immunology isoe of the rapidly
advancing ranch of medicine
3 salient features of immunological
reaction are
Recognition of self from non self or
forigei substances
Specificity of reactions
Memory of the respose
3.
The Immune Response
Immunity:“Free from burden”.
The resistance exhibited by the host towards
injury caused by microorganisms and their products.
Immune Response: Involves production of antibodies
and generation of specialized lymphocytes against
specific antigens.
Antigen: Molecules from a pathogen or foreign organism
that provoke a specific immune response.
5.
Any sustance thatinvokes an immuogical
respone is an antigen or immunogen
Microbes: Capsules, cell walls, toxins, viral capsids,
flagella, etc.
Nonmicrobes: Pollen, egg white , red blood cell
surface molecules
Lipids and nucleic acids are only antigenic when
combined with proteins or polysaccharides.
Antigens
6.
HAPTEN:
Small foreignmolecule that is not antigenic.
Unable to induce Ab formation on its own
Must be coupled to a carrier molecule to be
antigenic.
Eg:
Steroids, DNP- dinitrophenol group.
7.
EPITOPE:
Small partof an antigen that interacts with an
antibody.
Any given antigen may have several epitopes.
Each epitope is recognized by a different
antibody.
9.
Immunoglobulins arefreely circulating
proteins.
Antibodies are those Immunoglobulins possess
a demonstrable specificity for a given antigen.
Each antibody has at least two identical sites
that bind antigen: Antigen binding sites.
Antibodies
10.
ANTIGENS- Anysubstance which provokes an
immunological response. (eg- microbes/ pathogens)
Epitope: Small part of an antigen that interacts with an
antibody
ANTIBODIES- Bodies response to antigens . (eg-
immunoglobulin)
PHAGOCYTOSIS- foreign substances are ingested and
digested intracellularly.
10
12.
3 majorcomponents of the odys
immune system are lymphocytes( cells)-
derived from one marrow
T lymphocytes (T cells)-orginate from
thymus
Innate immune system
cells are responsile for the synthesis of
circulating ,humoral antiodies -
immunogloulins
13.
Immunoglobulins constitutea heterogeneous
group of serum proteins which function as
antibodies.
20% of total serum proteins
Glycoproteins-(82-96% polypeptide & 4-18 % of
carbohydrate)
Polypeptide part contribute for all the biological
functions of Igs
14.
Consist of4 polypeptide chains
2 heavy (H and 2 light L chains
4 chains are linked y disulfide Bonds
Pairs of heavy and light chain combined to
form y shaped molecule
16.
A flexibleY-shaped
molecule with four
polypeptide chains:
2 identical light
chains
2 identical heavy
chains
Held together by
interchain
disulfide bridges
17.
Each polypeptidechain is made up of a no.of loops or
domains of constant size(100-110 AA residues) formed
by intrachain disulfide bonds.
L &H chains subdivided into variable & constant region
Variable Regions:
N-terminal domain of each chain shows more variation in
aminoacid sequence than the others
Contain the antigen binding sites
L chain consist of 1 variable and 1 constant region
18.
Constant Regions:Stem of monomer and
lower parts of Y arms. Aminoacid
sequence constant in this region
L chain consist of 1 variable and 1
constant region -VL , CL
H chains – 1 variable &3 constant
regions
VH,CH1,CH2,CH3
19.
Hinge region:the zone where variable &
constant regions join. Flexible region between
CH1 and CH2 – allows better fit with antigen
surface
Variable regions of both the light and heavy
chains form antigen binding site
Constant region of heavy chain responsible for
various biologic functions like complement
activation
20.
Constant regionof light chain has no
known function
Variable regions of both h and L chains
have 3 extremely variable amino acid
sequences at the amino terminal end
called hypervariable region
Specificity of antibodies is due to these
hypervariable regions
22.
Enzyme papinsplits immunoglobulin molecule
in the hinge region into two fragments named
as Fab & Fc
Fc region:
Constant part & does not take part in antigen
binding
associated with secondary biological
activities of Igs
Eg: complement fixation
Fab – variable part ,site of antigen binding
24.
