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THE IMMUNE SYSTEM (II)

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Page 1: Immune system (ii)

THE IMMUNE SYSTEM (II)

Page 2: Immune system (ii)

OVERVIEW

A) DEFENCE AGAINST MICROBIAL INVASION

B) FOUR FEATURES OF THE IMMUNE SYSTEM

C) HUMORAL IMMUNITYD) CELL-MEDIATED IMMUNITYE) DISORDERS OF THE IMMUNE SYSTEMF) TYPES OF IMMUNITYG) BLOOD GROUPS and THE RHESUS

FACTORH) ANTIBIOTICS

Page 3: Immune system (ii)

DEFENCE MECHANISMS

SPECIFIC ACQUIRED/ ADAPTIVE IMMUNITY

Third Line of Defence1.Humoral Immunity

2.Cell-Mediated Immunity

Page 4: Immune system (ii)

CELL-MEDIATED IMMUNITY:is directed against any factor that

changes a normal cell into

an abnormal cell.

Page 5: Immune system (ii)

Fig. 19 T lymphocyte activation by cell surface antigen. Binding requires the

presence of both foreign and normal (self) antigens.

Page 6: Immune system (ii)
Page 7: Immune system (ii)

small peptide molecules with various functions

Lymphokines:

each type of T cell produces a different type of lymphokine

Page 8: Immune system (ii)

T cells attack:-

1) cells infected by microorganisms, most commonly a virus

2) transplanted organs and tissues

3) cancer-causing cells

• T cells do not release antibodies

• the whole cell is involved in the attack

Page 9: Immune system (ii)

T cells arise from:

precursor cells in the bone marrow

Stem cells of the bone marrow mature in the thymus gland

Immature T cells turn either into a

cytotoxic cell, helper cell or a suppressor cell

Once mature, where do T cells go?

Page 10: Immune system (ii)

T cells: stay in the blood

migrate to:

1. the tissue fluid2. lymph nodes3. other organs

e.g. spleen

Page 11: Immune system (ii)
Page 12: Immune system (ii)

Stem cells develop into thymocytes inside the thymus

at this stage any cells that recognise ‘self’ are destroyed

Why is this important?

So that the body does not attack itself

So that the body does not attack itself

Page 13: Immune system (ii)

T-cell receptors are : glycoproteins identical on a surface (about 105)

Page 14: Immune system (ii)

Variable and constant regions in both receptor types

Page 15: Immune system (ii)

T-cell receptors: recognise antigens only if they are

combined with self antigens

T-cell receptors: recognise antigens only if they are

combined with self antigens

self antigens : are glycoproteins produced

by a group of genes called the major histocompatibility complex (MHC)

These proteins are called MHC proteinsare present on the surfaces of most vertebrate cells

Page 16: Immune system (ii)

Three types of MHC proteins

B ody cells M acrophagesB cellsT cells

M HC I M HC II

P roteins ofcom plem ent

M HC III

Page 17: Immune system (ii)

Role of MHC in T cell function

the genes encoding the MHC proteins are highly polymorphic (have many forms), so that very few individuals in a population possess the same set of alleles

MHC proteins on the tissue cells serve as self markers that enable the individual’s immune system to distinguish its cells from foreign cells, an ability called self-versus-nonself recognition

Page 18: Immune system (ii)

What happens to lymphocytes that bind

self-MHC?

Killed!! Otherwise they attack

the body

Page 19: Immune system (ii)

Antibodies bind to

an intact antigen

T cell receptors bind to a piece of the antigen

displayed on the surface of an antigen-presenting cell

T cell receptors bind to a piece of the antigen

displayed on the surface of an antigen-presenting cell

Antibodies & T cell receptors bind differently:

Page 20: Immune system (ii)

Macrophages are antigen-

presenting cells.

Page 21: Immune system (ii)

Three types of T cells

1. Helper T cell

2. Cytotoxic T cell / Killer cell 3. Suppressor T cell

Page 22: Immune system (ii)

Types of T cells Function

Helper T cell (TH or TH-CD4) [CD4 is a surface protein]

[CD = cluster of differentiation]

Commander of the immune response.

