1
Q

what is the Innate immune system?

A

β†’Rapid response
β†’Non-specific (generic anti-bacterial or anti-viral mechanisms)
β†’Most often fails to completely eliminate the infection

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2
Q

what is the Adaptive immune system?

A
β†’Delayed response 
β†’Highly specific 
β†’Usually eliminates infection 
β†’Memory 
β†’Long term immunity, but specific to that particular pathogen
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3
Q

what are the branches of adaptive immunity and what are they regulated by?

A

Humoral immunity
β†’Mediated by B-lymphocytes

Cellular immunity
β†’Mediated by CD8+ cytotoxic T- lymphocytes

β†’Both branches regulated by CD4+ helper T-lymphocytes (T-helper cells)

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4
Q

what is Humoral immunity?

A

β†’Humor = fluid
β†’Following an infection
β†’Plasma contains substances- β€œantibody (Ab)”
β†’which neutralise that specific infectious agent
β†’Demonstrate in vitro Or in vivo, e.g. treatment of rabies by infusion of antibody β€œadoptive immunotherapy”

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5
Q

what is an antibody?

A

β†’Protein- β€œimmunoglobulin (Ig)”
β†’Migrates in the Ξ³-globulin fraction on serum electrophoresis
β†’Each antibody binds to a specific antigen (most often a protein) on the infectious agent
β†’But plasma contains many different Abs

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6
Q

what is the structure of an antibody?

A

β†’Immunoglobulin protein
β†’Y-shaped
β†’Tetrameric
β†’2 identical heavy chains
β†’2 identical light chains
β†’Held together by non-covalent interactions
β†’and by –S-S- crosslinks between cysteine a.a. residues

β†’Each Ig molecule has two antigen binding sites
β†’flexible hinge region

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7
Q

describe light chains

A

β†’There are two types of light chain Kappa (ΞΊ) and lambda (Ξ»)
β†’But any B-cell will only make one type
β†’Any Ig molecule will contain either kappa or lambda, never both.
β†’This phenomenon is called β€œlight chain restriction”

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8
Q

how many regions do antibodies have and describe them

A

variable region
β†’Amino acid sequence varies from one Ig molecule to another
β†’Binds antigen

β†’constant region
β†’Responsible for effector functions E.g. activating complement, binding to phagocytes

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9
Q

what is Ig?

A

Ig is a glycoprotein (Carbohydrate added in the Golgi)

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10
Q

what happens if you treat Ig with protease?

A

β†’Cuts molecule at hinge region
β†’Fab- fraction Antigen binding
β†’Fc- fraction crystallisable

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11
Q

what are the three ways in which antibodies fight infection?

A

COATING AND NEUTRALIZING
β†’if a virus is coated with Ab it cannot bind to its receptors

ACTIVATING THE COMPLEMENT
β†’which can blow holes in a bacterial cell membrane

OPSONIZATION
phagocytes have Fc receptors on their cell membrane
β†’bind to pathogens coated in Ab and phagocytose them

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12
Q

How does an Ab bind to an antigen?

A
β†’Non-covalent interactions 
β†’Electrostatic
β†’hydrophobic
β†’van der Waals forces
β†’hydrogen bonds 

β†’ Depends on the antibody binding site being exactly complementary, sterically and chemically, with a site on the surface of the antigen

β†’ The binding site on the antigen for one specific Ab is called an epitope

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13
Q

what are different types of B cells?

A

β†’The body generates over 100,000,000 different B-cells each making a different β€œrandom” Ig
β†’Each B-cell only makes one specific Ig
β†’These naΓ―ve B-cells sit around in lymph nodes doing not very much

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14
Q

what happens to the B cells in lymph nodes during an infection?

A

β†’During an infection, a small number of B-cells will, by chance, be making an Ig that binds one of the foreign antigens
β†’These B-cells are activated and begin to multiply- β€œclonal selection”

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15
Q

why are B cells called clones?

A

β†’Descendants of the original activated B-cell make the same Ig
β†’therefore they are a clone

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16
Q

how does Lymphocyte Development happen in the Bone Marrow?

