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21 : 

21 The Immune System: Innate and Adaptive Body Defenses Part A

Immunity: Two Intrinsic Defense Systems : 

Immunity: Two Intrinsic Defense Systems Innate (nonspecific) system responds quickly and consists of: First line of defense – intact skin and mucosae prevent entry of microorganisms Second line of defense – antimicrobial proteins, phagocytes, and other cells Inhibit spread of invaders throughout the body Inflammation is its hallmark and most important mechanism

Immunity: Two Intrinsic Defense Systems : 

Immunity: Two Intrinsic Defense Systems Adaptive (specific) defense system Third line of defense – mounts attack against particular foreign substances Takes longer to react than the innate system Works in conjunction with the innate system

Surface Barriers : 

Surface Barriers Skin, mucous membranes, and their secretions make up the first line of defense Keratin in the skin: Presents a formidable physical barrier to most microorganisms Is resistant to weak acids and bases, bacterial enzymes, and toxins Mucosae provide similar mechanical barriers

Epithelial Chemical Barriers : 

Epithelial Chemical Barriers Epithelial membranes produce protective chemicals that destroy microorganisms Skin acidity (pH of 3 to 5) inhibits bacterial growth Sebum contains chemicals toxic to bacteria Stomach mucosae secrete concentrated HCl and protein-digesting enzymes Saliva and lacrimal fluid contain lysozyme Mucus traps microorganisms that enter the digestive and respiratory systems

Respiratory Tract Mucosae : 

Respiratory Tract Mucosae Mucus-coated hairs in the nose trap inhaled particles Mucosa of the upper respiratory tract is ciliated Cilia sweep dust- and bacteria-laden mucus away from lower respiratory passages

Internal Defenses: Cells and Chemicals : 

Internal Defenses: Cells and Chemicals The body uses nonspecific cellular and chemical devices to protect itself Phagocytes and natural killer (NK) cells Antimicrobial proteins in blood and tissue fluid Inflammatory response enlists macrophages, mast cells, WBCs, and chemicals Harmful substances are identified by surface carbohydrates unique to infectious organisms

Phagocytes : 

Phagocytes Macrophages are the chief phagocytic cells Free macrophages wander throughout a region in search of cellular debris Kupffer cells (liver) and microglia (brain) are fixed macrophages Neutrophils become phagocytic when encountering infectious material Eosinophils are weakly phagocytic against parasitic worms Mast cells bind and ingest a wide range of bacteria

Mechanism of Phagocytosis : 

Mechanism of Phagocytosis Microbes adhere to the phagocyte Pseudopods engulf the particle (antigen) into a phagosome Phagosomes fuse with a lysosome to form a phagolysosome Invaders in the phagolysosome are digested by proteolytic enzymes Indigestible and residual material is removed by exocytosis

Mechanism of Phagocytosis : 

Mechanism of Phagocytosis Figure 21.1a, b

Natural Killer (NK) Cells : 

Natural Killer (NK) Cells Cells that can lyse and kill cancer cells and virus-infected cells Natural killer cells: Are a small, distinct group of large granular lymphocytes React nonspecifically and eliminate cancerous and virus-infected cells Kill their target cells by releasing perforins and other cytolytic chemicals Secrete potent chemicals that enhance the inflammatory response

Inflammation: Tissue Response to Injury : 

Inflammation: Tissue Response to Injury The inflammatory response is triggered whenever body tissues are injured Prevents the spread of damaging agents to nearby tissues Disposes of cell debris and pathogens Sets the stage for repair processes The four cardinal signs of acute inflammation are redness, heat, swelling, and pain

Inflammation Response : 

Inflammation Response Begins with a flood of inflammatory chemicals released into the extracellular fluid Inflammatory mediators: Include kinins, prostaglandins (PGs), complement, and cytokines Are released by injured tissue, phagocytes, lymphocytes, and mast cells Cause local small blood vessels to dilate, resulting in hyperemia

Toll-like Receptors (TLRs) : 

Toll-like Receptors (TLRs) Macrophages and cells lining the gastrointestinal and respiratory tracts bear TLRs TLRs recognize specific classes of infecting microbes Activated TLRs trigger the release of cytokines that promote inflammation

Inflammatory Response: Vascular Permeability : 

Inflammatory Response: Vascular Permeability Chemicals liberated by the inflammatory response increase the permeability of local capillaries Exudate (fluid containing proteins, clotting factors, and antibodies): Seeps into tissue spaces causing local edema (swelling), which contributes to the sensation of pain

