Innate immunity provides non-specific protection against pathogens and involves physical and chemical barriers as well as cellular responses. Adaptive immunity provides pathogen-specific protection through antibodies and T-cells, develops over time, and results in immunological memory. Innate immunity forms the first line of defense through mechanisms like epithelial surfaces, antimicrobial proteins, inflammation, and phagocytosis. Adaptive immunity is subdivided into active and passive immunity and involves both humoral and cell-mediated responses that are stimulated by antigens.
The document discusses the complement system, which consists of over 30 proteins produced by the liver that function in the immune system but are not antibodies. It works as a cascade system where one activation triggers another in a chain reaction. Complement activation can lead to cell lysis and generation of inflammatory substances. It plays a role in defense against bacteria and in inflammatory and autoimmune diseases. There are three complement activation pathways: classical, alternative, and lectin. The classical pathway is antibody-dependent while the alternative and lectin pathways are antibody-independent. Complement activation results in opsonization, inflammation, clearance of immune complexes, and lysis of pathogen cells.
Cell-mediated immunity is an immune response that does not involve antibodies but rather involves the activation of phagocytes, antigen-specific cytotoxic T-lymphocytes, and the release of various cytokines in response to an antigen. It is an immune response that does not involve antibodies, but rather involves the activation of phagocytes, antigen-specific cytotoxic T-lymphocytes, and the release of various cytokines in response to an antigen.
Chronic inflammation is prolonged inflammation that can last weeks to years. It involves ongoing tissue destruction and attempts at repair through fibrosis. It can follow acute inflammation or result from persistent infections like tuberculosis. Common features include mononuclear cell infiltration of macrophages, lymphocytes and plasma cells, as well as proliferative changes like angiogenesis and fibrosis. Chronic inflammation can be non-specific or granulomatous, characterized by granulomas which form to contain hard to eliminate agents and involve epithelioid cells, giant cells, and caseous necrosis. Examples include chronic cholecystitis and pyelonephritis.
1. Staphylococci are gram-positive cocci that grow in clusters and are catalase-positive. The coagulase test is used to differentiate Staphylococcus aureus from coagulase-negative staphylococci (CoNS).
2. S. aureus causes a variety of diseases including localized skin infections, pneumonia, bacteremia, osteomyelitis, endocarditis and toxic shock syndrome. Identification involves culture, microscopy, and biochemical tests like coagulase and catalase.
3. Strain typing methods are used to trace outbreak sources and identify toxin-producing strains causing food poisoning and toxic shock syndrome.
The immune system consists of primary and secondary lymphoid organs that work together. Primary lymphoid organs include the thymus, bone marrow, and bursa of fabricus, where immune cells mature and develop. Secondary lymphoid organs, such as lymph nodes and the spleen, expose mature immune cells to antigens in circulation and further activate the immune response. The thymus educates T cells, while the bone marrow produces B cells and other immune cells through hematopoiesis. Lymph nodes and the spleen then filter antigens from lymph and blood to activate mature B and T cells.
B cell development begins with stem cells in the bone marrow that undergo VDJ recombination and rearrangement of immunoglobulin genes. B cells that produce a functional antibody are selected to mature, while those that bind self-antigens undergo deletion or anergy. Mature naive B cells circulate until they encounter antigen, then proliferate and differentiate into either plasma cells that secrete antibody or memory B cells that mount a stronger secondary response. This process ensures B cells produce a diverse repertoire of antibodies while avoiding autoimmunity.
This document provides an overview of chronic inflammation and granulomatous inflammation. It defines chronic inflammation as inflammation of prolonged duration that involves simultaneous active inflammation, tissue destruction, and attempts at repair. Chronic inflammation can arise from persistent infections, immune-mediated diseases, or prolonged exposure to toxic substances. Key cells involved include macrophages, lymphocytes, and plasma cells. Chronic inflammation is characterized by infiltration of mononuclear cells, tissue destruction, and attempts at repair through fibrosis. Granulomatous inflammation features microscopic granulomas composed of activated macrophages surrounded by lymphocytes. Tuberculosis is provided as an example of a disease involving granulomatous inflammation.
The document discusses various types of immunodeficiency syndromes, including primary (inherited) immunodeficiencies caused by genetic defects that impair innate or adaptive immunity, leading to increased susceptibility to infection. Examples discussed include severe combined immunodeficiency (SCID), X-linked agammaglobulinemia, hyper-IgM syndrome, and Wiskott-Aldrich syndrome. Secondary (acquired) immunodeficiencies can result from illnesses, medications, or conditions like HIV/AIDS that cause immunosuppression. The epidemiology and pathogenesis of HIV/AIDS are described in detail.
The document discusses the complement system, which consists of over 30 proteins produced by the liver that function in the immune system but are not antibodies. It works as a cascade system where one activation triggers another in a chain reaction. Complement activation can lead to cell lysis and generation of inflammatory substances. It plays a role in defense against bacteria and in inflammatory and autoimmune diseases. There are three complement activation pathways: classical, alternative, and lectin. The classical pathway is antibody-dependent while the alternative and lectin pathways are antibody-independent. Complement activation results in opsonization, inflammation, clearance of immune complexes, and lysis of pathogen cells.
Cell-mediated immunity is an immune response that does not involve antibodies but rather involves the activation of phagocytes, antigen-specific cytotoxic T-lymphocytes, and the release of various cytokines in response to an antigen. It is an immune response that does not involve antibodies, but rather involves the activation of phagocytes, antigen-specific cytotoxic T-lymphocytes, and the release of various cytokines in response to an antigen.
Chronic inflammation is prolonged inflammation that can last weeks to years. It involves ongoing tissue destruction and attempts at repair through fibrosis. It can follow acute inflammation or result from persistent infections like tuberculosis. Common features include mononuclear cell infiltration of macrophages, lymphocytes and plasma cells, as well as proliferative changes like angiogenesis and fibrosis. Chronic inflammation can be non-specific or granulomatous, characterized by granulomas which form to contain hard to eliminate agents and involve epithelioid cells, giant cells, and caseous necrosis. Examples include chronic cholecystitis and pyelonephritis.
1. Staphylococci are gram-positive cocci that grow in clusters and are catalase-positive. The coagulase test is used to differentiate Staphylococcus aureus from coagulase-negative staphylococci (CoNS).
2. S. aureus causes a variety of diseases including localized skin infections, pneumonia, bacteremia, osteomyelitis, endocarditis and toxic shock syndrome. Identification involves culture, microscopy, and biochemical tests like coagulase and catalase.
3. Strain typing methods are used to trace outbreak sources and identify toxin-producing strains causing food poisoning and toxic shock syndrome.
The immune system consists of primary and secondary lymphoid organs that work together. Primary lymphoid organs include the thymus, bone marrow, and bursa of fabricus, where immune cells mature and develop. Secondary lymphoid organs, such as lymph nodes and the spleen, expose mature immune cells to antigens in circulation and further activate the immune response. The thymus educates T cells, while the bone marrow produces B cells and other immune cells through hematopoiesis. Lymph nodes and the spleen then filter antigens from lymph and blood to activate mature B and T cells.
B cell development begins with stem cells in the bone marrow that undergo VDJ recombination and rearrangement of immunoglobulin genes. B cells that produce a functional antibody are selected to mature, while those that bind self-antigens undergo deletion or anergy. Mature naive B cells circulate until they encounter antigen, then proliferate and differentiate into either plasma cells that secrete antibody or memory B cells that mount a stronger secondary response. This process ensures B cells produce a diverse repertoire of antibodies while avoiding autoimmunity.
This document provides an overview of chronic inflammation and granulomatous inflammation. It defines chronic inflammation as inflammation of prolonged duration that involves simultaneous active inflammation, tissue destruction, and attempts at repair. Chronic inflammation can arise from persistent infections, immune-mediated diseases, or prolonged exposure to toxic substances. Key cells involved include macrophages, lymphocytes, and plasma cells. Chronic inflammation is characterized by infiltration of mononuclear cells, tissue destruction, and attempts at repair through fibrosis. Granulomatous inflammation features microscopic granulomas composed of activated macrophages surrounded by lymphocytes. Tuberculosis is provided as an example of a disease involving granulomatous inflammation.