Help B cells differentiate into antibody-secreting plasma cells by secreting lymphokines.

The HIV virus that causes AIDS preferentially infects and destroys TH cells.

Page 23: Immune system (ii)

Types of T cells FunctionHelper T cell (TH or TH-CD4)

Commander of the immune response

Help B cells differentiate into antibody-secreting plasma cells by secreting lymphokines.

Page 24: Immune system (ii)

Types of T cells Function

Helper T cell (TH or TH-CD4)

The HIV virus that causes AIDS preferentially infects and destroys TH cells.

Page 25: Immune system (ii)

Types of T cells FunctionKiller cell or cytotoxic cell (TC or TC-CD8)

Kill tumour cells, body cells infected with viruses and transplanted tissue.

Page 26: Immune system (ii)

Types of T cells Function

Killer cell or cytotoxic cell (TC or TC-CD8)

Recruited by helper T cells.

Kill by a pore-forming molecule called perforin and enzymes.

These enzymes enter the cell through the perforin channels and induce the cell to commit suicide. [see next slide]

Page 27: Immune system (ii)

Cytotoxic T Cells Lyse Infected Cells

Page 28: Immune system (ii)

Natural killer cell

Perforin Granzyme

Cancercell is killed

NK cells & TC Cells Lyse Infected Cells using perforin & granzymes

Cytotoxic T cellBUT they

recognise infected cells in a different

way…….

Page 29: Immune system (ii)

Natural killer cells kill cells:

Cytotoxic T cells kill cells:

possessing low levels of MHC class I

molecules

possessing antigenic fragments bound to

MHC class I molecules

Page 30: Immune system (ii)

Types of T cells

Function

Suppressor T cell

Dampens the activity of T and B cells, scaling back the defence after the infection has been checked.

Page 31: Immune system (ii)

Summary of the main stages of

the cell-mediated and

humoral immune

responses.

Page 32: Immune system (ii)

[dendritic cell =

antigen presenting cell]

 

 

What happens when T cells are activated by contact with a specific antigenic determinant?

Page 33: Immune system (ii)

The cytotoxic T cell proliferates

[clonal expansion]

to produce

1.memory T cells

2.active cytotoxic T cells 

 

Page 34: Immune system (ii)
Page 35: Immune system (ii)

OVERVIEW

A) DEFENCE AGAINST MICROBIAL INVASION

B) FOUR FEATURES OF THE IMMUNE SYSTEM

C) HUMORAL IMMUNITYD) CELL-MEDIATED IMMUNITYE) DISORDERS OF THE IMMUNE SYSTEMF) TYPES OF IMMUNITYG) BLOOD GROUPS and THE RHESUS

FACTORH) ANTIBIOTICS

Page 36: Immune system (ii)

Two disorders of the immune system:

Juvenile diabetes: an autoimmune disease

Juvenile diabetes: an autoimmune disease

AIDS : Helper T cell destruction

AIDS : Helper T cell destruction

Page 37: Immune system (ii)

Autoimmune diseases are produced as the immune system fails to:

This failure results in TWO things:

This failure results in TWO things:

recognise & tolerate self antigens

Page 38: Immune system (ii)

1. activation of T cells

1. activation of T cells

2. production of autoantibodies by B cells = inflammation + organ damage

2. production of autoantibodies by B cells = inflammation + organ damage

Page 39: Immune system (ii)

Are autoimmune diseases common?

• there are over 40 known or suspected autoimmune diseases

• affect 5% - 7% of the population 

PSORIASIS

Page 40: Immune system (ii)

AIDS

Page 41: Immune system (ii)

AIDS:Stands for :Acquired Immune Deficiency Syndrome

Caused by: a retrovirus –Human Immunodeficiency Virus (HIV)

Page 42: Immune system (ii)

AIDS is a Pandemic disease

Pandemic: distributed worldwide and affects many people

Page 43: Immune system (ii)

Why does the HIV attack helper T cells?

Recognises the CD4

receptors associated with these

cells

Page 44: Immune system (ii)

The course of an HIV infection

Page 45: Immune system (ii)

When is a person considered to have AIDS?