Inflammatory Response: Edema : 

Inflammatory Response: Edema The surge of protein-rich fluids into tissue spaces (edema): Helps to dilute harmful substances Brings in large quantities of oxygen and nutrients needed for repair Allows entry of clotting proteins, which prevents the spread of bacteria

Inflammatory Response: Phagocytic Mobilization : 

Occurs in four main phases: Leukocytosis – neutrophils are released from the bone marrow in response to leukocytosis-inducing factors released by injured cells Margination – neutrophils cling to the walls of capillaries in the injured area Diapedesis – neutrophils squeeze through capillary walls and begin phagocytosis Chemotaxis – inflammatory chemicals attract neutrophils to the injury site Inflammatory Response: Phagocytic Mobilization

Inflammatory Response: Phagocytic Mobilization : 

Neutrophils enter blood from bone marrow 1 2 3 4 Margination Diapedesis Positivechemotaxis Capillary wall Endothelium Basal lamina Inflammatory chemicals diffusing from the inflamed site act as chemotactic agents Inflammatory Response: Phagocytic Mobilization Figure 21.3

Flowchart of Events in Inflammation : 

Flowchart of Events in Inflammation Figure 21.2

Antimicrobial Proteins : 

Antimicrobial Proteins Enhance the innate defenses by: Attacking microorganisms directly Hindering microorganisms’ ability to reproduce The most important antimicrobial proteins are: Interferon Complement proteins

Interferon (IFN) : 

Genes that synthesize IFN are activated when a host cell is invaded by a virus Interferon molecules leave the infected cell and enter neighboring cells Interferon stimulates the neighboring cells to activate genes for PKR (an antiviral protein) PKR nonspecifically blocks viral reproduction in the neighboring cell Interferon (IFN)

Interferon (IFN) : 

Interferon (IFN) Figure 21.4

Interferon Family : 

Interferon Family Interferons are a family of related proteins each with slightly different physiological effects Lymphocytes secrete gamma (?) interferon, but most other WBCs secrete alpha (?) interferon Fibroblasts secrete beta (?) interferon Interferons also activate macrophages and mobilize NKs FDA-approved alpha IFN is used: As an antiviral drug against hepatitis C virus To treat genital warts caused by the herpes virus

Complement : 

20 or so proteins that circulate in the blood in an inactive form Proteins include C1 through C9, factors B, D, and P, and regulatory proteins Provides a major mechanism for destroying foreign substances in the body Complement

Complement : 

Amplifies all aspects of the inflammatory response Kills bacteria and certain other cell types (our cells are immune to complement) Enhances the effectiveness of both nonspecific and specific defenses Complement

Complement Pathways : 

Complement can be activated by two pathways: classical and alternative Classical pathway is linked to the immune system Depends on the binding of antibodies to invading organisms Subsequent binding of C1 to the antigen-antibody complexes (complement fixation) Alternative pathway is triggered by interaction among factors B, D, and P, and polysaccharide molecules present on microorganisms Complement Pathways

Complement Pathways : 

Each pathway involves a cascade in which complement proteins are activated in an orderly sequence and where each step catalyzes the next Both pathways converge on C3, which cleaves into C3a and C3b C3b initiates formation of a membrane attack complex (MAC) MAC causes cell lysis by interfering with a cell’s ability to eject Ca2+ C3b also causes opsonization, and C3a causes inflammation Complement Pathways

Complement Pathways : 

Complement Pathways Figure 21.5

C-reactive Protein (CRP) : 

CRP is produced by the liver in response to inflammatory molecules CRP is a clinical marker used to assess for: The presence of an acute infection An inflammatory condition and its response to treatment C-reactive Protein (CRP)

Functions of C-reactive Protein : 

Binds to PC receptor of pathogens and exposed self-antigens Plays a surveillance role in targeting damaged cells for disposal Activates complement Functions of C-reactive Protein

Fever : 

Abnormally high body temperature in response to invading microorganisms The body’s thermostat is reset upwards in response to pyrogens, chemicals secreted by leukocytes and macrophages exposed to bacteria and other foreign substances Fever

Fever : 

High fevers are dangerous as they can denature enzymes Moderate fever can be beneficial, as it causes: The liver and spleen to sequester iron and zinc (needed by microorganisms) An increase in the metabolic rate, which speeds up tissue repair Fever

