Chapter 43 The Immune System

Overview: Reconnaissance, Recognition, and Response Barriers help an animal to defend itself from the many dangerous pathogens it may encounter . The immune system recognizes foreign bodies and responds with the production of immune cells and proteins. Two major kinds of defense have evolved: innate immunity and acquired immunity.

Fig. 43-1 Fig 43.1 How do immune cells of animals recognize foreign cells? For the Cell Biology Video Leukocyte Adhesion and Rolling, go to Animation and Video Files. 1.5 µm

Innate immunity is present before any exposure to pathogens and is effective from the time of birth. It involves nonspecific responses to pathogens. Innate immunity consists of external barriers plus internal cellular and chemical defenses.

Acquired immunity, or adaptive immunity, develops after exposure to agents such as microbes, toxins, or other foreign substances. It involves a very specific response to pathogens.

Pathogens (microorganisms and viruses) Fig. 43-2 Pathogens (microorganisms and viruses) INNATE IMMUNITY Barrier defenses: Skin Mucous membranes Secretions • Recognition of traits shared by broad ranges of pathogens, using a small set of receptors Internal defenses: Phagocytic cells Antimicrobial proteins Inflammatory response Natural killer cells • Rapid response Figure 43.2 Overview of animal immunity ACQUIRED IMMUNITY Humoral response: Antibodies defend against infection in body fluids. • Recognition of traits specific to particular pathogens, using a vast array of receptors Cell-mediated response: Cytotoxic lymphocytes defend against infection in body cells. • Slower response

Concept 43.1: In innate immunity, recognition and response rely on shared traits of pathogens Both invertebrates and vertebrates depend on innate immunity to fight infection. Vertebrates also develop acquired immune defenses.

Innate Immunity of Invertebrates In insects, an exoskeleton made of chitin forms the first barrier to pathogens. The digestive system is protected by low pH and lysozyme, an enzyme that digests microbial cell walls. Hemocytes circulate within hemolymph and carry out phagocytosis, the ingestion and digestion of foreign substances including bacteria.

Microbes PHAGOCYTIC CELL Vacuole Lysosome containing enzymes Fig. 43-3 Figure 43.3 Phagocytosis

Hemocytes also secrete antimicrobial peptides that disrupt the plasma membranes of bacteria.

Fig. 43-4 Figure 43.4 An inducible innate immune response

The immune system recognizes bacteria and fungi by structures on their cell walls. An immune response varies with the class of pathogen encountered.

Fruit fly survival after infection by N. crassa fungi Fig. 43-5 RESULTS 100 Wild type 75 Mutant + drosomycin % survival 50 Mutant Mutant + defensin 25 24 48 72 96 120 Hours post-infection Fruit fly survival after infection by N. crassa fungi 100 Wild type Mutant + defensin Figure 43.5 Can a single antimicrobial peptide protect fruit flies against infection? 75 % survival 50 Mutant + drosomycin Mutant 25 24 48 72 96 120 Hours post-infection Fruit fly survival after infection by M. luteus bacteria

Fruit fly survival after infection by N. crassa fungi Fig. 43-5a RESULTS 100 Wild type 75 Mutant + drosomycin % survival 50 Mutant + defensin Mutant 25 Figure 43.5 Can a single antimicrobial peptide protect fruit flies against infection? 24 48 72 96 120 Hours post-infection Fruit fly survival after infection by N. crassa fungi

Fruit fly survival after infection by M. luteus bacteria Fig. 43-5b RESULTS 100 Wild type Mutant + defensin 75 % survival 50 Mutant + drosomycin Mutant 25 Figure 43.5 Can a single antimicrobial peptide protect fruit flies against infection? 24 48 72 96 120 Hours post-infection Fruit fly survival after infection by M. luteus bacteria

Innate Immunity of Vertebrates The immune system of mammals is the best understood of the vertebrates. Innate defenses include barrier defenses, phagocytosis, antimicrobial peptides. Additional defenses are unique to vertebrates: the inflammatory response and natural killer cells.