The document discusses various types of immunodeficiency syndromes, including primary (inherited) immunodeficiencies caused by genetic defects that impair innate or adaptive immunity, leading to increased susceptibility to infection. Examples discussed include severe combined immunodeficiency (SCID), X-linked agammaglobulinemia, hyper-IgM syndrome, and Wiskott-Aldrich syndrome. Secondary (acquired) immunodeficiencies can result from illnesses, medications, or conditions like HIV/AIDS that cause immunosuppression. The epidemiology and pathogenesis of HIV/AIDS are described in detail.
The document discusses the classification and properties of myxoviruses. It describes myxoviruses as enveloped RNA viruses that can cause diseases like influenza, mumps and measles. Myxoviruses are classified into two families - Orthomyxoviridae and Paramyxoviridae. Orthomyxoviridae includes influenza viruses which are spherical or filamentous and cause influenza in humans and animals. Paramyxoviridae includes viruses that cause mumps, measles and other respiratory diseases in humans. Both families have viruses with spike proteins on the envelope and segmented RNA genomes.
- Naive B cells express IgM and IgD antibodies on their surface that recognize antigens. Upon activation, a single B cell can produce up to 10^12 antibody molecules per day through plasma cell differentiation.
- Repeated antigen exposure leads to affinity maturation through somatic hypermutation in germinal centers, increasing antibody affinity over time. Helper T cells are required for isotype switching and affinity maturation.
- Engagement of complement receptors and toll-like receptors enhances B cell activation and antibody production. Activated B cells also upregulate costimulators to amplify helper T cell responses.
This document outlines six main mechanisms of autoimmunity:
1) Antigens being released from normally hidden locations in the body and stimulating an immune response.
2) Molecular changes generating new epitopes on normal proteins that are recognized as foreign.
3) Molecular mimicry where infectious agents share epitopes with self-antigens, triggering cross-reactivity.
4) Alterations in antigen processing that fail to induce tolerance or improve antigen presentation.
5) Infections that dysregulate the immune system through polyclonal activation or altered self-antigens.
6) Genetic factors like MHC genes that control antigen presentation and tolerance development impact autoimmunity risk.
Immune response during bacterial, parasitic and viral infection.pptxVanshikaVarshney5
1) The innate immune response to viruses involves interferon production which stimulates antiviral proteins to block viral replication. Natural killer cells also help destroy infected cells.
2) The adaptive immune response involves humoral immunity with antiviral antibodies that neutralize viruses and prevent infection of cells. Cell-mediated immunity uses cytotoxic T-cells and macrophages to directly kill infected cells.
3) Viruses have evolved mechanisms to evade the immune response, such as reducing MHC expression to avoid detection by T-cells, direct immunosuppression, and antigenic variation for influenza virus.
Acquired immunity involves lymphocytes and develops a slower response to specific microbes. It includes two types: the humoral response which produces antibodies, and the cell-mediated response involving cytotoxic lymphocytes. Memory lymphocytes provide a rapid response upon future exposures to the same antigen. T cells are activated by antigens presented on MHC proteins and perform cytotoxic functions or help coordinate immune responses by activating other cells. B cells are activated by contact with antigens and differentiate into memory B cells or antibody-secreting plasma cells. Antibodies neutralize pathogens or mark them for destruction.
Transplantation involves transferring organs, tissues or cells from one part of the body to another or between individuals. Compatibility of immune molecules like HLA antigens, ABO blood groups, MIC antigens and KIR determines transplant success. Major histocompatibility complex (MHC) molecules control immune response and are targets in transplant rejection. Incompatibility can lead to hyperacute, acute cellular or chronic rejection as well as graft-versus-host disease. Immunosuppressive agents like corticosteroids, calcineurin inhibitors and monoclonal antibodies are used to suppress anti-graft immune responses.
Immunogens or antigens are foreign substances that elicit an immune response when introduced to the body. They are recognized by antibodies or T-lymphocytes. Immunogens can induce antibody formation themselves, while haptens require a carrier molecule to produce an immune response. Antigens are presented on antigen-presenting cells and recognized by B and T cells, initiating humoral or cell-mediated immunity. Exogenous antigens from bacteria, viruses, and other external sources are phagocytosed and processed, while endogenous antigens from infection or autoimmunity are presented via MHC I molecules.
The document discusses the immune response and its two main types: humoral and cell-mediated. It describes the innate immune response as the body's first line of defense and the adaptive immune response as the second line. Key aspects of cell-mediated immunity are outlined, including the roles of T cells, macrophages, cytokines, and memory cells. The primary and secondary immune responses are compared, noting differences in response time, antibody affinity and class, and responding cell types between the initial and subsequent exposures to an antigen.
hypersensitivity reactions type 3 and 4jaffar khan
Hypersensitivity is an exaggerated or misdirected immune response that results in tissue injury. It occurs upon re-exposure to a substance an individual is already sensitized to. Reactions can be immediate or delayed. Gell and Coombs classified hypersensitivity into four types based on time course and immune mechanism involved. Type III is immune complex-mediated hypersensitivity. Immune complexes activate complement and recruit neutrophils, causing tissue damage. Typical manifestations are Arthus reactions and serum sickness. Type IV is cell-mediated delayed hypersensitivity involving activation of sensitized T cells upon re-exposure. Contact hypersensitivity and tuberculin reactions are examples.
This document discusses autoimmune diseases, which occur when the immune system mistakenly attacks and damages normal body tissues. It defines key terms like autoimmunity, autoantigens, and autoantibodies. The causes of autoimmune diseases include sequestered antigens, neoantigens, cessation of tolerance, and cross-reacting antigens. Autoimmune diseases are classified as haemolytic, localized, or systemic. Examples of specific autoimmune diseases discussed include autoimmune hemolytic anemia, thrombocytopenia, Graves' disease, systemic lupus erythematosus, and rheumatoid arthritis. Diagnosis involves detecting autoantibodies, and treatment focuses on alleviating symptoms.
This document discusses graft versus host disease (GVHD), a condition that can occur after stem cell or organ transplantation where the donated cells or organ is rejected by the recipient's body. There are two main types of GVHD - acute and chronic. Acute GVHD develops within 100 days after transplantation and can affect the skin, gastrointestinal tract, or liver. Chronic GVHD can involve single or multiple organs and is a leading cause of health problems and death after stem cell transplants. While acute GVHD is often treated successfully with corticosteroids, chronic GVHD may require additional treatments such as Ibrutinib, Belumosudil, or Ruxolitinib that have been approved
The complement system is part of the innate immune system and consists of over 30 proteins. It was originally identified in the 1890s by Jules Bordet and Paul Ehrlich as a heat-labile component of serum that enhanced the ability of antibodies to kill bacteria. There are three complement activation pathways: the classical pathway which is initiated by antibody-antigen complexes, the lectin pathway which is activated by mannose-binding lectin, and the alternative pathway which is spontaneously activated by microbial surfaces. Complement activation results in opsonization, inflammation, and formation of the membrane attack complex to kill microbes. Deficiencies in specific complement components can increase susceptibility to certain infections.
This document summarizes T cells and their activation process. It describes how T cells develop from stem cells in the bone marrow then migrate to the thymus to mature. The main types of mature T cells are helper CD4+ T cells and cytotoxic CD8+ T cells. Activation of T cells requires two signals: recognition of antigen by the T cell receptor, and a costimulatory signal such as CD28 binding. When activated, T cells proliferate and secrete cytokines like IL-2 that stimulate immune responses. Memory T cells provide long-lasting immunity upon pathogen reexposure.
The document provides an introduction to the immune system, discussing both innate and adaptive immunity. It notes that innate immunity provides the first line of defense through physical barriers, complement proteins, and phagocytes. Adaptive immunity involves antigen-specific responses from T and B lymphocytes that result in memory, allowing for faster and stronger secondary responses - the principle behind vaccination.
