10-Immune Response and Cells New a - Copy Yara

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    Immune responseImmune response

    Characteristics of the specificCharacteristics of the specific

    immune responseimmune response

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    1-It includes the combination of bothhumoral and cellularresponse.

    2-It is a physiological reaction.

    3- It does not pre exist but it is acquired

    by contact and adaptation to the inducingagent.

    4- It is undergenetic control. The immuneresponse genes are located in the DRregion of chromosome no. 6 in man.

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    5- It develops a memory called anamnesticresponse for protection.

    6- Feed back regulation due to antibodies,

    lymphoid cells, and cytokines. 7- Various hormones influence the immune

    response.

    8- High doses of antigen paralyze the lymphoid

    cells so they are unable to produce specificantibodies to these antigens, this is calledimmunological tolerance.

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    Lymphoid tissuesLymphoid tissues

    They are filtering systems to remove foreign antigens from the blood streamand lymph.

    Central lymphoid tissue (Bone marrow)

    Lymphoid erythromyeloid megakaryocyte

    Progenitor progenitor progenitor

    T Nul B Myeloid Erythroid Platelets progenitor Cell progenitor progenitor

    Monocytes granulocytes erythrocytes platelets

    Macrophages neutrophils Basophils eosinophils

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    Primary lymphoid tissue Thymus Bone marrow, fetal

    (T) (B) liver& spleen Secondary lymphoid Encapsulated Unencapsulated

    Tissue

    L.N. Spleen MALT, GALT, SALT, BALT

    Immune response in tissues blood mucosal surface

    T cells: paracortical in L.N., periarteriolar in spleen. B cells: germinal follicles in L.N. and spleen. APC: in dendritic cells in thymus and medulla.

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    Phases of immune responsePhases of immune response::

    1- Recognition (cognitive) binding of peptide

    to receptors on T cells

    LPS to receptors on B cells.

    2- Activation: Phospholipase C mechanism

    intracellular calcium.

    3-EffectorAb, CMI Killing, cytokine

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    Ag C.M R

    Phosphoinositol diphosphate

    Phospholipase C

    DAG IP3 Cytoplasm Ca

    Arachidonic protein kinase

    5HPETE

    Guanyl cyclase

    cGMP Nucleus RNA& protein synthesis (Transcription IL2)

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    Cells concerned in immuneCells concerned in immune

    responseresponse

    1-Macrophages and other accessory cells aslangerhans and dendritic cells.

    2-T lymphocytes.

    3-B lymphocytes 4-Null cells:

    Natural killer (NK cells)

    Killer cells (K cells)

    lymphokine activated killer (LAK cells)

    Tumor infiltrating lymphocytes.

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    MacrophagesMacrophages

    Functions:

    1-They play a very important role in

    process ofphagocytosis,

    2- Present antigen to lymphocytes.

    3- Secrete factors termed monokines: IL1,

    TNF, IL6, IL8, IL10, 12, 15. 4- ADCC: Abs, C3b.

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    Surface receptors ofSurface receptors of

    macrophagemacrophage

    I)Immune receptors:

    1- fc part of immunoglobulin

    2 complement

    c3b c3d

    3 lymphokines: for activation and proliferation.

    4 HLA class II, class I.

    5- Toll like receptors.

    6- CD14

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    II) Non immune receptors: Regulate CHO and lipidsmetabolism. Clear debris of infl.products.