Barrier Defenses Barrier defenses include the skin and mucous membranes of the respiratory, urinary, and reproductive tracts. Mucus traps and allows for the removal of microbes. Many body fluids including saliva, mucus, and tears are hostile to microbes. The low pH of skin and the digestive system prevents growth of microbes.

Cellular Innate Defenses White blood cells (leukocytes) engulf pathogens in the body. Groups of pathogens are recognized by TLR, Toll-like receptors.

EXTRACELLULAR FLUID Lipopolysaccharide Helper protein Flagellin TLR4 Fig. 43-6 EXTRACELLULAR FLUID Lipopolysaccharide Helper protein Flagellin TLR4 WHITE BLOOD CELL TLR5 VESICLE TLR9 CpG DNA Figure 43.6 TLR signaling Inflammatory responses TLR3 ds RNA

There are different types of phagocytic cells: A white blood cell engulfs a microbe, then fuses with a lysosome to destroy the microbe. There are different types of phagocytic cells: Neutrophils engulf and destroy microbes. Macrophages are part of the lymphatic system and are found throughout the body. Eosinophils discharge destructive enzymes. Dendritic cells stimulate development of acquired immunity.

Interstitial fluid Adenoid Tonsil Blood capillary Lymph nodes Spleen Fig. 43-7 Interstitial fluid Adenoid Tonsil Blood capillary Lymph nodes Spleen Tissue cells Lymphatic vessel Peyer’s patches (small intestine) Appendix Figure 43.7 The human lymphatic system Lymphatic vessels Lymph node Masses of defensive cells

Antimicrobial Peptides and Proteins Peptides and proteins function in innate defense by attacking microbes directly or impeding their reproduction. Interferon proteins provide innate defense against viruses and help activate macrophages. About 30 proteins make up the complement system, which causes lysis of invading cells and helps trigger inflammation.

Inflammatory Responses Following an injury, mast cells release histamine, which promotes changes in blood vessels; this is part of the inflammatory response. These changes increase local blood supply and allow more phagocytes and antimicrobial proteins to enter tissues. Pus, a fluid rich in white blood cells, dead microbes, and cell debris, accumulates at the site of inflammation.

Pathogen Splinter Chemical signals Macrophage Mast cell Capillary Fig. 43-8-1 Pathogen Splinter Chemical signals Macrophage Mast cell Capillary Figure 43.8 Major events in a local inflammatory response For the Cell Biology Video Chemotaxis of a Neutrophil, go to Animation and Video Files. Red blood cells Phagocytic cell

Pathogen Splinter Chemical signals Macrophage Fluid Mast cell Fig. 43-8-2 Pathogen Splinter Chemical signals Macrophage Fluid Mast cell Capillary Figure 43.8 Major events in a local inflammatory response For the Cell Biology Video Chemotaxis of a Neutrophil, go to Animation and Video Files. Red blood cells Phagocytic cell

Pathogen Splinter Chemical signals Macrophage Fluid Mast cell Fig. 43-8-3 Pathogen Splinter Chemical signals Macrophage Fluid Mast cell Capillary Phagocytosis Figure 43.8 Major events in a local inflammatory response For the Cell Biology Video Chemotaxis of a Neutrophil, go to Animation and Video Files. Red blood cells Phagocytic cell

Inflammation can be either local or systemic (throughout the body) Fever is a systemic inflammatory response triggered by pyrogens released by macrophages, and toxins from pathogens Septic shock is a life-threatening condition caused by an overwhelming inflammatory response

Natural Killer Cells All cells in the body (except red blood cells) have a class 1 MHC protein on their surface Cancerous or infected cells no longer express this protein; natural killer (NK) cells attack these damaged cells

Innate Immune System Evasion by Pathogens Some pathogens avoid destruction by modifying their surface to prevent recognition or by resisting breakdown following phagocytosis Tuberculosis (TB) is one such disease and kills more than a million people a year

