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Lymphatic & Immune system

Lymphatic & Immune system

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13.1 The

13.1 The Lymphatic System

Lymphatic System

Lymphatic System Functions Lymphatic System Functions

  TheThe

1.

1. Lymphatic vessels return excess tissue fluid to the blooLymphatic vessels return excess tissue fluid to the bloodstreamdstream 2.

2. lacteals receive and transport lipoproteinslacteals receive and transport lipoproteins 3.

3. lymphatic organs work with the immune system to combat diseaselymphatic organs work with the immune system to combat disease

 The walls of lymphatic cThe walls of lymphatic capillaries consist mostly ofapillaries consist mostly of

Lymphatic Vessels Lymphatic Vessels

 Small, lymphatic capillaries join to formSmall, lymphatic capillaries join to form

 The lymphatic vessels collect fat molecules atThe lymphatic vessels collect fat molecules at intestinal villi and excess tissue fluid at blood intestinal villi and excess tissue fluid at blood carry lymph to the veins

carry lymph to the veins

 The fluid inside lymphatic veThe fluid inside lymphatic vessels is calledssels is called

Lymphatic Ducts Lymphatic Ducts

 Lymphatic vessels merge before entering oneLymphatic vessels merge before entering one of two

of two 1.

1.

from below thorax, and from left arm, left from below thorax, and from left arm, left side of head and neck and leads to left side of head and neck and leads to left subclavian vein

subclavian vein 2.

2. head andhead and

neck and returns to subclavian vein neck and returns to subclavian vein Q: Which one is bigger and why?

Q: Which one is bigger and why? The

The

below the thorax, the left arm, left side of the head and neck into the left subclavian vein. below the thorax, the left arm, left side of the head and neck into the left subclavian vein. The right lymphatic duct only returns lymph from the right arm and right side of the head The right lymphatic duct only returns lymph from the right arm and right side of the head

lymphatic system

lymphatic system has three main functions: has three main functions:

simple squamous (scaled) epithelium simple squamous (scaled) epithelium

lymphatic vessels lymphatic vessels lymph lymph ducts ducts Thoracic duct

Thoracic duct: collects and returns lymph: collects and returns lymph

Right lymphatic duct

Right lymphatic duct: collects and returns lymph from right arm, right side of : collects and returns lymph from right arm, right side of thoracic duct

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and neck into right subclavian vein. and neck into right subclavian vein.

Lymphatic Vessels (ctd Lymphatic Vessels (ctd’’))   cardiovascular veins: cardiovascular veins: o

o Have one way valvesHave one way valves o

o Dependent upon muscle contractionDependent upon muscle contraction 

(failure of lymphatic system to drain them) (failure of lymphatic system to drain them) Lymphatic Organs

Lymphatic Organs

 

numbers of lymphocytes, are separated numbers of lymphocytes, are separated into

into

the thymus gland) and the thymus gland) and nodes and spleen) nodes and spleen)

 

mature in the primary lymphatic organs, mature in the primary lymphatic organs, accumulate in the cortex of these organs accumulate in the cortex of these organs

 Q: What are the two types ofQ: What are the two types of lymphocytes again?

lymphocytes again?

The thoracic duct is responsible for The thoracic duct is responsible for returning lymph collected from a returning lymph collected from a greater range (mainly the area greater range (mainly the area below the thorax) than the right below the thorax) than the right lymphatic duct.

lymphatic duct.

Lymph vessels

Lymph vessels are similar in structure to are similar in structure to

Edema

Edema is retention of fluids in the tissues is retention of fluids in the tissues

Lymphoid organs

Lymphoid organs, which contain large, which contain large primary

primary (the red bone marrow and (the red bone marrow and secondary

secondary (lymph (lymph Lymphocytes

Lymphocytes, which are produced and, which are produced and

   A    A  :  :   B   B   c   c   e   e  l  l  l  l   s   s   a   a   n   n   d   d   T   T   c   c   e   e  l  l  l  l   s   s

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Red Bone Marrow Red Bone Marrow

 

o

o ProduceProduce  that become that become

blood cells blood cells

o

o Only found in certain locationsOnly found in certain locations

in adults in adults o o Thymus Gland Thymus Gland   TheThe o

o Divided into lobesDivided into lobes o

o

Secondary Lymphatic Organs Secondary Lymphatic Organs

 In secondary lymphaticIn secondary lymphatic organs, lymphocytes organs, lymphocytes encounter and bind to encounter and bind to antigens, after they antigens, after they proliferate and engage proliferate and engage foreign material in the foreign material in the body

body

 Blood is cleansed ofBlood is cleansed of pathogens and their pathogens and their toxins in the larger toxins in the larger spleen.

spleen.

Red Bone Marrow Red Bone Marrow

stem cells stem cells

B lymphocytes mature here B lymphocytes mature here

thymus gland thymus gland::

Site of T-lymphocyte maturation Site of T-lymphocyte maturation

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Lymph Nodes Lymph Nodes

 Small ovoid structures foundSmall ovoid structures found near lymph vessels

near lymph vessels

 Clean lymph; made of manyClean lymph; made of many

 Each noduleEach nodule

o

o Contains aContains a o

o Macrophages filterMacrophages filter

lymph in sinuses by lymph in sinuses by engulfing pathogens engulfing pathogens

o

o T-lymphocytes fightT-lymphocytes fight

infections and attack infections and attack cancerous cancerous

Questions

Questions

Q: What is Metastasis? Q: What is Metastasis? A: A:

caused by the ability of cancer to migrate and invade tissue. caused by the ability of cancer to migrate and invade tissue.

Q: Where is bone marrow found in children? What about in adults? Q: Where is bone marrow found in children? What about in adults? A:

A: in a child. In aduin a child. In adult, it is present in the bones of lt, it is present in the bones of thethe skull, the sternum, the ribs, the clavicle, the pelvic bones, and the vertebral column.

skull, the sternum, the ribs, the clavicle, the pelvic bones, and the vertebral column. Q: What occurs at the sinuses of red bone marrow?

