Edward Jenner
father of immunology; studied smallpox
Smallpox
affected anyone and everyone; use cowpox to confer protection (unethical experiment)
types of pathogens (4)
bacteria, viruses, parasites, fungi
opportunistic pathogens
microorganisms that cause disease only when IS is compromised
commensal organisms
microbes that live in a healthy adult
Immune response
our body's response against infection
immunology
the study of the body's physiological defense against invading organisms
layers of defense of the immune system
anatomic barriers-> complement antimicrobial proteins-> innate immune cells-> adaptive immunity
anatomic barriers
covering membranes
ex: skin, oral mucosa
complement antimicrobial proteins
present right away in the blood serum; antimicrobial proteins
ex: C3, defensins, RegIIIy
antibicrobial proteins
epithelial surfaces immune cells (Neutrophils)
innate immunity
active early, limited in how many pathogens can be recognized.
Rapid response
Ex: macrophages, granulocytes, NK cells, epi cells
adaptive immunity
developed over time- adapts to the pathogen, highly specific, provides protective immunity- memory
Slow response
ex: B cells/antibodies, t cells
effector mechanism
methods to kill or destroy a pathogen.
effector cells
cells using effector mechanism
Innate immune response process
bacterial cell surface induces cleavage and activation of complement-> one complement fragment covalently bonds to the bacterium and the other attracts an effector cell-> the complement receptor on the effector cell bind to complement fragment on the bacterium-> effector cell engulfs the bacterium, kills it and breaks it down
Innate immune response on the skin
surface would introduces bacteria-> activates resident effector cells to secrete cytokines-> vasodilation and increase vascular permeability allow fluid protein and inflammatory cells to leave blood and enter tissue-> the infected tissue becomes inflamed, causing redness, heat, swelling and pain
effector cells in innate immunity functions
phagocytose bacteria
make cytokines
cytokines
messengers that start inflammatory response, communicators
call other immune cells in
adaptive immune response cell
lymphocytes- B and T cells
what undergoes clonal selection and clonal expansion
adaptive- lympocytes
clonal selection
only antigen-specific lymphocytes- proliferate and differentiate
only those w receptors for pathogen causing infection will be selected to play a role in adaptive response
clonal expansion
multiplication of antigen-specific lymphocytes
adaptive IR process
clonal selection (progenitor cell gives rise to lg number of lymphocytes each w different specificity-> removal of potentially self reactive immature lymphocytes by clonal detection-> pool of mature lymphocytes)-> clonal expansion (proliferation/ differentiation of activated lymphocytes to form a clone of effector cells)
naive
not yet encountered pathogen
primary IR
first time the adaptive IS sees a pathogen
secondary IR
second and all subsequent times that the adaptive IS sees a pathogen
memory cells
how long does it take for secondary IR to form
3-5 days
immunological memory
some lymphocytes persist- long term protection
Immune system functions (4)
1. immunological recognition
2. immune effector function
3. immune regulations- control so doesn't attack self
4. immunological memory (adaptive only)
Cells of the immune system
leukocytes (WBC)
where do leukocytes originate
bone marrow
hematopoiesis
development of blood cells
three blood cell lineages
lymphoid, myeloid, erythroid
HSC
hematopoietic stem cell
self renew, mulipotent
give rise to lymphoid, myeloid and erythroid lineages
multipotent
Multiple potential of what they'll become
lymphoid lineage development
HSC (bone marrow)-> common lymphoid progenitor (bone marrow)-> B cell, T cell, NK cell, ILC (blood-> lymphoid tissues-> effector cells)
myeloid lineage development
HSC-> common myeloid progenitor-> granulocyte/macrophage progenitor and megakaryocyte/erythrocyte progenitor OR immature DC-> mature DC OR granulocytes then immature DCs and mast cell macrophages
erythroid lineage development
