This document discusses interferons (IFNs), which are signaling proteins produced by immune cells in response to challenges like viruses and tumors. It describes the three main types of IFNs (Type I, II, and III), their functions in activating the immune system and inhibiting viral replication, and the JAK-STAT signaling pathway involved in their mechanism of action. The document also outlines some applications of IFNs in treating conditions like hepatitis, cancer, and multiple sclerosis as well as potential adverse effects.
Adjuvant is an immunological agent which enhances the body's immune response to an antigen.
Adjuvants may be added to a vaccine to boost the immune response to produce more antibodies and longer-lasting immunity, thus minimizing the dose of antigen needed to the vaccine.
Adjuvants are used in combination with a specific antigen that produced a more robust immune response than the antigen can do alone.
Adjuvant is an immunological agent which enhances the body's immune response to an antigen.
Adjuvants may be added to a vaccine to boost the immune response to produce more antibodies and longer-lasting immunity, thus minimizing the dose of antigen needed to the vaccine.
Adjuvants are used in combination with a specific antigen that produced a more robust immune response than the antigen can do alone.
Microbial Biotechnology Scope, Technique and Examples in Therapeutics Zohaib HUSSAIN
Genetic engineering enables us to produce a large number of proteins in bacterial cell that were originally encoded by human genes. For example a landmark in this case is production of insulin in bacterial cell in 1982. It is first case of genetically engineered therapeutic protein used for clinical purposes. Insulin produced in this way is widely used in curing diabetes and is same in all forms as compared to original insulin
Content
Introduction
Descovery
What are interferons
General action of interferons
Types of interferons
Mode of action
Application
Side effect of interferons
Reference
Introduction
History
Types of immunity
Tissues of immunity
Cells of immunity
Basic aspects of immunology
Major histocompatibility complex
Cytokines
Disorders of immune system
Immune responses in periodontal pathogenesis
Periodontal vaccine
Host modulation
Conclusion
References
This is a powerpoint presentation on the Topic of Diseases of the immune system, part 1 - Chapter 6, based on Robbin's textbook of pathology. Prepared by Dr. Ashish Jawarkar, who is Assistant professor at Parul institute of medical sciences and research, Vadodara. Please subscribe to our youtube channel https://www.youtube.com/channel/UCwjkzK-YnJ-ra4HMOqq3Fkw . Our facebook page: facebook.com/pathologybasics. Instagram handle @pathologybasics
Exploring the First Line of Defense - Research Tools for Innate Immnity: Host...QIAGEN
The innate immune system executes crucial and unique functions for host defense against infection. This slidedeck provides an overview of the most important cellular and molecular components of innate immunity and discusses their functions in a variety of disease states. Research technologies are also introduced for exploring innate immune activity in your system through profiling of gene expression, cytokine production and signal transduction pathway analysis, all in the context of current literature.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
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Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
4. Immunity
Innate Acquired
natural Artificial
Active passive Active
passive
Antigens or pathogens
entering naturally
Immune response
Antibodies
(placental or colostrum)
Antigen introduction
(vaccines)
Performed
antibodies (Ig)
5. 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)
Innate & Acquired Immunity
6. Innate Immune Response
• Activated rapidly and functions within hours
infection
• Considerable interplay occurs between the adaptive
and innate immune defenses.
• Important components are
• cytokines
• complement
• collectins
• natural killer (NK) cells
7. Nonspecific Host Defenses & Host Systems
• Nonspecific Host Defenses – act on any type of
invading agent
• Types of Nonspecific Defenses
• Physical Barriers
• Chemical Barriers
• Cellular Defenses
• Inflammation
• Fever
• Molecular Defenses
8. Cytokines
• Regulatory proteins that mediate intercellular
communication during an antiviral defense
• 1st indicators of host infection
• Paracrine, autocrine, endocrine
• control inflammation, induce antiviral state in cells
& regulate adaptive immune response.
• Exert activities by binding to specific receptors &
activating gene expression
• Interferons are the members of cytokine family
9. Definition
• Interferons (IFNs) are natural cell-signaling
proteins produced by the cells of immune
system of most vertebrates in response to
challenges such as viruses, parasites & tumor
cells
• Belong to large class of glycoproteins k/a
cytokines
• Produced by a wide variety of cells in response
to ds-RNA, a key indicator of viral infection.
