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• T cells bind to small fragments of antigens
– That are bound to normal cell-surface proteins
called MHC molecules
• MHC molecules
– Are encoded by a family of genes called the
major histocompatibility complex
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• Infected cells produce MHC molecules
– Which bind to antigen fragments and then are
transported to the cell surface in a process
called antigen presentation
• A nearby T cell
– Can then detect the antigen fragment
displayed on the cell’s surface
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• Depending on their source
– Peptide antigens are handled by different
classes of MHC molecules
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Figure 43.9a
Infected cell
Antigen
fragment
Class I MHC
molecule
T cell
receptor
(a) Cytotoxic T cell
A fragment of
foreign protein
(antigen) inside the
cell associates with
an MHC molecule
and is transported
to the cell surface.
1
The combination of
MHC molecule and
antigen is recognized
by a T cell, alerting it
to the infection.
2
1
2
• Class I MHC molecules, found on almost all
nucleated cells of the body
– Display peptide antigens to cytotoxic T cells
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• Class II MHC molecules, located mainly on
dendritic cells, macrophages, and B cells
– Display antigens to helper T cells
1
2
Figure 43.9b
Microbe Antigen-
presenting
cell
Antigen
fragment
Class II MHC
molecule
T cell
receptor
Helper T cell
A fragment of
foreign protein
(antigen) inside the
cell associates with
an MHC molecule
and is transported
to the cell surface.
1
The combination of
MHC molecule and
antigen is recognized
by a T cell, alerting it
to the infection.
2
(b)
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Lymphocyte Development
• Lymphocytes
– Arise from stem cells in the bone marrow
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• Newly formed lymphocytes are all alike
– But they later develop into B cells or T cells,
depending on where they continue their maturation
Figure 43.10
Bone marrow
Lymphoid
stem cell
B cell
Blood, lymph, and lymphoid tissues
(lymph nodes, spleen, and others)
T cell
Thymus
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Generation of Lymphocyte Diversity by Gene
Rearrangement
• Early in development, random, permanent
gene rearrangement
– Forms functional genes encoding the B or T
cell antigen receptor chains
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DNA of
undifferentiated
B cell
DNA of differentiated
B cell
pre-mRNA
mRNA Cap
B cell
B cell receptorLight-chain polypeptide
Intron
Intron
Intron
Variable
region
Constant
region
V1
V2 V3
V4–V39
V40 J1 J2 J3 J4 J5
V1 V2
V3 J5
V3 J5
V3 J5
V C
C
C
C
C
Poly (A)
Figure 43.11
Deletion of DNA between a V segment
and J segment and joining of the segments
1
• Immunoglobulin gene rearrangement
Transcription of resulting permanently rearranged,
functional gene
2
RNA processing (removal of intron; addition of cap
and poly (A) tail)
3
4 Translation
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Testing and Removal of Self-Reactive Lymphocytes
• As B and T cells are maturing in the bone and
thymus
– Their antigen receptors are tested for possible
self-reactivity
• Lymphocytes bearing receptors for antigens
already present in the body
– Are destroyed by apoptosis or rendered
nonfunctional
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Clonal Selection of Lymphocytes
• In a primary immune response
– Binding of antigen to a mature lymphocyte
induces the lymphocyte’s proliferation and
differentiation, a process called clonal
selection
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• Clonal selection of B cells
– Generates a clone of short-lived activated effector
cells and a clone of long-lived memory cells
Figure 43.12
Antigen molecules
Antigen
receptor
B cells that
differ in
antigen
specificity
Antibody
molecules
Clone of memory cells
Clone of plasma cells
Antigen molecules
bind to the antigen
receptors of only one
of the three B cells
shown.
The selected B cell
proliferates, forming
a clone of identical
cells bearing
receptors for the
selecting antigen.
Some proliferating
cells develop into
short-lived plasma
cells that secrete
antibodies specific
for the antigen.
Some proliferating cells
develop into long-lived
memory cells that can
respond rapidly upon
subsequent exposure
to the same antigen.