    1) Hormone receptors Colony stimulating factor (c s f)

    Insulin Thrombin 2) Lactoferrin 3) Transferrin 4) Fibrin- fibrinogen 5) Fibronectin 6) Alpha2 macroglobulin- proteinase complexes 7) Lipoprotein receptors

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    Secreted products ofSecreted products of

    macrophagesmacrophages

    Enzymes:

    1- Plasminogen activator

    2- Elastases, collagenases andgelatinases

    3-Lysozyme

    4- Arginase

    5- Lipoprotein lipase

    6- Matrix metalloproteinase

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    Plasma proteins:

    1-Alpha 2 macrglobulin

    2- Fibronectin

    3- Coagulation proteins

    4- Complement components

    - C1 C2 C3 C4 C5

    5- Factor B D I H

    6- Properdin

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    Nucleotide metabolites:

    -cAMP -Uracil -Thymidine - Uric

    acid

    Bioactive lipids:

    1-Prostaglandin E2

    2-Thromboxane 3-Leukotriene C (slow reacting

    substance of anaphylaxis)

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    Monokines:

    1- Interleukin -1, 3, 6, 8, 10, 12, 15, 18

    2- Interferons. 3- Granulocyte monocyte- colony

    stimulating factors (GM-CSF).

    4- Tumoricidal and microbicidal factors

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    The process of phagocytosisThe process of phagocytosis

    1) Chemotaxis:

    - Substances chemotactic for macrophges include:-

    1- Complement factor particularly C5a, C3a.

    2- Bacterial products: bacterial endotoxin 3- Products from stimulated B and T

    lymphocytes.

    4- Factors produced by fibroblasts, collagen, elastin.

    5- cAMP, leukotriens, PG.

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    2) Retension:

    1-lymphokines macrophage migration

    inhibitory factor (MIF) macrophage

    activation factor (MAF)

    2- Proteolytic enzymes produced during

    activation of complement

    (Factor Bb) and of the fibrinolytic system

    (plasmin)

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    3) Ingestion:

    Ingestion is accompanied by:

    1- Sharp rise in 02 uptake. 2- Hexose monophosphate shunt activity

    increases 10 folds NADPH.

    3- NADPH is used to reduce O2 intosuperoxide ions, hydrogen peroxide.

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    4) Microbial killing: A) Myeloperoxidase system

    (O2 dependent killing):

    1 - Halogenation of microbial surface componentsloss of function. 2- Carboxylation of amino acid aldehydes,

    ammonia & CO2.

    3- Production of singlet O2

    Singlet O2 can attack double bounds in carbonchains leading to lethal damage of biologicalsystem

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    (B)O2independent killing mechanisms:

    1) Acidity

    2) Lysozyme. 3) Lactoferrin.

    4) Cationic protein:

    Bacteria ve charged, bind to +vecharged cationic protein: bactericidal.

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    Opsoninsare:

    Complements,

    Immunoglobulins,

    Tuftsin, Fibronectin,

    Products of B &T lymphocytes:

    MAF,TNF,CSF,IL1. Acute phase protein:CRP, antitrypsin, macroglobulin.

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    OpsonizationOpsonization

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    OpsoninsOpsonins

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    OpsonizationOpsonization

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    LymphocytesLymphocytes

    Thymus- derived lymphocytes (T cells)

    Effectors functionsinclude reactivitysuch as: delayed hypersensitivity, allograft

    rejection, tumor immunity and graft-versus- host reactivity, these effectorsfunctions reflect 2 general properties of Tlymphocytes their ability to secreteproteins (termed lymphokines) and theirability to kill other cells (cytotoxicity),

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    The regulatory function:

    cell-mediated cytotoxicity by other

    T cells and immunoglobulinproduction by B cells.

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    Certain molecules expressed on their surface.The most important of these are:

    CD3:3 molecules associated with antigenreceptor (Ti)

    CD4 (T4) involved in recognizing class II MHCmolecules

    CD8 (T8) involved in recognizing class I

    MHC molecules.

    CD25 (TAC) receptor for IL-2

    Ti heterodimer that recognizes antigen plusMHC gene products.

    HLA-DR on all mitogen activated T cells. CD= Cluster of differentiation.

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    T cell ontogenyT cell ontogeny::

    The appearance of mature, functional T

    cells in the peripheral lymphoid tissue

    represents the culmination of a series of

    differentiation steps occurring in thethymus.

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    Stem cells migrate to the thymus and thenmove from the cortex to the medulla and outinto the periphery, a journey that takes 3

    days. During intrathymic development, thymocytes

    acquire functional maturity as shown bychanges in their cell surface phenotype as

    reflected by the expression of the cellsurface molecules.