When the TH cell level has dropped significantly

Immunosuppression results in an increase in:

opportunistic infectionscancers

Page 46: Immune system (ii)

AIDS The HIV virus does not kill it cripples the immune

system

Common diseases that the immune system normally could defeat become life-threatening

Can show no effects for several months all the way up to 10 years

Page 47: Immune system (ii)

The progression of the disease can be slowed down by:

Targeting viral

enzymes

Protease:

to complete viral proteins

Page 48: Immune system (ii)

Reverse transcriptase:

-catalyzes synthesis of DNA from viral RNA

-lacks proofreading function, which leads to a pool of mutant viruses

Page 49: Immune system (ii)

Why is it difficult to develop a vaccine?

Page 50: Immune system (ii)

It is customary to give a cocktail of drugs rather

than one drug at a time to an AIDS patient. Why ?

More chance to keep virus under control. If a viral enzyme has changed shape, at least virus is prevented from reproducing by another drug.

Page 51: Immune system (ii)

Question: [MAY, 2006]

Use your knowledge of biology to explain the following:

Despite great progress and advances in medical research, no drug able to effectively destroy the HIV virus has as yet been produced.

[5 marks]

Page 52: Immune system (ii)

OVERVIEW

A) DEFENCE AGAINST MICROBIAL INVASION

B) FOUR FEATURES OF THE IMMUNE SYSTEM

C) HUMORAL IMMUNITYD) CELL-MEDIATED IMMUNITYE) DISORDERS OF THE IMMUNE SYSTEMF) TYPES OF IMMUNITYG) BLOOD GROUPS and THE RHESUS

FACTORH) ANTIBIOTICS

Page 53: Immune system (ii)

Two types of acquired immunity:

AcquiredImmunity

Immunity

Page 54: Immune system (ii)

Activeantigens received

Passiveantibodies received

NaturalNatural activee.g. fighting infection,rejecting transplant

Natural passivefrom mother via milk or placenta

ArtificialArtificial activevaccination (injection of antigens)

Artificial passiveinjection of antibodies

Page 55: Immune system (ii)

providing immunity artificially 

 

Immunisation / Vaccination :-

Page 56: Immune system (ii)

Immunisation Immunisation :-

• Whole live microorganism

• Dead microorganism

• Attenuated (harmless) microorganism

• Toxoid (harmless form of toxin)

A preparation containing antigenic material:

Page 57: Immune system (ii)

What is the source of antibodies that are used in artificial passive immunity?

1. Horse is injected with antigen.

2. Blood is taken from the horse & serum is obtained.

3. Person is injected with the horse serum that contains antibodies.

Page 58: Immune system (ii)

MAY 2005 Paper2

Why do immunologists use horses, as opposed to other possible choices of animal, during the production of anti-venom? (2)

Since the horse is large, a lot of blood can be removed from it. Thus a large volume of serum can be extracted.

Page 59: Immune system (ii)

Why are patients being treated for snake bite given a small dose of anti-venom prior to administration of the full dose?

To check for possible allergic reactions.

Page 60: Immune system (ii)

How long does active immunity last?• It depends on the antigen

• Some disease-causing bacteria multiply into new forms that the body does not recognise, requiring annual vaccinations, like the flu shot

• Booster shot - reminds the immune system of the antigen

Page 61: Immune system (ii)

How long does active immunity last?

May last for a lifetime

e.g. chicken pox

Page 62: Immune system (ii)

Question: [MAY, 2003]

A patient cannot be vaccinated if he or she had been taking immunosuppressive medication within the previous two months.

[5 marks]

Page 63: Immune system (ii)

Answer to Question: [MAY, 2003]

Vaccines rely on production of primary immune response. Antigenic molecules are injected.Individual responds by producing a primary immune response.Immunosuppressive drugs prevent responses by immune system.Especially dangerous if live attenuated forms are injected since recipient cannot respond to defend himself.

