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الكلية كلية طب الاسنان
القسم العلوم الاساسية
المرحلة 3
أستاذ المادة بهاء حمدي حكيم العميدي
31/12/2012 07:36:58
Primary Immune Response to initial antigenic stimulus is slow, sluggish, short live with low antibody titer that do not persist for along time ,antibody formed are 1gM. Primary Immune Response:
• The antibody classes start with 1gM followed by IgG and described as Antigen specific response.
First exposure to antigen X Antibodies to X Secondary immune response to antigen X Primary immune response to antigen Y Antibodies to Y Time (days) Second exposure to antigen X, first exposure to antigen Y Primary immune response to antigen X
• Secondary Immune Response to subsequent stimuli is prompt, powerful prolonged and with much higher level of antibody it vast for long time • Antibody predominatly formed are IgG, prescence of memory cell which are specific for antigen, so always if we give multiple dose of the mechanisum , The antigen type is in these same Antigen to the same host will lead good responses is B- dependent- Antigen . immune response because of the regulatory
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Afferent lymphatic ciil vessels .1/2---; i li , , tiliZZIM 1111,101P ii14:1:::i. .1%211 Efferent lymphatic vessel Lymphatic weir! B lymphocytes Lymphatic artery —Ill Cross section post-capillary venule Postcapillary venule Primary lymphoid follicle B lymphocytes I
Cell cooperation in the antibody response AFC ; AFC IL-4r IL-7 resting decay of receptors T cell proliferation division antigen AFC
3 1 2 After a macrophage engulfs and degrades a bacterium, it displays a peptide antigen complexed with a class II MHC molecule. A helper T cell that recognizes the displayed complex is activated with the aid of cytokines secreted from the macrophage, forming a clone of activated helper T cells (not shown). A B cell that has taken up and degraded the same bacterium displays class II MHC–peptide antigen complexes. An activated helper T cell bearing receptors specific for the displayed antigen binds to the B cell. This interaction, with the aid of cytokines from the T cell, activates the B cell. 2 Endoplasmic reticulum of plasma cell T 1 3 Class II MHC molecule Macrophage Bacterium The activated B cell proliferates and differentiates into memory B cells and antibody-secreting plasma cells. The secreted antibodies are specific for the same bacterial antigen that initiated the response.
factors affecting antibody production Nutritional status Route of administration Size and Number of doses Adjuvant Immunosuppressive agent Age Multiple antigens
Lymphokine have several biological function Cellular Immune Response: - The term cell rnediated immunity refers to the specific immune responses that do not involve antibodies, induction of cell mediated immune response (CMI) consists of specifically sensitizing T-lymphocytes comes against the antigen. When lymphokines : material required as secreted Presenting Cell (APC) ,so T- cell under goes blast transformation and clonal proliferations selectively in paracortical areas of lymph nodes. sensitized T- cell comes in contact with antigen determinant (epitopes)by the function of Antigen proteins from the activated T- cell , These
Epliapes (aniFgenIc determloants0 on Drillge n
A .::;r> -y 40\---.4 V Antigen: ag APC CU, T-cell A <› yoor p .4 Clearance, Neutralization Lys is rorayrne etc. bizath signals: Perforin A B-cell Cytokines And Interferon Cb4+ T-cell
T- cell recognition of antigen infected cell MHC molecule presents peptide antigen peptide bound to MHC molecule T-cell receptor recognizes MHC and peptide
Differentiation into specialized T cells Antigen challenge mmature T cell Memory T cell ;• Cytotoxic T cell (Tc) Helper T cell (TH) ralren aitlilLE UM MIR WM IL Sim
1 After a dendritic cell engulfs and degrades a bacterium, it displays bacterial antigen fragments (peptides) complexed with a class II MHC molecule on the cell surface. A specific helper T cell binds to the displayed complex via its TCR with the aid of CD4. This interaction promotes secretion of cytokines by the dendritic cell. Cytotoxic T cell Cell-mediated immunity (attack on infected cells) Dendritic cell Figure 43.15 2 3 Humoral immunity (secretion of antibodies by plasma cells) 1 2 3 R Pe tide anti en
1-Effect on Lymphocytes:This role is done by: a-- Blastogenic factor (BF) b Potentiation factor (PF) lympholdnes: material required as secreted proteins from the activated T-- cell , These c- Cell co-operation factor (CE). Lymphokine have several biological function
2-- Effect on macrophage : This Lymphokine is function is covered out by the following: a-- Macrophage inhibition Factor (MIF) c- Macrophage chemotactic Factor (MCF) b Macrophage aggregation Factor (MAF)
• 3-Effect on granulocytes: a- Inhibition factor b Ch em otactic factor
• 4-Effect on tissue culture: a-L ymphotoxine b Interferon C Proliferati on inhibition