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    One of the main functions of thymicdifferentiation is to produce a population ofcells that can discriminate between self

    antigens and foreign antigens such asthose expressed on microorganisms orthe cells of unrelated individuals.

    During their differentiation within thethymus, T cells capable of recognizing theselfclass I or IIMHC molecules.

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    Congenital lacking of thymus gland:

    -Recurrent infection: fungal.

    -Impaired CMI. -Impaired graft rejection.

    -Impaired humoral response.

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    T cell activationT cell activation

    At least 2 signals are required for T cellactivation.

    1-One is transmitted through interaction between

    antigen receptor /CD3 complex on the T cell andantigen plus MHC gene.

    2- This interaction generates 2 biologically activemetabolites from membrane inositol. The first is

    inositol triphosphate. The second isdiacylglycerol, which activates the enzymeprotein kinase c.

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    3- IL-I released from accessory cell "antigenpresenting cell".

    Signal transduction: JAK/STAT (Janus kinasesand signal transduction and activated

    transcription) IL1 IL1-R Janus kinases

    STAT protein (kinases) nucleus transcription

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    These three stimuli increase transcription

    of lymphokine genes IL-2 and IL-2

    receptor synthesis are initiated.

    Since IL-2 is a T cell growth factor, this

    leads to a brief burst of cell proliferation.

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    B- LYMHOCYTESB- LYMHOCYTES

    Various receptors are detectable on B cells:

    1) Immunoglobulins: Ig, M, D.

    2) Fc receptors for fc portion of IgM, G, A, E.

    3) C3b, C3d, and C4 .

    4) EBV, Epstein Barr virus receptors.

    5) A, B, C, D: histocompatiblity antigens.

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    Mature human B-lymphocytes perform

    many functions including antibody

    secretion, Ag presentation, preservation of

    memory for Ag and lymphokine secretion .

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    Products of cellsProducts of cells

    Th1:IL2, IFN , TNF, TNF

    Th2:IL4, 5, 6, 10, 13.

    Th3:IL10,TGF ,IL 35 B: IL 2, 4, 5, 6,10, 13.

    Monocyte: IL1, TNF, IL6, 8, 10, 12, 15,

    18.

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    Null cellsNull cells

    They are lymphoid cells that lack B, T cell

    features. These cells are large

    lymphocytes that can be distinguished by

    characteristic azurophilic granules in theircytoplasm.

    Their azurophilic granules contain

    perforins, Lymphotoxins, TNF, NKCF (NKcytotoxic factor), and IFN.

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    .Natural killer cellsare usually null cells with

    surface marker CD 16 which bind to the Fc portion

    of the IgG, and thereby destroy it. NK-cells do

    immune surveillance, attack pathogens and

    abnormal cells. members of null cells are NK cells,antigen dependent cytotoxic cells(ADCC), and the

    lymphokine activated killer(LAK)cells.

    http://en.wikipedia.org/wiki/Natural_killer_cellhttp://en.wikipedia.org/wiki/Natural_killer_cell
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    1-KILLER CELLS (K.cells):

    They have receptors for the Fc portion of

    the antibody and appear to recognize

    immune complexes specifically. Target

    cells are killed. This phenomenon is called

    antibody- dependent cell- mediated

    cytotoxicity (ADCC).

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    The exact killing mechanisms are

    unknown, but it involves cell to cell

    contact, and in some of the effector cell

    types involved might result from therelease oflysosomal enzymes.

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    2) NATURAL KILLER (NK- cells):

    The main function associated with NK

    cells is the non-specific killing of tumour

    cells and virally infected cells.

    NK cells do not require recognition of

    antigens in association with MHC products

    in contrast to cytotoxic T cells.

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    "perforins and granzymes" : a protease

    cascade is initiated, activate caspases,

    cleave critical molecule such as

    cytoskeleton, DNA and chromatin proteindeath of the target and apoptotic

    bodies formation which are phagocytosed

    by macrophages.