Adaptive (Specific) Defenses : 

The adaptive immune system is a functional system that: Recognizes specific foreign substances Acts to immobilize, neutralize, or destroy foreign substances Amplifies inflammatory response and activates complement Adaptive (Specific) Defenses

Adaptive Immune Defenses : 

The adaptive immune system is antigen-specific, systemic, and has memory It has two separate but overlapping arms Humoral, or antibody-mediated immunity Cellular, or cell-mediated immunity Adaptive Immune Defenses

Antigens : 

Substances that can mobilize the immune system and provoke an immune response The ultimate targets of all immune responses are mostly large, complex molecules not normally found in the body (nonself) Antigens

Complete Antigens : 

Important functional properties: Immunogenicity – the ability to stimulate proliferation of specific lymphocytes and antibody production Reactivity – the ability to react with the products of the activated lymphocytes and the antibodies released in response to them Complete antigens include foreign protein, nucleic acid, some lipids, and large polysaccharides Complete Antigens

Haptens (Incomplete Antigens) : 

Small molecules, such as peptides, nucleotides, and many hormones, that are not immunogenic but are reactive when attached to protein carriers If they link up with the body’s proteins, the adaptive immune system may recognize them as foreign and mount a harmful attack (allergy) Haptens are found in poison ivy, dander, some detergents, and cosmetics Haptens (Incomplete Antigens)

Antigenic Determinants : 

Only certain parts of an entire antigen are immunogenic Antibodies and activated lymphocytes bind to these antigenic determinants Most naturally occurring antigens have numerous antigenic determinants that: Mobilize several different lymphocyte populations Form different kinds of antibodies against it Large, chemically simple molecules (e.g., plastics) have little or no immunogenicity Antigenic Determinants

Antigenic Determinants : 

Antigenic Determinants Figure 21.6

Self-Antigens: MHC Proteins : 

Our cells are dotted with protein molecules (self-antigens) that are not antigenic to us but are strongly antigenic to others One type of these, MHC proteins, mark a cell as self The two classes of MHC proteins are: Class I MHC proteins – found on virtually all body cells Class II MHC proteins – found on certain cells in the immune response Self-Antigens: MHC Proteins

MHC Proteins : 

Are coded for by genes of the major histocompatibility complex (MHC) and are unique to an individual Each MHC molecule has a deep groove that displays a peptide, which is a normal cellular product of protein recycling In infected cells, MHC proteins bind to fragments of foreign antigens, which play a crucial role in mobilizing the immune system MHC Proteins

Cells of the Adaptive Immune System : 

Two types of lymphocytes B lymphocytes – oversee humoral immunity T lymphocytes – non-antibody-producing cells that constitute the cell-mediated arm of immunity Antigen-presenting cells (APCs): Do not respond to specific antigens Play essential auxiliary roles in immunity Cells of the Adaptive Immune System

Lymphocytes : 

Immature lymphocytes released from bone marrow are essentially identical Whether a lymphocyte matures into a B cell or a T cell depends on where in the body it becomes immunocompetent B cells mature in the bone marrow T cells mature in the thymus Lymphocytes

T Cell Selection in the Thymus : 

T Cell Selection in the Thymus Figure 21.7

T Cells : 

T cells mature in the thymus under negative and positive selection pressures Negative selection – eliminates T cells that are strongly anti-self Positive selection – selects T cells with a weak response to self-antigens, which thus become both immunocompetent and self-tolerant T Cells

B Cells : 

B cells become immunocompetent and self-tolerant in bone marrow Some self-reactive B cells are inactivated (anergy) while others are killed Other B cells undergo receptor editing in which there is a rearrangement of their receptors B Cells

Immunocompetent B or T cells : 

Display a unique type of receptor that responds to a distinct antigen Become immunocompetent before they encounter antigens they may later attack Are exported to secondary lymphoid tissue where encounters with antigens occur Mature into fully functional antigen-activated cells upon binding with their recognized antigen It is genes, not antigens, that determine which foreign substances our immune system will recognize and resist Immunocompetent B or T cells

Immunocompetent B or T cells : 