Concept 43.2: In acquired immunity, lymphocyte receptors provide pathogen-specific recognition White blood cells called lymphocytes recognize and respond to antigens, foreign molecules Lymphocytes that mature in the thymus above the heart are called T cells, and those that mature in bone marrow are called B cells

Lymphocytes contribute to immunological memory, an enhanced response to a foreign molecule encountered previously Cytokines are secreted by macrophages and dendritic cells to recruit and activate lymphocytes

Acquired Immunity: An Overview B cells and T cells have receptor proteins that can bind to foreign molecules Each individual lymphocyte is specialized to recognize a specific type of molecule

Antigen Recognition by Lymphocytes An antigen is any foreign molecule to which a lymphocyte responds A single B cell or T cell has about 100,000 identical antigen receptors

Figure 43.9 Antigen receptors on lymphocytes binding site Antigen- binding site Antigen- binding site V Disulfide bridge V V V Variable regions C V V C Constant regions C C C C Light chain Transmembrane region Plasma membrane Heavy chains  chain  chain Figure 43.9 Antigen receptors on lymphocytes Disulfide bridge B cell Cytoplasm of B cell Cytoplasm of T cell T cell (a) B cell receptor (b) T cell receptor

Antigen- binding site Antigen- binding site V Disulfide bridge V V V Fig. 43-9a Antigen- binding site Antigen- binding site V Disulfide bridge V V V Variable regions C C Constant regions C C Light chain Transmembrane region Figure 43.9 Antigen receptors on lymphocytes Plasma membrane Heavy chains B cell Cytoplasm of B cell (a) B cell receptor

Antigen- binding site Variable regions V V Constant regions C C Fig. 43-9b Antigen- binding site Variable regions V V Constant regions C C Transmembrane region Figure 43.9 Antigen receptors on lymphocytes Plasma membrane  chain  chain Disulfide bridge Cytoplasm of T cell T cell (b) T cell receptor

All antigen receptors on a single lymphocyte recognize the same epitope, or antigenic determinant, on an antigen B cells give rise to plasma cells, which secrete proteins called antibodies or immunoglobulins

Antigen-binding sites Fig. 43-10 Antigen- binding sites Epitopes (antigenic determinants) Antigen-binding sites Antibody A Antigen V V Antibody C V V C C C C Figure 43.10 Epitopes (antigenic determinants) Antibody B

The Antigen Receptors of B Cells and T Cells B cell receptors bind to specific, intact antigens The B cell receptor consists of two identical heavy chains and two identical light chains The tips of the chains form a constant (C) region, and each chain contains a variable (V) region, so named because its amino acid sequence varies extensively from one B cell to another

Secreted antibodies, or immunoglobulins, are structurally similar to B cell receptors but lack transmembrane regions that anchor receptors in the plasma membrane

Video: T Cell Receptors Each T cell receptor consists of two different polypeptide chains The tips of the chain form a variable (V) region; the rest is a constant (C) region T cells can bind to an antigen that is free or on the surface of a pathogen Video: T Cell Receptors

T cells bind to antigen fragments presented on a host cell These antigen fragments are bound to cell-surface proteins called MHC molecules MHC molecules are so named because they are encoded by a family of genes called the major histocompatibility complex

The Role of the MHC In infected cells, MHC molecules bind and transport antigen fragments to the cell surface, a process called antigen presentation A nearby T cell can then detect the antigen fragment displayed on the cell’s surface Depending on their source, peptide antigens are handled by different classes of MHC molecules

Top view: binding surface exposed to antigen receptors Fig. 43-11 Top view: binding surface exposed to antigen receptors Antigen Class I MHC molecule Antigen Figure 43.11 Antigen presentation by an MHC molecule Plasma membrane of infected cell

Class I MHC molecules are found on almost all nucleated cells of the body They display peptide antigens to cytotoxic T cells