Autoimmunity occurs when the immune system fails to recognize self antigens and mounts an immune response against the body's own cells and tissues, leading to autoimmune disease. The immune system normally develops tolerance through central and peripheral mechanisms to distinguish self from non-self. A breakdown in tolerance can result from genetic susceptibility and environmental triggers like infections that cause molecular mimicry or tissue damage releasing self antigens. Autoimmune diseases are classified as organ-specific if they target a single organ, or systemic if affecting multiple body systems.
Viral pathogenesis is the process by which a viral infection leads to disease. It depends on factors from both the virus and host. Key viral factors include the virus's ability to enter cells, spread systemically, and cause cell damage or death. The host immune response is also crucial, as it typically clears the virus but sometimes causes immunopathology. Outcomes range from acute recovery to chronic infection or disease. Examples provided demonstrate how specific viruses like rubella, herpes, dengue, hepatitis B, and HIV interact with hosts to produce different clinical manifestations.
Cholera is a serious bacterial disease that usually
causes severe diarrhea and dehydration. The disease is typically spread through contaminated water.
Modern sewage and water treatment have effectively eliminated cholera in most countries. It’s still a problem in countries like Asia, America and Africa. Mostly in India.
Countries affected by war, poverty, and natural disasters have the greatest risk for a cholera outbreak.
Taxonomy:
class : Gamma Proteobacteria
Order: Vibrionales
Family: Vibrionaceae
Genus: Vibrio
Species: v.cholerae, v.parahaemolyticus,
v. vulnificus, v. alginolyticus
MORPHOLOGY:
Gram negative, actively motile, short, rigid curved bacilli
Resembling letter “V”
about 34 genus
most common in water
1.5µ X 0.2 -0.4 µ in size
polar flagellum , strongly aerobic
Smear – fish in stream appearance
PATHOGENESIS:
Source: Ingestion of contaminated water, food,
fruits and vegetables etc.,
Incubation periods: 1-5 days
Symptoms: Watery diarrhoea, vomiting, thirst, dehydration, muscle cramps
Complications: muscular pain, renal failure, pulmonary edema, cardiac arrhythrnias
DIAGNOSIS:
Specimen: stool sample, water sample(envt)
Microscopy: a) Hanging drop : +ve
b) Gram stain :-ve
Culture: Mac conkey Agar :colourless to light pink
TCBS : yellow colonies
Serology: serological tests are no diagnostic value
TREATMENT:
Adequate replacement of fluids and electrolytes.
Oral tetracycline reduces the period of vibrio excreation.
PREVENTION:
Drink and use bottled water
Frequent washing
Sanitary environment
Defecate in water
Cook food thoroughly
The document discusses immuno-oncology and the relationship between cancer and the immune system. It provides an overview of topics that will be covered in an upcoming webinar, including advances in immuno-oncology for different cancer types and combination immunotherapy approaches. The document then reviews key topics in more depth, including how immuno-oncology focuses on improving the body's immune response against cancer and recent immunotherapy approvals. It also discusses how cancer can evade the immune system and strategies for cancer immunotherapy, such as manipulating co-stimulatory signals, enhancing antigen presenting cells, and using cytokines, monoclonal antibodies, and cancer vaccines.
Normal flora are microorganisms that reside harmlessly in various areas of the human body. The document discusses the normal flora found in different body sites like skin, respiratory tract, gastrointestinal tract, and urogenital tract. Key organisms that commonly constitute normal flora include Staphylococcus epidermidis and Propionibacterium acnes on the skin, Streptococcus salivarius and Streptococcus mutans in the mouth, Lactobacillus species and Bifidobacterium species in the gastrointestinal tract, and Lactobacillus acidophilus in the vagina. Normal flora play important roles like protecting the host from pathogens and aiding nutrient absorption.
Immunity
Definitions
Components of Immune system
Types
Innate immunity and Mechanism
Adaptive immunity and Mechanism
2. Antigen
Origin of Antigen
Immunogen
3. Antibody- Immunoglobulin
- Structure
- Classification
- Function of each antibody
The document discusses the classification and properties of myxoviruses. It describes myxoviruses as enveloped RNA viruses that can cause diseases like influenza, mumps and measles. Myxoviruses are classified into two families - Orthomyxoviridae and Paramyxoviridae. Orthomyxoviridae includes influenza viruses which are spherical or filamentous and cause influenza in humans and animals. Paramyxoviridae includes viruses that cause mumps, measles and other respiratory diseases in humans. Both families have viruses with spike proteins on the envelope and segmented RNA genomes.
- Naive B cells express IgM and IgD antibodies on their surface that recognize antigens. Upon activation, a single B cell can produce up to 10^12 antibody molecules per day through plasma cell differentiation.
- Repeated antigen exposure leads to affinity maturation through somatic hypermutation in germinal centers, increasing antibody affinity over time. Helper T cells are required for isotype switching and affinity maturation.
- Engagement of complement receptors and toll-like receptors enhances B cell activation and antibody production. Activated B cells also upregulate costimulators to amplify helper T cell responses.
This document outlines six main mechanisms of autoimmunity:
1) Antigens being released from normally hidden locations in the body and stimulating an immune response.
2) Molecular changes generating new epitopes on normal proteins that are recognized as foreign.
3) Molecular mimicry where infectious agents share epitopes with self-antigens, triggering cross-reactivity.
4) Alterations in antigen processing that fail to induce tolerance or improve antigen presentation.
5) Infections that dysregulate the immune system through polyclonal activation or altered self-antigens.
6) Genetic factors like MHC genes that control antigen presentation and tolerance development impact autoimmunity risk.
Immune response during bacterial, parasitic and viral infection.pptxVanshikaVarshney5
1) The innate immune response to viruses involves interferon production which stimulates antiviral proteins to block viral replication. Natural killer cells also help destroy infected cells.
2) The adaptive immune response involves humoral immunity with antiviral antibodies that neutralize viruses and prevent infection of cells. Cell-mediated immunity uses cytotoxic T-cells and macrophages to directly kill infected cells.
3) Viruses have evolved mechanisms to evade the immune response, such as reducing MHC expression to avoid detection by T-cells, direct immunosuppression, and antigenic variation for influenza virus.
Acquired immunity involves lymphocytes and develops a slower response to specific microbes. It includes two types: the humoral response which produces antibodies, and the cell-mediated response involving cytotoxic lymphocytes. Memory lymphocytes provide a rapid response upon future exposures to the same antigen. T cells are activated by antigens presented on MHC proteins and perform cytotoxic functions or help coordinate immune responses by activating other cells. B cells are activated by contact with antigens and differentiate into memory B cells or antibody-secreting plasma cells. Antibodies neutralize pathogens or mark them for destruction.
Transplantation involves transferring organs, tissues or cells from one part of the body to another or between individuals. Compatibility of immune molecules like HLA antigens, ABO blood groups, MIC antigens and KIR determines transplant success. Major histocompatibility complex (MHC) molecules control immune response and are targets in transplant rejection. Incompatibility can lead to hyperacute, acute cellular or chronic rejection as well as graft-versus-host disease. Immunosuppressive agents like corticosteroids, calcineurin inhibitors and monoclonal antibodies are used to suppress anti-graft immune responses.
Immunogens or antigens are foreign substances that elicit an immune response when introduced to the body. They are recognized by antibodies or T-lymphocytes. Immunogens can induce antibody formation themselves, while haptens require a carrier molecule to produce an immune response. Antigens are presented on antigen-presenting cells and recognized by B and T cells, initiating humoral or cell-mediated immunity. Exogenous antigens from bacteria, viruses, and other external sources are phagocytosed and processed, while endogenous antigens from infection or autoimmunity are presented via MHC I molecules.
