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Specific Host Defenses:
  Adaptive Immunity

  ACQUIRED or SPECIFIC
      IMMUNITY
Two major kinds of defense

                        Innate immunity
Acquired
immunity
The Immune System is the Third Line of
          Defense Against Infection





 Immune Response: Third line of defense.
Involves production of antibodies and
generation of specialized lymphocytes against
specific antigens.
Innate or Natural or Non specific Immunity:
   Immunity an organism is born with.
      Genetically determined. Effective from birth.
      Present before exposure to pathogens
      Nonspecific responses to pathogens



Acquired or Specific Immunity:
   Immunity that an organism develops during lifetime.
      Not genetically determined.

     Develops after exposure to antigens (microbes,
      toxins, or other foreign substances)
     Very specific response to pathogens
     May be acquired naturally or artificially.
Types of Acquired Immunity
         Acquired
         Immunity
Types of acquired immunity
   (1). Natural Acquired Active immunity (2). Natural
    Acquired Passively, (3) Artificially Acquired Active
    Immunity, & (4) Artificially Acquired Passive Immunity
   Serum: Fluid that remains after blood has clotted and
    cells have been removed.
   Antiserum: Serum containing antibodies to a specific
    antigen(s). Obtained from injecting an animal (horse,
    rabbit, goat) with antigen (snake venom, botulism or
    diphtheria toxin).
   Serology: The study of reactions between antibodies
    and antigens.
   Gamma Globulins: Fraction of serum that contains
    most of the antibodies.
   Serum Sickness: Disease caused by multiple
    injections of antiserum. Immune response to foreign
    proteins. May cause fever, kidney problems, and joint
    pain. Rare today.
Types of Acquired Immunity
2.    Naturally Acquired Immunity:
         - Obtained in the course of daily life.
     1A. Naturally Acquired Active Immunity:
        Antigens or pathogens enter body naturally.
        Person contracts disease; generates specific immune response
         to the antigen.
        Immunity may be lifelong (chickenpox or mumps) or
         temporary (influenza or intestinal infections).

     1B. Naturally Acquired Passive Immunity:
        Antibodies pass from mother to fetus via placenta or breast
         feeding (colostrum). No immune response to antigens.
        Develops immediately immunity & is usually short-lived
         (weeks to months).
        Affects all antigens to which the mother has immunity.
        Protection until child’s immune system develops.
2. Artificially Acquired Immunity:
   Obtained by receiving a vaccine or immune serum.
2A. Artificially Acquired Active Immunity:
       Involves production of Antibody following exposure of
        specially prepared Antigen
       Antigens are introduced as vaccines (immunization).
       Body generates an immune response slowly and is specific
        to the antigen for which the immunization was given.
       Immunity can be lifelong (oral polio vaccine) or temporary
        (tetanus toxoid & Diphtheria toxoid).
    2B. Artificially Acquired Passive Immunity:
        Transfer of immunity from the immunised person to a non-
        immunized person by trnsfering Abs or sensitised cells.
           Eg. Snake antivenom injection from horses or rabbits
           Used in the ttt. Of Tetanus, Diphtheria &Mumps
       Immunity is immediate, but short lived (half life 3 weeks).
       Affects all antigens to which the donor has the immunity.
       Host immune system does not respond to antigens.
Lymphocytes
                                            BONE MARROW
   Lymphocytes mount a
    dual defense
                                            Stem cell
                                                                              Thymus
   Two kinds of ( B & T)                                                      THYMUS

    lymphocytes carry out                                       Via
                                                               blood
    the immune responses
                                              Immature
    1. Humoral immunity                     lymphocytes