Infected cell Microbe Antigen- presenting cell 1 Antigen associates Fig. 43-12 Infected cell Microbe Antigen- presenting cell 1 Antigen associates with MHC molecule Antigen fragment Antigen fragment 1 1 Class I MHC molecule Class II MHC molecule 2 2 T cell receptor T cell receptor 2 T cell recognizes combination Figure 43.12 The interaction of T cells with antigen-presenting cells (a) Cytotoxic T cell (b) Helper T cell

Class II MHC molecules are located mainly on dendritic cells, macrophages, and B cells Dendritic cells, macrophages, and B cells are antigen-presenting cells that display antigens to cytotoxic T cells and helper T cells

Lymphocyte Development The acquired immune system has three important properties: Receptor diversity A lack of reactivity against host cells Immunological memory

Generation of Lymphocyte Diversity by Gene Rearrangement Differences in the variable region account for specificity of antigen receptors The immunoglobulin (Ig) gene encodes one chain of the B cell receptor Many different chains can be produced from the same Ig chain gene by rearrangement of the DNA Rearranged DNA is transcribed and translated and the antigen receptor formed

Variable region Constant region Fig. 43-13 DNA of undifferentiated B cell V37 V38 V39 V40 J1 J2 J3 J4 J5 Intron C 1 DNA deleted between randomly selected V and J segments DNA of differentiated B cell V37 V38 V39 J5 Intron C Functional gene 2 Transcription pre-mRNA V39 J5 Intron C 3 RNA processing Figure 43.13 Immunoglobulin (antibody) gene rearrangement B cell receptor mRNA Cap V39 J5 C Poly-A tail V V 4 Translation V V C C Light-chain polypeptide V C C C Variable region Constant region B cell

Origin of Self-Tolerance Antigen receptors are generated by random rearrangement of DNA As lymphocytes mature in bone marrow or the thymus, they are tested for self-reactivity Lymphocytes with receptors specific for the body’s own molecules are destroyed by apoptosis, or rendered nonfunctional

Amplifying Lymphocytes by Clonal Selection In the body there are few lymphocytes with antigen receptors for any particular epitope The binding of a mature lymphocyte to an antigen induces the lymphocyte to divide rapidly This proliferation of lymphocytes is called clonal selection Two types of clones are produced: short-lived activated effector cells and long-lived memory cells

Antigen molecules B cells that differ in antigen specificity Antigen Fig. 43-14 Antigen molecules B cells that differ in antigen specificity Antigen receptor Figure 43.14 Clonal selection of B cells Antibody molecules Clone of memory cells Clone of plasma cells

Animation: Role of B Cells The first exposure to a specific antigen represents the primary immune response During this time, effector B cells called plasma cells are generated, and T cells are activated to their effector forms In the secondary immune response, memory cells facilitate a faster, more efficient response Animation: Role of B Cells

Antibody concentration Fig. 43-15 Primary immune response to antigen A produces antibodies to A. Secondary immune response to antigen A produces antibodies to A; primary immune response to antigen B produces antibodies to B. 104 103 Antibody concentration (arbitrary units) Antibodies to A 102 Antibodies to B 101 Figure 43.15 The specificity of immunological memory 100 7 14 21 28 35 42 49 56 Exposure to antigen A Exposure to antigens A and B Time (days)

Concept 43.3: Acquired immunity defends against infection of body cells and fluids Acquired immunity has two branches: the humoral immune response and the cell-mediated immune response. Humoral immune response involves activation and clonal selection of B cells, resulting in production of secreted antibodies. Cell-mediated immune response involves activation and clonal selection of cytotoxic T cells. Helper T cells aid both responses.

Figure 43.16 An overview of the acquired immune response Humoral (antibody-mediated) immune response Cell-mediated immune response Key Antigen (1st exposure) + Stimulates Gives rise to Engulfed by Antigen- presenting cell + + + B cell Helper T cell Cytotoxic T cell + + Memory Helper T cells + + + Figure 43.16 An overview of the acquired immune response Antigen (2nd exposure) + Memory Cytotoxic T cells Active Cytotoxic T cells Plasma cells Memory B cells Secreted antibodies Defend against extracellular pathogens by binding to antigens, thereby neutralizing pathogens or making them better targets for phagocytes and complement proteins. Defend against intracellular pathogens and cancer by binding to and lysing the infected cells or cancer cells.