Molecular wt.approx. 23000
Two types
Kappa (K) & Lambda(λ) on the basis of
structural differences in the constant regions
Ig always contains identical K or λ chains
In human Kchain are more freqeunt than λ in Ig
molecule
25.
The heavychains are structurally & antigenicly
distinct in different classes of Igs.
Five classes of H chains have been identified
Gamma (γ) , Alpha (α) , Mu (μ), Epsilon (ε) and
Delta (δ) .
Molecular wt vary from 50,000 to 70,000
The classes of H chains determines the
classes of immunoglobulins
Structure: Monomer(2
heavy& 2 light)
Heavy chains are gamma
type
Percentage serum
antibodies: 75- 80%
Distributed in intra-vascular
& extra vascular
compartments
Half-life in serum: 23 days
IgG-
28.
Principal Antibodyof secondary immune
response
Defense against bacteria & virus
Crosses Placenta &protect newborns from
infections
These maternal antibodies are seen in neonatal
circulation upto 2-4 months
Rh immunization
29.
Opsonizes bacteria, making them easier to
phagocytose
neutralizes bacterial toxins and viruses,
Fixes complement which increases bacterial
killing
protects fetus and newborn.
30.
Structure:
Occursin two forms
Serum IgA – monomer
Secretory IgA – Dimer
Dimeric molecule formed by
2 monomer units connected
at their carboxy terminal by a
protein termed J chain
They also have a
secreatory component
attached to the dimer
31.
Secreatory pieceis produced in
liver, reaches intestinal mucosal
cells ,combines with IgA dimer to
form secreatory IgA
Secratory component provides
passage to the mucosal surface
and also protects from being
degraded in the intestinal tract
Second major serum Ig (10-13%)
Found in external
secreations such as
colostrum,saliva,tears,respir
atory,intestinal secreations
Prevent attachment of
bcteia virus to mucous
surface
Also found in internal
secreations such as
synovial,amniotic,pleural –
serum type IgA
33.
Structure: PentamerHAVING 5 IDENTICAL
IMMUNOGLOBULIN MOLECULE JOINED TOGHER BY J
CHAIN
macroglobulins
Percentage serum antibodies: 5-8%
Location: Blood, lymph, B cell surface
IT HAS 10 ANTIGEN BINDING SITE MOST EFFICIENT Ig
in agglutination,complement activation
Predominant antibodies in primary response
.
II. IgM
34.
Provide defenseagainst bacteria and virus
Natural antibodies
Eg: A blood group Ag persons have anti- B Ab
in blood
35.
IV. IgD
Structure:Monomer
Percentage serum antibodies: 0.2%
Location: B-cell surface, blood, and lymph
Half-life in serum: 3 days
Known Functions: In serum function is unknown. On
B cell surface, initiate immune response.
36.
V. IgE
Structure:Monomer
Percentage serum antibodies: 0.002%
Location: Bound to mast cells and basophils
throughout body.
Half-life in serum: 2-3 days
Mediate allergy, hypersensitivity & anaphylaxis
Defends against worms.
High level in asthma, hay fever, parasitic infections
38.
1.multiple myeloma
Plasma cell cancer due to abnormally high
concentration of serum immunoglobulins
usually IgA & IgG
LIGHT CHAINS ARE PRODUCED IN EXCESS THAN
HEAVY CHAIN
they enter bloodstream, because they have low
molecular weight- pass throuh glomerular
membrane & appear in urine
These protein chains of low molecular weight
are known as BJP
39.
Portions ofheavy chain deleted during
synthesis
Cannot join with L chains of normal Ig
Defective H chains excreated through urine
Gamma chain disease associated with
hepatosple
nomegaly &lymphadenopathy
Alphain chain disease seen in abdominal
lymphoma,malabsorption
40.
Waldenstrom’s Macroglobulinemia
IgM level in blood is increased considerably
with a monoclonal peak. This is due to
malignant proliferation of IgM clones. Since
IgM are macromolecules, they may form
aggregates or cryoprecipitates, serum
viscosity is increased.
41.
HYPOGAMMAGLOBULINEMIA:
Underproduction ofIgs
Agammaglobulinemia: total absence of Igs
X linked
Highly susceptible to infections
HYPOGAMMAGLOBULINEMIA:
Seen in chronic lymphatic leukemia
Nephrotic syndrom