      (Antibody mediated)                                     Antigen
                                                             receptors
      involves the production
      of antibody by the B      B cell
                                                                                          T cell
      cells which attack Ag.             B cell
                                           HUMORAL
                                                                                 CELL-
                                                                 Via           MEDIATED
    2.Cell mediated                        IMMUNITY             blood          IMMUNITY

     immunity    - is                                     Lymph nodes,
     governed by T-                                       spleen, and other
                                                          lymphatic organs      Final
                                  OTHER PARTS
     lymphocytes. T cells            OF THE                                     maturation of
                                                                                B and T cells
                                   LYMPHATIC
     attack cells infected          SYSTEM                                      in lymphatic
                                                                                 organ
     with pathogens
Duality of Immune System
I. Humoral (Antibody-Mediated) Immunity
   Involves production of antibodies by B cells against
    foreign antigens (bacteria, bacterial toxins, and
    viruses).
   B cells develop from stem cells in the bone marrow
    of adults (liver of fetuses).
   After maturation, B cells migrate to lymphoid
    organs (lymph node or Spleen).
   B cells are the main warriors of humoral immunity
Humoral Response to T Independent Antigens
                                                    Selection of B cells

    Cell growth
    division, and
    differentiation
                                             Triggering of the B cell
                      in a lymph node




Clone of many
effector cells        ER
                            ER
                                        ER   ER
secreting
antibodies
Humoral Response to T Dependent Antigens
Activation of B-Cells
   Activation of B cells involves various steps.
   Selection of B cells – 1 from many B-cell (Each lymphocyte
    bears a specific receptor to the antigen)
   Recognition of Antigens – by B cells or Macrophage
   Processing of Ag by Macrophages - immunogenic
   Antigen presentation by Macrophages to B cells. T dept Ag
    – needs the co operation of Th cells --(BSF) activate B cells
   Triggering of the B cell by the Ab or Th cells R-TCn-TLn
   Clonal proliferation–Cell division & prolfn- by BSF, BCGF
   Production of Plasma cells & Memory cells
   Secretion of Immunoglobulin into the serum.
Humoral Immunity (Continued)
Apoptosis
 Programmed cell death (“Falling away”).
 Human body makes 100 million lymphocytes every
  day. If an equivalent number doesn’t die, will
  develop leukemia.
 B cells that do not encounter stimulating antigen
  will self-destruct and send signals to phagocytes to
  dispose of their remains.
 Many virus infected cells will undergo apoptosis, to
  prevent spread of the infection.
Clonal Selection
   Clonal deletion - Some self-reactive B cells are killed in
  the bone marrow (Not immunocompetent).
 Clonal selection- When antigen binds to antigen
  receptor, the “Selected” B cell undergoes proliferates into
  clones that will recognize one specific antigen.
 Clonal selection must be a defensive forces against a
  specific antigen.
 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.
■ These, along with T cell interactions, trigger clonal
  selection
Fate of the Clones
■ Most clone cells become antibody-secreting
  plasma cells (effector cell - short-lived cells)
■ Plasma cells secrete specific antibody at a higher
  rate than B cells
■ Secreted antibodies:
: Bind to free antigens
B Mark the antigens for destruction by specific or
  nonspecific mechanisms
■ Clones that do not become plasma cells become
  memory cells (long-lived) that can mount an
  immediate response to subsequent exposures of
  the same antigen
Antigen
       PRIMARY RESPONSE        Antigen receptor on a B cell
       (initial encounter
       with antigen)
                                 Antigen binding
                                 to a B cell


             Cell growth,
             division, and
             differentiation



          Clone of cells

               Plasma cell      Memory B cell


              Antibody
              molecules


SECONDARY RESPONSE                Later
(can be years later)              exposure
                                  to same
  Cell growth,division, &         antigen
  further differentiation

    Larger clone of cells
             Plasma              Memory B cell
             cell

               Antibody
               molecules
Immunological Memory
Antibody Titer: The amount of antibody in the serum.
Pattern of Antibody Levels During Infection
Primary Response:
 After initial exposure to antigen, no antibodies are
  found in serum for several days.
 A gradual increase in titer, first of IgM and then of
  IgG is observed after 3 to 6 days.
 Most B cells become plasma cells, but some B cells
  become long living memory cells.
 Peak levels of plasma antibody are achieved in 10 days

 Gradual decline of antibodies follows.
Immunological Memory - Secondary Response:
    Subsequent exposure to the same antigen displays a faster and
     more intense antibody response with in an hour.
    It is due to the existence of memory cells, which rapidly produce
     plasma cells upon antigen stimulation.
    Antibody levels peak in 2 to 3 days
    Antibody levels in the blood can remain high for weeks to months
                                        Unstimulated lymphocyte
                                        First exposure to antigen