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• In the secondary immune response
– Memory cells facilitate a faster, more efficient
response
Antibodyconcentration
(arbitraryunits)
104
103
102
101
100
0 7 14 21 28 35 42 49 56
Time (days)
Figure 43.13
Antibodies
to A
Antibodies
to B
Primary
response to
antigen A
produces anti-
bodies to A
2
Day 1: First
exposure to
antigen A
1 Day 28:
Second exposure
to antigen A; first
exposure to
antigen B
3 Secondary response to anti-
gen A produces antibodies
to A; primary response to anti-
gen B produces antibodies to B
4
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• Concept 43.3: Humoral and cell-mediated
immunity defend against different types of
threats
• Acquired immunity includes two branches
– The humoral immune response involves the
activation and clonal selection of B cells,
resulting in the production of secreted
antibodies
– The cell-mediated immune response involves
the activation and clonal selection of cytotoxic
T cells
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• The roles of the major participants in the
acquired immune response
Figure 43.14
Humoral immune response Cell-mediated immune response
First exposure to antigen
Intact antigens
Antigens engulfed and
displayed by dendritic cells
Antigens displayed
by infected cells
Activate Activate Activate
Gives rise to Gives rise to Gives rise to
B cell
Helper
T cell
Cytotoxic
T cell
Plasma
cells
Memory
B cells
Active and
memory
helper
T cells
Memory
cytotoxic
T cells
Active
cytotoxic
T cells
Secrete antibodies that defend against
pathogens and toxins in extracellular fluid
Defend against infected cells, cancer
cells, and transplanted tissues
Secreted
cytokines
activate
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Helper T Cells: A Response to Nearly All Antigens
• Helper T cells produce CD4, a surface protein
– That enhances their binding to class II MHC
molecule–antigen complexes on antigen-
presenting cells
• Activation of the helper T cell then occurs
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• Activated helper T cells
– Secrete several different cytokines that
stimulate other lymphocytes
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• The role of helper T cells in acquired immunity
Figure 43.15
After a dendritic cell engulfs and degrades a bacterium, it displays
bacterial antigen fragments (peptides) complexed with a class II
MHC molecule on the cell surface. A specific helper T cell binds
to the displayed complex via its TCR with the aid of CD4. This
interaction promotes secretion of cytokines by the dendritic cell.
Proliferation of the T cell, stimulated
by cytokines from both the dendritic
cell and the T cell itself, gives rise to
a clone of activated helper T cells
(not shown), all with receptors for the
same MHC–antigen complex.
The cells in this clone
secrete other cytokines
that help activate B cells
and cytotoxic T cells.
Cell-mediated
immunity
(attack on
infected cells)
Humoral
immunity
(secretion of
antibodies by
plasma cells)
Dendritic
cell
Dendritic
cell
Bacterium
Peptide antigen
Class II MHC
molecule
TCR
CD4
Helper T cell
Cytokines
Cytotoxic T cell
B cell
1
2 3
1
2 3
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Cytotoxic T Cells: A Response to Infected Cells and
Cancer Cells
• Cytotoxic T cells make CD8
– A surface protein that greatly enhances the
interaction between a target cell and a
cytotoxic T cell
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• Cytotoxic T cells
– Bind to infected cells, cancer cells, and
transplanted tissues
• Binding to a class I MHC complex on an
infected body cell
– Activates a cytotoxic T cell and differentiates it
into an active killer
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Cytotoxic T cell
Perforin
Granzymes
CD8TCR
Class I MHC
molecule
Target
cell Peptide
antigen
Pore
Released
cytotoxic
T cell
Apoptotic
target cell
Cancer
cell
Cytotoxic
T cell
A specific cytotoxic T cell binds to a
class I MHC–antigen complex on a
target cell via its TCR with the aid of
CD8. This interaction, along with
cytokines from helper T cells, leads to
the activation of the cytotoxic cell.
1 The activated T cell releases perforin
molecules, which form pores in the
target cell membrane, and proteolytic
enzymes (granzymes), which enter the
target cell by endocytosis.
2 The granzymes initiate apoptosis within the
target cells, leading to fragmentation of the
nucleus, release of small apoptotic bodies,
and eventual cell death. The released
cytotoxic T cell can attack other target cells.
3
1
2
3
Figure 43.16
• The activated cytotoxic T cell
– Secretes proteins that destroy the infected target
cell
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B Cells: A Response to Extracellular Pathogens
• Activation of B cells
– Is aided by cytokines and antigen binding to
helper T cells
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• The clonal selection of B cells
– Generates antibody-secreting plasma cells, the
effector cells of humoral immunity
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2
1
3
B cell
Bacterium
Peptide
antigen
Class II
MHC
molecule
TCR
Helper T cell
CD4
Activated
helper T cell Clone of memory
B cells
Cytokines
Clone of plasma cells
Secreted antibody
molecules
Endoplasmic
reticulum of
plasma cell
Macrophage
After a macrophage engulfs and degrades
a bacterium, it displays a peptide antigen
complexed with a class II MHC molecule.
A helper T cell that recognizes the displayed
complex is activated with the aid of cytokines
secreted from the macrophage, forming a
clone of activated helper T cells (not shown).
1 A B cell that has taken up and degraded the
same bacterium displays class II MHC–peptide
antigen complexes. An activated helper T cell
bearing receptors specific for the displayed
antigen binds to the B cell. This interaction,
with the aid of cytokines from the T cell,
activates the B cell.
2 The activated B cell proliferates
and differentiates into memory
B cells and antibody-secreting
plasma cells. The secreted
antibodies are specific for the
same bacterial antigen that
initiated the response.