Q: What occurs at the sinuses of red bone marrow? A:

A: The thin-walledThe thin-walled

cells, the stem cells and their progeny. Differentiated blood cells will enter the bloodstream at cells, the stem cells and their progeny. Differentiated blood cells will enter the bloodstream at these sinuses.

these sinuses.

Q: Where is the thymus gland located? Have a figure Q: Where is the thymus gland located? Have a figure that indicates the thymus gland.

that indicates the thymus gland. A:

A:

the trachea and the sternum above the heart. the trachea and the sternum above the heart.

Q: Where are T-lymphocytes produced? Where do they Q: Where are T-lymphocytes produced? Where do they mature?

mature? A:

A:

the bone marrow, and matures in the thymus the bone marrow, and matures in the thymus Q: Which T-lymphocytes leave the Thymus? Q: Which T-lymphocytes leave the Thymus? A:

A: OnlyOnly of the T-cells which areof the T-cells which are  leave the leave the thymus.

thymus.

Q: Why is the thymus gland crucial to immunity? Q: Why is the thymus gland crucial to immunity? A:

A: Thymus gland is crucial to the adapting immune system, since it allows the T cells to mature. Thymus gland is crucial to the adapting immune system, since it allows the T cells to mature. Q: Of what is the spleen made and what is the spleen’s function? What happens if the Q: Of what is the spleen made and what is the spleen’s function? What happens if the spleen is damaged/destroyed/removed?

spleen is damaged/destroyed/removed? A:

A: Red pulp consists of blood vessels and sinuses where macrophages remove old and defective Red pulp consists of blood vessels and sinuses where macrophages remove old and defective blood cells; lymphocytes cleanse the blood of foreign particles. To conclude,

blood cells; lymphocytes cleanse the blood of foreign particles. To conclude,

. The spleen also has white pulp that is inside the red pulp and . The spleen also has white pulp that is inside the red pulp and nodules

nodules

sinus sinus

Metastasis

Metastasis is the spread of cancer from the place of origin throughout the body, which is is the spread of cancer from the place of origin throughout the body, which is Red bone marrow

Red bone marrow is found in most bones  is found in most bones sinuses

sinuses that are filled with venous blood can be found o that are filled with venous blood can be found outside the reticularutside the reticular

Thymus gland

Thymus gland is located in the thoracic cavity between is located in the thoracic cavity between

T-lymphocyte

T-lymphocyte develops in the primary lymphoid organs - develops in the primary lymphoid organs

-capable of reacting to foreign molecules or cells capable of reacting to foreign molecules or cells

most of the spleen most of the spleen is red pulp that filters the blood

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consists of small areas of lymphatic tissue. If the spleen of

consists of small areas of lymphatic tissue. If the spleen of a person is damaged/burst due to a person is damaged/burst due to anan infection of trauma, the person is often slightly more susceptible to infections and may have to infection of trauma, the person is often slightly more susceptible to infections and may have to receive antibiotic therapy indefinitely.

receive antibiotic therapy indefinitely. Q:

Q: A sick person comes to visit the doctor. Why might he/she feel the patients’ neckA sick person comes to visit the doctor. Why might he/she feel the patients’ neck during an examination?

during an examination? A:

A: This is to check whether or not the This is to check whether or not the might be evidence that the body is might be evidence that the body is

13.2 Innate (Nonspecific) and Acquired (Specific) Immunity

13.2 Innate (Nonspecific) and Acquired (Specific) Immunity

Immunity Immunity   o o o o Non-specific Defenses Non-specific Defenses 

 There are 4 typesThere are 4 types of non-specific of non-specific defenses: defenses: Barriers to Entry Barriers to Entry 

 All of the following contribute to keeping pathogens from entering the bodyAll of the following contribute to keeping pathogens from entering the body

o o

(mechanical barrier against entry) (mechanical barrier against entry)

o o

o o

o

o anan ibits growth)ibits growth)

 

Inflammatory Reaction Inflammatory Reaction

lymph nodes

lymph nodes are abnormal. are abnormal.Swollen, tender lymph nodesSwollen, tender lymph nodes fighting an infection

fighting an infection..

Immunity

Immunity is the body’s ability to defend against infection and involvesis the body’s ability to defend against infection and involves Nonspecific (Innate) or

Nonspecific (Innate) or

Specific (Acquired) defenses Specific (Acquired) defenses

1. 1. Barriers toBarriers to entry entry 2. 2. InflammatoryInflammatory reaction reaction 3.

3. Natural killerNatural killer cells cells 4. 4. ProtectiveProtective Proteins Proteins

Skin and mucous membranes lining the respiratory, digestive and urinary tract Skin and mucous membranes lining the respiratory, digestive and urinary tract Oil glands

Oil glands (contains chemicals that awaken or kill bacteria  (contains chemicals that awaken or kill bacteria on skin)on skin) Ciliated cells

Ciliated cells (sweep particles in mucus for  (sweep particles in mucus for expectoration (coughing))expectoration (coughing)) acidic stomach

acidic stomach (kills or inh (kills or inh Beneficial bacteria

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  TheThe

involves 1) redness, ii) heat, iii) involves 1) redness, ii) heat, iii) swelling, and iv) pain, which are swelling, and iv) pain, which are all due to changes in the

all due to changes in the capillary, such as dilation and capillary, such as dilation and increased permeability.

increased permeability.