11. • Japanese virologists , Yasu-ichi Nagano &
Yasuhiko Kojima - Institute for Infectious
Diseases at university of Tokyo
• Improved small pox vaccine - rabbit-skin or
testis previously inoculated with UV-
inactivated virus - inhibition of viral growth
when re-infected at same site with live virus
• some inhibitory factor & began to
characterize it
• published these findings in 1954
12. • British virologist Alick Isaacs & Swiss
researcher Jean Lindenmann, - National
Institute Of Medical Research, London
• Noticed an interference effect caused by heat-
inactivated influenza virus on growth of live
influenza virus in chicken egg membranes
in a nutritive solution chorioallantoic
membrane
13. • Published results in 1957,
• In this paper coined term ‘interferon’
• Today that specific interfering agent is k/a
a ‘Type I interferon’
15. IFNs
Type I (viral IFNs)
IFN α (leucocytes)
IFN β (fibroblasts)
IFN ω (leucocytes)
IFN τ (trophoblasts)
•Induced by viral
infections
•Have different binding
affinities but similar
biological effects
Type II (immune IFNs)
IFN γ
•Mitogenic or antigenic stimuli,
inflammatory stimuli
•NK, CD4 TH1, CD8 B cells
• Production controlled by
cytokines secreted by IL 12 & 18
16. General properties
• Species specific , not virus specific
• Inactivated by proteolytic enzymes not nuclease &
lipases
• Resist heating @ 56- - 60° c x 30 – 60 mnts
• Stable at Ph 2-10 (not γ, labile at ph 2)
• Mol. Weight 17000
• Non-dialysable & non-sedmentable
• Poorly antigenic
• Potency expressed in IU/ml
• Non-toxic , diffuses freely in body
• Wide spectrum antiviral activity
18. Biological effects
• Anti-viral - resistance to virus infec.
• Antimicrobial – resistance to i/c pathogens – toxoplasma,
chalmydia
• Cellular effects -Negative cell growth regulator & inhibits
proliferations ,inhibits DNA & protein synthesis
• Increased expression of MHC antigens
• Immunomodulator – enhanced cytotoxity of NK, K & T
cells
• Activation of macrophage cytocidal activity
• Modulation of antibody formation
• Activation of supp. T cells & suppression of DTH
19. • Inhibition of tumor cell growth
• Activation of T and natural killer
• Cell cytotoxicity,
• Stimulation of macrophages
• Up-regulation of cell surface MHC class I
molecules
• Promotion of T helper type 1 responses
• Inhibition of angiogenesis
20. Immunomodulation Effects
• Activate NK cells
• Increase MHC class I expression
• Activate macrophages
• Kill cells
• Increase MHC II expression, antigen
• Presentation to helper T cells
21. IFN α , IFN β
• IFN α produced by leukocytes
• IFN β produced by fibroblasts
• Both bind to interferon cell receptors type 1
• Both encoded on chromosome 9
• Different binding affinities but similar biological effects
• Viral infection is stimulus for expression
• Used to mobilize 1st line of defense
• Largest group and are secreted by almost all cell types
22. IFN ω
• Antigenically distinct from ifnα
• Antiviral & antiproliferative activity
• Intratumoral therapy reduces growth of
human tumors
23. IFN-τ
• Responsible for maternal recognition of the
fetus in ruminants
• IFN-τ inhibits HIV replication more strongly
than human IFN-α
• Efficiently inhibits early steps of the biological
cycle of HIV, decreasing i/c HIV RNA &
inhibiting initiation of the reverse transcription
of viral RNA into proviral DNA
• Ovine recombinant IFN-τ cross species barrier
24. IFN alpha IFN beta IFN gamma
Monocytes, B –
lymphocytes
Fibroblasts & epithelial
cells
ActivaNK, CD4 TH1, CD8
B cellsted T-cells,
Max. antiviral activity Intermediate antiviral
activity
More lyphokine activity
than antiviral
13 genes 1 gene 1 gene
Chr. 9 Chr. 9
Type 1 receptors Type 1 receptors Type 2 receptors
Homology with IFN α-80-
95%
30-50% Less than 10%
25. Components of IFN system
• IFNs
• IFN genes
• IFN receptors
• Enzymes (JAK, STAT pathway)
• cis-acting DNA elements (ISRE & GAS)
• IRP (IFN regulated proteins)
26. IFN genes
• Large no. of viral genes in humans
• 13 IFN α genes, 1IFN β, 1 IFN ω – short arm
of chr. 9
• single IFN γ gene - long arm of chr.12
27. IFN receptors
• Act through cell surface receptors-species
specific
• Present on all cells except erythrocytes
• α, β, ω - common receptor-consisting of 2
subunits, IFNAR-1 & IFNAR-2
• γ – receptor used by α,γ – consists of 2
subunits, IFNGR-1 & IFNGR-2
• IFN α, β receptor null mice – unable to
survive in viral state
28. JAKs, STATs
• STATs = signal transducer and activator of
transcription
• 7 STAT proteins – stat 14, 5a, 5b & 6
• JAKs =Janus family of tyrosine kinase
(JAK) enzymes
