1. Immunity Anatomy & Physiology Tony Serino, Ph.D. Biology Department Misericordia Univ.

2. Immune System Provide defense of the body against infectious agents, toxins, foreign bodies, and cancers Two types of defenses: –General (Non-specific or Innate) Defense Barriers Normal Flora and Fauna Fever Surveillance Inflammation Non-specific Phagocytic WBCs and NK cells Protective Chemicals –Specific (Adaptive) Defense --Lymphocytes

3. Barriers Prevent infectious agents from penetrating internal environment –Epithelium ( thickness, tight junctions, keratin) -especially the skin –Cilia and mucus –Watery secretions (tears, saliva) –Acidity (stomach, urine, vaginal secretions) Normal Flora and Fauna –resident bacteria prevent infectious agents from growing on body surfaces

4. Fever Rise in Body Temperature –Inhibits invading cell growth; increase body metabolism to increase defense/repair cell activity –Produced by release of pyrogens from leukocytes –Low grade fever is beneficial in fighting infection, high sustained fever may be life threatening

5. Surveillance Number of cells and organs to detect invading agents Langerhans cells of skin, Mast cells, Dendritic cells, and organs like: Tonsils, GALT cells Gather antigens and present them to lymphocytes

6. Inflammation Allows more blood defenses into damaged areas Triggered by release of paracrines from damaged tissues (PG), attacking WBCs (cytokines), mast cells (heparin and histamine), and activation of blood protective chemicals (complement and bradykinins) Increases: –blood flow through vasodilation (hyperemia) –capillary permeability –Both lead to local edema If prolonged or systemic, can become life threatening

7. Inflammatory Response

8. Phagocytic WBC and NK cells WBCs can distinguish the sugars in mammalian cells and those found on bacteria or other parasites –PMNs, macrophage, and mast cells can injure or destroy cells that do not display normal sugars NK cells –related to T-cells but attack any cell not displaying MHC I proteins –Kill by secreting perforins and other chemicals

9. Phagocytosis

12. Protective Chemicals Chemicals that aid in destroying or retarding infectious agents –Interferon –cytokine released when cell attacked by virus; warns other cells in area –Lysozyme –antibacterial enzyme present in tears and saliva –Complement –blood proteins which can detect and destroy bacteria

13. Interferon

14. MAC –membrane attack complex (C 3 -C 9 ) Complement

15. Specific (Adaptive) Immunity Individual targets are selected for attack by the lymphocytes that can bind that target (antigen) Antigens (Ag) – any large substance not normally found in the body; these illicit an immune response (immunogenic and immuno-reactive) Haptens are small molecules that can trigger an immune response only if bound to larger molecules (like: pollen, some cosmetics, detergent fragrances, poison ivy animal dander and drugs); they are immuno-reactive but not immunogenic by themselves

16. Antigenic Determinants Large macromolecules illicit immune response because they have many sites to which immune molecules will attach; proteins have the most of any molecule

17. Identifying “Self” from “Non-self” T-cells migrate to thymus, B-cells remain in bone marrow (the primary lymphoid tissues) Become immunocompetent -selected for their ability to produce a surface receptor against an antigen and to tolerate self antigens Those that bind weakly to self-antigens are selected, the others are eliminated The strongest self-antigens are the MHC proteins Once competent, the cells are released to move through the blood and aggregate in the secondary lymphoid tissues

18. Thymic Selection

19. Movement of Lymphocytes

20. Cells Involved in Specific Immunity Lymphocytes (B and T cells) -attack antigen bearing agents either chemically (humoral immunity –the B-cells) or physically (cellular immunity –the T-cells) T and B-cell activation to an antigen works best when they are presented with the antigen by another cell APCs (Antigen Presenting Cells) (macrophage, surveillance cells, B-cells, infected cells) display foreign antigenic determinants on their MHC II cell surface proteins to activate the lymphocytes

21. Memory T cell

22. B-cell Clonal Expansion

23. Antibody Structure

26. Antibody Actions Opsonization – Ag-Ab complex makes ID for phagocytosis easier

27. Humoral Response

28. Control of Lymphocyte Response B-cells can be activated by the antigen alone, but it is more effective if they are presented the antigen by APCs or stimulated by T-helper cells Activation of T-helper cells stimulates complete lymphocyte response

29. MHC I –found on all body’s cells except RBCs Surface proteins usually bound to pieces of intracellular proteins, but when infected they present fragments of the infectious agent

30. MHC II –found on APCs -bound to phagocytized outer coat molecules of immuno-agent

31. T-cell Types

33. Helper T-cells

34. Clonal Selection of T-cell

35. Cytotoxic T-cell Attack

36. Primary Immune Response

37. Vaccine Production

38. Types of Acquired Immunity

39. Acute Allergic Reaction

40. Pathologies AIDS –HIV invades T-helper cells, diminishing effectiveness of immune response; may have as long as 8 year incubation time, 100% fatal Autoimmune Diseases –Immune system targets naturally occurring compounds of the body (usually sequestered proteins) MS, rheumatoid arthritis, Diabetes mellitus (I), etc. Cancer –cancers cells spontaneously form during life, but the immune system keeps them in check; failure results in tumors and metastasis