A

β†’ Haematopoietic stem cells differentiate into either
β†’common myeloid progenitor (neutrophils,red cells, platelets)
β†’ common lymphoid progenitor ( either pre-T or pre-B)

17
Q

what are Primary and Secondary Lymphoid Organs?

A

β†’ HSC into Pre-B
β†’ imm B-cells
β†’ Imm B-cells into follicles containing resting B-cells

β†’ (secondary lymphoid organs, lymph nodes, spleen, gut etc)

18
Q

how are B cells activated?

A

β†’Functional Ig is first expressed as IgM on the cell surface (sIgM)

β†’this acts as a β€œB-cell receptor” in a similar way to a growth factor receptor.

β†’The IgM does not have intrinsic tyrosine kinase activity, but associates with other tyrosine kinases

β†’Binding of antigen to IgM activates the tyrosine kinases and their signal transduction pathways

19
Q

what does B cell activation require?

A

β†’Antigen binding to the B-cell receptor (sIgM), resulting in stimulation of signal transduction pathways
β†’Co-stimulation by T-cells
β†’The activated B-cell begins to secrete soluble IgM

20
Q

what happens to activated B cells?

A

β†’B cells activated
β†’Multiply rapidly
β†’Differentiate to become Ig secreting cells
β†’First make IgM
β†’Then undergo class switching to make Igs with the same Ag specificity but different heavy chain constant regions

21
Q

what do memory B-cells do?

A

β†’Memory B-cells allow a very rapid response to a second exposure
β†’Immediate production of IgG rather than IgM

22
Q

why are natural immune responses described as polyclonal?

A

β†’More than one clone of B-cells is generated
β†’More than one Ig is synthesised
β†’ Multiple antigens on organism
β†’Multiple epitopes on each antigen
β†’More than one Ig may recognise the same epitope

23
Q

what is class (or isotype) Switching?

A

β†’The body can make different classes of Ig IgG, IgM, IgA, IgD, IgE differ slightly in heavy chain constant region amino acid sequence

β†’Have different functions note: there are actually 4 types of IgG (subclass IgG1 – IgG4) 
β†’And 2 types of IgA (subclass IgA1 and IgA2)
24
Q

what are the heavy chain isotypes?

A
Ξ³ = IgG 
ΞΌ = IgM 
Ξ± = IgA 
Ξ΄ = IgD 
Ξ΅ = IgE
25
Q

properties of IgM

A

β†’Always the first class of Ig made by B-cells during the primary response
β†’First made as a membrane bound protein on B-cell surface
β†’Activates B-cell by signal transduction
β†’ Later made in secreted form
β†’Activates complement
β†’Acts as opsonin

26
Q

what does presence of IgM and IgG mean?

A

β†’Presence of specific IgM antibodies to an antigen indicates a recent primary response to that antigen

β†’Implies a current primary infection

β†’Presence of IgG antibodies may be due to past exposure to antigen

27
Q

what is IgM structure?

A

β†’Membrane bound IgM is formed of a single Ig tetramer

β†’In secreted IgM five molecules of the basic Ig tetramer polymerise to form a pentamer

28
Q

what is IgG and what does it do?

A

β†’Major class of Ig in the circulation
β†’Very good at activating complement system
β†’Good as an opsonin
β†’Formed of a single Ig tetramer

29
Q

what is IgA?

A
β†’Most abundant class in external secretions Milk, sweat, tears, gut secretions 
β†’Protects mucosal surfaces 
β†’Does not activate complement 
β†’Does bind Fc receptors triggering
- Phagocytosis 
-Inflammatory reactions
30
Q

what is IgA structure?

A

β†’In serum, occurs as a single Ig molecule In secretions, β†’most IgA is present as a dimer of two whole Ig molecules (+ accessory proteins)

31
Q

what does IgE do?

A

β†’Physiological role in protection against parasitic worms β†’Binds to Fc receptors on mast cells and basophils β†’Triggers release of histamine BUT also involved in allergies!
β†’IgE produced in response to allergens (pollen, peanuts etc)
β†’Release of histamine causes symptoms of allergies Over response can cause anaphylactic shock

32
Q

where is IgD found ?

A

β†’Extremely low concentration in circulation
β†’Also found on B-cell membrane
β†’Role is unknown