                                                 FIRST CLONE




                                  Memory cells

                           Second exposure to antigen Effector cells


                                             SECOND CLONE




                               More memory cells
                                                         New effector cells
Antibody Response After Exposure to Antigen
Monoclonal antibodies
Monoclonal antibodies are pure
  antibody preparations             Antigen injected   Tumor cells grown
                                    into mouse         in culture
a Specific for a single antigenic
  determinant
d Produced from descendents of      B cells
                                    (from spleen)
                                                           Tumor cells


  a single cell
a Hybridomas – cell hybrids                                         Cells fused to
                                                                    generate hybrid
  made from a fusion of a                                           cells

  tumor cell (easy-to-grow) and                        Single hybrid cell
                                                       grown in culture
  a B cell (specific for a single    Antibody

  antigenic determinant)
                                              Hybrid cell culture,
                                        producing monoclonal antibodies
Uses - Monoclonal Antibodies
■ Monoclonal Abs are powerful tools in the lab
MCommercially prepared antibodies are used:
C In research & clinical testing
I To provide passive immunity
  These cells are useful in medical diagnosis
T They are also useful in the treatment of certain
  cancers.
■ Have desirable properties of both parent cells –
  indefinite proliferation as well as the ability to
  produce a single type of antibody
Acquired Immunity: Ag-Specific Responses
T Lymphocytes: Cell Mediated Immunity




            Figure 24-16: T lymphocytes and NK cells
T Cells and Cell Mediated Immunity
    Cellular Components of Immunity:
     T cells develop from stem cells in bone marrow and
      mature in the thymus gland.
     After maturation they migrate to lymphoid organs
   T cells are key cellular component of immunity.
     T cells have an antigen receptor that recognizes and
      reacts to a specific intracellular antigen (T cell
      receptor).
     T cell receptor only recognize antigens combined
      with major histocompatability (MHC) proteins on
      the surface of cells.
        MHC Class I: Found on all nucleated cells &
        MHC Class II: Found on phagocytes.
T Cells Only Recognize Antigen Associated
  with MHC Molecules on Cell Surfaces
II. Cell Mediated Immunity

     Clonal selection increases number of effector T cells
      and destroy the invader.
     T cells regulate proliferation and activity of other
      cells of the immune system: B cells, macrophages,
      neutrophils, etc.
     Defense against:
        Bacteria ,Viruses, Fungi, protozoa, and helminths

        Cancer cells & Transplanted tissue



     Unlike humoral immunity, cell mediated immunity
      is not transferred to the fetus (no passive immunity).
Types of T cells
   Helper T (CD4+ TH) Cells - have central role in
    immune response, these activate macrophages and
    help form cytotoxic T cells
   Cytotoxic T (CD8+ CTLs) destroy target cells on
    contact by producing perforin that lysis an infected
    cells
    Delayed hypersensitivity T (TD) Cells: Mostly T
    helper and a few cytotoxic T cells that are involved
    in some allergic reactions (poison ivy) and rejection
    of transplanted tissue.
   Suppressor T (Ts) Cells -inhibit the production of
    CTL cells to shut down immune response once
    they are unneeded, least they cause more damage
    than necessary. (Now called regulatory T cells).
APC = e.g., Macrophage

           MHC
          Class II         CD4
Peptide
Antigen
 TCR




              CD4 T Cell
T Cells and Cell Mediated Immunity
1. T Helper (TH) Cells: Central role in immune response.
    Most are CD4+ (clusters of differentiation)
    The helper T cell’s receptors recognize antigen on the
     surface of antigen presenting cells (e.g.: macrophage).
    The interaction activates the macrophages & TH cells

    The helper T cell releases IL2 & other cytokines

   to activate itself, Cytotoxic T cells & the B cell

    Activated CTL directly attack the infected cells by Cell
     mediated immune response
    B cells produce plasma cells which secrete antibodies –
     Humoral immune response.
    T cells mount the cell-mediated defense and aid
       humoral immunity
Central Role of Helper T Cells
Cytokines
 Mediators involved in cellular immunity, including
  hormone like glycoproteins released by activated T cells
  and macrophages
■ Interleukin 1 (IL-1) released by macrophages co-stimulates
  bound T cells to release IL 2.
 IL-2 is a key growth factor, which activates T cells to divide