 The release ofThe release of

inflammatory chemical) and inflammatory chemical) and and mast cells causes redness, and mast cells causes redness, heat, and swelling

heat, and swelling

 The swollen area and kininsThe swollen area and kinins stimulate free nerve endings, stimulate free nerve endings, causing the sensation of causing the sensation of

 Macrophages migrate to the site of injury and can engulf pathogens and also releaseMacrophages migrate to the site of injury and can engulf pathogens and also release more white blood more white blood cells (aka

cells (aka –– stimulate other immune cells) stimulate other immune cells)

 

mediator) released by white blood

mediator) released by white blood cells. Chemical mediators may cause chroniccells. Chemical mediators may cause chronic inflammation.

inflammation. Natural Killer Cells Natural Killer Cells

 –– infected cells and tumor c infected cells and tumor cells byells by cell-to-cell contact

cell-to-cell contact

o

o NK cells areNK cells are

have altered “self

have altered “self--proteins,” which NK cells look for andproteins,” which NK cells look for and then attack.

then attack.

o

o NK cellsNK cells cells,cells,

they have

they have ot increaseot increase

when exposed to a specific antigen. when exposed to a specific antigen.

  

 They canThey can

o

o amplify (complement) the inflammatory reaction by attracting phagocytes andamplify (complement) the inflammatory reaction by attracting phagocytes and

promoting phagocytosis promoting phagocytosis

o

o trigger histamine releasetrigger histamine release o

o bind to pathogens already coated with antibodies to ensure phagocytation by abind to pathogens already coated with antibodies to ensure phagocytation by a

neutrophil, dendritic cell of macrophage neutrophil, dendritic cell of macrophage

o

o Some complement proteins join to form pores in the surface of bacteria and causeSome complement proteins join to form pores in the surface of bacteria and cause

them to burst them to burst inflammatory reaction inflammatory reaction histamine histamine (an (an kinins

kinins from damaged tissue cells from damaged tissue cells

pain pain.. colony

colony –– stimulating factors that cause the bone marrow to release  stimulating factors that cause the bone marrow to release Anti-inflammatory drugs

Anti-inflammatory drugs act against the act against the chemical mediatorschemical mediators (histamine is a chemical (histamine is a chemical

Natural killer (NK) cells

Natural killer (NK) cells kill virus kill virus

granular lymphocytes

granular lymphocytes that look for “that look for “self- self-proteins

proteins” on cells; virus” on cells; virus-infected or cancer cells sometimes-infected or cancer cells sometimes are not specific

are not specific like some other white blood  like some other white blood no memory

no memory, and their numbers do n, and their numbers do n Complement proteins

Complement proteins, a large part of the, a large part of the complement system (often simply calledcomplement system (often simply called complement

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o

o Interferon is a protein produced by virus-Interferon is a protein produced by

virus-infected cells that prepares non-infe

infected cells that prepares non-infected cellscted cells for attack and

for attack and interferes with viral replication;interferes with viral replication; it is specific to a species

it is specific to a species Specific Defenses

Specific Defenses

 Take effect whenTake effect when

stop an infection stop an infection

 TakeTake

have

have  (able to stop or impede (able to stop or impede subsequent infections from same pathogen) subsequent infections from same pathogen) Antigen

Antigen

 AnAn  is a foreign substance. The body is a foreign substance. The body

does not consider its own

does not consider its own proteins foreign;proteins foreign; therefore the immune

therefore the immune system must distinguishsystem must distinguish self from non-self

self from non-self

 

B- and T- cells B- and T- cells

 Specific defenses requireSpecific defenses require

 B cells give rise toB cells give rise to

antigen receptor antigen receptor T-cells

T-cells

 T-cells do not produce antibodies; they differentiateT-cells do not produce antibodies; they differentiate

into into

 Each lymphocyte is specific to only one receptor; ourEach lymphocyte is specific to only one receptor; our

bodies contain lymphophytes that recognize hundreds bodies contain lymphophytes that recognize hundreds of thousands (to millions) of different type of pathog of thousands (to millions) of different type of pathogensens B-Cells and Antibody - Mediated Immunity

B-Cells and Antibody - Mediated Immunity

 As B-cells encounter an antigen in a lymph node orAs B-cells encounter an antigen in a lymph node or

clonally divides many times. The

clonally divides many times. The resulting cells areresulting cells are antibodies antibodies which are specific to the antigen that triggered the BCR which are specific to the antigen that triggered the BCR Memory B-cells

Memory B-cells

 Some members of the clone becomeSome members of the clone become

remain in the body and produce antibodies if the same remain in the body and produce antibodies if the same antigen enters the body at a later date

antigen enters the body at a later date

 When infection passes, plasma cells undergo apoptosisWhen infection passes, plasma cells undergo apoptosis

((

After clearing the body of an invading organism, the After clearing the body of an invading organism, the B-cell retains memory of its target and rests until B-cell retains memory of its target and rests until another infection occurs.

another infection occurs.

non-specific defenses have failed non-specific defenses have failed to to  5-7 days

 5-7 daysto become fully activated, andto become fully activated, and lasting effect

lasting effect antigen

antigen

Lymphocytes

Lymphocytes have a large number of have a large number of antigen antigen receptors

receptors

B (B-cells) and T B (B-cells) and T (T-cells) lymphocytes

cells) lymphocytes, which are, which are produced in theproduced in the bone marrow.

bone marrow.

antibodies

antibodies that are shaped as an that are shaped as an

help-T and cytotoxic-T cells help-T and cytotoxic-T cells

spleen

spleen, its, its BCR (B-cell receptor)BCR (B-cell receptor) is activated and the B-cellis activated and the B-cell plasma plasma cells

cells, mature B-cells that can mass-produce , mature B-cells that can mass-produce

memory B cells memory B cells that that

programmed cell death programmed cell death))

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Structure of an antibody (i.e. IgG) Structure of an antibody (i.e. IgG)

 The most common type of antibody, theThe most common type of antibody, the

molecule that has

molecule that has  for a specific antigen. Each one has for a specific antigen. Each one has