M . • Antibody or lmmunoglobulin Are glyeoproteins present in the gama- globuline fraction of serum. Immunoglobulin generally natural present in blood without previous Immunoglobulin that are antibody Immunoglobulin while no all Immunoglobulin stimulation . Thus all antibodies are Produce specifically by B-cell afterantigenic antigenic stimulation However antibody are the
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M . glycoprotein in nature. specific to antigine induce them. React specifically with their own antigen The charateriste of antibody are : fluid, Urine ,Saliva , Ear wax and tears. Antibody are distributed in serum, body
Antigen- Antigen-binding site Variableregions C C ansmembranegion A B cell receptor consists of two identical heavy several disulfide bridges. Figure 43.8a (a) chains and two identical light chains linked by Cytoplasm of B cell Heavy chains Plasmamembrane Constantregions
The basic structure of antibody Molecule the antibody molecule is a four chains molecule which are: two light chain (I.C) consist of 214 amino acid, 106 amino acid respect the constant region of molecule two heavy chain (HC) consist of440 amino acid, • residcus 322 amino acid occur in constant region (CH). 118 amino acid in the variable region (VH) while variable region consist of 108 amino acid for Kappa & Lambda
BASIC STRUCTURE O IgG 1-NL...?lariable region Heavy chain Al i ...(fr. mom/ Disulphide bonds V = Variable C = Constant L-I Hinge region — 40, Light chain FC region Antigen binding sites Fab region (Ieiiii
There are 5 Classes of (HC) Heavy chain content for five Classes of lmmunoglobulines: 1-(Gamma) or lgG 2- (Mu) or lgM 3-(Alpha) or lgA 4-(Epsilon) or lgE 5- (Dalta) or IgD Fab : it is amino acid terminal half of heavy chain & determine biological properties of Immunoglobuline chain (LC) are consist the antigen combination sit. light, it act as Antigen binding fragment . Fc : It is carboxyl terminal half of heavy chain & The variable region in both heavy chain (HC) and light
lgG Class Principal functions Basic s-tructure Protects against intestinal pa.rasites_ Responsible for many of the symp?om-s of allergy IgA Secretory component Dime rc: protects mucosa! surfaces Pentameric: effective first line of defence against micro-organisms in the bloodstream. Produced in the primary response CLASSES CIF itodviLJNOGLOBULINS DR p!=-1 cic ordRe n ) chain Influences lymphocyte functions igE IgD Protects extravascular compartment from micro-organisms and their toxins
PHYSICAL AND BIOLOGICAL PROPERTIES OF HUMAN [MIVIUNOGLOBULIN CLASSES. Cfass 1-leayy Number Mean Chain of Serum Desi g 31utP. Con.cen- Molecular Mean Biologic natimi c1141Est s rntian Wright Survival ktivity ingici.1 dawns days IgG 1. I 1250 150..0I30 23 1. Opsonin Fix complement Crogses placenta IgIvi rh 1 1213 11901,.13010 5 1. 1 ix complemcni Aggluticaiion Aniigein receptor It a 2 281:1 1 70p1300 6 1. Secretory amlbcidy 2. gglutilnallicirr Ion 6 2 a 1611.01113 3 1. Anti.geri receptor IgE e 1 10.113 186,00111I 2 1. Anti.parasitc antibody 2. Allery antibody
• antigen -Antibody reactions The following are the important tests based on serological reactions. . Antigen - antibody reactionsin vitro are called Antigen and Antibody Reaction Antigen-- Antibody reactions are useful in Laboratory diagnosis of various diseases and in the identification of infectious agents in epidemiological survey
• • Agglutination • Precipitation • Redial —— immunoassay • ELISA • Immune fluorescence • Neutralization • Haemegglutination • Complement fixation test. and other tests using complement system • Antiglobuline test ( comb’ s test )
• The antigen -Anti body complex is not. found firmly together and may dissociate spontaneously unless PH, salt concentration and temperature are properly adjusted the major forces that hold antigen - antibody complex together are their ionic when soluble antigen combines with its antibody complex forms insoluble Precipitate. temperature and PH the antigen — antibody in presence of electrolytes (Nacl) at suitable Precipitation: multivalent. Antigens movement antigen b- Bivalent Antigens, c- attractions the antigen have three type which affected theRaction Antigen — Antibody a -
Epitopes (antigenic determinants) Antib Antigen
one antibody combine precipitation can, be produced in solutions or in semisolid (agar gel) medium, precipitation in solution can be shown by adding these two on a slide and mixing well or in small narrow tubes Cattic hypothesis: It is multivalent antigens combine with bivalent antibody in varying proportions , depending antigen antibody ratio in reaction mixture Precipitation results. When large lattice is formed consisting of alternating antigen and antibody molecules. In general precipitation is maximum when optimal proportions of This possible only in the zone of equivalence. zone of antigen and antibody excess lattic does not enlarge as valiancy of antigen and antibody is fully satisfied .
