1. Dr. Fang-Ping Huang Department of Pathology, Immunology Division, Room 216 Tel. 2855 4864 Email: fphuang@hkucc.hku.hk

2. The immune system - an overview (basic concepts, features) Developmental biology of the immune system (Dr. L. Lu) Recent advances in lymphocyte lineage commitment (Dr. L. Lu) Apoptosis & the molecular cell death pathways (Dr. L. Lu) Antigen recognition by T cells & its MHC restrictions Pathways of antigen processing, presentation & co-stimulations Dendritic cells & the initiation of immune responses Immune regulation & dys-regulation in health & in diseases Essence and Advances in Contemporary Immunobiology

3. Basic concepts in immunology Vaccination & the history of immunology Types of immunity The adaptive immune system – Immunological specificity & memory – B cells & humoral immune response – T cells & cell-mediated immune response The concepts of ‘self/non-self’ & ‘self-tolerance’ The immune system – an overview

4. Basic concepts in Immunology Organisms and microorganisms –Bacteria, viruses, fungi & parasites Infections and diseases Infection == disease Mechanisms of defense The immune system –Cells & soluble factors Immunity and Immunology

5. ‘Immunity’ Original meaning: –“exemption from taxes” Other extended meaning: – “ diplomatic immunity” In the context of Immunology: –collective mechanisms against diseases

6. Edward Jenner (1749-1823) & The Discovery of Vaccination (1796) “Vaccinia (cowpox)” & “human smallpox”

7. Eradication of smallpox (1979, WHO)

8. Vaccination A process of induction of immunity to a pathogen by deliberate injection of a weaken, modified or related form of the pathogen which is no longer pathogenic.

9. Other historic events & important findings: L. Pasteur (1880s) –Vaccines against cholera, and rabies R. Kock (late 19 th century) –Infections caused by microorganisms P. Ehrlich et al. (1890s) –Serum factors transfer of immunity Behring & Kitasato (1890s) –Antibodies in serum bound to pathogens Porter & Edelman (1960s) –Antibody structure J. Gowans (1960s) –Immunological importance of lymphocytes

11. Size of the immune system?

12. Dendritic cell (sentinel)

14. Lymph Node

16. The bursa of Fabricius in birds

17. Cells, tissues and organs of the immune system Immune cells are bone marrow-derived, & distributed through out the body Primary lymphoid organs: –Thymus: T cell maturation –Bone marrow (bursa of Fabricius in birds): B cell maturation Secondary lymphoid organs: –Lymph nodes –Spleen –Mucosal lymphoid tissues (lung, gut)

18. Questions: How may vaccines protect us from infections? What may actually occur in our immune system following a vaccination?

19. Types of immunity Innate (natural) immunity – Phagocytes etc. – Early, rapid responses, but limited & ‘non-specifc’ Adaptive (acquired) immunity –Lymphocytes (B & T cells) –Take time but powerful - ‘specificity + memory’

20. Measles attacks & immunological memory

21. “Memory” in adaptive immunity 1 st infection  memory  2 nd infection slow response fast response pathogen proliferate pathogen killed disease no disease symptoms no symptom

22. Memory & specificity – key features of the adaptive immunity

24. Immunological memory & vaccination Natural infections: 1 st infection  memory  2 nd infection slow responsefast response pathogens multiplypathogens disposed Symptoms/diseaseno disease Vaccination  memory  nature infections no disease fast response pathogens disposed no disease

25. Vaccination protects us from infection by inducing the adaptive immune response, but bypassing the need for a primary infection

26. Theoretical basis for immunological specificity and memory Theory of Clonal Selection Establishment of lymphocyte memory pool

27. 12 43 Ehrlich’s “Side-chain Hypothesis” (1900)

28. Burnet’s “Clonal Selection” Theory Each lymphocyte produces one type of Ag receptors only, antigen selects and stimulates cells carrying receptors specific for the antigen 1n2 222 22 2

29. s s s s s s s

30. Immunological memory The ability of the immune system to respond more rapidly and effectively to specific pathogens that have been encountered previously. Reflection of the pre-existence of a clonally expanded population (pool) of antigen specific lymphocytes.

31. Humoral immune responses –B cells and antibodies Cell mediated immune responses –Cytotoxic T cell (Tc) –Helper T cells (T H ) The adaptive immune mechanisms

32. The Immune Recognition Molecules of the Adaptive Immune System 1.Immunoglobulin (Ig) - B Cell Receptor (BCR) - Antibody (Ab) 2.T Cell Receptor (TCR) 3.Major Histocompatibility Complex (MHC)

33. B Cells work chiefly by secreting soluble substances known as antibodies (Ab)

34. Ab basic structure domains

35. Ab V and C regions

36. Neutralization: e.g. toxins, viruses Opsonization: bind pathogens for recognition by other immune cells (e.g. phagocytes) Antibody functions

39. Tc Target Tc

41. T H cells play a central role in the immune system

42. CD4 + T cells in HIV infection

43. Immunological tolerance A state of unresponsiveness to a particular Ag - Ag specific –to Ags derived from body’s own tissues/cells - self tolerance –to pathogen-derived/foreign Ags

44. The concepts of immunological ‘ self ’ & ‘ non-self ’ Immune system does not attack self tissues or cells under normal condition, but how? –Central tolerance – “thymic education” –Peripheral tolerance – failed-safe mechanisms

45. Early in life (foetal stage) T cells are important, which develop in the thymus TCR specificities: randomly generated  many auto-reactive T cells recognize self components (Ag) in the thymus  removed Non-self reactive cells  selected, matured & exported Central tolerance – “thymic education”

46. Post-thymic “continuing education” not all self Ags present in the thymus some auto-reactive cells can escape Mechanisms: Deletion Inactivation (anergy) Suppression Peripheral tolerance

47. Does the immune system mount responses simply to anything that is “non-self”? A question for thoughts:

48. Immunity: Innate (natural) Adaptive (acquired) Humoral (B cells, Abs) Cellular (T, NK, MQ) The adaptive immunity: Key features: specificity & memory Types: humoral & cell-mediated responses Key players: T & B lymphocytes T H cells play a central role in the induction & maintenance of immune responses Principle of vaccination: Vaccination protects us from infection by inducing protective immunity, through establishment of specific immunological memory but bypassing the need for primary infection Immunological tolerance: Tolerance induction is Ag specific Central & peripheral mechanisms Summary