HSC-> common myeloid progenitor-> megakaryocyte/erythrocyte progenitor-> megakaryocyte and erythroblast-> platelets (from megakaryocytes) and erythrocyte (from erythroblast)
major innate cells
myeloid lineage
granulocytese, macrophages, Dendritic cells, mast cells
granulocytes
prominent cytoplasmic granules, single lobed nucleus
neutrophils, eosinophils, basophils
neutrophils
most abundant
phagocytose and kill pathogens and activate bacterial mechanisms
eosinophils
2nd most abundant
defense of parasite and allergens- kill Ab coated parasites
basophils
least abundant
defense against parasite/ allergic responses
macrophage
phagocytosis/bacterial mechanism activation
antigen presentation/ cytokine production
innate but start to inform adaptive
dendritic cells
antigen uptake
antigen presentation/ cytokine production
resident in body tissues
mast cells
release of granules containing histamine and active agents
resident in CT
the link between innate and adaptive immunity
dendritic ce;;s
mature dendritic cells
migrates through bloodstream, enters tissues
undergoes macropinocytosis
macropinocytosis
process of ingesting lg amounts of ECF from environment and look for pathogen
Dendritic cells when they encounter a pathogen
mature- able to activate T cells
antigen presenting cells
DCs also called
DC process
reside in peripheral tissues and encounter pathogen-> DCs migrate via lymphatic vessels to regional LNs and mature-> mature DCs activate naive T cells in lymphoid organs
name of T cells after encountering pathogen
activated T cells
lymphoid lineage is a part of what IR
adaptive (mostly)
what cell is in the lymphoid lineage but innate
NK cells
Natural Killer Cells
not antigen-specific
active against tumor cells and virus infected cells
lymphocytes
antigen specific
1 billion constantly circulating
without infection- small and featurelist
lymphoid lineage maturation
common lymphoid progenitor-> B cell-> lymph node B cells-> effector cells- plasma cells
common lymphoid progenitor-> T cell-> lymph node T cells-> effector cells- activated T cell
common lymphoid progenitor-> NK cell-> lymph node NK cell-> effector cells- activated NK cell
B lymphocytes undergo what type of immunity
humoral
humoral immunity
fluid-phase immunity
immunoglobulin
cell-surface receptor for pathogen- held at surface very early then secreted
B cell effector cell
plasma cell
plasma cell
secrete soluble Igs or antibodies "Ab factories"
How do Abs fight pathogens
neutralization and opsonization
neutralization
blocking a toxin
opsonization
coat surface of bacteria with Abs-> easily recognized by IS
how many Abs can each lymphocyte recognize
one
what type of immunity does T lymphocytes have
cell-mediated immunity
cell-mediated immunity
cell contact with the pathogen
T-cell receptor (TCR)
cell-surface receptor for pathogen
never secreted- always receptor
T lymphocytes effector cells
cytotoxic, helper, or regulatory T cells
cytotoxic T cells
killer T cells
helper T cells
make cytokines; help activate killer T and B cells
regulatory T cells
help dampen IR-> balance response and controls
How Abs Combat Infections
specific Ab-> bacterial toxins-> neutralizations-> ingestion by macrophage
specific Ab-> bacteria in extracellular space-> opsonization-> ingestion by macrophage
specific Ab-> bacteria in plasma-> complement activation-> lysis and ingestion
complement system
series of serum proteins
complement system function
ingestion bc complements coats bacteria and make it more recognizable
lymphoid organs
aggregates of lymphocytes in a framework of non-lymphocytes
central (primary) lymphoid organs function
lymphocyte generation-> where lymphocytes are made
Central (primary) lymphoid organs
bone marrow and thymus
where are B cells made
in the bone marrow
where are T cells made
thymus
peripheral (secondary) lymphoid organ functions
naive mature lymphocyte maintenance; adaptive IR initiated
peripheral (secondary) lymphoid organs
lymph nodes, spleen, MALT (gut, nasal, respiratory, and urogenital)
MALT stands for
mucosal-associated lymphoid tissue
lymphocyte recirculation
small lymphocytes move bw the blood and lymph
lymphocytes continually survey secondary lymphoid organs
what if there is infection found while lymphocytes are surveying?