The document discusses the immune response and its two main types: humoral and cell-mediated. It describes the innate immune response as the body's first line of defense and the adaptive immune response as the second line. Key aspects of cell-mediated immunity are outlined, including the roles of T cells, macrophages, cytokines, and memory cells. The primary and secondary immune responses are compared, noting differences in response time, antibody affinity and class, and responding cell types between the initial and subsequent exposures to an antigen.
hypersensitivity reactions type 3 and 4jaffar khan
Hypersensitivity is an exaggerated or misdirected immune response that results in tissue injury. It occurs upon re-exposure to a substance an individual is already sensitized to. Reactions can be immediate or delayed. Gell and Coombs classified hypersensitivity into four types based on time course and immune mechanism involved. Type III is immune complex-mediated hypersensitivity. Immune complexes activate complement and recruit neutrophils, causing tissue damage. Typical manifestations are Arthus reactions and serum sickness. Type IV is cell-mediated delayed hypersensitivity involving activation of sensitized T cells upon re-exposure. Contact hypersensitivity and tuberculin reactions are examples.
This document discusses autoimmune diseases, which occur when the immune system mistakenly attacks and damages normal body tissues. It defines key terms like autoimmunity, autoantigens, and autoantibodies. The causes of autoimmune diseases include sequestered antigens, neoantigens, cessation of tolerance, and cross-reacting antigens. Autoimmune diseases are classified as haemolytic, localized, or systemic. Examples of specific autoimmune diseases discussed include autoimmune hemolytic anemia, thrombocytopenia, Graves' disease, systemic lupus erythematosus, and rheumatoid arthritis. Diagnosis involves detecting autoantibodies, and treatment focuses on alleviating symptoms.
This document discusses graft versus host disease (GVHD), a condition that can occur after stem cell or organ transplantation where the donated cells or organ is rejected by the recipient's body. There are two main types of GVHD - acute and chronic. Acute GVHD develops within 100 days after transplantation and can affect the skin, gastrointestinal tract, or liver. Chronic GVHD can involve single or multiple organs and is a leading cause of health problems and death after stem cell transplants. While acute GVHD is often treated successfully with corticosteroids, chronic GVHD may require additional treatments such as Ibrutinib, Belumosudil, or Ruxolitinib that have been approved
The complement system is part of the innate immune system and consists of over 30 proteins. It was originally identified in the 1890s by Jules Bordet and Paul Ehrlich as a heat-labile component of serum that enhanced the ability of antibodies to kill bacteria. There are three complement activation pathways: the classical pathway which is initiated by antibody-antigen complexes, the lectin pathway which is activated by mannose-binding lectin, and the alternative pathway which is spontaneously activated by microbial surfaces. Complement activation results in opsonization, inflammation, and formation of the membrane attack complex to kill microbes. Deficiencies in specific complement components can increase susceptibility to certain infections.
This document summarizes T cells and their activation process. It describes how T cells develop from stem cells in the bone marrow then migrate to the thymus to mature. The main types of mature T cells are helper CD4+ T cells and cytotoxic CD8+ T cells. Activation of T cells requires two signals: recognition of antigen by the T cell receptor, and a costimulatory signal such as CD28 binding. When activated, T cells proliferate and secrete cytokines like IL-2 that stimulate immune responses. Memory T cells provide long-lasting immunity upon pathogen reexposure.
The document provides an introduction to the immune system, discussing both innate and adaptive immunity. It notes that innate immunity provides the first line of defense through physical barriers, complement proteins, and phagocytes. Adaptive immunity involves antigen-specific responses from T and B lymphocytes that result in memory, allowing for faster and stronger secondary responses - the principle behind vaccination.
Autoimmunity occurs when the immune system fails to recognize self antigens and mounts an immune response against the body's own cells and tissues, leading to autoimmune disease. The immune system normally develops tolerance through central and peripheral mechanisms to distinguish self from non-self. A breakdown in tolerance can result from genetic susceptibility and environmental triggers like infections that cause molecular mimicry or tissue damage releasing self antigens. Autoimmune diseases are classified as organ-specific if they target a single organ, or systemic if affecting multiple body systems.
Viral pathogenesis is the process by which a viral infection leads to disease. It depends on factors from both the virus and host. Key viral factors include the virus's ability to enter cells, spread systemically, and cause cell damage or death. The host immune response is also crucial, as it typically clears the virus but sometimes causes immunopathology. Outcomes range from acute recovery to chronic infection or disease. Examples provided demonstrate how specific viruses like rubella, herpes, dengue, hepatitis B, and HIV interact with hosts to produce different clinical manifestations.
Cholera is a serious bacterial disease that usually
causes severe diarrhea and dehydration. The disease is typically spread through contaminated water.
Modern sewage and water treatment have effectively eliminated cholera in most countries. It’s still a problem in countries like Asia, America and Africa. Mostly in India.
Countries affected by war, poverty, and natural disasters have the greatest risk for a cholera outbreak.
Taxonomy:
class : Gamma Proteobacteria
Order: Vibrionales
Family: Vibrionaceae
Genus: Vibrio
Species: v.cholerae, v.parahaemolyticus,
v. vulnificus, v. alginolyticus
MORPHOLOGY:
Gram negative, actively motile, short, rigid curved bacilli
Resembling letter “V”
about 34 genus
most common in water
1.5µ X 0.2 -0.4 µ in size
polar flagellum , strongly aerobic
Smear – fish in stream appearance
PATHOGENESIS:
Source: Ingestion of contaminated water, food,
fruits and vegetables etc.,
Incubation periods: 1-5 days
Symptoms: Watery diarrhoea, vomiting, thirst, dehydration, muscle cramps
Complications: muscular pain, renal failure, pulmonary edema, cardiac arrhythrnias
DIAGNOSIS:
Specimen: stool sample, water sample(envt)
Microscopy: a) Hanging drop : +ve
b) Gram stain :-ve
Culture: Mac conkey Agar :colourless to light pink
TCBS : yellow colonies
Serology: serological tests are no diagnostic value
TREATMENT:
Adequate replacement of fluids and electrolytes.
Oral tetracycline reduces the period of vibrio excreation.
PREVENTION:
Drink and use bottled water
Frequent washing
Sanitary environment
Defecate in water
Cook food thoroughly
The document discusses immuno-oncology and the relationship between cancer and the immune system. It provides an overview of topics that will be covered in an upcoming webinar, including advances in immuno-oncology for different cancer types and combination immunotherapy approaches. The document then reviews key topics in more depth, including how immuno-oncology focuses on improving the body's immune response against cancer and recent immunotherapy approvals. It also discusses how cancer can evade the immune system and strategies for cancer immunotherapy, such as manipulating co-stimulatory signals, enhancing antigen presenting cells, and using cytokines, monoclonal antibodies, and cancer vaccines.
Normal flora are microorganisms that reside harmlessly in various areas of the human body. The document discusses the normal flora found in different body sites like skin, respiratory tract, gastrointestinal tract, and urogenital tract. Key organisms that commonly constitute normal flora include Staphylococcus epidermidis and Propionibacterium acnes on the skin, Streptococcus salivarius and Streptococcus mutans in the mouth, Lactobacillus species and Bifidobacterium species in the gastrointestinal tract, and Lactobacillus acidophilus in the vagina. Normal flora play important roles like protecting the host from pathogens and aiding nutrient absorption.
Immunity
Definitions
Components of Immune system
Types
Innate immunity and Mechanism
Adaptive immunity and Mechanism
2. Antigen
Origin of Antigen
Immunogen
3. Antibody- Immunoglobulin
- Structure
- Classification
- Function of each antibody
Immunity is the balanced state of multicellular organisms having adequate biological defenses to fight infection, disease, or other unwanted biological invasion, while having adequate tolerance to avoid allergy, and autoimmune diseases.
The immune system is typically divided into two categories--innate and adaptive immunity. Innate immunity refers to nonspecific defense mechanisms that come into play immediately or within hours of an antigen's appearance in the body. These mechanisms include physical barriers and chemicals that attack foreign cells. Adaptive immunity refers to antigen-specific immune responses and includes a memory that makes future responses more efficient. It is more complex and involves antigen processing and recognition by immune cells.
- Innate immunity refers to nonspecific defense mechanisms present from birth that provide immediate resistance to pathogens. It includes physical and chemical barriers as well as cellular responses like phagocytosis.
- Adaptive immunity develops later in life and involves antigen-specific immune responses mediated by lymphocytes. It is more complex than innate immunity and includes immunological memory.
