chapter 13 the immune response

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Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 13 The Immune Response

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Chapter 13 The Immune Response. Innate Immunity. Always present Attacks nonself microbes Does not distinguish between different microbes Mechanisms include: Epithelial barriers Phagocytic cells Plasma proteins Cell messenger molecules. Adaptive Immunity. - PowerPoint PPT Presentation

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Page 1: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Chapter 13The Immune Response

Page 2: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Innate Immunity• Always present• Attacks nonself microbes• Does not distinguish between different microbes• Mechanisms include:

– Epithelial barriers– Phagocytic cells– Plasma proteins– Cell messenger molecules

Page 3: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Adaptive Immunity• Attacks specific microbes (antigens)• Develops after exposure to the specific antigen• Mechanisms include:

– Humoral immunity (antibody proteins in the blood that attack the specific antigen)

– Cell-mediated immunity (phagocytic cells that attack the specific antigen)

Page 4: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

Tell whether the following statement is true or false.A vaccination is an example of adaptive immunity.

Page 5: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

True Rationale: In adaptive/acquired immunity, specific

antigens are attacked, and immunity develops after exposure to the specific antigen. When you get a vaccine, you are getting a live, weakened, or dead microbe (a specific antigen). Your body develops antibodies to attack that antigen after you are exposed.

Page 6: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Immune Cells• Regulatory cells control the immune response

– Helper T cells– Suppressor T cells– Antigen-presenting cells

• Effector cells then carry out the attack on the antigen– Cytotoxic T (or killer T) cells– B cells (produce antibodies)– Leukocytes

Page 7: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Antigen-Presenting Cells Tell the Immune System What to Attack

• Eat the invading antigen• Break it down into

pieces called epitopes• Put epitopes on the cell

surface, attached to MHC II proteins

Page 8: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Antigens Attached to MHC Proteins Can Be “Seen” by Immune Cells

• The immune cells have receptors that attach to MHC proteins and “see” the antigen

• They also have antigen receptors

• Only those T cells whose antigen receptors “fit” the antigen being displayed will respond to it

Page 9: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

AIDS is an example of a disease in which patients are immunocompromised. Which immune cells are affected in AIDS?

a. T lymphocytesb. B lymphocytesc. Antigen-presenting cellsd. Leukocytes

Page 10: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

a. T lymphocytesRationale: As you can see in slide 8, the virus is attaching

itself to CD4 receptor sites, located on T cells (T lymphocytes). Only helper T cells have this receptor.

Page 11: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

MHC I and MHC II Proteins Both Display Antigens

• MHC II proteins display antigens eaten by a phagocytic cell

• MHC I proteins display antigens made inside an infected cell

Page 12: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

MHC I and MHC II Proteins Both Display Antigens (cont.)• MHC II proteins tell

helper T cells to start an immune response against the antigen

• MHC I proteins tell cytotoxic T cells to kill the infected cell before it can infect other cells

Page 13: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Where Do Lymphocytes Come From?

• Stem cells in the bone marrow or fetal liver

• B cells mature in the bone marrow

• T cells mature in the thymus

• Then they move to the lymph nodes to wait for an antigen-presenting cell to activate them

Page 14: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

T Lymphocytes Differentiate in the Thymus

• Helper T cells (CD4+)– CD4

receptors attach to MHC II proteins

– Start an immune response

• Cytotoxic T cells (CD8+)

– CD8 receptors attach to MHC I proteins

– Kill infected cells

Page 15: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

All but which of the following are true about CD8 receptors?

a. They can be found on cytotoxic T cells.b. They attach to MHC I proteins.c. They signal the start of the immune response.d. They differentiate in the thymus.

Page 16: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

c. They signal the start of the immune response.Rationale: CD8 receptors do all of those things but kick off

the immune response (the helper T cell does that). CD8 receptors are found on cytotoxic T cells—as the name implies, they kill the infected cell.

