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The Immune System Immune System  functional system rather than organ system  Hematopoetic  Vasculature  Lymphatic Fig 21.1 Innate vs. Adaptive Immune System – Introduction  Innate: structural defenses; responds to nonspecific foreign substances  First line: external surface epithelium & membranes  Second line: inflammatory processes – antimicrobial proteins, phagocytes, etc. Fig 21.1 Innate vs. Adaptive Immune System – Introduction  Adaptive: responds to specific foreign substances Fig 21.1  Innate & adaptive mechanisms work together Innate, Surface Defenses  Skin     Mucosa    physical barrier & produces a variety of protective chemicals Gastric mucosa   physical barrier to microbes Keratin resistant to most bacterial enzymes & toxins secretions are acidic pH 3-5 very acidic & produces proteolytic enzymes Saliva & lacrimal fluid contain lysozyme Mucous  traps bacteria & moves them away from epithelial surface Innate, Internal Defenses  Based on recognition of surface carbohydrates (glycocalyx)  Glycocalyx is recognized as “self” or “non-self” Figure 3.3 Innate, Internal Defenses  Phagocytes  Macrophages:    derived from monocytes Free Macrophages: roam through tissues Fixed Macrophages: Kupffer cells (liver) & microglia (brain) Ingest cellular debris, foreign material, bacteria, fungi  Neutrophils: ingest pathogens  Eosinophils: weakly phagocytic of pathogens. Attack parasites (degranulation)  Mast Cells: phagocytic of various bacteria Innate, Internal Defenses  Phagocytic mechanisms:  Adherence:  Aided by opsonization (a chemical process that enhances binding via complement & antibodies)  Ingestion:   cell binds to invader formation of phagolysosomes Respiratory Bursts: merge phagosome with lysosome & flood phagolysosome with free radicals (macrophage) Defensins: proteins that crystallize out of solution & pierce pathogen membranes (neutrophils) Mechanism of Phagocytosis Figure 21.2 Innate, Internal Defenses  Natural Killer Cells:  Small population of large granular lymphocytes  Non specific for “non-self”  Not phagocytic: attack is by release of perforins that perforate the target cell plasma membrane.  Shortly after perforation the target nucleus disintegrates.  Release chemicals that enhance the inflammatory response Innate, Internal Defenses: Inflammation    tissue response to injury Triggered by injury – trauma, heat, chemical irritation, infection, etc. Beneficial effects  Prevents spread of injury  Disposes of cellular debris & pathogens  Promotes repair Innate, Internal Defenses: Inflammation  cardinal signs of inflammation  Redness  Heat  Swelling  Pain  (functional impairment Rigor) Innate, Internal Defenses: Inflammation  Inflammatory response: signs are associated with vasodilation & increased vascular permeability  Dilation: redness, heat  Permeability: edema, (increased pressure) pain  Pain also associated with bacterial toxins & some mediators (kinins, PGs) Innate, Internal Defenses: Inflammatory Response  Mechanisms causing vasodilation & vascular permeability  Injured      cells release inflammatory mediators Histamines Kinins Prostaglandins Complement Cytokines (also activated by receptors on macrophages in response to microbial glycocalyx) Innate, Internal Defenses: Inflammatory Response   Edema  Dilutes harmful substances  Provides nutrients (& O2) for repair  Enhances entry of clotting protein Epithelial breaches also stimulate b-defensin release from epithelial cells Events in Inflammation Figure 21.3 Innate, Internal Defenses: Inflammatory Response  Phagocyte mobilization: infiltration of damaged area by neutrophils & macrophages Innate, Internal Defenses: Inflammatory Response   Leukocytosis: leukocytosis inducing factors released by injured cells promote rapid release of WBCs from marrow Margination: increased vascular permeability causes decreased fluid in vessels; blood flow slows & neutrophils are able to move to vessel margins. Here endothelial markers (CAMs) allow neutrophils to cling to vessel walls (pavementing). Innate, Internal Defenses: Inflammatory Response    Diapedesis: neutrophils migrate through capillary walls Chemotaxis – inflammatory chemicals attract neutrophils to move up the chemical concentration gradient (neutrophils respond first) As the process continues, monocytes diapedes into the area & become macrophages. With chronic inflammation, macrophages predominate Inflammatory Response: Phagocytic Mobilization Figure 21.4 Innate, Internal Defenses: Inflammatory Response   Macrophages clean up cellular debris & pathogens If pathogens were associated with the injury, activation of the