- The immune system consists of both innate and adaptive immunity. Innate responses provide initial defense against infection while adaptive responses provide acquired, antigen-specific immunity. Memory cells generated during adaptive responses enable faster responses upon reexposure.
This document defines various terms related to immunity and describes the different types of immunity. It discusses innate immunity, which provides non-specific resistance and is not affected by prior exposure to pathogens. Adaptive immunity develops over time in response to specific pathogens and provides long-lasting, antigen-specific protection along with immunological memory. Active immunity can be acquired naturally through infection or artificially through vaccination, while passive immunity involves transfer of antibodies from another individual.
Vaccines (Immunotherapy) along with COVID-19 Overview, Types of Vaccines, Adjuvants, Antigen Uptake Mechanism, COVID-19 Mechanism Of Action, and much more.
The document summarizes the immune response to different infectious agents including viruses, bacteria, fungi, parasites. It discusses both the innate and adaptive immune responses targeting each type of pathogen. It also describes mechanisms pathogens use to evade the host immune response, such as antigenic variation, inhibiting phagocytosis, and surface structures that prevent complement activation. Tissue damage during infection can be caused by either the pathogen itself or the host immune response.
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This document defines and describes different types of immunity, including innate immunity, acquired immunity, local immunity, and herd immunity. It discusses the differences between innate and acquired immunity, as well as active and passive acquired immunity. Active immunity can be natural, resulting from infection, or artificial through vaccination. Passive immunity can be natural, transferred from mother to child, or artificial through administration of antibodies. Local and herd immunity are also summarized.
The document discusses the host response to infection. It defines antigens and their properties, types, and structure. It describes the innate and adaptive immune system, including barriers, cells and proteins involved in each. It explains the differences between innate and adaptive immunity. It also discusses antibodies, their structure and classes (IgG, IgM, IgA, IgE). The overall document provides an overview of the key concepts regarding the immune system and how the body responds to pathogens and infection.
dear students,, myself dr manish tiwari tutor department of microbiology at saraswati medical college unnao lucknow if any query regarding this ppt olease contact me my whatsaap no 8979352824.
This document discusses the different types of immunity. It begins by defining immunity and describing the innate immunity system, which includes anatomical barriers like skin and mucous membranes, physiological barriers like low pH levels, and biological barriers like white blood cells. The document then explains acquired immunity, noting it is antigen specific, diverse, leads to immunological memory, and involves self/non-self recognition. Acquired immunity is divided into active immunity, which occurs from natural exposure or vaccination, and passive immunity, which results from transfer of antibodies or immune cells from another individual. Both active and passive immunity can be naturally acquired or artificially acquired.
This document discusses different types of immunity. It describes innate or natural immunity which individuals are born with and includes species, racial, and individual immunity. Innate immunity acts as the first line of defense and is provided by the skin, mucous membranes, and phagocytic cells. Acquired or adaptive immunity develops after exposure to pathogens and includes both active and passive immunity. Acquired immunity has humoral components involving antibodies and cellular components involving T cells. Herd immunity is also discussed, where a community's immunity protects even unvaccinated individuals when a high percentage of the population is immune.
This document defines and describes the immune system. It discusses:
1. Natural (innate) immunity, which is nonspecific and present at birth, involving physical and chemical barriers like skin and mucous membranes as well as white blood cells.
2. Acquired (adaptive) immunity, which is specific and develops after birth through exposure to antigens, involving active immunity from natural exposure or vaccines and passive immunity from transfer of antibodies.
3. The immune response, including phagocytosis by white blood cells, antibody production through B cells, and cytotoxic T cell response, working together to defend the body from pathogens.
The document provides an introduction to immunology, covering different types of immunity. It discusses innate immunity, which provides non-specific resistance and includes barriers like skin and mucous membranes, as well as cellular and inflammatory responses. It also describes acquired (adaptive) immunity, including active immunity developed from natural exposure or vaccines, and passive immunity from maternal antibodies. Both humoral and cell-mediated immune responses are involved in active immunity. The document contrasts the mechanisms and duration of protection provided by active versus passive immunity.
The human body has a special design, it protects itself against any invaders. In this presentation you will learn about the self defense mechanisms of the body.
The document provides an overview of the immune system, including definitions of immunity, classifications of immunity as natural or innate versus acquired, and mechanisms of the immune response. It describes physical and chemical barriers, white blood cells, inflammation, humoral immunity, cellular immunity, complement system, and abnormal immune responses. It also discusses nursing assessment and management related to immune function and health education topics.
Immunity can be innate or acquired. Innate immunity is non-specific and provides immediate protection against pathogens. It includes mechanical barriers like skin and mucous membranes, antimicrobial substances, and cellular responses. Acquired immunity develops from exposure to pathogens and results in long-lasting, pathogen-specific protection through antibodies and memory cells. Acquired immunity can be active, developing from natural infection or vaccination, or passive, through transfer of antibodies from mother to fetus or through antibody administration. Both active and innate immunity provide lasting protection, while passive immunity is short-term.
The document summarizes immunity and the immune system. It defines immunity as the body's ability to resist harmful microbes and discusses the immune system's role in protecting the body from disease. The immune system uses both innate and acquired immunity. Innate immunity provides non-specific defenses like physical barriers and inflammatory responses. Acquired immunity allows for specific pathogen recognition through B cells, T cells, and antibodies and provides immunological memory.
Brain Ischemia after stroke patients.pptxThuyamani M
Piracetam is a drug that may improve blood flow and aid rehabilitation for patients with aphasia caused by stroke. A study gave piracetam to post-stroke patients with language problems and found it increased blood flow in areas of the brain related to language. Patients who received piracetam made greater improvements in language tests compared to a control group.
This document discusses various treatment options for epilepsy including medications, surgery, ketogenic therapy, and Vagus Nerve Stimulation (VNS). It provides details on the mechanisms of different anti-epileptic drugs and their histories of use. Safety during seizures is emphasized, including proper response, potential injuries, and documentation. Home rescue medications like Diastat and Midazolam are outlined. Open communication between healthcare providers is encouraged.
Trileptal is a medication used to treat partial seizures in adults and children aged 2 years and older. It can be used as monotherapy or adjunctive therapy with other anti-seizure medications. Dosing is dependent on age, with children under 16 years old generally starting at 8-10 mg/kg per day given twice daily. Common side effects seen in over 5% of patients include dizziness, somnolence, diplopia, nausea, vomiting, ataxia, abnormal vision, tremor and dyspepsia. Approximately 10-23% of patients discontinue treatment due to adverse effects such as dizziness, diplopia, ataxia, vomiting and nausea. Tri
This document outlines basic etiquette and expectations for work. It emphasizes the importance of proper attire such as business formals and grooming. Specific dos and don'ts are provided for clothing, including recommendations for shirts, pants, belts, shoes and avoiding certain casual items. Work etiquette is also discussed, stressing the importance of punctuality, regular doctor visits, and being prepared with information on products and competitors. Additional tips include waiting politely in halls, following doctor schedules, showing courtesy to others, and safety while driving. The document encourages diligent work and avoiding procrastination.
The document provides information about neurons and the solar system through a series of infographics. It includes diagrams labeling neuron parts like the soma, dendrites, and axon. Some infographics compare neuron types to planets in our solar system by listing their names and basic facts. Other infographics show percentages or relationships between neuron structures, types, and functions.
This document discusses various topics related to fashion, including the influence of climate on clothing, different types of clothes and accessories for various occasions, and fashion trends. It provides vocabulary related to fashion and prompts the reader to identify and categorize different clothing items, accessories, and brand names. Pictures are included throughout to aid comprehension. The reader is asked to consider outfits, locations, and their preferences. Fashion designers and shows are mentioned. The document concludes by asking the reader to prepare and present a short fashion show in their class.
This document provides a history of fashion from the 16th century to the 1990s. It discusses how fashion from different eras is learned through artifacts like garments, paintings, photographs and writings. Key influential figures in fashion history are described like Queen Elizabeth I in the 16th century and Jacqueline Kennedy in the 1960s. Major fashion trends are outlined for each decade, such as flappers in the 1920s, nylon stockings in the 1930s, and grunge style in the 1990s. The industrial revolution and inventions like the sewing machine are noted for enabling mass production of clothing.