Page 64: Immune system (ii)

Question: [MAY, 2012]

Use your knowledge of biology to explain the following statement:

lactation is important for passive immunity;

[5 marks]

lactation is important for passive immunity;

[5 marks]

Page 65: Immune system (ii)

OVERVIEW

A) DEFENCE AGAINST MICROBIAL INVASION

B) FOUR FEATURES OF THE IMMUNE SYSTEM

C) HUMORAL IMMUNITYD) CELL-MEDIATED IMMUNITYE) DISORDERS OF THE IMMUNE SYSTEMF) TYPES OF IMMUNITYG) BLOOD GROUPS and THE RHESUS

FACTORH) ANTIBIOTICS

Page 66: Immune system (ii)

• A person’s blood type is determined by antigens found on surface of red blood cells

  

Blood Groups

Page 67: Immune system (ii)

• the most important systems include: ABO Rh (rhesus) MNSKellLewisDuffy Kidd

 

 

More than 30 Blood Grouping Systems

in syllabus

Page 68: Immune system (ii)

ABO system ABO blood types = Types A, B, AB and O Rh factor = Rh positive and Rh negative

the immune system: is tolerant of its own RBC antigens

makes antibodies that bind to those that differ

BUT

Page 69: Immune system (ii)

Antigens [agglutinogens]: are glycoproteins or

glycolipids  

ABO systemAntibodies

[agglutinins]:

specific against blood group antigen  

 

A- antigen

b- antibody

Page 71: Immune system (ii)

Antigen (agglutinogen)

on RBC membrane

Agglutinin(antibody)in plasma

Blood group

A b AB a B

AB nil ABnil ab O

Page 72: Immune system (ii)

45%

40%

11%

4%

Page 73: Immune system (ii)

UNIVERSAL DONORS

-blood group O persons

-can donate blood to anybody 

Page 74: Immune system (ii)

UNIVERSAL RECIPIENTS

 -blood group AB persons

-can receive blood from anybody

Page 75: Immune system (ii)

Blood Transfusion

In a transfusion, blood MUST In a transfusion, blood MUST be compatible. be compatible. WHY?

Otherwise, an antigen-antibody reaction

occurs.

Page 76: Immune system (ii)

Donor’s antigens match

Recipient’s antibodies

Agglutination

For blood to agglutinate:

A

a

Page 77: Immune system (ii)

RecipientDonor

Oa+b

Ab

Ba

ABo

Oa+b - - - -Ab + - + -Ba + + - -

ABo + + + -

Key - no agglutination + agglutination

Donor (no antigen) Recipient NO

Agglutination

a b

Page 78: Immune system (ii)

RecipientDonor

Oa+b

Ab

Ba

ABo

Oa+b - - - -Ab + - + -Ba + + - -

ABo + + + -

Key - no agglutination + agglutination

DonorRecipient

Agglutination

A

a b

Page 79: Immune system (ii)

RecipientDonor

Oa+b

Ab

Ba

ABo

Oa+b - - - -Ab + - + -Ba + + - -

ABo + + + -

Key - no agglutination + agglutination

DonorRecipient NO

Agglutination

b

A

Page 80: Immune system (ii)

RecipientDonor

Oa+b

Ab

Ba

ABo

Oa+b - - - -Ab + - + -Ba + + - -

ABo + + + -

Key - no agglutination + agglutination

DonorRecipient

Agglutination

Aa

Page 81: Immune system (ii)

RecipientDonor

Oa+b

Ab

Ba

ABo

Oa+b - - - -Ab + - + -Ba + + - -

ABo + + + -

Key - no agglutination + agglutination

DonorRecipient

(no antibody) NO Agglutination

Page 82: Immune system (ii)

The Rhesus (Rh) Factor

Rh+

85% of the total population:

15% of the total population:

Rh-

[Rh antigens absent]

[Rh antigens present: agglutinogen D])

Page 83: Immune system (ii)

Why called ‘Rhesus factor?

The Rhesus factor gets its name from its having first been detected in the blood of the rhesus

monkey

Page 84: Immune system (ii)

Rh Dangers During Pregnancy

Rh- mother with a

Rh+ foetus

Page 85: Immune system (ii)

What is the probability of a child to be Rh+?

i) Father is rhesus positive (heterozygous) and mother rhesus negative?