■ Other cytokines amplify and regulate immune and
  nonspecific responses. Examples includes:
n Perforin and lymphotoxin – Cell toxins
P Gamma interferon – enhances the killing power of
  macrophages
mInflammatory factors
Cytotoxic T cells
   T cells that express CD8 molecule on their surface
   Class I MHC molecules (nucleated body cells) expose foreign proteins
          Recognize antigens on the surface of all cells:

                Kill host cells that are infected with viruses or bacteria.

                Recognize & kill - Foreign cells from blood transfusions or transplants.

                Recognize and destroy cancer cells & transplanted tissue.

   TC cell release protein called perforin and granzymes which forms a pore in
    target cell membrane, causing lysis of infected cells and/or Apoptosis




                                     Perforin makes holes
                                     in infected cell’s membrane
            Cytotoxic T cell binds                                 Infected cell is destroyed
            to infected cell
Interrelationship between cell mediated
             and humoral immunity
  Antibody production depends on macrophages and T cells (T
   dependent antigen)
1. Antigen is ingested and presented by the APC
2. The helper T cells reacts with this MHC-antigen complex
3. This activates the T cell and it begins to proliferate and
   produce cytokines.
4. The cytokines activate macrophages, CD8 cells, and natural
   killer cells
5. IL-2 influences a B cell to differentiate into a plasma cell that
   produces antibody
 Sometimes antigen can stimulate B cells directly without the
   help of T cells. This is called T independent antigen.
 In this case the antigen reacts directly with the B cell receptors.
   This is usually weaker
The big picture…Integration of innate and adaptive immunity




                Courtesy: Abbas and Litchman; Basic Immunology
Summary
   Evolutionary need for adaptive immunity:
       Self/non-self discrimination, specificity, amplification, regulation, duration
        and memory
   T and B cells are mediators of adaptive immunity
       T cells: cell-mediated immunity
       B cells: humoral immunity
       Cells of innate immunity also participate (DCs, Macrophages)
   Activation of T and B cells are different:
       T cells: specific recognition of peptide/MHC complex (signal 1) and
        costimulatory signals by APC (Signal 2)
       B cells: recognize native proteins (signal 1). May/may not require signal 2
        from CD4+ Th cells (TD and TI antigens)
   Immunological memory: an important hallmark
       Faster and rapid response on a second antigen encounter
   Innate immune response shapes the adaptive immunity

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Specificimmunity 110703094200-phpapp02