Page 17: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Two Kinds of Helper T Cells

• TH1 cells – Stimulate the cytotoxic T cells and other

phagocytic cells to attack the antigen• TH2 cells

– Stimulate the B cells to create antibodies against the antigen

Page 18: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

TH Cells Release Cytokines

• Cytokines are chemicals that control the immune response– Inflammatory mediators: cause fever; attract

WBCs to the infection– Growth factors: cause WBCs to divide and mature– Cell communication molecules: used to control

activity of other WBCs

Page 19: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

B Lymphocytes

• Like T cells, B cells have antigen receptors

• They can only be activated to attack the antigen if a helper T cell shows it to them

Page 20: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Activated B Cells Divide into Two Kinds Of Cells:• Memory B cells remain in

the body– In the future, they will

fight off the antigen without a helper T cell telling them to do so

• Plasma cells create antibodies, special proteins designed to attach to that antigen and destroy it

Page 21: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

Which immune cell creates antibodies in response to antigens?

a. Cytotoxic T lymphocytesb. Helper T lymphocytesc. Cytokinesd. B lymphocytes

Page 22: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

d. B lymphocytesRationale: Remember that antibodies are created in

response to antigens. B lymphocytes have antigen receptors and are activated to attack a specific antigen if a helper T cell directs them to do so.

Page 23: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

DiscussionWhich would cause the most severe immune deficiency?

• A lack of B cells• A lack of Tc cells• A lack of TH1 cells

• A lack of TH2 cells• A lack of macrophages

Page 24: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Antibodies or Immunoglobulins• IgG: circulates in body fluids, attacking antigens• IgM: circulates in body fluids; has five units to pull

antigens together into clumps• IgA: found in secretions on mucous membranes; prevents

antigens from entering the body• IgD: found on the surface of B cells; acts as an antigen

receptor• IgE: found on mast cells in tissues; starts an inflammation

Page 25: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Complement Proteins• Highly toxic proteins• Circulate in the

blood in an inactive form

• When an antibody attaches to an antigen, the resulting immune complex can activate complement

• Complement then destroys the antigen

Page 26: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

DiscussionA woman has type A blood.• What antigens does she have on the surface of her red blood

cells?• What antibodies against RBC antigens has her body produced?• What will happen if she is given type B blood?• What will happen if her blood is given to a person with type B

blood?• What will happen if she is given type O blood?

Page 27: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Primary Immune Response• The macrophage must eat the

antigen, then present it to TH cells

• TH cells must activate B cells• B cells produce antibodies• Then plasma antibody levels

rise• This can take 2–3 weeks• Vaccination produces a

primary immune response

Page 28: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Secondary Immune Response• Memory B cells

respond to the antigen immediately

• Plasma antibody levels rise within days

• Booster shots cause a secondary immune response so antibody levels will be high before the disease is encountered

Page 29: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Active Immunity vs. Passive Immunity

Scenario• A woman was bitten by a rattlesnake last summer; she received antiserum against the snake venom, and she survived• This summer she will be vacationing in the same areaQuestion:• Should she get a booster shot against snakebite before her vacation?

Page 30: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Active Immunity vs. Passive Immunity(cont.)

Scenario

• A woman’s baby is HIV-positive

Questions:

• Does this mean the baby has HIV?

• Does it mean the father has HIV?

• Does it mean the mother has HIV?

Page 31: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Active Immunity vs. Passive Immunity(cont.)

Discussion• The woman says that since her immunity went to

her baby, the baby will not need any vaccinations. Is this correct?

Page 32: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Question

Tell whether the following statement is true or false.Active immunity is achieved much more quickly than

passive immunity.

Page 33: Chapter 13 The Immune Response

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins

Answer

FalseRationale: In active immunity, an individual is exposed to

an antigen, the immune response begins, and antibodies are formed in 7–10 days. In passive immunity, antibodies are created outside the host and injected, giving the individual immunity immediately.