Red bone marrow 1 2 3 Immunocompetent, but still naive, lymphocyte migrates via blood Mature (antigen-activated) immunocompetent lymphocytes circulate continuously in the bloodstream and lymph and throughout the lymphoid organs of the body. Key: = Site of lymphocyte origin = Site of development of immunocompetence as B or T cells; primary lymphoid organs = Site of antigen challenge and final differentiation to activated B and T cells Immature lymphocytes Circulation in blood 1 1 Lymphocytes destined to become T cells migrate to the thymus and develop immunocompetence there. B cells develop immunocompetence in red bone marrow. Thymus Bonemarrow Lymph nodes, spleen, and other lymphoid tissues 2 2 After leaving the thymus or bone marrow as naive immunocompetent cells, lymphocytes “seed” the lymph nodes, spleen, and other lymphoid tissues where the antigen challenge occurs. 3 3 Activated immunocompetent B and T cells recirculate in blood and lymph Immunocompetent B or T cells Figure 21.8

Antigen-Presenting Cells (APCs) : 

Major rolls in immunity are: To engulf foreign particles To present fragments of antigens on their own surfaces, to be recognized by T cells Major APCs are dendritic cells (DCs), macrophages, and activated B cells The major initiators of adaptive immunity are DCs, which actively migrate to the lymph nodes and secondary lymphoid organs and present antigens to T and B cells Antigen-Presenting Cells (APCs)

Macrophages and Dendritic Cells : 

Secrete soluble proteins that activate T cells Activated T cells in turn release chemicals that: Rev up the maturation and mobilization of DCs Prod macrophages to become activated macrophages, which are insatiable phagocytes that secrete bactericidal chemicals Macrophages and Dendritic Cells

Adaptive Immunity: Summary : 

Two-fisted defensive system that uses lymphocytes, APCs, and specific molecules to identify and destroy nonself particles Its response depends upon the ability of its cells to: Recognize foreign substances (antigens) by binding to them Communicate with one another so that the whole system mounts a response specific to those antigens Adaptive Immunity: Summary

Humoral Immunity Response : 

Antigen challenge – first encounter between an antigen and a naive immunocompetent cell Takes place in the spleen or other lymphoid organ If the lymphocyte is a B cell: The challenging antigen provokes a humoral immune response Antibodies are produced against the challenger Humoral Immunity Response

Clonal Selection : 

Stimulated B cell growth forms clones bearing the same antigen-specific receptors A naive, immunocompetent B cell is activated when antigens bind to its surface receptors and cross-link adjacent receptors Antigen binding is followed by receptor-mediated endocytosis of the cross-linked antigen-receptor complexes These activating events, plus T cell interactions, trigger clonal selection Clonal Selection

Clonal Selection : 

Clonal Selection Figure 21.9

Fate of the Clones : 

Most clone cells become antibody-secreting plasma cells Plasma cells secrete specific antibody at the rate of 2000 molecules per second Fate of the Clones

Fate of the Clones : 

Secreted antibodies: Bind to free antigens Mark the antigens for destruction by specific or nonspecific mechanisms Clones that do not become plasma cells become memory cells that can mount an immediate response to subsequent exposures of the same antigen Fate of the Clones

Immunological Memory : 

Primary immune response – cellular differentiation and proliferation, which occurs on the first exposure to a specific antigen Lag period: 3 to 6 days after antigen challenge Peak levels of plasma antibody are achieved in 10 days Antibody levels then decline Immunological Memory

Immunological Memory : 

Secondary immune response – re-exposure to the same antigen Sensitized memory cells respond within hours Antibody levels peak in 2 to 3 days at much higher levels than in the primary response Antibodies bind with greater affinity, and their levels in the blood can remain high for weeks to months Immunological Memory

Primary and Secondary Humoral Responses : 

Primary and Secondary Humoral Responses Figure 21.10

Active Humoral Immunity : 

B cells encounter antigens and produce antibodies against them Naturally acquired – response to a bacterial or viral infection Artificially acquired – response to a vaccine of dead or attenuated pathogens Vaccines – spare us the symptoms of disease, and their weakened antigens provide antigenic determinants that are immunogenic and reactive Active Humoral Immunity

Passive Humoral Immunity : 

Differs from active immunity in the antibody source and the degree of protection B cells are not challenged by antigens Immunological memory does not occur Protection ends when antigens naturally degrade in the body Naturally acquired – from the mother to her fetus via the placenta Artificially acquired – from the injection of serum, such as gamma globulin Passive Humoral Immunity

Types of Acquired Immunity : 

Types of Acquired Immunity Figure 21.11