complement cascade occurs & elements of adaptive immunity join the process Innate, Internal Defenses  Viral replication – (viruses lack metabolic processes) Viruses release nucleic acid (RNA or DNA) into cytoplasm. The information on the nucleic acid is incorporated into the cell’s DNA. Normal cellular mechanisms then produce viral structural components. Multiple new viral particles are produced & released from the cell (sometimes killing the cell) Innate, Internal Defenses     Antiviral proteins: interferon & complement Interferon: some cells produce & release interferons (IFNs) when invaded by virus Released interferons stimulate nearby cells to produce proteins (PKR) that interfere with viral replication by disrupting protein synthesis & the ribosome Not virus specific. Interferon (IFN) Figure 21.5 Innate, Internal Defenses     Complement – a group of plasma proteins (20) that are activated in the presence of foreign substances Complement activation enhances & amplifies inflammation Bacteria & some other cell types are lysed by complement activation Complement activation enhances both innate & adaptive defenses Innate, Internal Defenses   Complement activation pathways  Classical pathway: requires antibodies  Antibodies bind to target (antigen)  Complement protein C1 binds to the antibodyantigen complex (complement fixation)  Alternative pathway: complement factors interact with microorganism glycocalyx Both pathways lead to a cascade of protein activation, leading to activation of C3 Innate, Internal Defenses  C3 is the start of the; Final Common Pathway  C3 cleaves to form C3a & C3b  C3a (& C5a) enhance inflammation by increasing histamine release, increasing vascular permeability & stimulating chemotaxis  C3b coats bacterial membrane supplying adhesion points (opsonization)  C3b initiates the cascade forming the membrane attack complex (MAC)  The MAC forms a hole in the cell membrane & enhances Ca2+ influx  cell lysis Innate, Internal Defenses; Complement Figure 21.6 Innate, Internal Defenses  C-reactive proteins (CRP) produced by the liver in response to inflammatory molecules can activate the classical pathway by binding to membrane & activating C1. Also participates in opsonization.  Fever – a systemic response to infection. Leukocytes & macrophages release pyrogens that raise the hypothalamic “set point” for temperature ADAPTIVE DEFENSES  ADAPTIVE DEFENSES  Innate & adaptive mechanisms work together in a cohesive fashion Adaptive Defenses: Characteristics  Specificity: directed at specific targets  Systemic: not restricted to initial site of infection / invasion  Memory: after initial exposure & activation, a more rapid & more vigorous response is made to subsequent exposures to pathogens  (secondary response) Adaptive Defenses: Components   Humoral Immunity: (antibody mediated immunity) provided by antibodies floating free in body fluids Cell mediated immunity:  lymphocytes directly attack specific invaders by lysis or indirect attack by initiating inflammation and/or activating other lymphocytes & macrophages Adaptive, Humoral Immunity  Antigen = any substance that can mobilize the immune system & provoke an immune response* *Humoral and/or cell mediated Adaptive, Humoral Immunity  Complete antigens (proteins, nucleic acids, lipids, polysaccharides):  Immunogenicity: the ability to stimulate specific lymphocytes & specific antibodies  Reactivity: the ability to react with activated lymphocytes & antibodies  Hapten (an incomplete antigen): a smaller molecule that is not immunogenic until attached to proteins Adaptive, Humoral Immunity  Antigenic determinants: sites on an antigenic molecule that are immunogenic  Epitope Figure 21.7  Major Histocompatibility Complex (MHC): cell surface glycoproteins associated with self recognition Adaptive Immune System: Cells   Lymphocytes  T-cells  B-cells Antigen Presenting Cells (APCs) Adaptive Immune System: Cells    Lymphocytes: initially uncommitted T-cells: are sorted in the Thymus  Positive selection: recognize MHC survive  Negative selection: react against to self-antigens on MHC killed  2% of initial T-cell precursors  T-cells manage the immune response B-cells: are sorted in the marrow by an incompletely understood process Figure 21.9 Adaptive Immune System: Cells  Immunocompetence: as T- or B-cells mature they become immunocompetent, they display receptors on their cell membrane for a specific antigen.  