Immunology 2 BUSE

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    T Cells

    Tc cells are CD8+, Th cells are CD4+

    CD = cluster of differentiation

    Expressed by various cells at particularstages of differentiation

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    T Cell Receptors

    Similar to Abs

    Contain constant & variable regions

    Mediate Ag recognition

    Found on cell surface of T cell, but is not

    secreted

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    Major Histocompatability

    complex T cells cannot recognize Ag alone

    Ag must be presented in conjunction with

    major histocompatability complex (MHC)

    proteins

    In humans called human leucocyte antigens

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    MHC proteins are glycoproteins found on

    cell surface

    Vary from 1 individual to another & serve

    as a label

    2 classes, MHC I & MHC II are involved in

    Ag processing Differ in structure, location & function

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    MHC Ifound on all nucleated cells

    Important in in presenting endogenous Ag,

    eg virus to Tc cells

    Endogenous Ags - produced within cytosol,

    eg viral proteins in an infected cell

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    MHC IIfound only on immunocompetent

    celss such as macrophages & B cells

    Present exogenous Ag to Th cells

    Exogenous Agtaken up by endocytosis,

    found in vesicles within cells

    Eg bacteria & their products taken up by

    macrophages

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    Generation of Ab Diversity

    Vast range of Ab-producing cells

    exist, independent of exposure to any

    specific Ag

    Presence of a given Ag stimulates

    production of a particular Ab or set of Abs

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    Vaccination

    Primary & Secondary Immune Responses

    o

    Following initial stimulation of a responseby particular Ag, memory cells specific to

    that Ag are formed

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    o On 2nd encounter response is faster &

    stronger

    -Memory cells are activated by Ag

    -Become Ab secreting plasma cells

    -Form further memory cells

    o Basis of vaccination

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    Principle of Vaccination

    Non-pathogenic organism primes the

    immune system so that on encounter with

    pathogen, a protective response is generated

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    During 1o challenge, stimulated B & T cells

    proliferate & differentiate to give effector

    cells + memory cells

    Memory cells are long-lived & proliferatemore rapidly

    o Facilitate rapid control of subsequent

    infections

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    Passive Immunization

    Preformed Abs are transferred torecipient, eg.

    o Natural maternal Abs

    o

    Artificial immune serum such as horseantivenin

    Protects against snake biteShort-term protection

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    Active Immunization

    Protective immunity & immunologicmemory are elicited, eg.

    o Natural infection such as flu virus

    o Artificial infection such as vaccines-Attenuated organisms

    -Inactivated organisms

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    Route of Administration of Ag

    Influences type if immune response

    1. Systemic Response

    Vaccine is introduced by injection

    Increase of circulating Abs & specific T

    cells

    2. Mucosal Response

    Vaccine is introduced orally or byrespiratory route

    IgA predominates

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    Uses of Adjuvants

    Certain substances, which when

    administered simultaneously with a specific

    Ag, will enhance the immune response to

    that Ag

    Eg Aluminium Salts (hydroxyl, phosphates)

    -1st safe & effective cpds to be used in

    human vaccines

    -Promote good Ab response, but poor CMI

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    Attributes of a Good Vaccine

    1. Ability to elicit the appropriate immune

    response for a particular pathogen-Tuberculosis- CMI

    -Most bacterial & viral infections- Abs

    2. Long-term protection

    -Ideally single dose-life long immunity

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    3. Safety

    -Non-pathogenic

    -No side effects

    4. Stable

    -Should maintain immunogenicity

    o Despite adverse conditions prior to

    administration

    5. Cheap

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    Vaccine Production

    In developing a vaccine, consider the branchof immune system to be activated

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    Humoral immunity

    o epitopes must be accessible to B-cell

    receptors

    o represent immunodominant epitopes

    of infectious agent

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    CMI

    o vaccine should be capable of

    maximizing presentation of Ag with Class I

    MHC molecules

    o Must undergo transient growth in

    recipient

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    Live Attenuated Organisms

    -Virulence artificially reduced by in vitro

    culture

    i. Under adverse conditions, eg low To

    ii. Selection of mutants which

    replicate poorly in human host

    -Often single dose reqd

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    Replication of vaccine strain in host

    i. Reproduces many features of w.t infection

    ii Does not cause clinical disease

    -Induces both humoral & CMI

    Long-lived

    -May revert to virulent form

    Eg. Bacillus Calmette-Guerin (BCG)-an attenuated

    Mycobacterium bovis (Tuberculosis)

    -Viral particles causing measles or mumps

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    Inactivated (Killed) Organisms

    Virulent pathogen inactivated by:

    o Irradiation with gamma rayso Chemicals such as formaldehyde orb-propiolactone

    Produces mainly humoral immunity

    o Poor immunogenicity

    Requires multiple boosters

    o Short-lived

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    More stable

    o Organisms need not be viable

    o

    Can withstand adverse storage conditions

    Cannot revert to virulent form

    o Safer

    o Cannot replicate in host & cause disease

    Eg.

    o Cholera (bacterial)

    o Influenza (viral)

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    HIV Vaccine?

    Problems

    High mutation rate of HIV

    Need for both CMI & humoral immunity

    Lack of good animal model

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    Trial Vaccines

    Recombinant peptides, gp120

    DNA vaccines

    Live attenuated virus??

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    Immunochemical Techniques

    Techniques that use the interaction between

    antibody (Ab) and antigen (Ag) to detect or

    quantitate either Ab or Ag.

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    Ab-Ag interaction is specific

    -Ab to HIV reacts with HIV but not with flu virus

    Examples

    Anti-insulin Abs are used to quantify the amount

    insulin in a serum sample

    Bovine serum albumin (BSA) is used to test for

    the presence of anti-BSA Abs in a rabbitimmunized with BSA

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    Enzyme linked immunosorbent assay

    (ELISA)

    Detection reagent is an enzyme, which

    converts a colourless substrate to coloured

    product

    Detected by simple eye or read by a

    colorimeter

    Can be used to assay for Ab or ag, can label

    either Ab or Ag

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    Assay Design

    Many different variations on assay design

    Solid phase for assay is usually a 96-well

    microtitre plate which binds protein non-

    specifically

    Enzymes used mainly HRP or AP, which act on

    a wide range of colourless substrates to givecoloured products

    Small, do not interfere with Ab-Ag interaction

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    ELISA for Ab to HIV

    Coat plate with Ag

    Block surface

    Add serum sample

    Add E-labelled anti-human Ab

    Add colourless substrate

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    Situations where Ab detection is inappropriate

    Window period

    Newborn with HIV+ mother

    Solution Detect virus rather than immune response

    eg PCR to detect viral RNA