• 4 JAKs – jak 1-3 & Tyk-2
30. Virus infected cell
IFN
IFN attaches with receptor on neighbor cell
Inactive RNAase L
2-5A synthesase + dsDNA
Activate RNAase L
Preotein
kinases +
ds DNA
Phosphorilates
elF-2
Degrades DNA
Inhibits protein synthesis
48. Family of Mx protein
GTPases- targets viral
nucleocapsids
49. Induaction of nitric
oxide synthesae –
increased
intracellular conc. Of
nitric oxide –
inhibition of viral
replication
50. •Upregulation of
MHC class I & class II
antigens expression
•Enhance activation &
effector function of
cytotoxic T cells capable of
destroying virus infected
cells
52. Cellular Negative Regulators Of IFN Signaling
• The family of suppressors of cytokine
signaling (SOCS) - binds to JAKs - inhibits
signaling - inhibits the tyrosine
phosphorylation & nuclear translocation of
Stat-1
• STAT-induced STAT inhibitors (SSI)
53. • Cytokine inducible SH2 protein (CIS)
• Protein inhibitors of activated Stat (PIAS)
PIAS 1 & PIAS 3 - directly associate with
Stat-1 & Stat-3, - block the DNA-binding
activity - Stat-1-mediated gene activation
54. Viral Antagonists of IFN Signaling
• viruses encode proteins – impair activity of
JAK-STAT signaling pathway
• Molecular mimicry - viruses encode
products- mimic cellular components of the
IFN signal pathway- antagonist- impairs
development of antiviral state
55. • Poxviruses- encode soluble IFN receptor
homologues (vIFN-Rc)- secreted from
poxvirus-infected cells- bind IFNs- prevent
them from acting through their natural
receptors
• Adenovirus- E1A protein-inhibits DNA
binding activity of ISGF-3
56.
57. Applications
• For human use they are produced by buffy
coat leucocyes from blood banks NDV and
Sendai virus as inducers
• Many of these are in clinical use and are
given intramuscularly or subcutaneously
58. Uses
• IFN alpha
• Condyloma acuminata
• Ch HBV & HCV infections
• Prophylax. & treatment in
immunosupressed patients
exposed to VZV , HSV 1&2
• Prophylaxis in CMV infect
(renal transplant pts)
AIDS associated kaposi’
sracoma
• Hairy cell leukaemia
• IFN gamma
• Immunostimulant in onco.
And immunoedeficients
59. Antiviral
• Chronic HCV
• HBV
• In combination with ribavirin in HIV
• HPV
• HHV8
• CMV
• Human Rhinovirus
• Herpes virus
61. Multiple Sclerosis (MS)
• Relentlessly progressive neurodegenerative
disease - remissions and relapses - associated
with demyelinationof nerves
• Based on the immunomodulatory properties of
the interferons
• i/m IFN-β- reduction in the annual rate of
relapses of MS
• Addition of natalizumab, a recombinant
monoclonal antibody augments the ability of
IFN- β
62. Recombinant forms of α IFN
• Alpha-2a drug name Roferon
• Alpha-2b drug name Intron A
• Alpha-n1 drug name Wellferon
• Alpha-n3 drug name AlferonN
• Alpha-con1 drug name Infergen
63. Recombinant forms of β IFN
• Beta-1a drug name Avonex
• Beta-1b drug name Betaseron
Recombinant forms of γ IFN
• Gamma-1b drug name Acimmune
64. Pegylation
• Attaching a molecule of polyethylene glycol
• PEG-inert, long chain amphiphilic molecules
• Linear or branched structure
• Increase size of IFN - prolonged absorption
and ½ life & decreased clearance
• retention of biological activity, stable
compound & enhance water solubility
65.
66. α IFN-2a (Roferon A)
• 165 amino acids long protein chain
• Recombinant DNA technology
• Non-glycosylated protein
• Short ½ life, large volume of distribution, larger
renal clearance.
• These problems were resolved by pegylating alpha-
2a resulting in peginterferon alpha-2a that is
named Pegasys.
67. Adverse Effects
• Flu-like symptoms: increased body temperature,
feeling ill, fatigue, headache, muscle pain,
convulsion, dizziness, hair thinning, and depression
• Erythema, pain and hardness on the spot of injection
• Immunosuppression , in particular though
neutropenia
• High level toxicity (Kidney, liver, bone marrow and
heart)
• All known adverse effects usually reversible
• Disappear a few days after the therapy
68. References
• Antiviral Actions of Interferons,Charles E. Samuel. Clin
Microb Rev, Oct. 2001, p. 778–809
• Clinical uses of interferons, Robert M. Friedman, British
Journal of Clinical Pharmacology
• Antitumor Effects of Interferon-v: In Vivo Therapy of
Human Tumor Xenografts
• in Nude Mice, Holly M. Horton,1 Pepe Hernandez,
Suezanne E. Parker, and Kerry M. Barnhart, [CANCER
RESEARCH 59, 4064–4068, August 15, 1999]
• Anti-Human Immunodeficiency Virus Activity of Tau
Interferon in Human Macrophages: Involvement of
Cellular Factors and β-Chemokines Christine Rogez, et
al. J Virol. 2003 December; 77(23): 12914–12920