All of the receptors on one cell are identical; immunity depends upon genetic coding for appropriate receptors. Adaptive Immune System: Cells   Antigen Presenting Cells (APCs) APCs ingest foreign material, then present antigenic fragments on their cell surface where they are recognized by T-cells    T-cells: respond to antigen only if it is displayed on plasma membrane. APCs: Macrophages & B lymphocytes Interactions between APCs & lymphocytes & lymphocyte-lymphocyte interactions are critical to immune response Adaptive, Humoral response     Humoral response (clonal selection) B-cells: Antigen challenge to naïve immunocompetent B-cell Antigen binds to B-cell receptors & form crosslinks between receptors Cross linked antigen-receptor complex undergoes endocytosis; B-cell presents to T-cell Humoral Immunity  Active humoral immunity:  B-cells encounter & respond to antigen to produce an antibody  Passive humoral immunity:  Introduced “non-native” antibody Active Humoral Immunity   Naturally acquired: natural exposure to antigen (i.e. infection) Artificially acquired: vaccines; dead/attenuated or fragmented pathogen injected to elicit an immune response    Bestow immunity without disease; primary response Booster shots (secondary response); intensify response Shortcomings – adverse reactions & the immunity is less durable (poor memory) & has less cell mediated component Passive Humoral Immunity   Natural: maternal antibody crosses the placental barrier conferring temporary immunity to the baby (degrades after a few months) Artificial: antibodies harvested from an outside source given by injection protect from immediate threat but no memory is formed (antitoxins, antivenins , gamma globulin, etc.) Antibodies   A.K.A Immunoglobulins & gamma globulins Structure  variable  hypervariable  constant Figure 21.13a Antibodies    Constant (C) region defines antibody class determines chemical & cellular interactions determines how class functions to eliminate antigens Antibody Classes  Antibody Classes: IgM, IgG, IgA, IgD, IgE (Ig = immunoglobulin) Antibody Classes  IgG: the most abundant circulating Ig. The dominant circulating Ig of the primary & the secondary response. Crosses the placenta. Complement binding (Monomer).  IgA: the Ig of secretions. Helps prevent antigen penetration of membranes (Dimer).  IgD: the Ig of B-cell activation. Found on B-cell surface (Monomer). Antibody Classes  IgM: occurs as a monomer & a pentamer  Occurs  The on the B-cell surface (Monomer). Ig of early primary plasma cell response, circulating antibody; a potent agglutinator. Complement binding (Pentamer). Antibody Classes  IgE: the Ig associated with allergies.  Stem binds to mast cells & basophils.  Receptor binding results in histamine release & inflammation.  Found mostly in mucosa of respiratory & GI tract (Monomer). Antibody Targets & Functions  Immune complex formation = antigen-antibody binding.  All the following events are initiated by antigen-antibody binding. Complement fixation: Neutralization: Agglutination: Precipitation: Inflammation & phagocytosis prompted by debris      Antibody Targets & Functions  Complement fixation: cells & bacteria.       Immune complex formation exposes a complement binding site on the C region of the Ig. Complement fixation results in cell lysis. Neutralization: immune complex formation blocks specific sites on virus or toxin & prohibit binding to tissues Agglutination: cells are crosslinked by immune complexes & clump together Precipitation: soluble molecules (such as toxins) are crosslinked, become insoluble, & precipitate out of the solution Inflammation & phagocytosis prompted by debris Figure 21.14 Antibody Targets & Functions  Monoclonal antibodies: antibodies produced by descendants of a single cell  Pure antibody preparations that are specific for a single antigenic determinant  Research / diagnostic / therapeutic use Cell Mediated Immune Response  T-cell activation: involves recognition of PM surface antigens only  Antigen is combined with MHC & displayed on PM  T-cell receptors: bind to the MHC & are stimulated by the associated antigen  The addition of a co-stimulator (cytokines, interleukins, etc) prompts the T-cell to form a clone  In the absence of a co-stimulator the T-cell becomes tolerant to antigen (anergy) Cell Mediated: MHC  MHC occurs as two classes  MHC I on virtually all tissue cells  MHC II only on PM some immune system cells Cell Mediated: MHC display properties Figure 21.16a  MHC I on virtually all tissue cells  Display only proteins produced inside the cell  Endogenous antigens = foreign proteins produced by the cell (viral / cancer)  Stimulate the CD8* cell population  form cytotoxic T-cells (Killer T, TC)  *formerly T8 cells Cell Mediated: MHC display properties Figure 21.16b  MHC II found only on PM of B-cells, some T-cells & APCs  Display proteins derived from a