3
Figure 43.17
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Antibody Classes
• The five major classes of antibodies, or
immunoglobulins
– Differ in their distributions and functions within
the body
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• The five classes of immunoglobulins
Figure 43.18
First Ig class produced after initial exposure to
antigen; then its concentration in the blood declines
Most abundant Ig class in blood; also present in
tissue fluids
Only Ig class that crosses placenta, thus conferring
passive immunity on fetus
Promotes opsonization, neutralization, and agglutination
of antigens; less effective in complement activation than
IgM (see Figure 43.19)
Present in secretions such as tears, saliva, mucus,
and breast milk
Triggers release from mast cells and basophils of
histamine and other chemicals that cause allergic
reactions (see Figure 43.20)
Present primarily on surface of naive B cells that have
not been exposed to antigens
IgM
(pentamer)
IgG
(monomer)
IgA
(dimer)
IgE
(monomer)
J chain
Secretory
component
J chain
Transmembrane
region
IgD
(monomer)
Promotes neutralization and agglutination of
antigens; very effective in complement activation
(see Figure 43.19)
Provides localized defense of mucous membranes by
agglutination and neutralization of antigens (see
Figure 43.19)
Presence in breast milk confers passive immunity on
nursing infant
Acts as antigen receptor in antigen-stimulated
proliferation and differentiation of B cells (clonal
selection)
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Antibody-Mediated Disposal of Antigens
• The binding of antibodies to antigens
– Is also the basis of several antigen disposal
mechanisms
– Leads to elimination of microbes by
phagocytosis and complement-mediated lysis
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• Antibody-mediated mechanisms of antigen disposal
Binding of antibodies to antigens
inactivates antigens by
Viral neutralization
(blocks binding to host)
and opsonization (increases
phagocytosis)
Agglutination of
antigen-bearing particles,
such as microbes
Precipitation of
soluble antigens
Activation of complement system
and pore formation
Bacterium
Virus Bacteria
Soluble
antigens Foreign cell
Complement
proteins
MAC
Pore
Enhances
Phagocytosis
Leads to
Cell lysis
MacrophageFigure 43.19
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Active and Passive Immunization
• Active immunity
– Develops naturally in response to an infection
– Can also develop following immunization, also
called vaccination
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• In immunization
– A nonpathogenic form of a microbe or part of a
microbe elicits an immune response to an
immunological memory for that microbe
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• Passive immunity, which provides immediate,
short-term protection
– Is conferred naturally when IgG crosses the
placenta from mother to fetus or when IgA
passes from mother to infant in breast milk
– Can be conferred artificially by injecting
antibodies into a nonimmune person
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• Concept 43.4: The immune system’s ability to
distinguish self from nonself limits tissue
transplantation
• The immune system
– Can wage war against cells from other
individuals
• Transplanted tissues
– Are usually destroyed by the recipient’s
immune system
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Blood Groups and Transfusions
• Certain antigens on red blood cells
– Determine whether a person has type A, B,
AB, or O blood
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• Antibodies to nonself blood types
– Already exist in the body
• Transfusion with incompatible blood
– Leads to destruction of the transfused cells
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• Recipient-donor combinations
– Can be fatal or safe
Table 43.1
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• Another red blood cell antigen, the Rh factor
– Creates difficulties when an Rh-negative
mother carries successive Rh-positive fetuses
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Tissue and Organ Transplants
• MHC molecules
– Are responsible for stimulating the rejection of
tissue grafts and organ transplants
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• The chances of successful transplantation are
increased
– If the donor and recipient MHC tissue types
are well matched
– If the recipient is given immunosuppressive
drugs
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• Lymphocytes in bone marrow transplants
– May cause a graft versus host reaction in
recipients
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• Concept 43.5: Exaggerated, self-directed, or
diminished immune responses can cause
disease
• If the delicate balance of the immune system is
disrupted
– The effects on the individual can range from
minor to often fatal consequences
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Allergies
• Allergies are exaggerated (hypersensitive)
responses
– To certain antigens called allergens
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• In localized allergies such as hay fever
– IgE antibodies produced after first exposure to
an allergen attach to receptors on mast cells
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• The next time the allergen enters the body
– It binds to mast cell–associated IgE molecules
• The mast cells then release histamine and
other mediators
– That cause vascular changes and typical
symptoms
Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings
• The allergic response
Figure 43.20
IgE antibodies produced in
response to initial exposure
to an allergen bind to
receptors or mast cells.
1 On subsequent exposure to the
same allergen, IgE molecules
attached to a mast cell recog-
nize and bind the allergen.
2 Degranulation of the cell,
triggered by cross-linking of
adjacent IgE molecules,
releases histamine and other
chemicals, leading to allergy
symptoms.