Humoral (antibody-mediated) immune response Fig. 43-16a Humoral (antibody-mediated) immune response Key Antigen (1st exposure) + Stimulates Gives rise to Engulfed by Antigen- presenting cell + + B cell Helper T cell + Memory Helper T cells + + Figure 43.16 An overview of the acquired immune response Antigen (2nd exposure) Memory B cells Plasma cells + Secreted antibodies Defend against extracellular pathogens

Cell-mediated immune response Fig. 43-16b Cell-mediated immune response Antigen (1st exposure) Key + Stimulates Gives rise to Engulfed by Antigen- presenting cell + + Helper T cell Cytotoxic T cell + Memory Helper T cells Figure 43.16 An overview of the acquired immune response + + Antigen (2nd exposure) Active Cytotoxic T cells + Memory Cytotoxic T cells Defend against intracellular pathogens

Helper T Cells: A Response to Nearly All Antigens A surface protein called CD4 binds the class II MHC molecule This binding keeps the helper T cell joined to the antigen-presenting cell while activation occurs Activated helper T cells secrete cytokines that stimulate other lymphocytes Animation: Helper T Cells

Antigen- presenting cell Peptide antigen Bacterium Fig. 43-17 Antigen- presenting cell Peptide antigen Bacterium Class II MHC molecule CD4 TCR (T cell receptor) Helper T cell Cytokines + Humoral immunity (secretion of antibodies by plasma cells) + Cell-mediated immunity (attack on infected cells) Figure 43.17 The central role of helper T cells in humoral and cell-mediated immune responses + + B cell Cytotoxic T cell

Cytotoxic T Cells: A Response to Infected Cells Cytotoxic T cells are the effector cells in cell-mediated immune response Cytotoxic T cells make CD8, a surface protein that greatly enhances interaction between a target cell and a cytotoxic T cell Binding to a class I MHC complex on an infected cell activates a cytotoxic T cell and makes it an active killer The activated cytotoxic T cell secretes proteins that destroy the infected target cell Animation: Cytotoxic T Cells

Cytotoxic T cell Perforin Granzymes CD8 TCR Class I MHC molecule Fig. 43-18-1 Cytotoxic T cell Perforin Granzymes CD8 TCR Class I MHC molecule Figure 43.18 The killing action of cytotoxic T cells For the Discovery Video Fighting Cancer, go to Animation and Video Files. Target cell Peptide antigen

Cytotoxic T cell Perforin Granzymes CD8 TCR Class I MHC molecule Pore Fig. 43-18-2 Cytotoxic T cell Perforin Granzymes CD8 TCR Class I MHC molecule Pore Figure 43.18 The killing action of cytotoxic T cells For the Discovery Video Fighting Cancer, go to Animation and Video Files. Target cell Peptide antigen

Released cytotoxic T cell Fig. 43-18-3 Released cytotoxic T cell Cytotoxic T cell Perforin Granzymes CD8 TCR Dying target cell Class I MHC molecule Pore Figure 43.18 The killing action of cytotoxic T cells For the Discovery Video Fighting Cancer, go to Animation and Video Files. Target cell Peptide antigen

B Cells: A Response to Extracellular Pathogens The humoral response is characterized by secretion of antibodies by B cells Activation of B cells is aided by cytokines and antigen binding to helper T cells Clonal selection of B cells generates antibody-secreting plasma cells, the effector cells of humoral immunity

Antigen-presenting cell Bacterium Fig. 43-19 Antigen-presenting cell Bacterium Peptide antigen B cell Class II MHC molecule + Clone of plasma cells Secreted antibody molecules TCR CD4 Cytokines Endoplasmic reticulum of plasma cell Activated helper T cell Helper T cell Clone of memory B cells Figure 43.19 B cell activation in the humoral immune response 2 µm