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    Cell death results in the same way as with

    late complement components by loss of

    cellular contents through the pores.

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    Granzymes&Perforins.

    Fas binds to Fas ligand.

    TNF

    + Caspases

    Apoptosis

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    ADCC by NK CellsADCC by NK Cells

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    3) LYMPHOKINE ACTIVATED KILLER

    cells (LAK):

    IL - 2 enhances their non-specific killing

    capacity to many tumor targets.

    4) TIL: 100 times potent in killing tumors,

    +by IL2.

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    Major events taking place inMajor events taking place in

    specific immune responsespecific immune response

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    1-Antigen processing and presentation:

    The antigen presenting cell takes up the

    foreign antigen, internalizes it, and breaks it

    into small fragments, then presents it in asimple form on its surface complexed with

    MHC class II molecule to be recognized by

    the receptor on the surface of the specific T-

    helper cell. The macrophage also secretes IL-1 which activates the T-helper cell.

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    Other cells can also act as antigen

    presenting cells such as langerhans

    cells of the skin, dendritic cells, and B

    lymphocytes.

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    2- Activation of the T- helper cell

    The T-helper cell is activated when it

    recognizes its specific antigen presented

    to it by the antigen presenting cell, and

    also by the cytokines produced by the

    macrophage.

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    It undergoes proliferation and produces a

    number ofcytokines (e.g.IL-2, IL-4 and IL-

    6) which act on other cells of the immune

    system as T- cytotoxic cells, B-cells andmacrophages causing their proliferation

    and activation.

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    3- Activation of T-cytotoxic cells

    T-cytotoxic cells become activated when

    they recognize their antigen on the

    surface of a target cell, complexed with

    MHC class I molecule and also by the

    effect ofcytokines produced by the

    activated T-helper cell.

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    The activated T-cytotoxic cell then

    releases cytotoxins which kill the target

    cell e.g. virus-infected cell; this represents

    the cellular or cell-mediated immuneresponse.

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    4- Activation of B-cells

    When B-cells recognize their specificantigen by surface membrane Ig

    receptors, and are acted upon by the

    cytokines released by the activated T-helper cells, they will become activated

    and will undergo proliferation and

    differentiation into antibody producingplasma cells.

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    These cells will secrete antibodies specific

    to the antigen which induced the

    response.These antibodies can lyse

    bacteria or prepare them for phagocytosisby osponisaton, they can neutralize toxins

    and neutralize viruses rendering them non-

    infective. This represents the humoral orantibody-mediated immune response.

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    5- Some activated B and T-cells become

    memory cells which can respond to

    subsequent encounters with the same

    antigen.

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    6- The usual outcome of the immune

    response is the elimination of the

    offending antigen. After that the response

    is down-regulated by suppressor T-cellsto prevent unnecessary activation of

    lymphocytes and unregulated production

    of antibodies.

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    Antigen processing and presentationAntigen processing and presentation

    T helper cell

    33Activation of cytotoxic TActivation of cytotoxic T

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    33--Activation of cytotoxic TActivation of cytotoxic T

    cellscells

    Activated T

    helper cell

    Memory Tc Effector Tc

    T c

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    A Cytotoxic T Cell Attacking and KillingA Cytotoxic T Cell Attacking and Killing

    a Virus-Infected Target Cella Virus-Infected Target Cell

    Here, the smaller cytotoxic T cell or Tc (arrow) is attacking and killing

    a much larger virus-infected cell. The T cell will survive while the

    infected cell is destroyed.

    CELLS alive!

    4- B-cell activation and4- B-cell activation and

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    4- B-cell activation and4- B-cell activation and

    differentiationdifferentiation

    Activated T

    helper cell

    Antibodies

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    Activated T helper

    cell

    Memory Tc Effector Tc Lysis

    APC T helper cell

    Antiodi Cell-mediated immunity

    Humoral immunity

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