Blood typing is done according to the surface antigens in RBCs
Genes encode the 6-million-base-long DNA sequence on the short arm of chromosome 6, known as the major histocompatibility complex (MHC) –confers about 50% of the genetic influence on immunity
MHC CLASS III = encode proteins in the plasma which provide immune functions
MHC class I and II = encode human leukocyte antigens (HLA)
HLA glycoproteins bind bacterial and viral proteins in such a way that will alert other immune system cells
Class I HLA – 6 genes = 3 genes found in all cell types +3 genes with more restricted distribution
Class II HLA – 3 major genes found mostly on antigen-presenting cells
Ankylosing spondylitis – resulting from two subtypes of HLA B27
Innate = immediate, generalized
Adaptive = slower, specific
Inflammation = creating hostile environment for pathogens at injury site
INNATE IMMUNITY
Complement - consists of plasma proteins which assist several other defenses
Collectins – protect against bacteria, fungi, and some viruses by detecting differences in their cell surfaces
Cytokines
Interferons – alters components of the immune system to the presence of infected cells
Interleukins – cause fever, which directly kills or inhibits the growth some infecting bacteria and viruses
ADAPTIVE IMMUNITY
B cells carry out the humoral immune response which produces antibodies
T cells carry out the cellular (or cell-mediated) immune response which produces cytokines
B and T cells differentiate in the bone marrow, and migrate to the lymph nodes, spleen, and the thymus, and circulate in the blood and tissue fluid
ADAPTIVE IMMUNITY
Diverse - can tackle various types of pathogens
Specific - distinguishes “self” from “non-self”
Remembers - responds faster to a previous infection
primary and secondary immune response
HUMORAL IMMUNE RESPONSE
Macrophage activates a T cell
T cell contacts a B cell with surface receptors that can bind the presented by the macrophage
T cell releases cytokines that stimulate B cells to divide
B cells give rise to plasma cells and memory cells
ANTIBODY STRUCTURE
idiotypes - parts that contact the antigen on antigen-binding sites
epitopes - parts of the antigen that bind to the idiotypes
Antibodies have several functions, which can range from neutralization, inactivation, clumping of pathogens for removal of phagocytes(opsonization), and activation of the complement system
ANTIBODY ASSEMBLY (Variable regions)
VDJ, heavy chains = chromosome 14
light chains = chromosome 2 and 22
IgA
location: milk, saliva, urine, and tears; respiratory and digestive secretions
function: protects against pathogens at points of entry into body
IgD
location: on B cells in blood
function: stimulates B cells to make other types of antibodies, particularly in infants
IgE
location: in secretions with IgA and in mast cells in tissues
function: acts as receptor for antigens that cause mast cells to secrete allergy mediators
IgG
location: blood plasma and tissue fluid; passes to fetus
function: protects against bacteria, viruses, toxins, especially in secondary immune response
IgM
location: blood plasma
function: fights bacteria in primary immune response; includes anti-A and anti-B antibodies of ABO blood groups
T CELL MATURATION PROCESS
T cells descend from stem cells to the bone marrow
Travels to thymus gland
Thymocytes (immature T cells) approach the lining of the thymus gland, which are studded with “self” antigens
Thymocytes which do not attack these cells mature into T cells, while those who harm the lining die by apoptosis
T CELL TYPES
Helper T cells – recognize foreign antigens, stimulate B cells to produce antibodies, secrete cytokines, activate cytotoxic T cells (has CD4 receptors)
Cytotoxic T cells – binds to antigens and releases perforin, which kills the cell membrane of the ‘nonself’ cell (has CD8 receptors)
Regulatory T cells – suppress immune response
Cluster-of-differentiation (CD) antigens enable T cells to recognize foreign antigens displayed on macrophages
colony-stimulating factors
stimulate bone marrow to produce lymphocytes
interferons
block viral replication, stimulate macrophages to engulf viruses, stimulate b cells to produce antibodies, attack cancer cells
interleukins
control lymphocyte differentiation and growth, cause fever that accompanies bacterial infection
matures into antibody-producing plasma cell or into memory cell
T CELLS
helper
recognizes nonself antigens presented on macrophages
stimulates b cells to produce antibodies
secrete cytokines
activates cytotoxic t cells
T CELLS
cytotoxic - attacks cancer cells and cells infected with viruses upon recognizing antigens
T CELLS
neutrophil - attacks bacteria
T CELLS
natural killer - attacks cancer cells and cells infected with viruses without recognizing antigens; activates other white blood cells
T CELLS
suppressor - inhibits antibody production
inherited immune deficiencies
A) Chronic granulomatous disease
B) Immune defect due to absence of thymus
C) Neutrophil immuno-deficiency syndrome
D) Adenosine deaminase deficiency
E) IL-2 receptor mutation
F) X-linked lymphoproliferative disease
G) X1'
AUTOIMMUNITY
Immune system attacks the body’s own tissues (autoantibodies)
Most autoimmune disorders are not inherited as single-gene diseases
Ways by which the immune system turns against self
Virus replicating in a cell incorporates proteins from the cell’s surface onto its own
Some thymocytes that attack ‘self’ cells escape the massive die-off
A nonself antigen coincidentally resembles a self-antigen and the immune system attacks both
autoimmune disorders
A) Diabetes mellitus (type 1)
B) Graves disease
C) Hemolytic anemia
D) Multiple sclerosis
E) Myasthenia gravis
F) Rheumatic fever
G) Rheumatoid arthritis
H) Systemic lupus erythematosus
I) Ulcerative colitis
ALLERGIES
Immune system response to allergens
Involves humoral and cellular immunity(IgE)
IgE binds to mast cells, which stimulate these cells to release allergy mediators(histamine and heparin)
Allergens also activate a class of T helper cells that produce cytokines, whose genes are clustered on chromosome 5q
Regions of chromosomes 12q and 17q have genes that control IgE production
ALTERING IMMUNITY
Vaccines – stimulate immune system to alert B cells to produce antibodies
Monoclonal antibody technology – from the principle that B cells release a single type of antibody to target specific infections
Cytokines – interferons are now tested to treat many diseases, including cancer, genital warts, multiple sclerosis, and some other conditions
TYPES OF TRANSPLANTS
Autograft – from one part of a person’s body to another
Isograft – from a monozygotic twin
Allograft – individual not genetically identical to the recipient but of same species
Xenograft – from one species to another
REJECTION REACTIONS AND HOW TO AVOID THEM
Hyperacute rejection reactions can happen in xenografts
Graft-versus-host disease can develop when the transplanted organ attacks its recipient body
Problems also arise when the donor’s part is too closely matched – can result to not treating the disease
Immunosuppressant drugs inhibit production of antibodies and T cells that attack transplanted tissue
GENOMICS TO FIGHT INFECTION
Reverse Vaccinology – researchers consult genome sequence information to identify genes that encode “hidden” antigens that can be the base of a vaccine
Metagenomics – sequences random pieces of DNA or entire genomes in a particular environment, can track outbreaks
UPDATES
T-cell Activation Inhibitor, Mitochondrial (TCAIM) - This gene was mapped to chromosome 3p21.31 based on an alignment of the sequence with the genomic sequence (April 15, 2024)
Hyper-IgD syndrome (HIDS) - Evidence that the disease is caused by homozygous or compound heterozygous mutation in the gene encoding mevalonate kinase on chromosome 12q24