IgGs (cont'd) IgGs (cont'd)

 for destruction and/or activatefor destruction and/or activate

complement complement

 Some portions of the IgG have fixed amino-acidSome portions of the IgG have fixed amino-acid

chains, while others have variable amino-acid chains, while others have variable amino-acid chains, which allows them to

chains, which allows them to

Other Types of Antibodies Other Types of Antibodies

 

including IgG. They activate the complement including IgG. They activate the complement system

system

 

function as described in Table function as described in Table 13.113.1 Table 1302A: Classes of Antibodies

Table 1302A: Classes of Antibodies

IgG (immunoglobulin) antibody

IgG (immunoglobulin) antibody, is a Y-shaped, is a Y-shaped two binding sites

two binding sites a light and heavya light and heavy

chain chain

Antigen- antibody complexes

Antigen- antibody complexes often mark the antigen  often mark the antigen

recognize all sorts of recognize all sorts of different pathogens

different pathogens Immunoglobulins (Igs)

Immunoglobulins (Igs) include a  include a total of five typestotal of five types IgE antibodies

IgE antibodies are responsible for are responsible for immediateimmediate allergic responses

allergic responses. All differ in structure and . All differ in structure and Class

Class Presence Presence FunctionFunction

IgG

IgG Main Main antibody antibody type type in in circulation circulation Binds Binds to to pathogens, pathogens, activatesactivates

complement, and enhances phagocytosis complement, and enhances phagocytosis IgM

IgM Antibody Antibody type type found found in in circulation; circulation; largestlargest antibody

antibody

Activates complement, clumps cells Activates complement, clumps cells IgA

IgA Main Main antibody antibody type type in in secretions secretions such such asas saliva and milk

saliva and milk

Prevents pathogens from attaching to Prevents pathogens from attaching to epithelial cells in digestive and r

epithelial cells in digestive and respiratoryespiratory tract

tract IgD

IgD Antibody Antibody type type found found on on surface surface ofof immature B cells

immature B cells

Presence signifies readiness of B cell to Presence signifies readiness of B cell to

respond to antigens respond to antigens IgE

IgE Antibody Antibody type type found found as as antigen antigen receptorsreceptors on eosinophils in blood and on mast cells on eosinophils in blood and on mast cells

in tissues in tissues

Responsible for immediate allergic Responsible for immediate allergic response and protection against certain response and protection against certain

parasitic worms parasitic worms

 . Like B cells, each T-cell bears a. Like B cells, each T-cell bears a 

 However, for a T-cell to recognize an antigen, the antigen must be presented by anHowever, for a T-cell to recognize an antigen, the antigen must be presented by an

T-cells mature in the thymus

T-cells mature in the thymus specific receptor (TCR)specific receptor (TCR) antigen-presenting cell (APC),

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MHC MHC

 An APC will travel to the spleen or lymph node andAn APC will travel to the spleen or lymph node and

present a portion of a digested pathogen to a groove in present a portion of a digested pathogen to a groove in an MHC

an MHC

 When a viral or cancer cell antigen is presented, theWhen a viral or cancer cell antigen is presented, the

antigen is first linked to a antigen is first linked to a

    Human MHC Human MHC 

 Human MHC proteins are calledHuman MHC proteins are called 

  are signal chemicals that stimulate various immune  are signal chemicals that stimulate various immune cells; many copies ofcells; many copies of

activated T cells are produced activated T cells are produced Types of T Cells

Types of T Cells

 The two main types of T cells areThe two main types of T cells are 

 

 cytokines, which enhance thecytokines, which enhance the

response of all types of

response of all types of immune cellsimmune cells

 Some T cells areSome T cells are reinfection.reinfection.

Questions

Questions

Q: From what is pus made, and what does it indicate is happening in the body? Q: From what is pus made, and what does it indicate is happening in the body? A:

A:

inflammation during infection and is com

inflammation during infection and is composed of white blood cells, bacteria posed of white blood cells, bacteria and cellular debris.and cellular debris. Q: What do aspirin, ibuprofen and cortisone all do?

Q: What do aspirin, ibuprofen and cortisone all do? A:

A:

minimize the effects of various chemical m

minimize the effects of various chemical mediators.ediators.

major histocompatibility major histocompatibility complex (MHC) protein

complex (MHC) protein. After presentation:. After presentation:

MHC 1 -> activates T cells to form cytotoxic T cells MHC 1 -> activates T cells to form cytotoxic T cells MHC 2 -> activates T cells to form helper T ce MHC 2 -> activates T cells to form helper T cellslls

HLA (Human HLA (Human lymphocyte-associated) antigens lymphocyte-associated) antigens.. Cytokines Cytokines

cytotoxic T cells and helper T cells cytotoxic T cells and helper T cells Cytotoxic T-cells

Cytotoxic T-cells kill infected cells that bear a foreign antigen on contact kill infected cells that bear a foreign antigen on contact Helper T cells

Helper T cells stimulate other immune cells and produce  stimulate other immune cells and produce memory cells

memory cells that will jump-start an immune reaction upon  that will jump-start an immune reaction upon B cells cannot be activated without T cell

B cells cannot be activated without T cells’s’ help. help.

Pus

Pus is a protein-rich liquid, usually yellowish (to gre is a protein-rich liquid, usually yellowish (to green) that is formed at the site ofen) that is formed at the site of

Aspirin, ibuprofen and cortisone

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Q: a) What do helper T cells do? b) What do cytotoxic T cells do? Q: a) What do helper T cells do? b) What do cytotoxic T cells do? A: a)

A: a)

cytokines. The cytokines produced by T

cytokines. The cytokines produced by THH cells may help activate c cells may help activate cytotoxic T cells, as well as Bytotoxic T cells, as well as B

cells. cells. b)b)

many molecules of perforin and enzymes called granzymes. Activated T

many molecules of perforin and enzymes called granzymes. Activated TCC cell binds to a virus- cell binds to a

virus-infected or cancer c

infected or cancer cell that is presenting foreign antigen oell that is presenting foreign antigen on its MHC class I molecules, it releasesn its MHC class I molecules, it releases perforin molecules, which form pores in the

perforin molecules, which form pores in the plasma membrane of the abnormal cell. plasma membrane of the abnormal cell. This allowsThis allows the granzymes to enter the target cell, which is induced to undergo apoptosis and die.

the granzymes to enter the target cell, which is induced to undergo apoptosis and die. Q: Why are plasma cells larger than B cells?