An EibOdy-tICCee..!4 EqUiv AitifiCe zone zone Antige n eXCeSS SuperriatitrutS excess Ag Araihody a tied Eigeri-tAXCetW want
Response) Nine fraction of which are involve in complement pathways which act as sequential manner and can be activated or inhibited , properdin is important on first exposure to Microorganism (first Immune The Complement system A plasma protein with 25 fraction these protein heat sensitive at 56 C for 30 minutes , the chemical structure of complement is polypeptide chains interconverted by disulfide bound. spleen as well as enterocytes with 25 fractions. The complement system plays a major role in host defense and the inflammatory process. The complement component synthesized in liver ,
IRTHE CO.n.A.F -LEMENT CASCADE The classical and alternative pathways join at the point of the conversion of C3 to C3b by the C3 convertasc 5_ either of the two C5 convertases, which are subsequently assembled. act on C5 to produce C5b (and C5a) to which C6 to C9 are added to form the membrane attack complex Ic5b-9 1 ILASSICAL PATHWAY [C5 convertasesi Immune complex -4- Cl Membrane attack complex
Occur inPlasma Classical complement system pathway On thesurface of cell C 5,6,7 C 5,6,7 + C5a Activates lternate pathwayOpsonin Phospholipase activity Anaphylotoxin & Chemotaxin C4,2 C4,2 C3 C3b + C3a C8 C9 C8,9 Membrance damage by C1 C1
Occur in Plasma On the surface of cell damage by phospholipase activity C8,9 C 8,9 Membrane & chemotaxin Anaphylotoxin C5,6,7 C5,6,7 + C5a C3 C3b + C3a Properdin Aggr. IgA P+ C3 opsonin Zymogen
Activators Di classical pathway Complexes containing I gC, IgA or •gE (less efficient than classical pathway) many Cram-positive and Crarn-negative bacteria Some virus-infected cells, for example Eptein-Barr virus any fungi, eishmania 5pp.,. trypanOsomes Dextran sulphate, erythrocytes from heterologous species Carbohydvates„ for example aga.rose ImmurlOglobulin$ Bacteria Viruses Other micro- o rgan is rin s Macromolecules Activators of alternative pathway Complexes contain lug I gG IgG2 or I1G3 None but see below for lEpid A from LP Some, for example marine retrovirusel Mycoplasmas Poly anions DNA, Lipid A, cardiol.ipin (II contain P0,43-) Dextran sulphate, thondroitin sulphate and heparin (all contain SO4)2 Hannan proteins JmrriuriOgl obul ins BacteW Viruses Other icro-o rgan I m s Macromolecules COMPLEMENT ACTIVATIONI
Ftelease of inflammatory me-diators .4r imb 4D 4IP DP. m • dr A/fast cells/b-asophi Fs ?Cion-sp erri0.fl Large granular lymphocyte-s. pha_gc)cy-tes C3b Fl The major complcment components with biologicat activity are summarised here. C3 is a central component vvhFch is cleaved into C3a and C3b_ C5 is acted col, by conves-ta.se and C3 b to produce C5a. and C5 b. C3 b has severa.E different activities. the major one being as an lops-o-nin. C3a and C5a are anaphylotcixins which trigger mast cells to release inflamma.tory mediators. C5a Fs a chernotactic agent which recruits professional phagocytes to a site of iinflarrinnatiquri- C5E, to C9 interact to-form the membrane attack complex (f1 .AC) which inserts into membranes arid results in cell lysis Tra.nsport. of Immune- Lysis ct-f cells com,plexes C5b to 9 41, 4110 11V:,)-•-ig*{ 1C-b Erythrocytes C)psonize-d bacteria Cab, Cob, iC3b Phagocytic cells Activation 1\leutrophils Pv‘acrcsphazes C5a. Cherriota_xis C3a C5a.
Binding of antibodies to antigens inactivates antigens by Agglutination of antigen-bearing particles, such as microbes Activation of complement system and pore formation Virus MAC Macrophage Cell lysis Phagocytosis ads Foreign cell Soluble antigens Bacterium Pore Complement proteins Bacteria Viral neutralization (blocks binding to host) and opsonization (increases phagocytosis) Precipitation of soluble antigens
bacterial LPS 6-Play a role in the non-specific resistance to microbial infection • 7-Associated with immune distraction - of • The function of complement system: The complement displays a wide range of biologial activites when activated: 1-Mediated Antigen-Antibody Reaction 2-Mediated inflammatory response 5-Neutralize viruses effect & the effect of 4- Facilitate blood coagulation 3-Facilitate phagocytosis. blood cellu lar component
• Complement fixation test: This is very sensitive is very sensitive test and is capable of detection Antigen & Antibody it is used for serological diagnosis with principle : The ability of Antigen – Antibody complex to fix complement used for diagnosis of disease 2. Rickettsial diseasee.g typhus fever. 4. Parasitic disease e.g kala-azar, hydatid cyst, amoebiasis 3. Viral disease like lymphogranuloma venerum 1. Spirochaetal disease e.g Sphilis(wasserman reaction)
المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .
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