Rhesus negative: Rh- Rh-

Rhesus positive: Rh+ Rh-

Parents: Rh+ Rh- X Rh- Rh-

Gametes: Rh+ Rh- X Rh-

F1 genotype: Rh+ Rh- Rh- Rh-

50%

Page 86: Immune system (ii)

What is the probability of a child to be Rh+?

ii) Father is rhesus positive (homozygous) and mother rhesus negative?

Rhesus negative: Rh- Rh-

Rhesus positive: Rh+ Rh+

Parents: Rh+ Rh+ X Rh- Rh-

Gametes: Rh+ X Rh-

F1 genotype: Rh+ Rh-

100%

Page 87: Immune system (ii)

Rh Dangers During Pregnancy

Mother’s blood

Foetus’s blood

Risk

Positive Positive Positive Negative Negative Negative

Negative PositiveFirst child All other children

Page 88: Immune system (ii)

Can RBC from foetus cross the placenta?

These RBC stimulate antibody

production in mother…….

YESYES

Page 89: Immune system (ii)

(antibody: anti-D)

Page 90: Immune system (ii)

After Protection with anti-D: injection is given within 72 h of giving birth

Lymphocytes cannot ‘see’ RBC from foetus

Anti-D (antibody against rhesus antigen)

B cell

PlacentaRBC cells in

foetus

Page 91: Immune system (ii)

Rh Dangers During Pregnancy

Rh- woman with Rh+ foetus

Cells from Rh+ foetus

enter mother

Woman produces antibodies against Rh+

cells

In the next Rh+

pregnancy, antibodies

attack foetal RBC

How Rh sensitization occurs

Page 92: Immune system (ii)

A Rhesus Baby is usually:

premature anaemic jaundiced   Haemolytic disease of

the newborn

Surfaceantigens

Opposingantibodies Agglutination (clumping) and haemolysis+

Page 93: Immune system (ii)

Phototherapy to treat jaundice Jaundice occurs when there is a build-up of bilirubin in

the blood.  Bilirubin is an orange/red pigment produced by the

breakdown of red blood cells. As bilirubin begins to build up, it deposits on the fatty

tissue under the skin causing the baby's skin and whites of the baby's eyes to appear yellow.

Blood of such a baby needs to be

completely replaced by a transfusion of

healthy blood.

Page 94: Immune system (ii)

OVERVIEW

A) DEFENCE AGAINST MICROBIAL INVASION

B) FOUR FEATURES OF THE IMMUNE SYSTEM

C) HUMORAL IMMUNITYD) CELL-MEDIATED IMMUNITYE) DISORDERS OF THE IMMUNE SYSTEMF) TYPES OF IMMUNITYG) BLOOD GROUPS and THE RHESUS

FACTORH) ANTIBIOTICS

Page 95: Immune system (ii)

Antibiotics:• compounds produced by a microbe

• inhibit the growth of other microbes

Sir Alexander Fleming (1955)

Penicillium

Page 96: Immune system (ii)

Antibiotics can harm the bodyWeaken the immune system as they suppress the body’s natural defence system Destroy the

beneficial flora in the gut

Page 97: Immune system (ii)

Antibiotics are effective against:

BUT NOT EFFECTIVE BUT NOT EFFECTIVE AGAINST:AGAINST: VirusesViruses

BacteriaSome fungi BacteriaSome fungi

Page 98: Immune system (ii)

Use your knowledge of biological processes to comment on the following scenario:

 Medical practitioners sometimes prescribe antibiotics when a person is affected by a viral cold.

[MAY, 2003]

Antibiotics deal with secondary infections (opportunistic

infections) - infections that occur because of a weakened immune

system.

Page 99: Immune system (ii)

Question: [MAY, 2003]Use your knowledge of biological processes to comment on the following scenario:

Medical authorities often recommend that prescription of antibiotics should be carried out sparingly.Bacteria have high reproductive rates and short generation timeAntibiotics effective against normal bacteriaEmergence of mutant forms resistant to antibioticsSelection pressure through antibiotic use favours rapid increase in numbers of resistant formsEmergence of disease forms with no cure

[5 marks] 

Page 100: Immune system (ii)

Antibiotics are not equally effective against all bacteria:

An antibiotic will affect only those bacteria

which have a particular property in common 

Page 101: Immune system (ii)

e.g. penicillin - kills only Gram positive bacteria

WHY?