stay and start to develop response
where do lymphocytes meet pathogens
in draining lymph nodes; DCs bring pathogens or components of pathogens to the draining LNs
lymphocytes activated by pathogen in LN-> stay
how do naive lymphocytes arrive at LNs
in arterial blood
how do pathogens reach LNs from site of infection
via afferent lymphatic vessels w/ cytoskeletal changes
process of circulation of lymphocytes
naive lymphocytes arrive to LNs in arterial blood and pathogens via lymphatics ->draining LNs-> lymphocytes and lymph return to the blood via lymphocytes-> venous blood-> venous blood returns to the heart-> L subclavian vein
paracortical area of the LN contains
mostly T cells
LN T cell areas are activated by
DCs
LN B cell areas
B cells to lymphoid follicles if bind to pathogen-> expand-> reproduction, tons of very specific B cells
three phases of the immune response
innate phase, induced innate response, adaptive phase
innate phase goal
to kill or weaken pathogen
parts of the innate phase
antimicrobial enzymes, antimicrobial peptides, complement system
antimicrobial enzymes function
digest bacterial cell walls
antimicrobial peptides function
lyse bacterial cell membranes directly
complement system function
targets pathogens for lysis and phagocytosis
induced innate response includes
PAMP recognition, cellular actiation
PAMP stands for
pathogen-associated molecular patterns
cellular activation is
inflammation
adaptive immune response includes
Antigen-specific lymphocytes, memory response
Process of the Immune Response
pathogen-> containment by an anatomic barrier-> if fails->
Innate phase: infection-> recognition by preformed, nonspecific and broadly specific effectors-> if fails->
Induced Innate response: recruitment of effector cells-> recognition of PAMPs, activation of effector cells and inflammation-> if fails->
adaptive immune response: transport of antigen to lymphoid organs-> recognition by naive B and T cells-> clonal expansion and differentiation to effector cells-> removal of infectious agents
stages of infection and body's response to
pathogens adhere to epithelium (normal flora, local chemical factors, phagocytes)
-> local infection, penetration of epithelium (wound healing induced, antimicrobial proteins and peptides, phagocytes and complement destroy invading microorganisms->
local infection of tissues (complement, cytokines, chemokines, phagocytes, NK cells; activation of macrophages; DCs migrate to LNs to initiate adaptive; blood clotting helps limit spread of infection)->
adaptive immunity
where can pathogens be found during infection
extracellular and intracellular
extracellular pathogens
most have extracellular component; bacteria, viruses, fungi, parasites
effector response to extracellular pathogens
soluble/secrete molecule-> many promote phagocytosis
where can extracellular pathogens be found
interstital spaces, blood, lymph, epithelial
protective immunity against extracellular pathogens
interstitial spaces, blood, lymph: complement, phagocytosis, Abs
epithelial: antimicrobial peptides, Abs
intracellular pathogens
some bacteria, viruses
effector response to intracellular pathogens
kill infected cells-> epose to the soluble/secreted molecules
Protective immunity against intracellular pathogens
cytoplasmic: NK cells, cytotoxic T cells
Vesicular: T-dependent and NK cell-dependent macrophage activation
how do pathogens damage body tissues
direct: exotoxin production, endotoxin, direct cytopathic effect
indirect: immune complexes, anti-host Ab, cell-mediated immunity
exotoxin production
released by pathogen and act at the surface of host cell; bind to our cell receptors
direct mechanism
endotoxin
part of microbial structure activate phagocytes-> release cytokines-> local and systemic response
direct mechanism
direct cytopathic effect
direct damage to infected cell
immune complexes
Ag:Ab complexes-> further activate IR-> tissue damage
anti-host Ab
Ab that cross react with host cells
indirect mechanism of tissue damage by pathogens
cross react def.