  • 1. Specific Host Defenses: Adaptive Immunity ACQUIRED or SPECIFIC IMMUNITY
  • 2. Two major kinds of defense Innate immunity Acquired immunity
  • 3. The Immune System is the Third Line of Defense Against Infection  Immune Response: Third line of defense. Involves production of antibodies and generation of specialized lymphocytes against specific antigens.
  • 4. Innate or Natural or Non specific Immunity:  Immunity an organism is born with.  Genetically determined. Effective from birth.  Present before exposure to pathogens  Nonspecific responses to pathogens Acquired or Specific Immunity:  Immunity that an organism develops during lifetime.  Not genetically determined.  Develops after exposure to antigens (microbes, toxins, or other foreign substances)  Very specific response to pathogens  May be acquired naturally or artificially.
  • 5. Types of Acquired Immunity Acquired Immunity
  • 6. Types of acquired immunity  (1). Natural Acquired Active immunity (2). Natural Acquired Passively, (3) Artificially Acquired Active Immunity, & (4) Artificially Acquired Passive Immunity
  • 7. Serum: Fluid that remains after blood has clotted and cells have been removed.  Antiserum: Serum containing antibodies to a specific antigen(s). Obtained from injecting an animal (horse, rabbit, goat) with antigen (snake venom, botulism or diphtheria toxin).  Serology: The study of reactions between antibodies and antigens.  Gamma Globulins: Fraction of serum that contains most of the antibodies.  Serum Sickness: Disease caused by multiple injections of antiserum. Immune response to foreign proteins. May cause fever, kidney problems, and joint pain. Rare today.
  • 8. Types of Acquired Immunity 2. Naturally Acquired Immunity: - Obtained in the course of daily life. 1A. Naturally Acquired Active Immunity:  Antigens or pathogens enter body naturally.  Person contracts disease; generates specific immune response to the antigen.  Immunity may be lifelong (chickenpox or mumps) or temporary (influenza or intestinal infections). 1B. Naturally Acquired Passive Immunity:  Antibodies pass from mother to fetus via placenta or breast feeding (colostrum). No immune response to antigens.  Develops immediately immunity & is usually short-lived (weeks to months).  Affects all antigens to which the mother has immunity.  Protection until child’s immune system develops.
  • 9. 2. Artificially Acquired Immunity:  Obtained by receiving a vaccine or immune serum. 2A. Artificially Acquired Active Immunity:  Involves production of Antibody following exposure of specially prepared Antigen  Antigens are introduced as vaccines (immunization).  Body generates an immune response slowly and is specific to the antigen for which the immunization was given.  Immunity can be lifelong (oral polio vaccine) or temporary (tetanus toxoid & Diphtheria toxoid). 2B. Artificially Acquired Passive Immunity:  Transfer of immunity from the immunised person to a non- immunized person by trnsfering Abs or sensitised cells.  Eg. Snake antivenom injection from horses or rabbits  Used in the ttt. Of Tetanus, Diphtheria &Mumps  Immunity is immediate, but short lived (half life 3 weeks).  Affects all antigens to which the donor has the immunity.  Host immune system does not respond to antigens.
  • 10. Lymphocytes BONE MARROW  Lymphocytes mount a dual defense Stem cell Thymus  Two kinds of ( B & T) THYMUS lymphocytes carry out Via blood the immune responses Immature 1. Humoral immunity lymphocytes (Antibody mediated) Antigen receptors involves the production of antibody by the B B cell T cell cells which attack Ag. B cell HUMORAL CELL- Via MEDIATED 2.Cell mediated IMMUNITY blood IMMUNITY immunity - is Lymph nodes, governed by T- spleen, and other lymphatic organs Final OTHER PARTS lymphocytes. T cells OF THE maturation of B and T cells LYMPHATIC attack cells infected SYSTEM in lymphatic organ with pathogens
  • 11. Duality of Immune System I. Humoral (Antibody-Mediated) Immunity  Involves production of antibodies by B cells against foreign antigens (bacteria, bacterial toxins, and viruses).  B cells develop from stem cells in the bone marrow of adults (liver of fetuses).  After maturation, B cells migrate to lymphoid organs (lymph node or Spleen).  B cells are the main warriors of humoral immunity
  • 12. Humoral Response to T Independent Antigens Selection of B cells Cell growth division, and differentiation Triggering of the B cell in a lymph node Clone of many effector cells ER ER ER ER secreting antibodies
  • 13. Humoral Response to T Dependent Antigens