Q: Why are plasma cells larger than B cells? A:

A: Plasma cells are larger than regular B cells because they have extensive rough endoplasmic Plasma cells are larger than regular B cells because they have extensive rough endoplasmic reticulum for the mass production a

reticulum for the mass production and secretion of antibodies to a nd secretion of antibodies to a specific antigen. Antibodiesspecific antigen. Antibodies are the secreted form of the B-cell receptor of the B cell that was activated.

are the secreted form of the B-cell receptor of the B cell that was activated. Q: What is the clonal selection theory?

Q: What is the clonal selection theory? A:

A: TheThe

type of B cell or T cell, and then this B-cell or T-cell divides, forming clones of itself. type of B cell or T cell, and then this B-cell or T-cell divides, forming clones of itself. Q: What is antibody-mediated immunity?

Q: What is antibody-mediated immunity? A:

A: Defense by B cells is called the Defense by B cells is called the activated B cells become

activated B cells become plasma cells that produce antibodies. It is also cplasma cells that produce antibodies. It is also called humoral immunityalled humoral immunity because these antibodies are present in blood and lymph.

because these antibodies are present in blood and lymph. Q: What is “humor”? (Not humour)

Q: What is “humor”? (Not humour) A:

A:

Q: What are the characteristics of B cells? Q: What are the characteristics of B cells?

 Provide antibody-mediated immunity against pathogensProvide antibody-mediated immunity against pathogens

 Produced and mature in bone marrowProduced and mature in bone marrow

 Reside in lymph nodes and spleen; circulate in blood and lymphReside in lymph nodes and spleen; circulate in blood and lymph

 Directly recognize antigen and then undergo clonal selectionDirectly recognize antigen and then undergo clonal selection

 Clonal expansion produces antibody-secreting plasma cells as well as memory B cellsClonal expansion produces antibody-secreting plasma cells as well as memory B cells Q: Why is an antigen-antibody like a lock and a key?

Q: Why is an antigen-antibody like a lock and a key? A:

A: The variable regions of antibodies become hypervarible at their tips and form antigen-bindingThe variable regions of antibodies become hypervarible at their tips and form antigen-binding sites; their shape is specific for a p

sites; their shape is specific for a particular antigen. It is the variable and harticular antigen. It is the variable and hypervarible regionsypervarible regions that allow that antibody to bind to a specific antigen. The antigen combines with the antibody at that allow that antibody to bind to a specific antigen. The antigen combines with the antibody at the antigen-binding site in a lock and key manner.

the antigen-binding site in a lock and key manner.

Q: What are the 5 main types of antibodies (or Igs)*? Where are they present? What is Q: What are the 5 main types of antibodies (or Igs)*? Where are they present? What is each one’s function?

each one’s function? A:

A: Refer to Page 9 of this note package- Table 1302A: Classes of AntibodiesRefer to Page 9 of this note package- Table 1302A: Classes of Antibodies

Q: What happens when apoptosis does not occur as it should? What may also happen in Q: What happens when apoptosis does not occur as it should? What may also happen in the thymus?

the thymus?

Helper T cells

Helper T cells, once stimulated by antigen-presenting , once stimulated by antigen-presenting cells (APC), Tcells (APC), THH cells secrete various cells secrete various

Cytotoxic T cells are also called Killer T

Cytotoxic T cells are also called Killer T-cells-cells. They have storage vacuoles that contain. They have storage vacuoles that contain

clonal selection theory

clonal selection theory states that an antigen binds to the antigen receptor of only one states that an antigen binds to the antigen receptor of only one

antibody-mediated immunity

antibody-mediated immunity because the various types of because the various types of

Humor

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A:

A: When apoptosis does not occur as it should, T-cell cancers (i.e., lymphomas and leukemias)When apoptosis does not occur as it should, T-cell cancers (i.e., lymphomas and leukemias) can result.

can result.

Q: What are perforins and granzymes? Q: What are perforins and granzymes? A:

A: TTCC have storage vacuoles that contain many molecules of perforin and enzymes called have storage vacuoles that contain many molecules of perforin and enzymes called

granzymes. granzymes.

Q: How does AIDS affect the immune system? Where does it reside hide in the body? Q: How does AIDS affect the immune system? Where does it reside hide in the body? A:

A: AIDS infects helper T cells and other cells of the immune system, it suppresses manyAIDS infects helper T cells and other cells of the immune system, it suppresses many

components of acquired immune responses and makes HIV-infected individuals susceptible to components of acquired immune responses and makes HIV-infected individuals susceptible to opportunistic infections. Infected macrophages and dendritic cells also serve as reservoirs for opportunistic infections. Infected macrophages and dendritic cells also serve as reservoirs for HIV.HIV. Q: What are the characteristics of T cells?

Q: What are the characteristics of T cells?