The document discusses the history of fashion from ancient times to the 19th century. It describes how early humans made clothing from animal skins and plant materials for protection. Over thousands of years, civilizations like Egypt, Greece, Rome, China and Japan refined textile production and began cutting fabrics into garments. In Europe, fashion changed slowly at first but regional styles emerged as exploration increased. Major fashion periods included elaborate Renaissance styles, powdered wigs in the 17th century, and Empire-waist dresses in the early 19th century. Trade, politics, religion, and technology all influenced fashion history by improving fabrics, spreading ideas, and making clothing more accessible.
10.1016-j.seizure.2005.12.008Figure.pptxThuyamani M
Oxcarbazepine is effective at reducing seizure frequency in patients with both newly diagnosed and refractory partial seizures according to a clinical study. The study found that oxcarbazepine reduced seizure frequency in a high proportion of patients with partial seizures. It concluded that oxcarbazepine is useful for both newly diagnosed and refractory cases of partial seizures in clinical practice.
Dementia affects over 300 million people worldwide, with Alzheimer's disease representing 60-75% of cases. Dementia involves progressive cognitive decline including impaired memory, learning, attention, and executive function. Common signs and symptoms include memory loss, impaired judgment, difficulty with abstract thinking, inappropriate behavior, and loss of communication skills. Alzheimer's disease is the most common cause of dementia, accounting for an estimated 60-80% of cases. Pathological hallmarks include beta-amyloid plaques and tau neurofibrillary tangles, as well as nerve cell damage and death in the brain.
Dementia affects millions of people worldwide and is characterized by the progressive decline of cognitive functions such as memory and thinking abilities. Alzheimer's disease is the most common cause of dementia, representing 60-75% of cases. The hallmark features of Alzheimer's disease are the accumulation of beta-amyloid plaques and tau tangles in the brain, which is associated with nerve cell damage and death. Vascular dementia is the second most common type, caused by conditions that block or damage blood vessels in the brain.
The document discusses common skin diseases and infections. It provides information on the structure and functions of the skin as the body's largest organ. Some common causes of skin problems are then outlined, including viruses, bacteria, microorganisms, genetic factors, and weakened immune system. Specific types of fungal infections, bacterial infections, allergic inflammations, auto-immune/genetic conditions affecting the skin are then described in more detail. Finally, some common topical creams and ointments used to treat skin conditions are mentioned.
Guillain-Barré syndrome (GBS) is a rare disorder where the immune system attacks the peripheral nervous system, potentially causing muscle weakness and paralysis. It is treated with intravenous immunoglobulin or plasma exchange to remove antibodies. While these treatments help many patients recover independently, some still experience severe and long-lasting symptoms, highlighting the need for new, more effective therapies targeting the immune mechanisms underlying GBS.
This presentation provides tips for making effective presentations using awesome backgrounds to engage audiences and capture their attention. It discusses using backgrounds and features of Product A and Product B to enhance presentations.
This document discusses drugs used to treat epilepsy. It begins by defining epilepsy and describing different types of seizures. It then covers the classification of seizures and the etiology of epilepsy. The remainder of the document provides details on various anti-epileptic drugs, including their mechanisms of action, indications, pharmacokinetics, side effects and drug interactions. It also discusses special considerations for women's health and the treatment of status epilepticus.
The document provides guidance on effective sales techniques for medical representatives. It outlines the 7 basic steps of a sales call which include pre-call planning, opening, questioning, presentation, handling objections, closing, and post-call analysis. It also describes the DAPA method for selling - defining the doctor's needs, accepting them, proving the product meets those needs, and accepting the proof. Key aspects covered include using open and closed questions, presenting benefits, addressing objections, and techniques for discussing price without resistance. The overall aim is to create success for brands by developing an effective sales framework.
Tetley Masala Premium Marketing Plan.pdfThuyamani M
This document outlines a marketing plan for introducing Tetley Premium Masala tea into the Canadian market. It identifies the target market as tea connoisseurs looking for high quality tea and discusses positioning the product as offering tea house quality in consumers' homes. The plan includes strategies for product packaging, pricing slightly higher than competitors to signal quality, promoting through mass advertising using the slogan "Bring the Tea House to Your Home", and distributing through grocery stores, specialty retailers, and restaurants to reach the target audience.
sleepdeprivationandmemory-120326192852-phpapp01.pdfThuyamani M
Sleep deprivation affects several biological factors that can impair memory. It increases dopamine, which enhances alertness but impairs cognitive performance. It also correlates with increased amyloid plaques, which are linked to Alzheimer's disease and memory loss. Furthermore, sleep deprivation reduces adenosine, an inhibitory neurotransmitter important for memory formation in the hippocampus. Studies show blocking adenosine prevents memory impairment from sleep deprivation in mice. Thus, sleep deprivation influences key biological systems in the brain associated with memory through factors like dopamine, amyloid plaques, and adenosine.
Allergic Conjunctivitis, Global Market Analysis, Insights, and Forecast, 2021...Thuyamani M
- The global allergic conjunctivitis market was valued at $2.4 billion in 2020 and is projected to reach $3.6 billion by 2028, growing at a CAGR of 5.4%.
- Antihistamine & mast cell stabilizers accounted for the largest share of the market by drug class in 2020.
- North America accounted for 48% of the global market in 2020, with the US market valued at $1.16 billion that year.
- Recent advancements in allergic conjunctivitis therapeutics R&D are expected to drive market growth going forward.
This document discusses artificial intelligence and provides information on what AI is, how it compares to robotics, examples of AI technologies, and some controversies and issues regarding AI. It defines AI as the power of a machine to copy and learn from intelligent human behavior. It describes the Turing Test, which involves determining if a human or computer is being communicated with, and the Imitation Game, which compares responses of robots and humans. Examples of AI technologies discussed include CleverBot, autonomous cars, drones, and Watson. Potential problems and controversies mentioned are jobs being taken over by AI, increased laziness, rising costs, and debates over robot relationships. The document concludes that understanding AI is important as it will be more prevalent
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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2. Conten
t:
1. Immunity
- Definitions
- Components of Immune system
- Types
- Innate immunityand Mechanism
- Adaptive immunity and
Mechanism
2. Antigen
- Origin of Antigen
- Immunogen
3. Antibody- Immunoglobulin
- Structure
- Classification
- Function of each antibody
3. IMMUNITY DEFINITION
• Resistance acquired by a host towards injury
caused by microorganisms and their products.
• Protection against the infectious diseases is only one of the
consequences of the immune response, which entirely is
concerned with the reaction of the body against any foreign
antigen.
4.
5. TYPESOFIMMUNITY:
Innate immunity :
a. Nonspecific
b. Specific
Species
Racial
Individual
Adaptive Immunity:
a. Active :
b. Passive:
Natural
Artificial
Natural
Artificial
6. Innate immunity:
Resistance to infection which an individual possesses by virtue of his
genetic and constitutional makeup
Not affected by prior contact with microorganisms or immunization
a. Non specific :
Indicate a degree of resistance to infections in general
b. Specific:
Resistance to a particular pathogen is concerned.
7. Innate Immunity:
1. Species immunity:
Resistance to pathogen, shown by all members of a particular species.
E.g. anthracis infects human beings but not chickens
2. Racial Immunity:
Within a species, different races may show difference in susceptibility to
infections.
E.g. Genetic resistance Plasmodium falciparum malaria resistance in Africa
3. Individual – immunity
Resistance to infection varies with different individuals of same race and
species
E.g.. Homozygous twins exhibit similar resistance susceptibility to leprosy and
Tuberculosis such correction is not seen in heterozygous twins.
8. Factors influencing innate
immunity
1. Age :
In foetus immune system is immature, in old age there is gradual waning of
immune system
E.g. Polio infection , and Chickenpox highly severe in adult than children.