  • 14. Activation of B-Cells  Activation of B cells involves various steps.  Selection of B cells – 1 from many B-cell (Each lymphocyte bears a specific receptor to the antigen)  Recognition of Antigens – by B cells or Macrophage  Processing of Ag by Macrophages - immunogenic  Antigen presentation by Macrophages to B cells. T dept Ag – needs the co operation of Th cells --(BSF) activate B cells  Triggering of the B cell by the Ab or Th cells R-TCn-TLn  Clonal proliferation–Cell division & prolfn- by BSF, BCGF  Production of Plasma cells & Memory cells  Secretion of Immunoglobulin into the serum.
  • 15. Humoral Immunity (Continued) Apoptosis  Programmed cell death (“Falling away”).  Human body makes 100 million lymphocytes every day. If an equivalent number doesn’t die, will develop leukemia.  B cells that do not encounter stimulating antigen will self-destruct and send signals to phagocytes to dispose of their remains.  Many virus infected cells will undergo apoptosis, to prevent spread of the infection.
  • 16. Clonal Selection  Clonal deletion - Some self-reactive B cells are killed in the bone marrow (Not immunocompetent).  Clonal selection- When antigen binds to antigen receptor, the “Selected” B cell undergoes proliferates into clones that will recognize one specific antigen.  Clonal selection must be a defensive forces against a specific antigen.  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. ■ These, along with T cell interactions, trigger clonal selection
  • 17. Fate of the Clones ■ Most clone cells become antibody-secreting plasma cells (effector cell - short-lived cells) ■ Plasma cells secrete specific antibody at a higher rate than B cells ■ Secreted antibodies: : Bind to free antigens B Mark the antigens for destruction by specific or nonspecific mechanisms ■ Clones that do not become plasma cells become memory cells (long-lived) that can mount an immediate response to subsequent exposures of the same antigen
  • 18. Antigen PRIMARY RESPONSE Antigen receptor on a B cell (initial encounter with antigen) Antigen binding to a B cell Cell growth, division, and differentiation Clone of cells Plasma cell Memory B cell Antibody molecules SECONDARY RESPONSE Later (can be years later) exposure to same Cell growth,division, & antigen further differentiation Larger clone of cells Plasma Memory B cell cell Antibody molecules
  • 19. Immunological Memory Antibody Titer: The amount of antibody in the serum. Pattern of Antibody Levels During Infection Primary Response:  After initial exposure to antigen, no antibodies are found in serum for several days.  A gradual increase in titer, first of IgM and then of IgG is observed after 3 to 6 days.  Most B cells become plasma cells, but some B cells become long living memory cells.  Peak levels of plasma antibody are achieved in 10 days  Gradual decline of antibodies follows.
  • 20. Immunological Memory - Secondary Response:  Subsequent exposure to the same antigen displays a faster and more intense antibody response with in an hour.  It is due to the existence of memory cells, which rapidly produce plasma cells upon antigen stimulation.  Antibody levels peak in 2 to 3 days  Antibody levels in the blood can remain high for weeks to months Unstimulated lymphocyte First exposure to antigen FIRST CLONE Memory cells Second exposure to antigen Effector cells SECOND CLONE More memory cells New effector cells
  • 21. Antibody Response After Exposure to Antigen
  • 22. Monoclonal antibodies Monoclonal antibodies are pure antibody preparations Antigen injected Tumor cells grown into mouse in culture a Specific for a single antigenic determinant d Produced from descendents of B cells (from spleen) Tumor cells a single cell a Hybridomas – cell hybrids Cells fused to generate hybrid made from a fusion of a cells tumor cell (easy-to-grow) and Single hybrid cell grown in culture a B cell (specific for a single Antibody antigenic determinant) Hybrid cell culture, producing monoclonal antibodies
  • 23. Uses - Monoclonal Antibodies ■ Monoclonal Abs are powerful tools in the lab MCommercially prepared antibodies are used: C In research & clinical testing I To provide passive immunity These cells are useful in medical diagnosis T They are also useful in the treatment of certain cancers. ■ Have desirable properties of both parent cells – indefinite proliferation as well as the ability to produce a single type of antibody
  • 25. T Lymphocytes: Cell Mediated Immunity Figure 24-16: T lymphocytes and NK cells
  • 26. T Cells and Cell Mediated Immunity Cellular Components of Immunity:  T cells develop from stem cells in bone marrow and mature in the thymus gland.  After maturation they migrate to lymphoid organs  T cells are key cellular component of immunity.  T cells have an antigen receptor that recognizes and reacts to a specific intracellular antigen (T cell receptor).  T cell receptor only recognize antigens combined with major histocompatability (MHC) proteins on the surface of cells.  MHC Class I: Found on all nucleated cells &  MHC Class II: Found on phagocytes.