phagocytized target  Exogenous antigen: foreign protein from outside the cell – presented to PM surface  Stimulates the CD4* cell population  form Helper T-cells (TH)  *formerly T4 cells Cell Mediated: T-cell roles  Helper T-cells (TH) stimulate B-cells & other T-cells to proliferate Figure 21.18 Cell Mediated: T-cell roles  Activated TH cells interact with Bcells displaying antigen & produce cytokines that prompt the B-cell to mature & form antibody Figure 21.18 Cell Mediated: T-cell roles  TH cells also produce cytokines that promote TC cells  TH cells recruit other WBCs & amplify innate defenses (inflammatory) Subpopulations of TH cells specialize in specific sets of activations  Figure 21.18 Cell Mediated: T-cell roles   Cytotoxic T-cells (TC, Killer T): directly attack & kill cells with specific antigen Activated TC cells are co-stimulated by TH cells Cell Mediated: T-cell roles  Figure 21.19a TC mechanism (Cytotoxic T-cells, Killer T)      TC binds to cell & releases perforin & granzymes In the presence of Ca2+ perforin forms pores in target cell PM Granzymes enter through pores & degrade cellular contents TC then detaches & moves on Macrophages clean up Cell Mediated: T-cell roles  Other T-cells  *Regulatory T-cells (TReg): release inhibitory cytokines that suppress B-cell & T-cell activity   Help to prevent autoimmune events *formerly Suppressor T (TS)  Gamma Delta T-cells (Tgd): live in the intestine. Function in surveillance & are triggered much like NK cells Organ Transplants/Rejections  Types of Organ Transplants  Autograft: tissue graft from one body site to another (same person)  Isograft: graft received from a genetically identical donor (identical twin)  Allograft: graft received from genetically non-identical donor (same species)  Xenograft: graft received from another species of animal Organ Transplants/Rejections  Transplant rejection: mediated by the immune system (especially TC, NK, antibodies)  Auto/Isograft: MHC compatible  Xenograft: most MHC incompatible  Allograft: attempt to obtain the best MHC match Organ Transplants/Rejections  Immunosuppressive therapy: used to delay/prevent rejection  Corticosteroids: suppress inflammation  Antiproliferative: prevent/kill rapidly dividing cells  Immunosuppressant: prevent/kill rapidly dividing cells  Side effects tend to be harsh  Increased risk of infection Immunologic Dysfunction  Immunodeficiency  Congenital/Genetic: varied inborn errors  Acquired: Drugs: immunosuppressive / cancer drugs Radiation therapy – marrow  Cancer: can be viewed as a failure of immune surveillance  Hodgkin’s disease: lymph node cancer  AIDS/HIV: kills TH cells  Immunologic Dysfunction  Autoimmune disease: production of antibody & TH against self tissues  Examples & tissue effected  Multiple sclerosis: white matter of nervous system  Graves disease: thyroid  Type I diabetes mellitus: beta cells of pancreas  Systemic Lupus Erythrematosis: (anti DNA) kidneys, heart, lungs & skin  Rheumatoid Arthritis: destroys joints (cartilage)  Glomerulonephritis: impaired renal function (may be secondary to other autoimmune disease) Immunologic Dysfunction  Mechanisms of immunologic dysfunction  Failure of lymphocyte programming  New self antigens   Gene mutation Structural change – haptens, infection  Foreign antigens that closely resemble self antigen resulting in cross reactivity. Immunologic Dysfunction  Hypersensitivities (Allergies): the immune system responds to a harmless substance as if it were a threat.  Allergen = antigens of an allergic response Figure 21.21 Hypersensitivities: Types  Immediate hypersensitivity (Type I): symptoms within seconds of exposure to an allergen  (requires sensitization = previous exposure) Figure 21.21 Hypersensitivities: Type I  Anaphylaxis (IgE mediated; mast / basophils)  Local: histamine induced vasodilation & increased permeability. Watery eyes, runny nose, itching & redness. Respiratory  allergy induced asthma  Systemic: anaphylactic shock: associated with allergens that have systemic distribution. Widespread vasodilation, airway swelling  Atopy: the tendency to display Type I symptoms to certain environmental antigens without prior sensitization Hypersensitivities: Types II & III  Subacute hypersensitivity (IgG & IgM mediated)  Cytotoxic reactions (Type II): antibodies bind to cellular antigens promoting complement fixation / inflammation / phagocytosis (transfusion reaction)  Immune complex h. (Type III): widely distributed antigen reacts with antibody.  Antigen-antibody complexes cannot be cleared; persistent inflammation / tissue damage (farmer’s lung; associated with autoimmune disorders) Hypersensitivities: Type IV  Delayed hypersensitivity (cell mediated) takes one to three days to react.  