1. Immunity

2. Human Immune Defenses Protection against foreign invaders (bacteria, viruses, fungi, etc.) Three levels of defense: –First line of defense = barrier to prevent entry (skin, mucous membranes) –Second line of defense = general reaction to minimize infection via intruder (inflammation, etc.) –Third line of defense = specific reaction to minimize infection via intruder (MHC, antibodies, T cells, etc.) Supplementary developments: –Antibiotics, vaccines, and passive immunity

3. First Line of Defense 1.Skin – physical barrier, covered with oily & acidic (pH 3-5) secretions from sweat glands 2.Antimicrobial proteins (e.g. lysozyme) – in saliva, tears, and other mucosal secretions 3.Cilia – line the lungs to sweep intruders up and out 4.Gastric juice – in stomach (pH ~2), kills most microbes 5.Symbiotic bacteria – in digestive tract and vagina, outcompete pathogenic organisms

4. Second Line of Defense Nonspecific mechanisms Phagocytes – white blood cells (leukocytes) that phagocytose pathogens, circulate constantly Complement – proteins (~20 different kinds) that attract phagocytes to foreign cells & promote lysis of pathogens, precursors circulate constantly Interferons – secreted by cells infected with viruses, stimulate neighboring cells to produce proteins to defend against viral infection Inflammation – swelling in response to tissue damage

5. Phagocytes: Neutrophils Neutrophils –Engulf pathogens via phagocytosis

6. Neutrophils Remember this little guy from the Inner Life of a CellInner Life of a Cell? Travel to infection site via chemotaxis

7. Phagocytes: Monocytes –Mature into large macrophages –Engulf pathogens via phagocytosis

8. Phagocytes: Natural Killer Cells –Attack pathogen-infected body cells –Attack abnormal body cells (tumors) –Nonspecific attack on compromised cells –Action based on activation and inhibitory receptors Granules containing digestive enzymes

9. Phagocytes: Natural Killer Cells Loss of “self” ID tag, no longer inhibits NK cell

10. Complement Amplification of Immune Response Recruitment of Phagocytes Enhancement of Phagocytosis of Pathogens Perforation of Pathogen Cell Membrane (Lysis) Complement Activation Inactive precursors in blood cleaved (by proteases) to become active compliment proteins Pathogen Detection Antibodies bind pathogens and trigger compliment-activating enzymes Pathogen surface receptors trigger complement-activating enzymes

11. Complement: Perforation of Pathogens

12. Interferons

13. Inflammatory Response Occurs when skin is damaged (damage allows pathogens to enter body) Histamine secretion by basophils & mast cells (WBC), stimulates vasodialation Vasodialation – increases blood supply to damaged area, allows WBC and fluids (including complement) to move easier through blood vessel walls (increased permeability of blood vessels) Phagocytes attracted to site of injury by complement, engulf pathogens Complement helps phagocytes, stimulates basophil secretion of histamine, helps lyse pathogens

14. Histamine Release Basophils (WBC) normally circulate in blood (recruited into tissues when needed) Mast cells (WBC) exist in tissues, particularly near interface with external environmental (skin, lungs, digestive, nose, mouth, eye) Release histamines in response to pathogens or allergens Pathogen or

15. Vasodialation Dialation (widening) of blood vessels Causes redness, increase in temperature, and swelling Increases delivery of WBC & complement to site of damage Increase in temperature may stimulate WBC and make environment inhospitable to pathogens

16. Third Line of Defense Targets specific antigens (on pathogens) Major histocompatibility complex (MHC) self vs. nonself proteins at surface of all cells Lymphocytes (WBC) –B cells (make antibodies) respond to antigens on pathogens produce plasma & memory cells –T cells respond to nonself cells produce cytotoxic/killer T cells & helper T cells

17. Antigens Antigen = any molecule (usually protein or polysaccharide) identified as foreign –Part of protein coat of virus –Unique molecule in plasma membrane of bacteria, protozoa, pollen, or other foreign cells –Toxin injected by insect sting