3
1
2
3
Allergen
IgE
Histamine
Granule
Mast cell
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• An acute allergic response sometimes leads to
anaphylactic shock
– A whole-body, life-threatening reaction that
can occur within seconds of exposure to an
allergen
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Autoimmune Diseases
• In individuals with autoimmune diseases
– The immune system loses tolerance for self
and turns against certain molecules of the
body
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• Rheumatoid arthritis
– Is an autoimmune disease that leads to
damage and painful inflammation of the
cartilage and bone of joints
Figure 43.21
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• Other examples of autoimmune diseases
include
– Systemic lupus erythematosus
– Multiple sclerosis
– Insulin-dependent diabetes
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Immunodeficiency Diseases
• An inborn or primary immunodeficiency
– Results from hereditary or congenital defects
that prevent proper functioning of innate,
humoral, and/or cell-mediated defenses
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• An acquired or secondary immunodeficiency
– Results from exposure to various chemical and
biological agents
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Inborn (Primary) Immunodeficiencies
• In severe combined immunodeficiency (SCID)
– Both the humoral and cell-mediated branches
of acquired immunity fail to function
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Acquired (Secondary) Immunodeficiencies
• Acquired immunodeficiencies
– Range from temporary states to chronic
diseases
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Stress and the Immune System
• Growing evidence shows
– That physical and emotional stress can harm
immunity
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• Acquired Immunodeficiency Syndrome (AIDS)
• People with AIDS
– Are highly susceptible to opportunistic
infections and cancers that take advantage of
an immune system in collapse
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• Because AIDS arises from the loss of helper T
cells
– Both humoral and cell-mediated immune
responses are impaired
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• The loss of helper T cells
– Results from infection by the human
immunodeficiency virus (HIV)
1µmFigure 43.22
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• The spread of HIV
– Has become a worldwide problem
• The best approach for slowing the spread of
HIV
– Is educating people about the practices that
transmit the virus

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43-immunesystem-text

  • 1. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings PowerPoint Lectures for Biology, Seventh Edition Neil Campbell and Jane Reece Lectures by Chris Romero Chapter 43 The Immune System
  • 2. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Overview: Reconnaissance, Recognition, and Response • An animal must defend itself – From the many dangerous pathogens it may encounter in the environment • Two major kinds of defense have evolved that counter these threats – Innate immunity and acquired immunity
  • 3. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Innate immunity – Is present before any exposure to pathogens and is effective from the time of birth – Involves nonspecific responses to pathogens Figure 43.1 3µm
  • 4. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Acquired immunity, also called adaptive immunity – Develops only after exposure to inducing agents such as microbes, toxins, or other foreign substances – Involves a very specific response to pathogens
  • 5. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • A summary of innate and acquired immunity INNATE IMMUNITY Rapid responses to a broad range of microbes ACQUIRED IMMUNITY Slower responses to specific microbes External defenses Internal defenses Skin Mucous membranes Secretions Phagocytic cells Antimicrobial proteins Inflammatory response Natural killer cells Humoral response (antibodies) Cell-mediated response (cytotoxic lymphocytes) Invading microbes (pathogens) Figure 43.2
  • 6. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Concept 43.1: Innate immunity provides broad defenses against infection • A pathogen that successfully breaks through an animal’s external defenses – Soon encounters several innate cellular and chemical mechanisms that impede its attack on the body
  • 7. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings External Defenses • Intact skin and mucous membranes – Form physical barriers that bar the entry of microorganisms and viruses • Certain cells of the mucous membranes produce mucus – A viscous fluid that traps microbes and other particles
  • 8. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • In the trachea, ciliated epithelial cells – Sweep mucus and any entrapped microbes upward, preventing the microbes from entering the lungs Figure 43.3 10µm
  • 9. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Secretions of the skin and mucous membranes – Provide an environment that is often hostile to microbes • Secretions from the skin – Give the skin a pH between 3 and 5, which is acidic enough to prevent colonization of many microbes – Also include proteins such as lysozyme, an enzyme that digests the cell walls of many bacteria
  • 10. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Internal Cellular and Chemical Defenses • Internal cellular defenses – Depend mainly on phagocytosis • Phagocytes, types of white blood cells – Ingest invading microorganisms – Initiate the inflammatory response
  • 11. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Phagocytic Cells • Phagocytes attach to their prey via surface receptors – And engulf them, forming a vacuole that fuses with a lysosome Figure 43.4 Pseudopodia surround microbes. 1 Microbes are engulfed into cell. 2 Vacuole containing microbes forms. 3 Vacuole and lysosome fuse. 4 Toxic compounds and lysosomal enzymes destroy microbes. 5 Microbial debris is released by exocytosis. 6 Microbes MACROPHAGE Vacuole Lysosome containing enzymes
