1. Chapter 43
The Immune System

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

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

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

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

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

13. 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 75
Figure 43.5 Can a single antimicrobial peptide protect fruit flies against infection?
% survival 50
Mutant +
drosomycin
Mutant 25 24 48 72 96
120
Hours post-infection
Fruit fly survival after infection by M. luteus bacteria

14. 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

15. 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

16. 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

17. 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

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

19. 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

20. 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

21. 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

22. 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

23. 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

24. Pathogen Splinter Chemical signals Macrophage Fluid Mast cell
Fig
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

25. 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

26. 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

27. 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

28. 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

29. 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

30. 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

31. 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

32. 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

33. 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

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

35. 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

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

37. 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

38. 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

39. 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

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

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

42. Infected cell Microbe Antigen- presenting cell 1 Antigen associates
Fig
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 The interaction of T cells with antigen-presenting cells
(a)
Cytotoxic T cell
(b)
Helper T cell

43. 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

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

45. 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

46. Variable region Constant region
Fig
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 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

47. 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

48. 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

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

50. 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

51. Antibody concentration
Fig
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 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)

52. 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

53. 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 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.

54. Humoral (antibody-mediated) immune response
Fig a
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 An overview of the acquired immune response
Antigen (2nd exposure)
Memory
B cells
Plasma cells +
Secreted
antibodies
Defend against extracellular pathogens

55. Cell-mediated immune response
Fig b
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 An overview of the acquired immune response + +
Antigen (2nd exposure)
Active
Cytotoxic T cells +
Memory
Cytotoxic T cells
Defend against intracellular pathogens

56. 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

57. Antigen- presenting cell Peptide antigen Bacterium
Fig
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 The central role of helper T cells in humoral and cell-mediated immune responses + +
B cell
Cytotoxic T cell

58. 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

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

60. 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

61. Antigen-presenting cell Bacterium
Fig
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 B cell activation in the humoral immune response
2 µm

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

63. 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

64. 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 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

65. Class of Immuno- globulin (Antibody) IgM (pentamer)
Fig a
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
Figure The five antibody, or immunoglobulin (Ig), classes

66. Class of Immuno- globulin (Antibody) IgG (monomer)
Fig b
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 The five antibody, or immunoglobulin (Ig), classes
Only Ig class that
crosses placenta,
thus conferring
passive immunity
on fetus

67. Class of Immuno- globulin (Antibody) IgA (dimer)
Fig c
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 The five antibody, or immunoglobulin (Ig), classes
Presence in breast
milk confers
passive immunity
on nursing infant
Secretory
component

68. Class of Immuno- globulin (Antibody) IgE (monomer)
Fig d
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 The five antibody, or immunoglobulin (Ig), classes

69. Class of Immuno- globulin (Antibody) IgD (monomer)
Fig e
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)
Trans-
membrane
region
Figure The five antibody, or immunoglobulin (Ig), classes

70. 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

71. 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 Antibody-mediated mechanisms of antigen disposal
Foreign
cell

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

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

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

75. 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

76. 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

77. 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

78. 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

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

80. 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

81. 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

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

83. 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

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

85. 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

86. 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

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

88. 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

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

90. 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

91. 1.5 Antibodies to variant 1 appear Antibodies to variant 2 appear
Fig
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 Antigenic variation in the parasite that causes sleeping sickness 25 26 27 28
Weeks after infection

92. 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

93. 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

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

95. 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

96. 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

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

98. 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

99. 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

100. 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