Antigen-presenting cell Bacterium Fig. 43-19-1 Antigen-presenting cell Bacterium Peptide antigen Class II MHC molecule TCR CD4 Figure 43.19 B cell activation in the humoral immune response Helper T cell

Antigen-presenting cell Bacterium Fig. 43-19-2 Antigen-presenting cell Bacterium Peptide antigen B cell Class II MHC molecule + TCR CD4 Cytokines Figure 43.19 B cell activation in the humoral immune response Activated helper T cell Helper T cell

Antigen-presenting cell Bacterium Fig. 43-19-3 Antigen-presenting cell Bacterium Peptide antigen B cell Class II MHC molecule + Clone of plasma cells Secreted antibody molecules TCR CD4 Cytokines Figure 43.19 B cell activation in the humoral immune response Activated helper T cell Helper T cell Clone of memory B cells

Endoplasmic reticulum of plasma cell 2 µm Fig. 43-19a Figure 43.19 B cell activation in the humoral immune response 2 µm

Antibody Classes The five major classes of antibodies, or immunoglobulins, differ in distribution and function Polyclonal antibodies are the products of many different clones of B cells following exposure to a microbial antigen Monoclonal antibodies are prepared from a single clone of B cells grown in culture

Figure 43.20 The five antibody, or immunoglobulin (Ig), classes Class of Immuno- globulin (Antibody) Distribution Function IgM (pentamer) First Ig class produced after initial exposure to antigen; then its concentration in the blood declines Promotes neutraliza- tion and cross- linking of antigens; very effective in complement system activation J chain IgG (monomer) Most abundant Ig class in blood; also present in tissue fluids Promotes opsoniza- tion, neutralization, and cross-linking of antigens; less effec- tive in activation of complement system than IgM Only Ig class that crosses placenta, thus conferring passive immunity on fetus IgA (dimer) Present in secretions such as tears, saliva, mucus, and breast milk Provides localized defense of mucous membranes by cross-linking and neutralization of antigens J chain Presence in breast milk confers passive immunity on nursing infant Secretory component Figure 43.20 The five antibody, or immunoglobulin (Ig), classes IgE (monomer) Present in blood at low concen- trations Triggers release from mast cells and basophils of hista- mine and other chemicals that cause allergic reactions IgD (monomer) Present primarily on surface of B cells that have not been exposed to antigens Acts as antigen receptor in the antigen-stimulated proliferation and differentiation of B cells (clonal selection) Trans- membrane region

Class of Immuno- globulin (Antibody) IgM (pentamer) Fig. 43-20a Class of Immuno- globulin (Antibody) Distribution Function IgM (pentamer) First Ig class produced after initial exposure to antigen; then its concentration in the blood declines Promotes neutraliza- tion and cross- linking of antigens; very effective in complement system activation Figure 43.20 The five antibody, or immunoglobulin (Ig), classes J chain

Class of Immuno- globulin (Antibody) IgG (monomer) Fig. 43-20b Class of Immuno- globulin (Antibody) Distribution Function IgG (monomer) Most abundant Ig class in blood; also present in tissue fluids Promotes opsoniza- tion, neutralization, and cross-linking of antigens; less effec- tive in activation of complement system than IgM Figure 43.20 The five antibody, or immunoglobulin (Ig), classes Only Ig class that crosses placenta, thus conferring passive immunity on fetus

Class of Immuno- globulin (Antibody) IgA (dimer) Fig. 43-20c Class of Immuno- globulin (Antibody) Distribution Function IgA (dimer) Present in secretions such as tears, saliva, mucus, and breast milk Provides localized defense of mucous membranes by cross-linking and neutralization of antigens J chain Figure 43.20 The five antibody, or immunoglobulin (Ig), classes Presence in breast milk confers passive immunity on nursing infant Secretory component

Class of Immuno- globulin (Antibody) IgE (monomer) Fig. 43-20d Class of Immuno- globulin (Antibody) Distribution Function IgE (monomer) Present in blood at low concen- trations Triggers release from mast cells and basophils of hista- mine and other chemicals that cause allergic reactions Figure 43.20 The five antibody, or immunoglobulin (Ig), classes