  • 12. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Macrophages, a specific type of phagocyte – Can be found migrating through the body – Can be found in various organs of the lymphatic system
  • 13. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Adenoid Tonsil Lymph nodes Spleen Peyer’s patches (small intestine) Appendix Lymphatic vessels Masses of lymphocytes and macrophages Tissue cells Lymphatic vessel Blood capillary Lymphatic capillaryInterstitial fluid Lymph node • The lymphatic system – Plays an active role in defending the body from pathogens Interstitial fluid bathing the tissues, along with the white blood cells in it, continually enters lymphatic capillaries. 1 Figure 43.5 Fluid inside the lymphatic capillaries, called lymph, flows through lymphatic vessels throughout the body. 2 Within lymph nodes, microbes and foreign particles present in the circulating lymph encounter macro- phages, dendritic cells, and lymphocytes, which carry out various defensive actions. 3 Lymphatic vessels return lymph to the blood via two large ducts that drain into veins near the shoulders. 4
  • 14. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Antimicrobial Proteins • Numerous proteins function in innate defense – By attacking microbes directly of by impeding their reproduction
  • 15. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • About 30 proteins make up the complement system – Which can cause lysis of invading cells and help trigger inflammation • Interferons – Provide innate defense against viruses and help activate macrophages
  • 16. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Inflammatory Response • In local inflammation, histamine and other chemicals released from injured cells – Promote changes in blood vessels that allow more fluid, more phagocytes, and antimicrobial proteins to enter the tissues
  • 17. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Major events in the local inflammatory response Figure 43.6 Pathogen Pin Macrophage Chemical signals Capillary Phagocytic cells Red blood cell Blood clotting elements Blood clot Phagocytosis Fluid, antimicrobial proteins, and clotting elements move from the blood to the site. Clotting begins. 2Chemical signals released by activated macrophages and mast cells at the injury site cause nearby capillaries to widen and become more permeable. 1 Chemokines released by various kinds of cells attract more phagocytic cells from the blood to the injury site. 3 Neutrophils and macrophages phagocytose pathogens and cell debris at the site, and the tissue heals. 4
  • 18. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Natural Killer Cells • Natural killer (NK) cells – Patrol the body and attack virus-infected body cells and cancer cells – Trigger apoptosis in the cells they attack
  • 19. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Invertebrate Immune Mechanisms • Many invertebrates defend themselves from infection – By many of the same mechanisms in the vertebrate innate response
  • 20. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Concept 43.2: In acquired immunity, lymphocytes provide specific defenses against infection • Acquired immunity – Is the body’s second major kind of defense – Involves the activity of lymphocytes
  • 21. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Antigen- binding sitesAntibody A Antigen Antibody B Antibody C Epitopes (antigenic determinants) • An antigen is any foreign molecule – That is specifically recognized by lymphocytes and elicits a response from them • A lymphocyte actually recognizes and binds – To just a small, accessible portion of the antigen called an epitope Figure 43.7
  • 22. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Antigen Recognition by Lymphocytes • The vertebrate body is populated by two main types of lymphocytes – B lymphocytes (B cells) and T lymphocytes (T cells) – Which circulate through the blood • The plasma membranes of both B cells and T cells – Have about 100,000 antigen receptor that all recognize the same epitope
  • 23. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings B Cell Receptors for Antigens • B cell receptors – Bind to specific, intact antigens – Are often called membrane antibodies or membrane immunoglobulins Figure 43.8a Antigen- binding site Antigen- binding site Disulfide bridge Light chain Heavy chains Cytoplasm of B cell V A B cell receptor consists of two identical heavy chains and two identical light chains linked by several disulfide bridges. (a) Variable regions Constant regions Transmembrane region Plasma membrane B cell V V C C C C V
  • 24. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Antigen- Binding site β chain Disulfide bridge α chain T cell A T cell receptor consists of one α chain and one β chain linked by a disulfide bridge. (b) Variable regions Constant regions Transmembrane region Plasma membrane Cytoplasm of T cell T Cell Receptors for Antigens and the Role of the MHC • Each T cell receptor – Consists of two different polypeptide chains Figure 43.8b V V C C
  • 25. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • T cells bind to small fragments of antigens – That are bound to normal cell-surface proteins called MHC molecules • MHC molecules – Are encoded by a family of genes called the major histocompatibility complex
  • 26. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Infected cells produce MHC molecules – Which bind to antigen fragments and then are transported to the cell surface in a process called antigen presentation • A nearby T cell – Can then detect the antigen fragment displayed on the cell’s surface
  • 27. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Depending on their source – Peptide antigens are handled by different classes of MHC molecules
  • 28. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Figure 43.9a Infected cell Antigen fragment Class I MHC molecule T cell receptor (a) Cytotoxic T cell A fragment of foreign protein (antigen) inside the cell associates with an MHC molecule and is transported to the cell surface. 1 The combination of MHC molecule and antigen is recognized by a T cell, alerting it to the infection. 2 1 2 • Class I MHC molecules, found on almost all nucleated cells of the body – Display peptide antigens to cytotoxic T cells