  • 27. T Cells Only Recognize Antigen Associated with MHC Molecules on Cell Surfaces
  • 28. II. Cell Mediated Immunity  Clonal selection increases number of effector T cells and destroy the invader.  T cells regulate proliferation and activity of other cells of the immune system: B cells, macrophages, neutrophils, etc.  Defense against:  Bacteria ,Viruses, Fungi, protozoa, and helminths  Cancer cells & Transplanted tissue  Unlike humoral immunity, cell mediated immunity is not transferred to the fetus (no passive immunity).
  • 29. Types of T cells  Helper T (CD4+ TH) Cells - have central role in immune response, these activate macrophages and help form cytotoxic T cells  Cytotoxic T (CD8+ CTLs) destroy target cells on contact by producing perforin that lysis an infected cells  Delayed hypersensitivity T (TD) Cells: Mostly T helper and a few cytotoxic T cells that are involved in some allergic reactions (poison ivy) and rejection of transplanted tissue.  Suppressor T (Ts) Cells -inhibit the production of CTL cells to shut down immune response once they are unneeded, least they cause more damage than necessary. (Now called regulatory T cells).
  • 30. APC = e.g., Macrophage MHC Class II CD4 Peptide Antigen TCR CD4 T Cell
  • 31. T Cells and Cell Mediated Immunity 1. T Helper (TH) Cells: Central role in immune response.  Most are CD4+ (clusters of differentiation)  The helper T cell’s receptors recognize antigen on the surface of antigen presenting cells (e.g.: macrophage).  The interaction activates the macrophages & TH cells  The helper T cell releases IL2 & other cytokines to activate itself, Cytotoxic T cells & the B cell  Activated CTL directly attack the infected cells by Cell mediated immune response  B cells produce plasma cells which secrete antibodies – Humoral immune response.  T cells mount the cell-mediated defense and aid humoral immunity
  • 32. Central Role of Helper T Cells
  • 33. Cytokines  Mediators involved in cellular immunity, including hormone like glycoproteins released by activated T cells and macrophages ■ Interleukin 1 (IL-1) released by macrophages co-stimulates bound T cells to release IL 2.  IL-2 is a key growth factor, which activates T cells to divide ■ Other cytokines amplify and regulate immune and nonspecific responses. Examples includes: n Perforin and lymphotoxin – Cell toxins P Gamma interferon – enhances the killing power of macrophages mInflammatory factors
  • 34. Cytotoxic T cells  T cells that express CD8 molecule on their surface  Class I MHC molecules (nucleated body cells) expose foreign proteins  Recognize antigens on the surface of all cells:  Kill host cells that are infected with viruses or bacteria.  Recognize & kill - Foreign cells from blood transfusions or transplants.  Recognize and destroy cancer cells & transplanted tissue.  TC cell release protein called perforin and granzymes which forms a pore in target cell membrane, causing lysis of infected cells and/or Apoptosis Perforin makes holes in infected cell’s membrane Cytotoxic T cell binds Infected cell is destroyed to infected cell
  • 35. Interrelationship between cell mediated and humoral immunity  Antibody production depends on macrophages and T cells (T dependent antigen) 1. Antigen is ingested and presented by the APC 2. The helper T cells reacts with this MHC-antigen complex 3. This activates the T cell and it begins to proliferate and produce cytokines. 4. The cytokines activate macrophages, CD8 cells, and natural killer cells 5. IL-2 influences a B cell to differentiate into a plasma cell that produces antibody  Sometimes antigen can stimulate B cells directly without the help of T cells. This is called T independent antigen.  In this case the antigen reacts directly with the B cell receptors. This is usually weaker
  • 36. The big picture…Integration of innate and adaptive immunity Courtesy: Abbas and Litchman; Basic Immunology
  • 37. Summary  Evolutionary need for adaptive immunity:  Self/non-self discrimination, specificity, amplification, regulation, duration and memory  T and B cells are mediators of adaptive immunity  T cells: cell-mediated immunity  B cells: humoral immunity  Cells of innate immunity also participate (DCs, Macrophages)  Activation of T and B cells are different:  T cells: specific recognition of peptide/MHC complex (signal 1) and costimulatory signals by APC (Signal 2)  B cells: recognize native proteins (signal 1). May/may not require signal 2 from CD4+ Th cells (TD and TI antigens)  Immunological memory: an important hallmark  Faster and rapid response on a second antigen encounter  Innate immune response shapes the adaptive immunity