1. Chapter 10 Immunology > Protecting the pond from invaders > Birth control in the society of cells

2. Infections Viruses Prions Bacteria Fungi Protozoans Parasites Cancer

3. Two Kinds of Immunity Natural Immunity: Non-specific, you are born with it Acquired immunity: Specific for a particular structure.

4. Natural Immunity Evolutionary learning It’s genetic: functions against –Bacteria (cell wall) –Viruses (double stranded RNA)

5. Natural immunity: Extracellular Infections Macrophages: Attracted by local inflammation and damage Gains a pool of “antigens” for presentation to cells of specific immunity Sends out chemical signals that attract other immune cells

6. Natural immunity: Intracellular Infections Natural Killer Cells Attacks infected human cells Also cancer cells Sends out chemical messages that attract and excite other cells of the immune system

7. Specific Immunity Involves Antibody molecules: Unique molecules that can recognize specific structures: antigens

8. Immune Recognition Self tolerance Non-self intolerance Both are “learned” The environment of presentation is the key to the distinction

9. Antibody Molecules Constant Region Variable Region Proteins, all of which are not directly coded in the DNA The variable region “sticks” to something

10. Cells of Specific Immunity All are “born” in the bone marrow Maturation is “learning” how to make a single unique protein (antibody) that binds to something Splicing the DNA (cutting and pasting parts of the chromosome)

11. Self vs non-Self How does the immune system “know” something is an invader? How does the immune system “know something is self?

12. Immune Recognition Self = tolerance Non-self = intolerance Both are “learned” The environment of presentation is the key to the distinction OOPs; autoimmunity

13. B-Lymphocytes Born in the bone marrow Matures in the bone marrow Death to those that recognize self Life to those that don’t recognize self Environment determines the decision

14. Mature B-Lymphocyte encountering the antigen it recognizes

15. Free antibodies bind to their antigen which mark the carrier of the antigen for destruction Compliment proteins

16. Antibodies mark organisms for destruction by phagocytes Marked organism

17. T-Lymphocytes Born in the bone marrow Matures in the thymus gland Many types (eg. helper t-cells, cytotoxic t- cells etc) Keep their antigen on their surface and attack as a cell Macrophages “present” antigen to T- lymphocytes Death to those that recognize self

18. T-Lymphocyte being presented an antigen that it recognized by a macrophage Divide

19. T-Lymphocytes attack as cells

20. Immune Responses Sometimes both B-cells and T-cells Sometimes only one Takes about 7 days After the response, memory cells remain to protect against future invasion by the same organism Then why can we get flu more than once? Mutations

21. Immune responses can be destructive Bacterial meningitis Shock Asthma Sepsis

22. Vaccines The best defense is a good offence Active immunization –Introduce the structures of the organism in advance to create memory cells –Response of memory cells is immediate –Dead virus vaccines (not very effective) –Live virus vaccines (more effective but more dangerous – you can get the disease)

23. Passive Immunization Rare but deadly circumstances –Snake bites –Toxins >Introduce the compound slowly into another animal (cow, sheep, pig, goat etc) to develop an immune response >Take the blood of the animal and use the antibodies >Infuse the antibodies in an emergency

24. Passive Immunization However, you are now allergic to the serum of the animal used to make the anti-serum (anaphylactic shock)

25. Blood Type Incompatibility The presence of antibodies against the type(s) of blood you don’t have

26. Inheritance A B BB B AB A O B BB B AB BO A B OB O AB AO AB AO B OB O AB AO BO O

27. What Does the Rh positive (+) or Rh negative (-) mean?

28. Rh Disease in the Newborn An Rh negative woman does not have the Rh antigen An Rh positive baby will immunize her to the Rh antigen First time- no problem Mother’s immune system will try to destroy the blood of subsequent Rh positive babies

30. Transplantation Only identical twins are molecularly identical “More or less” means a lot to the immune system Immunosuppressive drugs

31. Corticosteroids (synthetic glucocorticoids) Muscle wasting Fat deposition Arteriosclerosis Steroid diabetes Osteoporosis Immune deficiency

32. Immunodeficiency Some inherited Transplant Chemotherapy HIV

33. Human Immunodeficiency Virus A retrovirus Genetic material is RNA Infects T-Lymphocytes and Macrophages Reverse transcriptase High mutation rate Drugs: target the proteins

34. Autoimmune diseases “Self” being viewed as “non-self” –Lupus –Myasthenia gravis –Multiple Sclerosis –Arthritis –Celiacs disease –Etc Why?

35. Cancer Your immune system should protect you An infection from within A maverick clone Looks like embryonic cells Doesn’t “pay attention” to the signals controlling cell division

36. Drugs Immunosuppression –Corticosteroids –Others Anti-inflammatory –COX 1 –COX 2 Cytokines