  • 29. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Class II MHC molecules, located mainly on dendritic cells, macrophages, and B cells – Display antigens to helper T cells 1 2 Figure 43.9b Microbe Antigen- presenting cell Antigen fragment Class II MHC molecule T cell receptor Helper T cell A fragment of foreign protein (antigen) inside the cell associates with an MHC molecule and is transported to the cell surface. 1 The combination of MHC molecule and antigen is recognized by a T cell, alerting it to the infection. 2 (b)
  • 30. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Lymphocyte Development • Lymphocytes – Arise from stem cells in the bone marrow
  • 31. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Newly formed lymphocytes are all alike – But they later develop into B cells or T cells, depending on where they continue their maturation Figure 43.10 Bone marrow Lymphoid stem cell B cell Blood, lymph, and lymphoid tissues (lymph nodes, spleen, and others) T cell Thymus
  • 32. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Generation of Lymphocyte Diversity by Gene Rearrangement • Early in development, random, permanent gene rearrangement – Forms functional genes encoding the B or T cell antigen receptor chains
  • 33. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings DNA of undifferentiated B cell DNA of differentiated B cell pre-mRNA mRNA Cap B cell B cell receptorLight-chain polypeptide Intron Intron Intron Variable region Constant region V1 V2 V3 V4–V39 V40 J1 J2 J3 J4 J5 V1 V2 V3 J5 V3 J5 V3 J5 V C C C C C Poly (A) Figure 43.11 Deletion of DNA between a V segment and J segment and joining of the segments 1 • Immunoglobulin gene rearrangement Transcription of resulting permanently rearranged, functional gene 2 RNA processing (removal of intron; addition of cap and poly (A) tail) 3 4 Translation
  • 34. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Testing and Removal of Self-Reactive Lymphocytes • As B and T cells are maturing in the bone and thymus – Their antigen receptors are tested for possible self-reactivity • Lymphocytes bearing receptors for antigens already present in the body – Are destroyed by apoptosis or rendered nonfunctional
  • 35. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Clonal Selection of Lymphocytes • In a primary immune response – Binding of antigen to a mature lymphocyte induces the lymphocyte’s proliferation and differentiation, a process called clonal selection
  • 36. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Clonal selection of B cells – Generates a clone of short-lived activated effector cells and a clone of long-lived memory cells Figure 43.12 Antigen molecules Antigen receptor B cells that differ in antigen specificity Antibody molecules Clone of memory cells Clone of plasma cells Antigen molecules bind to the antigen receptors of only one of the three B cells shown. The selected B cell proliferates, forming a clone of identical cells bearing receptors for the selecting antigen. Some proliferating cells develop into short-lived plasma cells that secrete antibodies specific for the antigen. Some proliferating cells develop into long-lived memory cells that can respond rapidly upon subsequent exposure to the same antigen.
  • 37. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • In the secondary immune response – Memory cells facilitate a faster, more efficient response Antibodyconcentration (arbitraryunits) 104 103 102 101 100 0 7 14 21 28 35 42 49 56 Time (days) Figure 43.13 Antibodies to A Antibodies to B Primary response to antigen A produces anti- bodies to A 2 Day 1: First exposure to antigen A 1 Day 28: Second exposure to antigen A; first exposure to antigen B 3 Secondary response to anti- gen A produces antibodies to A; primary response to anti- gen B produces antibodies to B 4
  • 38. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Concept 43.3: Humoral and cell-mediated immunity defend against different types of threats • Acquired immunity includes two branches – The humoral immune response involves the activation and clonal selection of B cells, resulting in the production of secreted antibodies – The cell-mediated immune response involves the activation and clonal selection of cytotoxic T cells
  • 39. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The roles of the major participants in the acquired immune response Figure 43.14 Humoral immune response Cell-mediated immune response First exposure to antigen Intact antigens Antigens engulfed and displayed by dendritic cells Antigens displayed by infected cells Activate Activate Activate Gives rise to Gives rise to Gives rise to B cell Helper T cell Cytotoxic T cell Plasma cells Memory B cells Active and memory helper T cells Memory cytotoxic T cells Active cytotoxic T cells Secrete antibodies that defend against pathogens and toxins in extracellular fluid Defend against infected cells, cancer cells, and transplanted tissues Secreted cytokines activate
  • 40. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Helper T Cells: A Response to Nearly All Antigens • Helper T cells produce CD4, a surface protein – That enhances their binding to class II MHC molecule–antigen complexes on antigen- presenting cells • Activation of the helper T cell then occurs
  • 41. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Activated helper T cells – Secrete several different cytokines that stimulate other lymphocytes
  • 42. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The role of helper T cells in acquired immunity Figure 43.15 After a dendritic cell engulfs and degrades a bacterium, it displays bacterial antigen fragments (peptides) complexed with a class II MHC molecule on the cell surface. A specific helper T cell binds to the displayed complex via its TCR with the aid of CD4. This interaction promotes secretion of cytokines by the dendritic cell. Proliferation of the T cell, stimulated by cytokines from both the dendritic cell and the T cell itself, gives rise to a clone of activated helper T cells (not shown), all with receptors for the same MHC–antigen complex. The cells in this clone secrete other cytokines that help activate B cells and cytotoxic T cells. Cell-mediated immunity (attack on infected cells) Humoral immunity (secretion of antibodies by plasma cells) Dendritic cell Dendritic cell Bacterium Peptide antigen Class II MHC molecule TCR CD4 Helper T cell Cytokines Cytotoxic T cell B cell 1 2 3 1 2 3