recognize the pathogen and our cell thats similar to
indirect mechanism of tissue damage by pathogens
cell-mediated immunity damage to tissues
T cells that kill infected cells
indirect mechanism of tissue damage by pathogens
Epithelial cell barrier in skin, gut, lungs, eyes/nose/oral cavity
skin: stratified epi
gut: single cell layer of columnar epi
lungs: upper airway- pseudostratified columnar; lower airway- single cell layer of columnar epi
eyes/nose/oral cavity: pseudostratified columnar
epithelial cells are joined by
tight junctions
mechanical protection of skin, gut, lungs, eyes/nose/oral cavity
skin/guts: longitudinal flow of air or fluid
lungs: movement of mucus by cilia
eyes/nose/oral cavity: tears, nasal cilia
chemical protection of skin
beta defensins
chemical protection of gut
alpha defensins
chemical protection of lungs
alpha defensins
chemical protection of eyes/nose/oral cavity
beta defensins
microbiological protection of skin, gut, lungs, eyes/nose/oral cavity
normal microbiota
antimicrobial peptides molecule type
soluble effector molecules
antimicrobial peptides are made by
mammals, insects and plants
antimicrobial peptide function
constantly secrete at mucosal surfaces
largest family of antimicrobial peptides
defensins
defensins activity
minutes to disrupt cell membrane of bacteria, fungi and envelopes of some viruses
defensin structure
cationic peptides (35-40 AAs)- positively charged peptides-> how bacteria is effected
amphipathic structure- pos and neg parts
propeptides
much bigger-> get processed down to smaller
what type of processing of antimicrobial peptides
proteolytic processing from propeptides
subfamilies of defensins
alpha, beta, sigma
alpha defensins are stored in
in primary granules of neutrophils
alpha defensins are made by
paneth cells of gut
beta defensins are made and stored by
epithelia of skin, respiratory, and urogenital tracts
sigma defensins
little to know, inactive to humans
how do defensins get into the bilipid layer and what do they form?
electrostatic attraction and the transmemrane EF bring the defensin into the bilipid layer and form a pore
the complement system
system of plasma proteins, series of enzymatic reactions
plasma proteins are made by?
constitutively made by the liver
plasma proteins are found where?
in blood, lymph, ECF
the complement system targets pathogens for
direct pathogen lysis, phagocytosis, inflammation
jules Bordet
discovered the complement of serum that complements the action of Abs
complement system overall process
1. pattern-recognition
2. protease cascade
3. targets pathogens
different pathways of the complement system
lectin, classical, alternative
all lead to C3 convertase-> phagocytosis, C3b engulfs and destroys pathogen, and formation of MAC
what do the complement system pathways use
zymogens
zymogens
inactive form of protease; requires cleavage by another protease to become acive
Complement activation results in _________ attachment of _____ to the pathogen's surface
covalent, C3b
C3 is cleaved into
C3a and C3b
C3a
anaphylotoxin
anaphylotoxin
chemicals that help recruit phagocytes, make vessels more leaky to allow over and communicate to go
can induce anaohylactic shock
C3b
opsonizes pathogen, provides for next stems in the pathway=critical
complement fixation
covalent attachment of C3b (or C4b) to pathogen surface
what problem do people have if they lack C3
have recurrent infections
How does C3b get attached to the pathogen surface
before cleavage by C3 convertase, thioester bond is protected from reacting-> cleavage of C3 releases Ca and C3b with conformational change that allows thioester bond to react with chemical group on pathogen surface making C3b bound
what happens to the C3b if there is no pathogen
C3b thioester bond inactivated by hydrolysis
yeast in lectin pathway
microorganisms-> repeating molecular structures-> PAMPs
contain many mannose residues
PAMPs
pathogen associated molecular patterns
vertebrates in lectin pathway
carb side chain has sialic acid residues-> lectin pathway will not bind/recognize
mannose-binding lectin (MBL) are what type of lectin
C-type lectin
C-type lectin
group of carb binding proteins; require calcium
what do mannose binding lectin bind to
mannose containing carbs of pathogen
effects of mannose binding lectin binding to pathogen surface
1. acts as opsonin- more recognized
2. Triggers lectin pathway- complement activation
MBL monomers form
trimeric clusters of carb recognition domains by binding with high acidity to mannose and fructose residues
avidity
total high binding strength
Lectin Pathway
MBL + MASP1 + MASP2 (all inactive)-> bind to pathogen surface-> conformational change (MASP1)-> activate MASP2-> C4-> Ca and C4b (C4b bound to pathogen surface)-> C4b binds to C2-> MASP2 cleaves into C2b(released) and C2a-> C4b2a (C3 convertase)-> C3 (active)-> cleaved into C3a and C3b
C3a function
inflammation response
C3b function
bind pathogen surface
classical pathway goal
eventual generation of classical C3 convertase
Classical pathway contains the
C1 complex- binds to either CRP or Ab-> can recognize
CRP
C-reactive protein- can bind to the pathogen surface
Classical Pathway Process
C1 complex (C1q, C1s, C1r)-> attach to pathogen surface (C1q is the attachment pt)-> C1r:C1s conformational change-> C1r becomes active-> C1s becomes active-> C1s cleaves C4 (active)-> C4a and C4b-> C4b binds to microbial surface -> binds C2-> C1s cleaves C2 into C2b and C2a-> forms C4b2a (C3 convertase)-> cleaves C3 into C3a and C3b
alternative pathway process
C3b (pathogen surface)-> bind factor B-> conformational change-> factor D cleaves into Ba (released) and Bb (still bound to C3b)-> C3bBb (alternative C3 convertase)
alternative pathway spontaneous activation of C3
C3 (H20)-> binds to factor B-> Ba and Bb-> C3(H2O)Bb
fluid phase C3 convertase
C3(H2O)Bb
C3 convertase
C4b2a
alternative C3 convertase
C3bBb
once activated, how does complement have its effects?
