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IMMUNOLOGY NOTES – Part 1
There are two major types of immune responses: Primary immune response occurs when the immune system encounters a pathogen for the first time, and primarily involves the production of IgM class antibodies. E.g., the first dose of a vaccine serves as the initial exposure to the antigen (foreign body, typically a protein). In certain cases, additional doses (booster doses) are required when immunological memory is insufficient. secondary immune response occurs upon subsequent exposure to the same pathogen, involves immunological memory, and involves IgG class antibodies which provide long-lasting protection. Feature Primary Immune Response Secondary Immune Response Exposure First encounter Subsequent encounter
Antibody IgM IgG Speed Slow, weak Rapid, strong Example First vaccine dose Booster dose
An antigen is any foreign substance, typically a protein, capable of eliciting an immune response. Antigens are classified into exogenous and endogenous types.
Immunity is broadly classified into innate immunity and adaptive immunity. Innate Immunity (first line of defense) Acquired / Adaptive Immunity Present from birth Acquired during life Non-specific, can’t distinguish b/w bacteria, viruses, fungi. Specific, can also distinguish between self and non-self-antigens. No immunological memory (same short-lived response for repeated exposure) Memory-based Components:
Inflammation is broadly classified into acute and chronic types based on duration and cellular involvement. Acute inflammation occurs within 24 hours and is predominantly mediated by neutrophils. Chronic inflammation persists beyond 24 hours and involves macrophages, lymphocytes, and fibroblasts. Fibroblasts are essentially transformed or elongated macrophages and are responsible for collagen formation and tissue repair.
Type Duration Cells Involved Acute < 24 hours Neutrophils Chronic > 24 hours Macrophages, lymphocytes, fibroblasts (elongated or transformed macrophages associated with Collagen synthesis, Fibrosis, Tissue repair). Chronic inflammation is common in granulomatous diseases
Innate immunity recognizes pathogens through pattern recognition receptors (PRRs). During infection, pathogens release specific molecules known as Pathogen Associated Molecular Patterns (PAMPs). These molecules enable the immune system to recognize the presence of infection. Examples of PAMPs: lipopolysaccharides (LPS), pathogen-derived DNA and RNA, cell wall or membrane proteins. Tissue injury leads to the release of Damage Associated Molecular Patterns (DAMPs). These include host DNA and heat shock proteins (HSPs), which are released in response to cellular stress or damage. These molecular patterns are recognized by specific receptors present on immune cells, primarily Toll-like receptors (TLRs) and C-type lectin receptors. Receptors detect:
The initiation of inflammation is primarily mediated by mast cells ( first responders ) and dendritic cells. Upon activation, mast cells undergo degranulation, which involves the release of cytoplasmic granules into the extracellular environment. These granules contain various mediators of inflammation. Mediators are classified into primary and secondary mediators.
Mast cells initiate inflammation. Mast cells are highly granulated immune cells. Upon activation, they undergo degranulation , defined as the rupture of intracellular granules (lysis of the cell) leading to the release of cytoplasmic granules. These granules contain biologically active substances called mediators. Mediators are classified into two categories: primary and secondary mediators.
Intracellular killing occurs through two major mechanisms: Oxygen-Dependent Killing (Respiratory Burst) Oxygen-Independent Killing mediated by enzymes present within peroxisomes mediated by enzymes present within lysosomes NADPH oxidase catalyzes the conversion of molecular oxygen into reactive oxygen species, (ROS aka superoxide ions or reactive oxygen intermediates) Lysozymes degrade peptidoglycan of bacterial cell wall. Disruption of peptidoglycan compromises cell wall integrity, leading to bacterial lysis. Superoxide dismutase converts these reactive oxygen species into hydrogen peroxide Lactoferrin chelates (steals) iron and by sequestering (stealing) inhibits pathogens (no Fe means no metabolism / replication / growth) Myeloperoxidase utilizes hydrogen peroxide and chloride ions to generate hypochlorous acid (HOCl), a highly corrosive substance highly effective in destroying pathogens. Defensins form tiny pores onto the surface of the bacterial cell membrane, increases cell permeability, leading to osmotic imbalance and osmotic lysis of the cell Nitric oxide synthase catalyzes the conversion of L-arginine into nitric oxide and L-citrulline. Nitric oxide is a highly reactive molecule with potent antimicrobial properties Hydrolases are a group of enzymes that degrade various biomolecules, including proteins, lipids, and nucleic acids, contributing to the destruction of pathogens. Clinical Correlation: Deficiencies in enzymes involved in oxygen-dependent killing, particularly NADPH oxidase, result in chronic granulomatous disease , characterized by impaired microbial killing and recurrent infections.
Following intracellular killing, the degraded material must be expelled from the cell. Exocytosis occurs in two stages.