  • 43. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Cytotoxic T Cells: A Response to Infected Cells and Cancer Cells • Cytotoxic T cells make CD8 – A surface protein that greatly enhances the interaction between a target cell and a cytotoxic T cell
  • 44. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Cytotoxic T cells – Bind to infected cells, cancer cells, and transplanted tissues • Binding to a class I MHC complex on an infected body cell – Activates a cytotoxic T cell and differentiates it into an active killer
  • 45. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Cytotoxic T cell Perforin Granzymes CD8TCR Class I MHC molecule Target cell Peptide antigen Pore Released cytotoxic T cell Apoptotic target cell Cancer cell Cytotoxic T cell A specific cytotoxic T cell binds to a class I MHC–antigen complex on a target cell via its TCR with the aid of CD8. This interaction, along with cytokines from helper T cells, leads to the activation of the cytotoxic cell. 1 The activated T cell releases perforin molecules, which form pores in the target cell membrane, and proteolytic enzymes (granzymes), which enter the target cell by endocytosis. 2 The granzymes initiate apoptosis within the target cells, leading to fragmentation of the nucleus, release of small apoptotic bodies, and eventual cell death. The released cytotoxic T cell can attack other target cells. 3 1 2 3 Figure 43.16 • The activated cytotoxic T cell – Secretes proteins that destroy the infected target cell
  • 46. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings B Cells: A Response to Extracellular Pathogens • Activation of B cells – Is aided by cytokines and antigen binding to helper T cells
  • 47. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The clonal selection of B cells – Generates antibody-secreting plasma cells, the effector cells of humoral immunity
  • 48. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings 2 1 3 B cell Bacterium Peptide antigen Class II MHC molecule TCR Helper T cell CD4 Activated helper T cell Clone of memory B cells Cytokines Clone of plasma cells Secreted antibody molecules Endoplasmic reticulum of plasma cell Macrophage After a macrophage engulfs and degrades a bacterium, it displays a peptide antigen complexed with a class II MHC molecule. A helper T cell that recognizes the displayed complex is activated with the aid of cytokines secreted from the macrophage, forming a clone of activated helper T cells (not shown). 1 A B cell that has taken up and degraded the same bacterium displays class II MHC–peptide antigen complexes. An activated helper T cell bearing receptors specific for the displayed antigen binds to the B cell. This interaction, with the aid of cytokines from the T cell, activates the B cell. 2 The activated B cell proliferates and differentiates into memory B cells and antibody-secreting plasma cells. The secreted antibodies are specific for the same bacterial antigen that initiated the response. 3 Figure 43.17
  • 49. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Antibody Classes • The five major classes of antibodies, or immunoglobulins – Differ in their distributions and functions within the body
  • 50. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The five classes of immunoglobulins Figure 43.18 First Ig class produced after initial exposure to antigen; then its concentration in the blood declines Most abundant Ig class in blood; also present in tissue fluids Only Ig class that crosses placenta, thus conferring passive immunity on fetus Promotes opsonization, neutralization, and agglutination of antigens; less effective in complement activation than IgM (see Figure 43.19) Present in secretions such as tears, saliva, mucus, and breast milk Triggers release from mast cells and basophils of histamine and other chemicals that cause allergic reactions (see Figure 43.20) Present primarily on surface of naive B cells that have not been exposed to antigens IgM (pentamer) IgG (monomer) IgA (dimer) IgE (monomer) J chain Secretory component J chain Transmembrane region IgD (monomer) Promotes neutralization and agglutination of antigens; very effective in complement activation (see Figure 43.19) Provides localized defense of mucous membranes by agglutination and neutralization of antigens (see Figure 43.19) Presence in breast milk confers passive immunity on nursing infant Acts as antigen receptor in antigen-stimulated proliferation and differentiation of B cells (clonal selection)
  • 51. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Antibody-Mediated Disposal of Antigens • The binding of antibodies to antigens – Is also the basis of several antigen disposal mechanisms – Leads to elimination of microbes by phagocytosis and complement-mediated lysis
  • 52. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Antibody-mediated mechanisms of antigen disposal Binding of antibodies to antigens inactivates antigens by Viral neutralization (blocks binding to host) and opsonization (increases phagocytosis) Agglutination of antigen-bearing particles, such as microbes Precipitation of soluble antigens Activation of complement system and pore formation Bacterium Virus Bacteria Soluble antigens Foreign cell Complement proteins MAC Pore Enhances Phagocytosis Leads to Cell lysis MacrophageFigure 43.19
  • 53. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Active and Passive Immunization • Active immunity – Develops naturally in response to an infection – Can also develop following immunization, also called vaccination