 Produced in bone marrow, mature in thymusProduced in bone marrow, mature in thymus

 Function in cell-mediated immunity against virus-infected cells and cancer cellsFunction in cell-mediated immunity against virus-infected cells and cancer cells

 Reorganize antigens presented in groove of an MHC moleculeReorganize antigens presented in groove of an MHC molecule

 Cytotoxic T cells destroy nonself protein-bearing cellsCytotoxic T cells destroy nonself protein-bearing cells

 Helper T cells secrete cytokines that control the immune responseHelper T cells secrete cytokines that control the immune response

* The original question asks for the “5 main types of IgG”, which does not exist as IgG only has 4 subclasses according to Wi

* The original question asks for the “5 main types of IgG”, which does not exist as IgG only has 4 subclasses according to Wi kipedia,kipedia, and are not included within the Biology 12 curriculum. This should be a typo and “antibodies”or “Igs (

and are not included within the Biology 12 curriculum. This should be a typo and “antibodies”or “Igs (ImmunoglobulinsImmunoglobulins)”)” should beshould be in place for “IgG”

in place for “IgG”

13.3 (Active vs. Passive) / (Induced) Immunity

13.3 (Active vs. Passive) / (Induced) Immunity

Active immunity Active immunity

 A person naturally develops immunity after infectionA person naturally develops immunity after infection 

exposure to a vaccine - u

exposure to a vaccine - usually an a virulent (non-harmful) disease agent - antibodies aresually an a virulent (non-harmful) disease agent - antibodies are produced produced   as a vaccine as a vaccine   With aWith a  (count of  (count of antibodies in a fixed volume) rises to a antibodies in a fixed volume) rises to a much higher level

much higher level

 Active immunity is long-lived becauseActive immunity is long-lived because

there are memory B cells and memory there are memory B cells and memory T cells that will respond to

T cells that will respond to lower doseslower doses of antigen in the body

of antigen in the body Passive Immunity

Passive Immunity

 

For example, nursing passes antibodies from mother

For example, nursing passes antibodies from mother to childto child

 However, passive immunity is short-lived since the antibodies were not produced by theHowever, passive immunity is short-lived since the antibodies were not produced by the

person's own B cells. person's own B cells. Vaccines

Vaccines are available to induce long-lived active immunity when a person is well. After are available to induce long-lived active immunity when a person is well. After Bacteria

Bacteria can be used to mass produce proteins (aka - from pathogens) that can be used can be used to mass produce proteins (aka - from pathogens) that can be used booster shot or second

booster shot or second exposure, the antibody titre exposure, the antibody titre

Passive immunity

(13)

Cytokines and Immunity Cytokines and Immunity

  are signalling molecules produced by white blood cells. are signalling molecules produced by white blood cells.

fighting against cancer fighting against cancer Monoclonal Antibodies Monoclonal Antibodies

 All plasma cells derived from a B cell secretes an identical antigen. These are calledAll plasma cells derived from a B cell secretes an identical antigen. These are called 

 B lymphocytes can therefore be exposed to a particular antigen and will produceB lymphocytes can therefore be exposed to a particular antigen and will produce

monoclonal antibodies that are quick and certain indicators of various specific conditions monoclonal antibodies that are quick and certain indicators of various specific conditions

 Activated B lymphocytes are fused Activated B lymphocytes are fused with myeloma cells and thesewith myeloma cells and these

only one type of antibody. Monoclonal antibodies are most often used in diagnostic only one type of antibody. Monoclonal antibodies are most often used in diagnostic procedures such as

procedures such as

Questions

Questions

Q: What is a "booster" shot? Draw a graph with titer level [antibodies] on y-axis and Q: What is a "booster" shot? Draw a graph with titer level [antibodies] on y-axis and time on x-axis. Label 1st and 2nd exposure to vaccine.

time on x-axis. Label 1st and 2nd exposure to vaccine. A:

A: A A is the second exposure of a vaccine to a person’s body. For graph refer tois the second exposure of a vaccine to a person’s body. For graph refer to the diagram at the top of this page.

the diagram at the top of this page.

Q: What is a gamma globulin injection, and why is it used? Q: What is a gamma globulin injection, and why is it used? A:

A: from individualsfrom individuals

who have recovered from the illness. It is used to prevent illness in a patient who has been who have recovered from the illness. It is used to prevent illness in a patient who has been expectedly expose to disease.

expectedly expose to disease.

Q: Why are cancer cells more susceptible to cytotoxic T cells? How might cytokines help Q: Why are cancer cells more susceptible to cytotoxic T cells? How might cytokines help in the fight against cancer?

in the fight against cancer? A:

A: Because many cancer cells carry altered proteins on cell surface, they should be attacked andBecause many cancer cells carry altered proteins on cell surface, they should be attacked and destroyed by cytotoxic T cells. Cytokines could activate the cytotoxic T cells and awaken the destroyed by cytotoxic T cells. Cytokines could activate the cytotoxic T cells and awaken the immune system, leading to the destruction of the cancer.

immune system, leading to the destruction of the cancer.

Q: How are monoclonal antibodies related to pregnancy tests? How does it works? Q: How are monoclonal antibodies related to pregnancy tests? How does it works? A:

A: A particular hormone is present in the urine of a pregnant women. A monoclonal antibodyA particular hormone is present in the urine of a pregnant women. A monoclonal antibody can be used to detect this hormone; if it is present, the woman is pregnant.

can be used to detect this hormone; if it is present, the woman is pregnant.

13.4(-13.5*) Adverse Effects (and Disorders) of

13.4(-13.5*) Adverse Effects (and Disorders) of Immune Responses

Immune Responses

*Textbook 12 *Textbook 12thth

 Edition Only  Edition Only Sometimes, the immune system

Sometimes, the immune system harmsharms the body the body

 Develop allergiesDevelop allergies 

 Incompatible bloodIncompatible blood 

 Tissue rejectionTissue rejection 

 Autoimmune diseaseAutoimmune disease

Cytokines

Cytokines Both interferon andBoth interferon and

interleukins

interleukins are cytokines that are used to improve a person's own T cell performance in are cytokines that are used to improve a person's own T cell performance in

monoclonal antibodies monoclonal antibodies

hybridomas

hybridomas produce produce pregnancy tests

pregnancy tests but could carry isotopes to destroy cancerous tumors but could carry isotopes to destroy cancerous tumors

“ ooster” ooster” shotshot

Gamma globulin injection

(14)

Allergies Allergies

 he immune system reacts vigorously to substanceshe immune system reacts vigorously to substances

(allergens) that would not normally harm the body.