Class of Immuno- globulin (Antibody) IgD (monomer) Fig. 43-20e Class of Immuno- globulin (Antibody) Distribution Function IgD (monomer) Present primarily on surface of B cells that have not been exposed to antigens Acts as antigen receptor in the antigen-stimulated proliferation and differentiation of B cells (clonal selection) Figure 43.20 The five antibody, or immunoglobulin (Ig), classes Trans- membrane region

The Role of Antibodies in Immunity Neutralization occurs when a pathogen can no longer infect a host because it is bound to an antibody Opsonization occurs when antibodies bound to antigens increase phagocytosis Antibodies together with proteins of the complement system generate a membrane attack complex and cell lysis Animation: Antibodies

Figure 43.21 Antibody-mediated mechanisms of antigen disposal Viral neutralization Opsonization Activation of complement system and pore formation Bacterium Complement proteins Virus Formation of membrane attack complex Flow of water and ions Macrophage Pore Figure 43.21 Antibody-mediated mechanisms of antigen disposal Foreign cell

Viral neutralization Virus Fig. 43-21a Figure 43.21 Antibody-mediated mechanisms of antigen disposal

Opsonization Bacterium Macrophage Fig. 43-21b Figure 43.21 Antibody-mediated mechanisms of antigen disposal

Activation of complement system and pore formation Fig. 43-21c Activation of complement system and pore formation Complement proteins Formation of membrane attack complex Flow of water and ions Figure 43.21 Antibody-mediated mechanisms of antigen disposal Pore Foreign cell

Active and Passive Immunization Active immunity develops naturally in response to an infection It can also develop following immunization, also called vaccination In immunization, a nonpathogenic form of a microbe or part of a microbe elicits an immune response to an immunological memory

Passive immunity provides immediate, short-term protection It is conferred naturally when IgG crosses the placenta from mother to fetus or when IgA passes from mother to infant in breast milk It can be conferred artificially by injecting antibodies into a nonimmune person

Fig. 43-22 Figure 43.22 Passive immunization of an infant occurs during breast-feeding For the Discovery Video Vaccines, go to Animation and Video Files.

Immune Rejection Cells transferred from one person to another can be attacked by immune defenses This complicates blood transfusions or the transplant of tissues or organs

Blood Groups Antigens on red blood cells determine whether a person has blood type A (A antigen), B (B antigen), AB (both A and B antigens), or O (neither antigen) Antibodies to nonself blood types exist in the body Transfusion with incompatible blood leads to destruction of the transfused cells Recipient-donor combinations can be fatal or safe

Tissue and Organ Transplants MHC molecules are different among genetically nonidentical individuals Differences in MHC molecules stimulate rejection of tissue grafts and organ transplants

Chances of successful transplantation increase if donor and recipient MHC tissue types are well matched Immunosuppressive drugs facilitate transplantation Lymphocytes in bone marrow transplants may cause the donor tissue to reject the recipient

Concept 43.4: Disruption in immune system function can elicit or exacerbate disease Some pathogens have evolved to diminish the effectiveness of host immune responses

Exaggerated, Self-Directed, and Diminished Immune Responses If the delicate balance of the immune system is disrupted, effects range from minor to often fatal

Allergies Allergies are exaggerated (hypersensitive) responses to antigens called allergens In localized allergies such as hay fever, IgE antibodies produced after first exposure to an allergen attach to receptors on mast cells

IgE Histamine Allergen Granule Mast cell Fig. 43-23 Figure 43.23 Mast cells, IgE, and the allergic response Mast cell

The next time the allergen enters the body, it binds to mast cell–associated IgE molecules Mast cells release histamine and other mediators that cause vascular changes leading to typical allergy symptoms An acute allergic response can lead to anaphylactic shock, a life-threatening reaction that can occur within seconds of allergen exposure

