Humoral response mediated by antibodies (from B cells) to target extracellular pathogens
Cell-mediated response by cytotoxic T cells to target virus-infected cells
Complex repertoire of adaptive immune responses that enable the immune system to deal more effectively with different situations
Innate and adaptive immune responses interact in diverse ways that further expand the capabilities of the immune system overall
Different classes (isotypes) of antibodies:
IgM (and IgD)
IgG
IgA
IgE
Different subsets of CD4+ helper T cells:
TH1
TH2
TH17 (sometimes called TH3)
Treg (regulatory T cell)
Domain structure of antibody:
Ig domains shown as blue boxes
Heavy chains (green) contrasted with light chains (yellow)
Constant (C) regions (blue) contrasted with variable (V) regions that form antigen binding site (red)
Fc region binds to an Ig receptor on cells (an Fc receptor)
Increases binding strength:
Affinity: The binding strength of one antigen binding site
Avidity: The combined strength of two or more antigen binding sites
Crosslinking: The bivalent structure of antibodies enables crosslinking of foreign molecules or pathogens to create immune complexes
Antibodies are bivalent with two identical antigen binding sites
Secondary diversification of the antibody repertoire stimulated by interaction of helper T cell with B cell
Antibody receptors:
IgG: FcgRI - Neutrophils, macrophages
IgE: FceRI - Mast cells, eosinophils
IgA: FcaRI - Epithelial cells
IgM is the first antibody to be secreted in an immune response, forming a pentamer that increases the overall strength of antigen binding
Interaction of B cells with helper T cell subsets activates appropriate antibody class-switching
Naïve CD4+ T cell matures into effector CD4 T+ cell with multiple subsets (TH1, TH2, TH17, Treg)
T cell-mediated immune responses:
TH1: IgG, complement, bacterial infection
TH2: IgE, parasitic infection, allergy
TH17 and Treg: IgA, mucosal immunity
Immune response to parasitic infection involves TH2 cells stimulating immunoglobulin class switching in B cells to produce IgE
Allergies are exaggerated responses involving IgE, mast cells, and eosinophils, similar to immune response to parasitic infections
Susceptibility to allergies is likely a combination of genes and the environment
eosinophils cover the parasite and attack it with a variety of toxic molecules. This helps to kill or dislodge the parasite.
TH2 cells stimulate immunoglobulin class switching in B cells to produce IgE, and recruit mast cells and eosinophils
Mast cells are concentrated in the mucosa and areas under the skin, in locations where parasites normally get access to the body
IgE binds to its receptor (FceR1) on mast cells
Crosslinking of IgE by antigen then activates the mast cells which produce inflammatory mediators
Parasitic helminths (worms) are multicellular eukaryotic organisms They are larger and more difficult for the immune system to attack because they cannot be removed by phagocytosis.
Allergies are exaggerated (hypersensitive) responses to certain antigens called allergens
Allergies are inappropriate TH2 responses: they involve antibodies of the IgE class, mast cells and eosinophils
Anti-specific antibodies can neutralize bacterial toxins or viruses by binding to them, preventing them from attacking cells by blocking their binding sites
Opsonization involves coating bacteria or pathogens with proteins like antibodies to facilitate their removal by phagocytic cells such as neutrophils and macrophages
Complement proteins assist in opsonization and complement the function of antibodies
IgG is the main antibody isotype used in opsonization
IgG receptors on neutrophils and macrophages bind to IgG antibodies, tethering pathogens to the cell surface and stimulating phagocytosis and cell activation
Antibodies with a bigger hinge region, like IgG3, are more efficient at binding to pathogens but are more susceptible to proteolytic attack, limiting their lifetime
The four subclasses of IgG help balance the trade-off between efficiency and susceptibility to proteolytic attack
Complement proteins are activated by a proteolytic cascade following antibody binding to antigens on pathogens
Complement C3b adds another layer of opsonization and complements the action of antibodies
Complement proteins are normally present in the blood in an inactive form and are activated following an infection
IgG and IgM antibodies can activate complement and phagocytes
The classical complement pathway is initiated by binding of complement C1 to antibodies, depending on an adaptive immune response
C3b opsonizes pathogens and activates the membrane-attack complex, leading to pathogen cell lysis
Complement C5b-C9 form the membrane-attack complex that kills bacteria by creating a lytic pore in the membrane
Complement fragments C3a, C4a, and C5a act as mediators of inflammation and assist in immune cell recruitment