(allergens) that would not normally harm the body. The response itself can The response itself can cause somecause some degree of tissue damage.

degree of tissue damage. Immediate Allergic Response Immediate Allergic Response

 

is an example. Anaphylactic shock is a severe reaction that may cause a fatal drop in is an example. Anaphylactic shock is a severe reaction that may cause a fatal drop in blood pressure

blood pressure

Delayed Allergic Response Delayed Allergic Response

 

cells. cells.

 This skin test for tuberculosis is an example, This skin test for tuberculosis is an example, as is allergy to poison ivy, as is allergy to poison ivy, jewelry, etc.jewelry, etc.

 Occurs at site of contact of Occurs at site of contact of allergen with skin/part of body.allergen with skin/part of body.

Blood type and reactions Blood type and reactions

  TheThe

 In theIn the

antigen and antibody are

antigen and antibody are put together, clumping, or agglutination, occurs; in this way put together, clumping, or agglutination, occurs; in this way thethe blood type of the individual may be determined.

blood type of the individual may be determined.

o

o Antigen-A is an antigen, but not to people with type A bloodAntigen-A is an antigen, but not to people with type A blood o

o Antigen-B is an antigen, but not to people with type b blood.Antigen-B is an antigen, but not to people with type b blood. o

o receiving the wrong blood type is like injecting something someone is allergic toreceiving the wrong blood type is like injecting something someone is allergic to

into their blood system.(bad) into their blood system.(bad) Rh System

Rh System

 TheThe

Rh-mother may form antibodies to Rh antigen while carrying or at the birth of a child Rh-mother may form antibodies to Rh antigen while carrying or at the birth of a child who is Rh+

who is Rh+

o

o These antibodies can cross the placenta to destroy the red blood cells of anyThese antibodies can cross the placenta to destroy the red blood cells of any

subsequent Rh+ child subsequent Rh+ child Allergic responses

Allergic responses occur when t occur when t

Immediate allergic responses

Immediate allergic responses occur within seconds of contact with an allergen. Hay fever occur within seconds of contact with an allergen. Hay fever

Delayed allergic responses

Delayed allergic responses, such as contact dermatitis, are due to the activity of memory T, such as contact dermatitis, are due to the activity of memory T

membranes of red blood cells

membranes of red blood cells may contain may contain type A, AB, B or no antype A, AB, B or no antigens (type O)tigens (type O) plasma

plasma there are two p there are two possible antibodies:ossible antibodies: anti-A and anti-Banti-A and anti-B. If the corresponding. If the corresponding

Rh antigen

(15)

o o AA

stimulate the mother to produce her own antibodies stimulate the mother to produce her own antibodies

Tissue rejection Tissue rejection

 cells bring about the destruction of foreign tcells bring about the destruction of foreign tissue inissue in

the body. A close match between donor and recipient can reduce rejection. the body. A close match between donor and recipient can reduce rejection.

 cells to cytokines, but cancells to cytokines, but can

result in kidney damage. result in kidney damage. Diseases of the immune system Diseases of the immune system

 

 Autoimmune diseases include: myasthenia Autoimmune diseases include: myasthenia gravis, multiple sclerosis, systemic lupus,gravis, multiple sclerosis, systemic lupus,

rheumatoid arthritis, and heart damage after rheumatic fever rheumatoid arthritis, and heart damage after rheumatic fever Diabetes, AIDS and SCID

Diabetes, AIDS and SCID

 It has been suggested thatIt has been suggested that   diseases diseases   ExamplesExamples

genetic disorder in which

genetic disorder in which the immune system fails to develop.the immune system fails to develop.

Questions

Questions

Q: How are IgE related to immediate allergic responses? Q: How are IgE related to immediate allergic responses? Q:

Q: IgE leads to immediate allergic responses, as they IgE leads to immediate allergic responses, as they are attached to receptors on are attached to receptors on the plasmathe plasma membrane of mast cells in the

membrane of mast cells in the tissues and also to eosinophils and basophils in tissues and also to eosinophils and basophils in the blood. Whenthe blood. When an allergen attached

an allergen attached to IgE, these cells release histamine that bring about to IgE, these cells release histamine that bring about allergic symptoms.allergic symptoms. Q: What causes

Q: What causes the symptoms the symptoms for i) Hay for i) Hay fever fever ii) Asthmaii) Asthma A:

A: i) When pollen is an i) When pollen is an antigen, histamine stimulates the mucous membranes of the nose anantigen, histamine stimulates the mucous membranes of the nose an dd eyes, causes runny nose and watery eyes typical of

eyes, causes runny nose and watery eyes typical of

to the lungs constrict, resulting in difficult breathing accompanied by wheezing. When food to the lungs constrict, resulting in difficult breathing accompanied by wheezing. When food contains an allergen, nausea, vomiting, and diarrhea often result.

contains an allergen, nausea, vomiting, and diarrhea often result. Rho-Gm shot

Rho-Gm shot uses uses anti-Rh antibodies to attack Rh+ cellsanti-Rh antibodies to attack Rh+ cells before they can before they can

Rejection

Rejection occurs when cytotoxic T  occurs when cytotoxic T Immunosuppressive drugs

Immunosuppressive drugs act by inhibiting the response of T  act by inhibiting the response of T

Autoimmune diseases

Autoimmune diseases occur when occur when T cells or antibodiesT cells or antibodies mistakenly attack the body's ownmistakenly attack the body's own cells

cells as if they bear foreign  as if they bear foreign antigensantigens

type I diabetes

type I diabetes is an autoimmune disease is an autoimmune disease immunodeficiency

immunodeficiency results when the immune  results when the immune system is unable to protect the body system is unable to protect the body againstagainst include AIDS and SCID

include AIDS and SCID (Severe combined autoimmune deficiency disorder), a(Severe combined autoimmune deficiency disorder), a

hay fever

(16)

Q: What is anaphylactic shock? What causes it? What are its characteristic symptoms and Q: What is anaphylactic shock? What causes it? What are its characteristic symptoms and what can be done to slow it down?

what can be done to slow it down? A:

A:

entered the blood steam.

entered the blood steam. It is often caused by bee stings and It is often caused by bee stings and penicillin shots, and characterizedpenicillin shots, and characterized by a sudden and life-threatening drop in blood pressure due to increased permeability

by a sudden and life-threatening drop in blood pressure due to increased permeability of theof the capillaries caused by histamines.

capillaries caused by histamines. help is available.

help is available.