Autoimmune Diseases In individuals with autoimmune diseases, the immune system loses tolerance for self and turns against certain molecules of the body Autoimmune diseases include systemic lupus erythematosus, rheumatoid arthritis, insulin-dependent diabetes mellitus, and multiple sclerosis

Fig. 43-24 Figure 43.24 X-ray of a hand deformed by rheumatoid arthritis

Exertion, Stress, and the Immune System Moderate exercise improves immune system function Psychological stress has been shown to disrupt hormonal, nervous, and immune systems

Immunodeficiency Diseases Inborn immunodeficiency results from hereditary or developmental defects that prevent proper functioning of innate, humoral, and/or cell-mediated defenses Acquired immunodeficiency results from exposure to chemical and biological agents Acquired immunodeficiency syndrome (AIDS) is caused by a virus

Acquired Immune System Evasion by Pathogens Pathogens have evolved mechanisms to attack immune responses

Antigenic Variation Through antigenic variation, some pathogens are able to change epitope expression and prevent recognition The human influenza virus mutates rapidly, and new flu vaccines must be made each year Human viruses occasionally exchange genes with the viruses of domesticated animals This poses a danger as human immune systems are unable to recognize the new viral strain

1.5 Antibodies to variant 1 appear Antibodies to variant 2 appear Fig. 43-25 1.5 Antibodies to variant 1 appear Antibodies to variant 2 appear Antibodies to variant 3 appear 1.0 Variant 1 Variant 2 Variant 3 Millions of parasites per mL of blood 0.5 Figure 43.25 Antigenic variation in the parasite that causes sleeping sickness 25 26 27 28 Weeks after infection

Latency Some viruses may remain in a host in an inactive state called latency Herpes simplex viruses can be present in a human host without causing symptoms

Attack on the Immune System: HIV Human immunodeficiency virus (HIV) infects helper T cells The loss of helper T cells impairs both the humoral and cell-mediated immune responses and leads to AIDS HIV eludes the immune system because of antigenic variation and an ability to remain latent while integrated into host DNA Animation: HIV Reproductive Cycle

Helper T cell concentration Fig. 43-26 Latency AIDS Relative antibody concentration 800 Relative HIV concentration 600 Helper T cell concentration in blood (cells/mm3) Helper T cell concentration 400 Figure 43.26 The progress of an untreated HIV infection 200 1 2 3 4 5 6 7 8 9 10 Years after untreated infection

People with AIDS are highly susceptible to opportunistic infections and cancers that take advantage of an immune system in collapse The spread of HIV is a worldwide problem The best approach for slowing this spread is education about practices that transmit the virus

Two suggested explanations are Cancer and Immunity The frequency of certain cancers increases when the immune response is impaired Two suggested explanations are Immune system normally suppresses cancerous cells Increased inflammation increases the risk of cancer

Cell division and gene rearrangement Fig. 43-UN1 Stem cell Cell division and gene rearrangement Elimination of self-reactive B cells Antigen Clonal selection Formation of activated cell populations Antibody Memory cells Effector B cells Microbe Receptors bind to antigens

Fig. 43-UN2

You should now be able to: Distinguish between innate and acquired immunity Name and describe four types of phagocytic cells Describe the inflammation response

Distinguish between the following pairs of terms: antigens and antibodies; antigen and epitope; B lymphocytes and T lymphocytes; antibodies and B cell receptors; primary and secondary immune responses; humoral and cell-mediated response; active and passive immunity Explain how B lymphocytes and T lymphocytes recognize specific antigens Explain why the antigen receptors of lymphocytes are tested for self-reactivity

Describe clonal selection and distinguish between effector cells and memory cells Describe the cellular basis for immunological memory Explain how a single antigen can provoke a robust humoral response Compare the processes of neutralization and opsonization

Describe the role of MHC in the rejection of tissue transplants Describe an allergic reaction, including the roles of IgE, mast cells, and histamine Describe some of the mechanisms that pathogens have evolved to thwart the immune response of their hosts List strategies that can reduce the risk of HIV transmission