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8/8/2019 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.
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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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