Immunology Immunology (elective)(elective)MLIM-101MLIM-101

Lecture: 1Lecture: 1

Prepared by: Prepared by: Dr. Mohamed S. Abdel-Dr. Mohamed S. Abdel-

LatifLatif

Learning Outcome:

At this time you should know the following:

1. Differences between the non-specific and specific immune functions. 2. Humoral components of the non-specific immune system and their action. 3. Cellular components of the non-specific immune function and their action. 4. Pathways of intracellular killing of bacteria by phagocytes and their characteristic features. 5. Effect of humoral components such as interferon, TNF, IL-2, complement etc. on cellular components of the non-specific immune system.

"When the mind is ready,a teacher

appears.“ Chinese Proverb

Development of the Immune SystemDevelopment of the Immune System

ery pl

mye

neu mφ

lym

nk

thy

CD8+

CD4+

CTL

TH2

TH1

Cells of the Immune System

BasophilsNeutrophils

Eosinophils

Granulocytic

Langerhans &Macrophages

Kupffer cellsDendritic cells?

Monocytic

CytotoxicHelper

Suppressor

T-cells

Plasmacells

B-cells Dendriticcells?

lymphoid cellsMyeloid cells

Components of the Immune System

Components of the Immune System

Humoral Cellular Humoral Cellular

SpecificNonspecific

complement, interferon, TNF etc.

macrophages, neutrophils

T cells; other effectors cells

antibodies

Balance between Infection and Immunity

Balance between Infection and Immunity

infection immunity

Bolus of infection x virulenceimmunity

Disease =

Response to InfectionResponse to Infection

infection

x

disease

Innate immunity no disease

recove

ry

adaptive immunity

re-infectio

n no disease

x

Beneficial:

Protection from Invaders Elimination of Altered Self

Detrimental:

Discomfort (inflammation) Damage to self (autoimmunity)

Beneficial:

Protection from Invaders Elimination of Altered Self

Detrimental:

Discomfort (inflammation) Damage to self (autoimmunity)

Significance of the Immune SystemSignificance of the Immune System

Innate Immunity Adaptive Immunity

Characteristics of Innate and Adaptive Immunity

Characteristics of Innate and Adaptive Immunity

No Immunologic

memory

Antigen independent

No time lag

Not antigen specific

Antigen dependent

A lag period

Antigen specific

Development

of memory

Innate Immunity Adaptive Immunity

Components of Innate and Adaptive Immunity

Components of Innate and Adaptive Immunity

skin, gut Villi, lung cilia,etc

many protein andnon-protein secretions

phagocytes, NK cell eosinophils, K cells

physical barriers

soluble factors

cells

none

Immunoglobulins(antibody)

T and B lymphocytes

Physical Barriers to ResistancePhysical Barriers to Resistance

Site Component Functions

Effector mechanisms in Innate Immunity -1

Effector mechanisms in Innate Immunity -1

Peristalsis, low pHbile salts, fatty acids

columnar cellsGI tract

Skin squamous cellssweat

desquamationflushing, fatty acids

tracheal ciliaLung mucociliary elevator

surfactants

Site Component Functions

Effector mechanisms in Innate Immunity -2

Effector mechanisms in Innate Immunity -2

Nasopharynxand eye

mucus, saliva, tears flushing, lysozyme

PhagocytesBlood andLymphiodorgans

phagocytosis and intracellular killing

K, NK & LAK cells

direct and antibody dependent cytolysis

Site Component Functions

Effector mechanisms in Innate Immunity -3

Effector mechanisms in Innate Immunity -3

Serum and other serous

fluids

lactoferrin, transferrin

iron deprivation

interferons, TNF-

antiviral proteins phagocyte activation

lysozyme peptidoglycan hydrolysis

Fibronectin & complement

opsonization, enhanced phagocytosis, inflammation

Phagocytes are the Most Important Cells

Phagocytes are the Most Important Cells

Influenced bythe work of

Eli Metchnikoff,

George Bernard Shaw wrote:

“There is at bottom only one

genuine treatment for all

diseases,…to stimulate the

phagocytes. Drugs are a

delusion. …(when) the

phagocytes are stimulated;

they devour the disease…”

Phagocytes:MacrophagesPhagocytes:

Macrophages

phagocytosis, intracellular and extra-cellular killing, tissue repair, antigen presentation for specific immune response

characteristic nucleus and CD14 membrane marker.