Involves TC, TH1 & macrophages.  Allergic contact dermatitis (poison ivy, heavy metals, TB tine tests).  Agents act as haptens & elicit response after binding to tissue Developmental Aspects of the Immune System     Stem cells arise from embryologic liver & spleen Self tolerance develops in Thymus (T-cells) & bone marrow (B-cells) Immunocompetence: the “library” of receptors is genetically determined Immune system degrades with aging Immunocompetent B or T cells Key: Red bone marrow = Site of development of immunocompetence as B or T cells; primary lymphoid organs = Site of antigen challenge & final differentiation to activated B & T cells Immature lymphocytes Circulation in blood = Site of lymphocyte origin 1 1 Lymphocytes destined to become T 1 Thymus Bone marrow cells migrate to the thymus & develop immunocompetence there. B cells develop immunocompetence in red bone marrow. 2 Immunocompetent, but still naive, lymphocyte migrates via blood 2 2 After leaving the thymus or bone marrow as naive immunocompetent cells, lymphocytes “seed” the lymph nodes, spleen, & other lymphoid tissues where the antigen challenge occurs. Lymph nodes, spleen, & other lymphoid tissues 3 Mature (antigen-activated) 3 Activated immunocompetent B & T cells recirculate in blood & lymph 3 immunocompetent lymphocytes circulate continuously in the bloodstream & lymph & throughout the lymphoid organs of the body. Figure 21.8 Primary & Secondary Humoral Responses Figure 21.10 Types of Acquired Immunity Figure 21.11 Major Types of T Cells Figure 21.14 T Cell Activation: Step One – Antigen Binding Figure 21.16 Helper T Cells (TH) Figure 21.17a Helper T Cells Figure 21.17b Summary of the Primary Immune Response Figure 21.19 Innate immunity • Properties of innate immunity • Components of innate immunity – Epithelial barriers – Cellular mechanisms – Humoral mechanisms • Role of innate immunity in stimulating adaptive immune response Principle mechanisms of innate and adaptive immunity Mechanisms of innate immunity - phylogenetically older - exist before or react immediately after contact with pathogen - are not enhanced upon repetead contact with pathogen (no memory) - react predominantly to infectious agents - first line of defense - stimulate and shape adaptive imunity Components of innate immunity - epithelial barriers (skin and mucosal membranes) - cells (phagocytes, NK cells...) - humoral components (complement, cytokines etc.) Functions of epithelia in innate immunty - physical barrier Functions of epithelia in innate immunty - physical barrier - chemical barrier (production of antimicrobial peptides) Functions of epithelia in innate immunty - physical barrier - chemical barrier (production of antimicrobial peptides) - intraepithelial lymphocytes - normal bacterial flora Cells of innate immunity Cell type Pricipal function(s) Monocytes/Macrophages Phagocytosis, inflammation, T-cell activation, tissue repair Neutrophils Phagocytosis, inflammation NK cells Killing of infected or tumor cells Dendritic cells Phagocytosis, activation of naive T-cells Mast cells Inflammation Eosinophils Defense against parasites Role of phagocytes in innate immunity Order of events in infection 1. Entry of pathogen Role of phagocytes in innate immunity Order of events in infection 1. Entry of pathogen 2. Recognition of pathogen (macrophages and dendritic cells) - molecular patterns and receptors Molecular patterns Structures common for certain groups/classes of pathogens - essential for their life, replication and/or infectivity - not present on human cells Lipoproteins Flagellin Examples: structures of bacterial cell wall (LPS, peptidoglycan, flagellin...) nucleic acids of pathogens (dsRNA, unmethylated CpG dinucleotides...) Role of phagocytes in innate immunity Order of events in infection 1. Entry of pathogen 2. Recognition of pathogen 3. Phagocytosis and killing of a pathogen (macrophages) - reactive oxygen species (ROS), nitric oxide (NO) and lysosomal enzymes Phagocytosis and killing of microbes Pathogen recognition Phagocytosis and killing of microbes Zipping of membrane around microbe Phagocytosis and killing of microbes Ingestion of microbe Phagocytosis and killing of microbes Fusion of phagosome with lysosome Phagocytosis and killing of microbes Phagocyte activation Phagocytosis and killing of microbes Killing of microbe http://highered.mcgrawhill.com/sites/0072556781/student_view0/chapt er31/animation_quiz_3.html Role of phagocytes in innate immunity Order of events in infection 1. Entry of pathogen 2. Recognition of pathogen 3. Phagocytosis