  • 54. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • In immunization – A nonpathogenic form of a microbe or part of a microbe elicits an immune response to an immunological memory for that microbe
  • 55. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Passive immunity, which provides immediate, short-term protection – Is conferred naturally when IgG crosses the placenta from mother to fetus or when IgA passes from mother to infant in breast milk – Can be conferred artificially by injecting antibodies into a nonimmune person
  • 56. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Concept 43.4: The immune system’s ability to distinguish self from nonself limits tissue transplantation • The immune system – Can wage war against cells from other individuals • Transplanted tissues – Are usually destroyed by the recipient’s immune system
  • 57. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Blood Groups and Transfusions • Certain antigens on red blood cells – Determine whether a person has type A, B, AB, or O blood
  • 58. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Antibodies to nonself blood types – Already exist in the body • Transfusion with incompatible blood – Leads to destruction of the transfused cells
  • 59. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Recipient-donor combinations – Can be fatal or safe Table 43.1
  • 60. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Another red blood cell antigen, the Rh factor – Creates difficulties when an Rh-negative mother carries successive Rh-positive fetuses
  • 61. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Tissue and Organ Transplants • MHC molecules – Are responsible for stimulating the rejection of tissue grafts and organ transplants
  • 62. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The chances of successful transplantation are increased – If the donor and recipient MHC tissue types are well matched – If the recipient is given immunosuppressive drugs
  • 63. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Lymphocytes in bone marrow transplants – May cause a graft versus host reaction in recipients
  • 64. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Concept 43.5: Exaggerated, self-directed, or diminished immune responses can cause disease • If the delicate balance of the immune system is disrupted – The effects on the individual can range from minor to often fatal consequences
  • 65. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Allergies • Allergies are exaggerated (hypersensitive) responses – To certain antigens called allergens
  • 66. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • In localized allergies such as hay fever – IgE antibodies produced after first exposure to an allergen attach to receptors on mast cells
  • 67. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The next time the allergen enters the body – It binds to mast cell–associated IgE molecules • The mast cells then release histamine and other mediators – That cause vascular changes and typical symptoms
  • 68. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The allergic response Figure 43.20 IgE antibodies produced in response to initial exposure to an allergen bind to receptors or mast cells. 1 On subsequent exposure to the same allergen, IgE molecules attached to a mast cell recog- nize and bind the allergen. 2 Degranulation of the cell, triggered by cross-linking of adjacent IgE molecules, releases histamine and other chemicals, leading to allergy symptoms. 3 1 2 3 Allergen IgE Histamine Granule Mast cell
  • 69. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • An acute allergic response sometimes leads to anaphylactic shock – A whole-body, life-threatening reaction that can occur within seconds of exposure to an allergen
  • 70. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Autoimmune Diseases • In individuals with autoimmune diseases – The immune system loses tolerance for self and turns against certain molecules of the body
  • 71. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Rheumatoid arthritis – Is an autoimmune disease that leads to damage and painful inflammation of the cartilage and bone of joints Figure 43.21
  • 72. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Other examples of autoimmune diseases include – Systemic lupus erythematosus – Multiple sclerosis – Insulin-dependent diabetes
  • 73. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Immunodeficiency Diseases • An inborn or primary immunodeficiency – Results from hereditary or congenital defects that prevent proper functioning of innate, humoral, and/or cell-mediated defenses
  • 74. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • An acquired or secondary immunodeficiency – Results from exposure to various chemical and biological agents
  • 75. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Inborn (Primary) Immunodeficiencies • In severe combined immunodeficiency (SCID) – Both the humoral and cell-mediated branches of acquired immunity fail to function
  • 76. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Acquired (Secondary) Immunodeficiencies • Acquired immunodeficiencies – Range from temporary states to chronic diseases
  • 77. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings Stress and the Immune System • Growing evidence shows – That physical and emotional stress can harm immunity
  • 78. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Acquired Immunodeficiency Syndrome (AIDS) • People with AIDS – Are highly susceptible to opportunistic infections and cancers that take advantage of an immune system in collapse
  • 79. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • Because AIDS arises from the loss of helper T cells – Both humoral and cell-mediated immune responses are impaired
  • 80. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The loss of helper T cells – Results from infection by the human immunodeficiency virus (HIV) 1µmFigure 43.22
  • 81. Copyright © 2005 Pearson Education, Inc. publishing as Benjamin Cummings • The spread of HIV – Has become a worldwide problem • The best approach for slowing the spread of HIV – Is educating people about the practices that transmit the virus