18. Antigen Presenting Cells: Macrophages & Dendritic Cells Phagocytosis of pathogen Presentation of antigens to other immune cells

19. Major histocompatibility complex (MHC) Collection of glycoproteins (proteins with carbohydrate groups) on the membranes of all body cells (ID tag) Each individual has unique MHC proteins Self vs. Non-self recognition Carbohydrate groups Polypeptide chains

20. MHC Class I & MHC Class II MHC Class I >Found in all nucleated cells >Function as “ID tag” >Present antigens when cell is infected or malignant MHC Class II >Found in antigen presenting cells >Activate other immune cells >Present antigens after phagocytosis of pathogen

21. Antibodies On surface of B cells (antigen receptors) Specific to particular antigens Y-shaped proteins with constant and variable regions (variable provides antigen specificity) 5 classes (immunoglobulins): IgA, IgD, IgE, IgG, IgM (different particular activities)

22. Antibodies Inactivate antigens by binding to them (phagocyte) Agglutination and inactivation of pathogen

23. Antibodies Binding “flags” cells for death (macrophage phagocytosis, compliment protein lysis) Macrophage Flagged “foreign” cells Response to parasites

24. Antibodies Binding leads to B cell proliferation (by division): –Plasma cells – release antibodies to circulate through the body –Memory cells – long-lived, circulate & release antibodies with subsequent infection of same pathogen (immunity)

25. T cell Lymphocytes Work with MHC to identify/destroy non-self cells Infected cell displays a combo of self and non- self markers (T cell interprets as non-self) Cancer cells & transplant cells also interpreted as non-self T cell Cancer cell

26. T cell Lyphocytes T cells encounter non-self cells, divide & produce: –Cytotoxic/killer T cells – recognize & destroy non- self cells by puncturing them (lysis) and activating apoptosis, induced by antigen-presenting cells –Helper T cells – stimulate production of B cells and cytotoxic T cells by secreting interleukins

27. Cytotoxic/Killer T cells Cytotoxic T cell Lysis Apoptosis

28. Don’t confuse your KILLERS! Natural Killer Cells Second line of defense Non-specific response No APC activation Circulate constantly (INNATE immunity) Killer (Cytotoxic) T Cells Third line of defense Specific response Require APC activation Proliferate in response to an infection (ADAPTIVE immunity) Innate immunity is a non-specific and immediate response, responding in a general way that does not confer long-lasting immunity Adaptive immunity is a specific and acquired response, producing antibodies and conferring long- lasting immunity through memory cells

29. Helper T cells

30. Immune Reactions Cell-mediated Response Response to any non-self cells (including infected body cells and tumor cells) –Non-self cell binds to T cell –T cells produce cytotoxic T cells (destroy nonself cells) and helper T cells –Helper T cells bind to macrophages (that engulfed pathogens and are now presenting antigens) –Helper T cells produce interleukins (stimulate production of T cells and B cells) Humoral Response Response to antigens or pathogens circulating in lymph/blood –B cells produce plasma cells and memory cells –Plasma cells release antibodies (bind to antigens) –Memory cells provide future immunity –Macrophage & helper T cells stimulate B cell production (helper T cells bind to macrophages that have engulfed pathogens, then secrete interleukins)

32. Supplementation of Immunity Antibiotics – derived from bacteria & fungi, harmful to pathogenic microorganisms Vaccines – inactivated pathogens (or fragments of pathogens), stimulate production of memory cells (prevent disease if pathogen introduced) Passive immunity – transferred antibodies from immune person to non-immune and infected person (ex: newborns get mom’s antibodies through placenta and via breastmilk)

33. Antibiotics

34. Vaccines Produces memory cells for subsequent antigen exposures Herd immunity reduces spread of infectious diseases

35. Passive Immunity pathogen, etc. (placenta) Natural – placenta (IgG only), breast milk (IgA only) Artificial – serum infusion (used for infection, poisoning, immunodeficiency therapy)