Characteristics of Neutrophil Granules

Characteristics of Neutrophil Granules

primary granules

contain cationic proteins, lysozyme, defensins, proteases and myeloperoxidase

secondary granules

contain lysozyme, NADPH oxidase, lactoferrin and B12-binding protein

azurophilic; characteristic of young neutrophils;

specific for mature neutrophils

Phagocyte Response to InfectionPhagocyte Response to Infection

The SOS Signals– N-formyl methionine– Clotting system

peptides– Complement products

Phagocyte response– Vascular adherence– Diapedesis– Chemotaxis– Activation– Phagocytosis and killing

The SOS Signals– N-formyl methionine– Clotting system

peptides– Complement products

Phagocyte response– Vascular adherence– Diapedesis– Chemotaxis– Activation– Phagocytosis and killing

Initiation of PhagocytosisInitiation of Phagocytosis

Attachment via

IgG FcR

ScavengerR

CR

Toll-like R

Respiratory BurstOxygen Dependent Myeloperoxidase

Independent Reactions

2O2

- + H2O2

.OH + OH- + 1O2

Glucose +NADP+

G-6-P-dehydrogenase

Pentose-P

+ NADPH

NADPH + O2

Cytochrome b558

NADP++ O2

-

2O2

- + 2H+

Superoxide dismutase

H2O2 + 1O2

Respiratory BurstRespiratory Burst

Oxygen Dependent Myeloperoxidase dependent reactions

H2O2 + O2-2O2

- + 2H+

Superoxide dismutase

H2 O2 + Cl-

myeloperoxidaseOCl- + H2O

H2O + O2-2 H2 O2

catalase

2OCL- + H2O1O2

-+ Cl-+ H2O

Pathways of Intracellular KillingPathways of Intracellular Killing

m yloperoxidase-independent m yeloperoxidase-dependent

oxygen-depenedent oxygen-independent

In trace llu la r K illing

m yloperoxidase-independent m yeloperoxidase-dependent

oxygen-depenedent oxygen-independent

In trace llu la r K illing

Effector Molecule Function

Mediators of Oxygen Independent Killing in the Phago-lysosome

Mediators of Oxygen Independent Killing in the Phago-lysosome

Cationic proteins (cathepsin) Damage to microbial membranes

Lysozyme Hydrolyses mucopeptides in the cell wall

Lactoferrin Deprives pathogens of iron

Hydrolytic enzymes (proteases) Digests killed organisms

Nitric Oxide Dependent KillingNitric Oxide Dependent KillingIFNγ

TNF

TNF

Nitric OxideNitric Oxide

Non-specific Killer CellsNon-specific Killer Cells

NK and LAK cells

ADCC (K) cell

Activated

macrophages

Eosinophils

NK and LAK cells

ADCC (K) cell

Activated

macrophages

Eosinophils

They all kill foreign

and altered self

targets

They all kill foreign

and altered self

targets

Natural Killer (NK) cellsNatural Killer (NK) cells

also known as large granular

lymphocytes (LGL)

kill infected and malignant

cells

are identified by the presence

of CD56 & CD16 and

absence of CD3 activated by IL2 and IFN-γ to

become LAK cells

also known as large granular

lymphocytes (LGL)

kill infected and malignant

cells

are identified by the presence

of CD56 & CD16 and

absence of CD3 activated by IL2 and IFN-γ to

become LAK cells

Lymphokine Activated Killer (LAK) cell

Lymphokine Activated Killer (LAK) cell

IL2

IFNIFN

IL2

kills malignant

cells

kills transformed

and malignant cells

Regulation of NK Cell FunctionRegulation of NK Cell Function

M HC I K IR KAR KAL

No K illing K illing

K CellsK Cells

morphologically undefined

have IgG Fc receptor

recognize antibody coated

targets

could be NK cells (IgG),

macrophages (IgG),

eosinophils (IgE) or other

cells (IgG)

morphologically undefined

have IgG Fc receptor

recognize antibody coated

targets

could be NK cells (IgG),

macrophages (IgG),

eosinophils (IgE) or other

cells (IgG)

Assignment:

As a part of the semester activity, group of students is selected every week to prepare a short seminar about his/her point of interest in one of the lecture topics. That to be discussed and evaluated during the next lecture.