Inhibits formation of peptidoglycan walls. G+ bacteria have a thick

peptidoglycan wall.

Inhibits formation of peptidoglycan walls. G+ bacteria have a thick

peptidoglycan wall.

Gram positiveGram positive Gram negativeGram negative

Page 102: Immune system (ii)

BROAD SPECTRUM ANTIBIOTICS:

Affect a wide range of microbes

BROAD SPECTRUM ANTIBIOTICS:

Affect a wide range of microbes

 NARROW SPECTRUM ANTIBIOTICS:

Affect a few species

NARROW SPECTRUM ANTIBIOTICS:

Affect a few species

Page 103: Immune system (ii)

Antibiotics can be:BACTERIOSTATIC

inhibit the growth and multiplication of

microbes

BACTERIOSTATICinhibit the growth and

multiplication of microbes

BACTERICIDAL kill microbes, like penicillin 

BACTERICIDAL kill microbes, like penicillin 

Page 104: Immune system (ii)

Question

There are two main types of immune response. These are labelled Type 1 and Type 2 in the diagram below:

Page 105: Immune system (ii)

i) Name response types 1 and 2. [2]

Type 1: Type 2:

ii) Name the cells X and Y. [2]

X: Y:  B cell T cell

Humoral responseCell mediated response

Page 106: Immune system (ii)

iii) Where in the body are the stem cells shown in the diagram produced? [1] 

 

iv) Plasma cells in the type 1 response secrete antibodies. Name the other type of cell (C) in this system and describe its function. [2]

Cell name:

Bone marrow

Memory cell

Page 107: Immune system (ii)

Function:  Brings about fast production of antibodies in the secondary response.

Helper T cell, cytotoxic T cell and suppressor T cell

iv) Name the three types of differentiated cell (D, E and F) in the type 2 response. [2]

Page 108: Immune system (ii)

vi) Describe the function of one of the cell types you named in part (v). [1]

• Helper T cell: commander of the immune response

• Cytotoxic T cell: kills cancer cells, body cells infected with viruses and transplanted tissues

• Suppressor T cell: Dampens the activity of T and B cells, scaling back the defence after the infection has been checked

Page 109: Immune system (ii)

Essay: Compare and contrast humoral and cell mediated immunity.

Introduction:

Definition of immunity

Both humoral and cell mediated immunity defend body once barriers are penetrated

Body:•Part of the 3rd line of defence; specific acquired immunity •What each defends the body against•Brought about by lymphocytes – B and T: where made and where they mature; both are destroyed if they recognise self as nonself

Page 110: Immune system (ii)

Essay: Compare and contrast humoral and cell mediated immunity.

B and T cells:

look alike;

release different chemicals – B cells = antibodies and T cells = lymphokines;

3 types of T cell but 1 type of B cell

Page 111: Immune system (ii)

• Both types of lymphocyte have receptors on surface:

thousands of receptors on surface all receptors are alike specific receptors: variable region diversity of receptors they are made before the cell ever encounters an

antigen both receptors are encoded by genes assembled by

the recombination of segments of DNA• Both types of lymphocyte have MHCII markers

Page 112: Immune system (ii)

• Receptors differ in:

their structure the genes that encode them what they recognise – whole antigens = B cells ,

T cells = antigen fragments bound to MHC

Page 113: Immune system (ii)

• Both types of immunity involve memory cells: the need of helper T cells to stimulate B cells to

proliferate secondary response

• Both distinguish self from non-self: autoimmune disease

Page 114: Immune system (ii)

Conclusion:

Although humoral and cell mediated immunity differ in many ways, they share four features: specificity, diversity, ability to distinguish self from non-self and immunological memory which enable an organism to survive attacks by pathogens.

Page 115: Immune system (ii)

THE END