2. Hormonal :
Enhance suseptability to infection such as
E.g. Diabetes mellitus
• Hypothyroidism in adults
• Adrenal dysfunction
3. Nutrition
E.g. Malnutrition predisposes to bacterial infection.
• Both humoral and cell mediated immune responses are reduced in
9. Mechanism of innate immunity:
1. Epithelial surface:
a. Skin:
• It acts as a machanical barrier to microorganisms and provide bactericidal
secretions
• Resident microflora of skin and mucous membrane suface help to prevent
colonisation by pathogens
• Altertation of normal resident flora may lead to invasion by extraneous microbes
and thus causing serious disease.
• e.g Clostridial enterocoloitis fallowing oral antibiotics
10. b. Resiratory tract:
• Inhaled particals are arrested in the nasal passage on the moist mucous
membrane surface.
• Mucous membrane acts as a trapping mechanism hair like cilia propels the
particals towards pharynx where its swallowed or coughed out.
• Cough reflex acts as a defence mechanism
11. c. Intestinal tract:
• Mouth possesses saliva which has a inhibitory effect on many microorganisms
some bacteria are destroyed by acidic pH of gastric juices
• Normal bacterial flora of intestine exerts a protective colonisation of pathogenic
bacteria
d. conjunctiva:
• Tears ( contain lysosyme which has anti bacterial property) helps in flusing away
bacteria and other dust particals.
e. Genitourinary tract:
• Flusing action of urine eliminates bacteria from uretar
12. 2. Antibacterial substance:
• Nonspecific antibacterial substance present in the blood and tissue
• Substance like properiden, complement, lysosyme, betalysin, basic polypeptide and
interferon which have antiviral activity.
• Complement system plays an important role in destruction of pathogenic
microorganisms that invade blood and tissue.
13. 3. Cellular factor :
• When infection cross the barrier of epithelial suface, tissue factor come into play
for defence.
• Exudate inflammatory reaction occurs by accumulation of phagocytes at the site
of infection and deposition of fibrin which entangles the organisms to act as a
barrier to spread of infection. Phagocytic cells ingest these organisms and
destroy them.
14. Phagocytic cells are classified as:
i) Microphages e.g. polymorphomuclera leucocytes ( neutrophils)
ii) Macrophages e.g mononuclear phagocytic cells
15. Phagocytic action are divided into 4 stages:
i) Chemotaxis:
Phagocytes reach the site of infection attracted by chemotactic substances
ii) Attachment:
Infective agent gets attached to phagocytic membrane
iii) Ingestion:
Phagoctes engulf the infective material into vacule
Membrane of phagosome fuses with lysosomes to form a phagolysosome.
iv) Intracellular killing:
Most bacteria are destroyed by phagolysosomes by hydrocytic enzymes of lysosomes
Natural killer cells play a important role in non specific defence against viral infections
and tumour.
16. 4. Inflammation:
Inflammation occurs as a result of tissue injury or irritation, initiated by
entry of pathogens or other irritants.
It’s a nonspecific defence mechanism.
Inflammtion leads to vasodilatation, increased vascular permeability and
cellular infiltration.
Microorganisms are phagocytosed and destroyed due to increased
vascular permeability, which helps to dilute the toxic products present.
Fibrin barrier is laid to wall off site of infection
17. 5. Fever:
Rise of temperature fallowing infection is a natural defence mechanism. It
destroyes the infecting organisms.
Fewer also stimulates the production of interferon which helps in recovery from
viral infection.
18. 6. Acute phase protein:
Fallowing infection or injury, there is a sudden increase in plasma
concentration of certain proteins, called acute phase proteins
This include c-reactive protein, mannose binding protein etc
CRP and acute phase protein activate alternative pathway of complement.
This is caused to prevent tissue injury and promote repair of inflammtion
lesions.
19. ADAPTIVE IMMUNITY
• This is inducible and develops slowly than the innate response.
• This is specific kind of immunity and has memory, therefore
providing long term protection.
• This occurs with contact of foreign particle
Adaptive immunity is often sub-divided into two major types
depending on how the immunity was introduced.
I. Naturally acquired immunity occurs through contact with a
disease causing agent, when the contact was not deliberate
II. Artificially acquired immunity develops only through
deliberate actions such as vaccination
20. Mechanism:
Active immunity response stimulates both humoral and cell mediated
immunity usually parallel
i) Humoral immunity:
It’s a antibody mediated immunity
It depends on the synthesis of antibodies by plasma cells, the cells
produce specific circulating antibody which combine specifically with the
antigens and modify their activity.
Modified activity is done by lysis of antigen molecules their toxin may be
neutralised or in the form of removal of antigen by phagocytosis.
ii) Cell mediated immunity:
Depends on T- lymohocytes
Cell mediated immunity by sensitised T lymphocytes helps in resistance
to chronic bacterial infections in chronic infection, organisms can multiply
and survive in phagolysosomes and In viral infections.
21. TYPESOF ADAPTIVE IMMUNITY
Active immunity :
a. Naturally acquired active immunity occurs when the person is exposed to a live
pathogen, develops the disease, and becomes immune as a result of the primaryimmune
response.
b. Artificially acquired active immunity can be induced by a vaccine, a substance that
contains the antigen.A vaccine stimulates a primary response against the antigen without
causing symptoms of the disease.
Vaccine :
Live vaccine: BCG for tuberculosis, Sabin vaccine for poliomylitis
Killed vaccine: Hepatitis B vaccine, non-neural vaccine for rabies
Bacterial product: Tetanus toxoid vaccine, Deptheria toxoid for deptheria
22. Passive immunity:
a. Artificially acquired passive immunity is a short-term immunization
by the injection of antibodies, such as gamma globulin, that are not
produced by the recipient's cells.
a. Naturally acquired passive immunity occurs during pregnancy, in
which certain antibodies are passed from the maternal into the
fetal bloodstream
23. Active immunity
Induced by infection
Long lasting and effective protection
Effective only after lag period
Exposure leads to immediate maximal
response
Immunological memeory present
Negative phase may occur
Not applicable to immunodeficient
person
Used for prophylaxis to increasebody
resistance e.g BCG vaccine
Passive immunity
Conferred by administration of ready
made antibodies.
Short lived and lesseffective
Effectiveimmediately
Lag time between exposure and maximal
response
No immunologicalmemory
No negativephase
Applicable to immunodeficient person
Used for treatment of acute infection
25. Origin of
antigen
Exogenous antigens
• Antigens that have entered the body from the outside.
E.g. By inhalation, ingestion, or injection.
Endogenous antigens
• Antigens that have been generated within previously normal cells
as a result of normal cell metabolism, or because of viral or
intracellular bacterial infection
26. • An autoantigen is usually a normal protein or complex of proteins (and
sometimes DNA or RNA) that is recognized by the immune system of
patients suffering from a specific autoimmune disease.
• These antigens should, under normal conditions, not be the target of
the immune system, but, due to mainly genetic and environmental
factors, the normal immunological tolerance for such an antigen has
been lost in these patients.
27. Immunoge
n
• An immunogen is in analogy to the antigen,
• It is a substance (or a mixture of substances) that is able to provoke
an immune response if injected to the body.
• An immunogen is able to initiate an innate immune response first,
later leading to the activation of the adaptive immune response,
whereas an antigen is able to bind the highly variable
immunoreceptor products (b-cell receptor or t-cell receptor) once
these have been produced.
28. • Immunogenicity is the ability to induce a humoral and/or cell-
mediated immune response
• Antigenicity is the ability to combine specifically with the final
products of the immune response (i.e. Secreted antibodies and/or
surface receptors on t-cells). Although all molecules that have the
property of immunogenicity also have the property of antigenicity,
the reverse is not true
29. Antigen(ic) specificity
Is the ability of the host cells to recognize an antigen
specifically as a unique molecular entity and distinguish it from
another with exquisite precision. Antigen specificity is primarily due to
the side-chain conformations of the antigen.
Hapten
Is a small molecule that can elicit an immune response only when
attached to a large carrier such as a protein; the carrier may be one
that also does not elicit an immune response by itself.
