Immunity

·      immune system produces antibodies against foreign agents

·      immune system remembers

·      second exposure to foreign agent evokes greater and more rapid response

·      two types of immunity

·      humoral

·      cellular

Development

·      lymphocyte precursors come from bone marrow

·      migrate to modifying organ

·      then return to lymph nodes and bone marrow

T cells

·      lymphocytes that populate thymus become T lymphocytes

·      mediate cellular immunity

·      differentiate into four types

·      helper/inducer T cells

·      suppressor T cells

·      cytotoxic T cells

·      memory T cells

·      helper/inducer and suppressor cells involved with regulation of antibody production by B cells

·      cytotoxic cells destroy foreign cells

·      helper/inducer cells called T4 cells

·      cytotoxic and suppressor cells called T8 cells

B cells

·      those that populate spleen and liver become B lymphocytes

·      mediate humoral immunity

·      B lymphocytes differentiate into

·      plasma cells

·      memory B cells

Humoral immunity

·      foreign proteins that enter body called antigens

·      injested by macrophages

·      marophages expose part of injested antigen plus proteins of major histocompatibility complex on surfaces

·      macrophages then contact lymphocytes

·      T4 cells bind to antigen and MHC-II protein on surface of macrophage

·      T4 cells become activated and contact B cells

·      B cells activated

·      proliferate and transform into memory B cells and plasma cells

·      plasma cells secrete antibodies into circulation

·      antibodies called immunoglobulins

·      large number of antigens can be recognised by lymphocytes

·      ability is innate and develops without exposure to antigen

Immunoglobulins

·      5 types produced

·      consist of

1.   2 light chains

·      two types

·      kappa and lambda

2.   2 heavy chains

·      5 types

·      correspond to types below

·      gamma, alpha, miu, delta and epsilon

·      shaped like Y

·      stem is Fc fragment

·      arms are Fab fragment

Types

·      IgG

·      function is complement fixation

·      IgA

·      function is localised protection in external secretion

·      IgM

·      function is complement fixation

·      IgD

·      function is antigen recognition by B cells

·      IgE

·      function is reagin activity

·      releases histamine from mast cells

Major histocompatibility complex

·      genes of MHC located on short arm of chromosome 6

·      code glycoproteins located on surfaces of all cells

·      function in distinguishing self from nonself

·      three major loci

Class 1-loci

·      encode for of HLA-A, HLA-B and HLA-C

·      found on all cells except RBCs

·      primary factors in

·      self-recognition

·      development of tolerance

Class II-loci

·      encode for HLA-DR, HLA-DQ and HLA-DP

·      involved in antigen presentation to T cells

·      present on macrophages, B cells and activated T cells

Class III-loci

·      encode for proteins of complement cascade

Complement system

·      when antigens combine with circulating antibodies

·      cells lysed

·      bacteria opsonised

·      leukocytes attracted to antigen

·      histamine released

·      mediated by plasma enzymes called complement

·      enzymes numbered C1 to C9

·      C1 binds to immunoglobulins that have bound antigen

·      triggers series of events that activates other components of system

Cellular immunity

·      mediated by T8 cells

·      activated when presented with antigen and MHC-I protein

·      proliferate and differentiate into

·      memory T cells

·      cytotoxic T cells

·      suppressor T cells

·      cytotoxic cells kill by

·      inserting pore-forming molecules into membranes of target cells

·      inserting toxins into target cells

·      supressor cells help to terminate immune response

·      memory cells responsible for accelerated response to second exposure