and killing of a pathogen 4. Induction of inflammation (macrophages) - production of pro-inflammatory cytokines (TNF, IL-1, chemokines...) Inflammation induction Proinflammatory cytokines TNF ― Tumor Necrosis Factor IL-1 ― Interleukin-1 Chemokines ― Chemotactic cytokines Role of phagocytes in innate immunity Order of events in infection 1. Entry of pathogen 2. Recognition of pathogen 3. Phagocytosis and killing of a pathogen 4. Inflammation induction 5. Attraction of cells to infection site - adhesive molecules (selectins and integrins) and chemokines Leukocytes arrive at the site of infection (extravasation) http://www.youtube.com/watch?v=WEGGMaRX8f0 http://www.youtube.com/watch?NR=1&v=DMvixApKzKs Integrins Selectins Various adhesive molecules Weak binding In some inflammatory diseases therapy is directed against Activation and and rolling proinflammatory cytokines or adhesive molecules firm binding Transmigration (eg: TNF in rheumatoid arthritis or VLA-4 in multiple sclerosis) Endothelium TNF & IL-1 Arrival to the site of infection Macrophages Chemokines Role of phagocytes in innate immunity Order of events in infection 1. Entry of pathogen 2. Recognition of pathogen 3. Phagocytosis and killing of a pathogen 4. Inflammation induction 5. Attraction of cells to infection site 6. Pathogen elimination and/or adaptive immunity activation (dendritic cells) - cytokines, costimulatory molecules... Role of phagocytes in innate immunity Order of events in infection 1. Entry of pathogen 2. Recognition of pathogen 3. Phagocytosis and killing of a pathogen 4. Inflammation induction 5. Attraction of cells to infection site 6. Pathogen elimination and/or adaptive immunity activation 7. Tissue repair and remodeling (macrophages) - enzymes and cytokines (growth factors, metaloproteinases...) Role of NK cells in innate immunity NK – Natural killer Killing of cells infected by intracellular pathogens (eg. viruses) and tumor cells Role of NK cells in innate immunity NK – Natural killer Killing of cells infected by intracellular pathogens (eg. viruses) and tumor cells Activation of macrophages (by IFN-γ) NK cell killer function Depends on balanse of signals by activating and inhibitory receptors NK cell killer function Depends on balanse of signals by activating and inhibitory receptors NK cell is inhibited NO KILLING NK cell killer function Depends on balanse of signals by activating and inhibitory receptors NK cell is activated KILLING NK cell killer function Depends on balanse of signals by activating and inhibitory receptors - activating receptors recognize stress-derrived structures on cells (including infected and malignant cells) - inhibitory receptors recognize MHC class one molecule Mechanism of NK cell recognition Mechanism of NK cell recognition NK cell killer function Apoptosis induction in infected and tumor cells Killing mechanisms same as in cytotoxic T-cells - Perforin and granzymes - FasL and Fas perforin NK cell granzymes Infected or tumor cell FasL Fas apoptosis Humoral mechanism of innate immunity - complement proteins (8th week seminar) - cytokines - other plasma proteins (CRP, MBL etc.) Cytokines in innate immunity Inflammation induction (TNF, IL-1, chemokines...) Cytokines in innate immunity Macrophage and NK cell Activation (IL-12 and IFN-γ) Inflammation induction (TNF, IL-1, chemokines...) Antiviral effects (IFN type I, IFN-α and IFN-β) (eg. INF-α in HCV therapy) Differentiation of T-cell subpopulation (eg. IL-12) Role of innate immunity in stimulation of adaptive immune response T or B-cells need two signals for activation First signal antigen recognition Second signal derrived by innate immunity Thanks for your attention! Questions? 1. Receptors on innate immunity cells recognize a. Production of enzymes, ROS and NO 2. Epithelial cells provide chemical barrier for pathogens by b. Kill our own virus-infected cells 3. Macrophages stimmulate inflammation c. Polysaccharide capsule production by production of Macrophages kill phagocytosed d. TNF, IL-1 and other mediators microbes by 4. 5. NK cells e. molecules that provide “second signal” 6. NK cells are activated f. NK and T- cells 7. Chemokynes are important for g. Structures that a group of pathogens has in common 8. IL-12 produced by macrophages stimulates h. When a target cell does not express MHC class I 9. Bacteria can avoid phagocytosis by i. Leukocyte migration Innate immunity cells stimulate adaptive immunity by j. Peptide antibiotics production 10. 1.____ g 2.____ j 3.____ d 4.____ a 5.____ b 6.____ h 7.____ i 8.____ f 9.____ c 10.____ e
 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                            