generate C3 convertase which cleaves C3 leaving C3b bound to microbial surface and releasing C3a-> inflammatory cells recruited, opsonization-> perforation of pathogen surface
inflammatory cell recruitment
C3a and C5a recruit phagocytic cells to site of infection and promote inflammation
Opsonization in complement
C3b coats to make more recognizable, phagocytes with receptors for C3b enguld and destroy the pathogen
perforation of pathogen membrane
generate C5 convertase that leads to formation of membrane-attack complex (MAC)-> disrupts cell membranes
receptors for anaphylotoxins
on phagocytes, endothelial cells, mast cells
anaphylatoxins act on
BVs to increase vascular permeability and cell adhesion molecules
anaphylatoxins acting on BVs result in
increased permeability- leakage of fluid and complement from BVs-> provide more fuel for response
migration of macrophages, neutrophils and lymphocytes-> increase in microbial activity-> very active when they get there-> combat
pathogen opsonization process
CR1-complement receptor 1= bind to C3b-> helps recognize, bring in + destroy
bacterium coated in C3b-> only C3b binds to CR1, bacteria not phagocytosed-> C5a can activate macrophages to phagocytose via CR1
perforation of pathogen cell membrane C5 process
C3b binds C4b2a and C3bBb-> form C5 convertases (C4b2a3b or C3b2Bb)-> C5 cleaved by active C2a or active Bb-> C5a released and C5b
C5b
initiate terminal complement complex
MAC causes
loss of cellular homeostasis
disrupt proton gradient
enzymes (lysozymes) enter pathogen
perforation of pathogen cell membrane C6-C9 process
C5b-> bind to C6 (C5b6)-> bind to C7 (C5b67) insert in lipid bilayer-> bind to C8 (C5b678)-> bind to C9 (polymerization of 10-18 C9)-> MAC
regulation in the alternative pathway
properdine (+)
CR1 (-)
DAF (-)
Factor H (-)
properdine regulation
stabilize Bb (+)
CR1 regulation
binds C3b or C4b, displace Bb (-)
DAF regulation
competes with factor B, displaces Bb (-)
Factor H
bind C3b, displace Bb
Lectin pathway regulation
CR1
C3 Convertase regulation
Factor I (-)
CD59/protectin (-)
factor I regulation
cleaves C3b-> inactive (-)
CD59/protectin
binds to C8-> prevents C9 recruitment
prevents final complex (-)
enzyme linked Immunosorbent assay (ELISA)
direct binding assay for ag or ab, enzyme chemically linked to ab, purpose: quantify how much ag in sample
ELISA steps
protein of interest bound to well
blocking-coat rest of plate
abs- primary, secondary...
substrate added-color change
Data-> standard curve
direct ELISA process
ag-> block-> primary w enzyme
indirect ELISA process
ag-> block-> primary Ab (acts as bridge)-> secondary Ab w enzyme
capture/sandwich ELISA process
Ab complement-> ag-> ab
primary Ab
complementary to/ binds ag
secondary ab
binds primary ab
immunofluorescense
using fluoroflor; must use microscope
immunohistochemistry
tissue is fixed depositing color in T cell; light microscope
immunofluorescence purpose
look at location of proteins in tissues
direct immunofluorescence
ab gets attached to Ag directly
indirect immunofluorescence
ab of one species bound to ag and ab of other species bound to that one
immunofluorescence data
images- can be quantified
flow cytometry purpose
define (size, granularity,protein expression), enumerate populations of cells/collect cells; cell sorting
flow cytometry general procedure
generate single cell suspension
cells stained with Fluorescence-Abs
cells move by the laser (single-file)
emitted light detected by optical system
computer analysis
gating
selection of subpopulations for analysis
data analysis marker correlation
marker on y-axis=marker 2; marker on x-axis= marker 1
upper left: marker 2 pos.