Epitope:
The portion of an antigen that recognize and bound by antibody
and also called antigenic determinant.
.
30. • An antigen-presenting cell (APC) or accessory cell is a cell that
displays foreign antigens complexed with major histocompatibility
complexes (MHC's) on their surfaces; this process is known as antigen
presentation.
• T-cells may recognize these complexes using their T-cell receptors
(TCRs). These cells process antigens and present them to T-cells.
Eg.
• Dendritic cell,
• Macrophages,
• B cell,
• Epithelial cells,
• Fibroblast
31. Antibody :
immunoglobulin
Immunoglobulin is a glycoprotein that is made in response to an antigen
and can recognize and bind to the antigen that caused its production.
• Are gamma globulins
• Synthesized by plasma cells
• Constitute 25-30 % of total serum proteins
• Antibodies are present in serum, tissue fluids and mucosal surfaces.
• All antibodies are immunoglobulins, but all immunoglobulins may
not be antibodies
32. ANTIBODY STRUCTURE
An antibody (Ab), also known as an
immunoglobulin (Ig)
It’s a large Y-shape protein produced
by B cells that is used by the immune
system to identify and neutralize
foreign objects such as bacteria and
viruses.
The antibody recognizes a unique
part of the foreign target, called an
antigen.
33. Basic
structure
• Composed of 4 polypeptide chains.
• 2 identical light and 2 identical heavy chains
• Linked by disulphide bonds
• Light chains similar in all immunoglobulins
• Light chains occur in 2 varieties kappa and
lambda
• Light and Heavy chains are subdivided
into variable and constant region.
• Each heavy and light chain contains amino
terminal in variable region, carboxyl
terminal in constant region
34. • Heavy chains are structurally and
antigenically distinct for each class
• Each immunoglobulin peptide chain has
intra chain disulphide bonds- form loops
• Each loop is compactly folded to form a
globular structure-domain
• Light chain contains a single variable
domain (VL) and a single constant
domain (CL).
• Heavy chain contains one variable domain
(VH) and 3 constant domains (CH1, CH2,
CH3)
• Hinge region is the segment in heavy
chain - between CH1, CH2
35. • Each tip of the "Y" of an antibody contains
a paratope that is specific for one
particular epitope on an antigen, allowing
these two structures to bind together with
precision.
• Using this binding mechanism, an
antibody can tag a microbe or an infected
cell for attack by other parts of the
immune system, or can neutralize its
target directly.
• The production of antibodies is the main
function of the humoral immune system.
• Antibodies are secreted by a type of white
blood cell called a plasma cell.
36. • Antibodies can occur in two physical forms
1. Soluble form that is secreted from the cell,
2. Membrane-bound form
That is attached to the surface of a B cell and is referred to as the B
cell receptor (BCR).
The BCR is only found on the surface of B cells
Facilitates the activation of these cells and their
subsequent
differentiation into either antibody factories called
plasma
cells or memory B cells
That will survive in the body and remember that same antigen so
the B cells can respond faster upon future exposure.
37. Classification
• Based on structure and antigenic nature of H chain the
immunoglobulins are classified into 5 classes.
• Ig G- (gamma)
• Ig A- (alpha)
• Ig M- (mu)
• Ig D- (delta)
• Ig E - (epsilon)
38. Functions of Different Antibodies
1.IgA plays a role in localized defense mechanism in external
secretions like tear
2. IgD is involved in recognition of the antigen by B lymphocytes
3. IgE is involved in allergic reactions
4. IgG is responsible for complement fixation
5. IgM is also responsible for complement fixation.
39. Immunoglobulin G
(Ig G)
• Most abundant class in serum
• Constitutes 80% total immunoglobulin
• Present in blood, plasma and tissue
fluids
• Contains less carbohydrate than
other immunoglobulins
• It has a half life of 23 days: the longest
of all of the immunoglobulin isotopes
40. • Crosses placenta and provide
natural immunity to fetus and
neonate at birth
• Acts against bacteria and
viruses by opsonizing
• Neutralize toxin
• Activate complement by classical
pathway
• Catabolism of IgG is unique in that it
varies with its serum concentration
42. Biological function of
subclasses
• IgG1, IgG3, IgG4 – cross placenta and protect fetus
• IgG3 activates complement
• IgG1 and IgG3 binds to Fc receptor on phagocytic cells,
monocytes and macrophages and mediate opsinization.
43. Immunoglobulin A (Ig A)
• Constitutes 10-15 % of total immunoglobulins
• Present in milk, saliva, tears, mucous of
respiratory tract, digestive tract and
genitourinary tract.
• In serum exist as monomer
• In external secretions exist as dimer
called secretory Immunoglobulin.
• Has ‘J’ chain and secretory piece.
• Half life: 6-8 days
44. Formation of secretory
Ig A
• Dimeric Ig A binds to the receptor on the
surface of the epithelial cells -endocytosed
and transported across the cell to the
luminal surface
• After reaching the surface, the poly-Ig
receptor is cleaved
• The portion of the receptor that remains
attached to the Ig A dimer – secretory
component
• Secretory piece protects Ig A from digestive
enzymes and denaturation by bacterial
45. Functio
ns
• Provides local immunity.
• Secretory Ig A binds to surface antigens of microorganism and prevent
its attachment and invasion of the mucosal surfaces of respiratory and
digestive tract- immune elimination.
• Secretory IgA provides important line of defense against
salmonella, Vibrio cholerae, N. gonorrhoeae, influenza virus and
poliovirus.
• Secretory IgA present in breast milk protects newborn during first
months of life.
• Activates complement by the alternative pathway
• Promotes phagocytosis and intracellular killing of microorganisms
46. Immunoglobulin M (Ig M)
• Accounts for 5-10% of total serum proteins
• Polymer of five monomeric units (pentamer)
• Held together by disulfide bonds and ‘J’
chain
• Mol. Wt. of 900,000-10,00,000 (millionaire
molecule)
• Half life: 5 days
47. • Most of IgM (80%) present intravascularly
• Present in low concentration in intercellular tissue fluids
• Cannot cross placenta
• Presence of IgM antibody in serum of newborn indicate congenital
infection.
• Earliest immunoglobulin to be synthesized by fetus (20 weeks)
• First immunoglobulin to be produced in primary response to antigen
• Relatively short-lived hence it’s demonstration in the serum indicates
recent infection
• Monomeric IgM appears on the surface of unstimulated B
lymphocytes and act as receptors for antigens
48. Functio
ns
• It agglutinates bacteria
• Activates complement by classical pathway
• Causes opsonization and immune
hemolysis
• Believed to be responsible for protection
against blood invasion by microorganisms
49. Immunoglobulin E
(Ig E)
• Structure is similar to Ig G
• Has 4 constant region domains.
• Mol. Wt. 1,90,000
• Half life: 2 days
• Heat labile (inactivated at 560C in 1
hour)
• Normal serum concentration 0.3
ug/ml
• Mostly present extra cellularly
• Does not cross placenta
50. • Produced in the lining of respiratory and intestinal tract
• Known as regain antibody
• Does not activate complement nor agglutinate antigens
• Binds to the Fc receptors on the membranes of blood basophils and
tissue mast cells
• Mediates immediate hypersensitivity reaction and P.K. reaction
• Responsible for symptoms of anaphylactic shock, hay fever and
asthma.
• Play a role in immunity against helminthic parasites
51. • IgE binds to Fc receptors on the
membrane of blood basophils and tissue
mast cells.
• When two IgE molecules on the surface
of these cells are cross linked by
binding of the same antigen- cells
degranulates.
• Release histamine and
pharmacological mediators of
anaphylaxis from cell.
• The physiological role of IgE appears
to be protection against pathogens by
mast cell degranulation and release of
inflammatory mediators
52. Immunoglobulin D
(Ig D)
• Structure is similar to IgG
• Serum concentration 30 micrograms per ml
• Constitutes 0.2% of total immunoglobulins
• Half life: 3 days
• IgD together with IgM is major membrane
bound immunoglobulin on unstimulated B
lymphocytes- acts as recognition receptors
for antigens