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    Dr Alan Tuffery JS/Dip Ex Tissue Structure 11 1

    Slide 1

    Lecture 11 Immunology 2

    Adaptive immunity

    Humoral responses (B cells)

    Cell-mediated responses (T cells) Specificity

    Diversity

    Memory

    Self-Tolerance

    Humoral responses (B cells Immune Disorders

    Autoimmune diseases

    AIDS

    Learning OutcomesTo be able to:

    1. outline the principal propertiesof Adaptive Immunity

    2. compare and contrast innateand adaptive immunity

    3. explain the principal changes

    in an immune disorder

    4. outline the functions of B cells

    (incl. immune memory)

    5. outline functions of T cells.

    Dr Alan Tuffery JS/Dip Ex Tissue Structure 11 2

    Slide 2

    Innate vs Adaptive Immunity(reprise)

    Innate(Phagocytosis, Inflammation)

    Nonspecific

    Defends against any

    pathogen upon firstexposure

    Responds to:

    infectious agents

    chemical irritants

    tissue injury

    burns

    Adaptive(Lymphocytes)

    Specific

    Responds to specific

    pathogens on 2nd or

    later exposure

    Comes into play after

    nonspecific responses

    have begun.

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    B Cells Clonal Selection

    Antigen fits B cells receptors

    Proliferation and differentiationinto

    1. Plasma cells Produce antibodies in blood

    (immunoglobulins IgG, IgM, IgE, IgA, IgD)

    Short-lived

    2. Memory cells(clone) With same receptor

    Long-lived.S&G 23.7 (G&S 23.8)

    Dr Alan Tuffery JS/Dip Ex Tissue Structure 11 6

    Slide 6

    DISEASE

    Systemic lupuserythematosus (SLE)

    Rheumatoid arthritis (RA)

    Multiple sclerosis (MS) (G&S p689)

    SYMPTOMS

    fever, arthritis, mouth ulcers, etc

    inflammation and damage to thecartilage and bone of joints

    T cells attack myelin:Blurred vision, muscle weakness, ataxia.

    If immune system does not recognise its self (e.g. MHC),it reacts against normal cells and tissues

    Immune Disorders Autoimmune Diseases

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    ! T cells must

    become activatedbefore they canattack pathogens

    1. Cytotoxic T cells

    ! The antigen ispresented by aninfected cell via thevia its Class I MHC.

    Adaptive Cell-mediated Immunity

    S&G

    23.10(G&S23.11)

    Dr Alan Tuffery JS/Dip Ex Tissue Structure 11 8

    Slide 8

    Adaptive Cell-mediated Immunity

    2. HelperT Cell

    binds to Class IIMHC

    on an ANTIGENPRESENTING CELL(e.g. an infected macrophage).

    S&G

    23.10(G&S23.11)

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    CYTOTOXIC T CELLS! kill infected cells by lysis (direct

    action) [pic] or apoptosis

    HELPER T CELLS (~70% of T cells)! secrete cytokines that enhance the

    activity of cytotoxic T cells;

    enhance phagocytosis

    ! stimulate development of B cells

    into plasma cells (indirect action)

    SUPPRESSOR T CELLS

    ! secrete cytokines that:! suppress the activity of B cells,

    helper, T cells and cytotoxic T cells

    ! inhibit phagocytosis.

    Activated T Cell Responses

    www.gcarlson.com

    Dr Alan Tuffery JS/Dip Ex Tissue Structure 11 10

    Slide 10

    DISEASE

    Systemic lupuserythematosus (SLE)

    Rheumatoid arthritis (RA)

    Multiple sclerosis (MS) (p116)

    SYMPTOMS

    fever, arthritis, mouth ulcers,

    inflammation and damage to thecartilage and bone of joints

    T cells attack myelin:Blurred vision,Muscle weakness,Ataxia

    If immune system does not recognise its self (e.g. MHC),it reacts against normal cells and tissues

    Immune Disorders Autoimmune Diseases

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    Slide 11

    ! Human Immunodeficiency Virus (HIV) binds to the surface of helperT cells and its nucleic acids (RNA and DNA) enter the T cell

    ! Inside the cell, HIV uses the cell to make copies of itself

    ! HIV slowly destroys Helper T cells in the body! (Helper T cells = 70% of all T cells)

    ! When Helper T cell function is impaired, immune responses weakenand other diseases develop.

    Immune Disorders - AIDS

    Dr Alan Tuffery JS/Dip Ex Tissue Structure 11 12

    Slide 12

    SYMPTOMS

    HIV Fatigue, fever, swollen glands, headache

    AIDS Swollen lymph nodes, decreased T cell count;Susceptibility to pneumonia and Kaposi sarcoma;AIDS dementia

    TRANSMISSIONThrough blood, semen, vaginal secretions and breast milk

    Further info (and animations):www.biology.arizona.edu/immunology/tutorials/AIDS/response.html.

    Immune Disorders - AIDS

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    Systemic Lupus Erythematosus (SLE)Common Symptoms

    Painful or swollen joints andmuscle pain

    Unexplained fever

    Red rashes, mostly in the face

    Chest pain upon deepbreathing

    Unusual loss of hair

    Pale or purple fingers or toesfrom cold or stress (Raynaud'sphenomenon)

    Sensitivity to the sun

    Swelling (edema) in legs oraround eyes

    Mouth ulcers

    Swollen glands

    Extreme fatigue

    Anaemia

    Renal failure

    Symptoms of lupus can rangefrom mild to severe and maycome and go over time.

    Dr Alan Tuffery JS/Dip Ex Tissue Structure 11 14

    Slide 14

    Learning Outcomes 1

    To be able to:

    1.outline the principal properties of Adaptive Immunity

    Specificity, Diversity, Memory, Self-tolerance

    2.compare and contrast innate and adaptive immunity

    Specific non-specific; 1st 2nd exposure; fast slow

    3.explain the principal changes in an immune disorder

    E.g. HIV kills helper T cells reduced immune competence.

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    Learning Outcomes 2

    To be able to:

    4. outline the functions of B cells (incl. immune memory)

    Produce antibodies (plasma cells); form memory cells

    5. outline functions of T cells

    Cytotoxic T: lyses infected cells

    Helper T: enhance cytotoxic T, phagocytosis; stim B cells

    (Ab)

    Suppressor T: suppress all above.

    Dr Alan Tuffery JS/Dip Ex Tissue Structure 11 16

    Slide 16

    T cells must becomeactivatedbefore theycan attack pathogens

    The antigen ispresentedto the T cellby an ANTIGENPRESENTING CELL(e.g. an infectedmacrophage) via itsMHC.

    Cell-Mediated Immunity

    www.gcarlsoncom