upper right both pos
lower left both negative
lower right marker 1 pos
advantages of data analysis
single cell analysis from complex sample
high-throughput
very specific for rare cell populations
isolation of cells with very high purity
disadvantages for data analysis
need single cell suspension
limited to less than 20 parameters
technique is not standart
subjective nature
PRPs stands for
pathogen recognition receptors
PRPs
free receptors, membrane bound phagocytic and signaling receptors, cytoplasmic signaling receptors
cell surface receptor function
distinguish self from nonself
cell surface receptor: macrophages
recognize the cell surface carbs of bacterial cells but not those of human cells
cell surface receptor: NK cells
recognize changes at the surface of human cells that are caused by viral infection
DCs are generated from
myeloid and lymphoid progenitors
types of immature DCs
cDC and pDC
cDC
conventional, classical DC
cDC
resident in tissue, pick up pathogen and take back to LN
pDC
plasmacytoid, extremely good at viral responses
phagocytic receptors recognize
carbs and lipids
phagocytic receptor function
bind to pathogen-> phagocytose pathogen-> phagolysome (destroy)-> phagosome formed with lysosome
C-type lectins recognize? Target?
recognize carbs on surface of pathogens; target bacteria and fungi
ctype lectins ligand
beta glucans (fungi), mycobacterial ligand (bacteria)
scavenger receptors recognize
bacteria
scavenger receptors ligands
LPS, LTA, proteins, CpG DNA
scavenger receptors look for
damaged, low density lipoprotein
complement receptors targeting
bacteria/fungi
complement receptor ligands
beta glucans(fungi), oligosaccharides and proteins (bacteria)
receptor mediated endocytosis process
macrophage receptors that recognize complements of microbial surfaces-> microorganisms bound by phagocytic receptors on the macrophage surface-> microorganisms internalized by receptor-mediated endocytosis-> fusion of the endosome with a lysosome forms a phagolysosome in which microorganisms are degraded
bactericidal
kill
bacteriostatic
slow down
toll-like receptors
intracellular or on surface response to form cytokines- some endosomal that recognize nucleic acids
TLR ligands
carbs, lipids, proteins, nuceic acids
TLR process
1. recognize
2. signaling to nucleus
3. gene expression (cytokines)-> bring more immune cells in
TLR embryonic development:
controls dorso-ventral gene patterning
TLR adult
controls host defense agains gram pos bacteria and fungus
LRR
leucine rich repeat region, recognition domain, horse-shoe shape
TIR
toll interleukin/receptor domain, signaling
dimer formed
heterodimer if TLR2 is involved, rest are homodimers
MyD88 dependent TLR signaling
all except TLR3
MyD88 dependent process
recognition: TLR dimer forms
MyD88 recruited/scaffold
IRAKs recruited
TRAF6 recruited and activated-> polyubiquitinated
Kinases activated- moce phosphates
IkB phosphorylated and degraded- inhibits NFkB
TF (NFkB) phosphorylated and degraded
MyD88 independent differences from dependent
no MyD88- use TRIF
phosphorylation/polyubiquitination steps
TF (IRF3)- interferon regulatory factor
viruses use host cell for
transcription, translation, replication,
what are viral nucleic acids detected by
endosomal TLRs- leads to type 1 interferons
RIG1 like receptors
contain RNA helicase like domain and 2 amino terminal CARD domains
helicase domain
recognition, bind to RNA
CARD domain
interact with adaptor proteins to activate signaling pathways
RIG 1
recognizes the unmodified 5' triphosphate end of ssRNA
MDA-5
senses dsRNA
RLRs
recognize viral nucleic acids; results/leads to production of type 1 interferon
NOD-like receptors location
cytoplasm
NOD like receptors function
sense intracellular pathogens and products from intracellular degradation of phagocytosed pathogens
NOD like receptors structural domains
NOD
LRR
CARD
NOD domain
helps oligomerization
NOD like receptors activate
NFkB-> nucleus-> gene expression