Q: What happens if you give someone with Blood type A an infusion of type B blood? Q: What happens if you give someone with Blood type A an infusion of type B blood? A:

A: Type A blood would have type A antigen, which the person with type B blood would containType A blood would have type A antigen, which the person with type B blood would contain anti-B antibodies in their blood to attack.

anti-B antibodies in their blood to attack.

Q: What percent of people are Rh+ and Rh-? Q: What percent of people are Rh+ and Rh-? A:

A: 85% of people are Rh+, and 15% of people are Rh-.85% of people are Rh+, and 15% of people are Rh-.

Q: What is xenotransplantation? (it is not growing plants for the aliens) Q: What is xenotransplantation? (it is not growing plants for the aliens) A:

A:  is the use of animal organs instead of human o is the use of animal organs instead of human organs in transplantrgans in transplant patients.

patients.

The lymphatic system consists of lymphatic vessels and the lymphoid org

The lymphatic system consists of lymphatic vessels and the lymphoid org ans. It is closely associated withans. It is closely associated with the cardiovascular system.

the cardiovascular system. Lymphatic Vessels Lymphatic Vessels Lymphatic

Lymphatic vessels vessels form form a a one-way one-way system system that that begins begins with with lymphatic lymphatic capillaries capillaries that that take take upup excess tissue fluid. The fluid inside lymphatic vessels is called lymph.

excess tissue fluid. The fluid inside lymphatic vessels is called lymph. Lymphoid Organs

Lymphoid Organs

The primary lymphoid organs are red bon

The primary lymphoid organs are red bone marrow and the thymus gland. The marrow and the thymus gland. The secondarye secondary lymphoid organs are the spleen and lymph nod

lymphoid organs are the spleen and lymph nodes.es. Primary Lymphoid Organs

Primary Lymphoid Organs Red bone marrow is the site o

Red bone marrow is the site of stem cells that are ever capable of dividing andf stem cells that are ever capable of dividing and producing blood cells. The thymus gland

producing blood cells. The thymus gland is largest in children and shrinks as weis largest in children and shrinks as we get older. Immature T cells migrate from the bon

get older. Immature T cells migrate from the bone marrow through the bloode marrow through the blood stream to the thymus, where they mature.

stream to the thymus, where they mature. Secondary Lymphoid Organs

Secondary Lymphoid Organs

Lymphocytes migrate to the secondary lymphoid organs. Here

Lymphocytes migrate to the secondary lymphoid organs. Here they encounterthey encounter foreign molecules or cells, after which they pro

foreign molecules or cells, after which they proliferate and become activated.liferate and become activated. The spleen filters the blood. Lymph nodes

The spleen filters the blood. Lymph nodes are packed with B and T are packed with B and T cells.cells.

Immunity is the body’s capability of removing o

Immunity is the body’s capability of removing or killing forer killing foreign substances, pathogens, and ign substances, pathogens, and cancer cells.cancer cells. Mechanisms of innate immunity are fully functional without p

Mechanisms of innate immunity are fully functional without p revious exposure to these substances, whilerevious exposure to these substances, while Anaphylactic shock

Anaphylactic shock is an immediate allergic response that occurs  is an immediate allergic response that occurs because the allergen hasbecause the allergen has Injecting epinephrine

Injecting epinephrine can counteract this reaction  can counteract this reaction until medicaluntil medical

Xenotransplantation Xenotransplantation

(17)

adaptive immunity is enhanced by exposure to

adaptive immunity is enhanced by exposure to specific antigens. An antigen is any molecule thatspecific antigens. An antigen is any molecule that stimulates an immune response.

stimulates an immune response. Innate Immunity

Innate Immunity

The four types of innate immunity

The four types of innate immunity include physical and chemical barriers, inflammation,include physical and chemical barriers, inflammation, phagocytes and natural killer cells, and protective proteins.

phagocytes and natural killer cells, and protective proteins. Physical and Chemical Barriers

Physical and Chemical Barriers Skin and mucous membranes lining th

Skin and mucous membranes lining the respiratory, digestive, and urinary tracts serve ase respiratory, digestive, and urinary tracts serve as mechanical barriers to entry of pathogens. The secretions of oil glands in the skin contain mechanical barriers to entry of pathogens. The secretions of oil glands in the skin contain chemicals that weaken or kill certain bacteria on

chemicals that weaken or kill certain bacteria on the skin. The stomach has an acid pH,the skin. The stomach has an acid pH, which kills many types of bacteria or

which kills many types of bacteria or inhibits their growth.inhibits their growth. Inflammation

Inflammation

An inflamed area has four signs: redness, heat, swelling, and pain. An inflamed area has four signs: redness, heat, swelling, and pain. Phagocytes and Natural Killer Cells

Phagocytes and Natural Killer Cells

Neutrophils and macrophages migrate to the area of tissue damage where they Neutrophils and macrophages migrate to the area of tissue damage where they engulf pathogens. Natural killer cells kill abnormal cells by cell-to-cell co

engulf pathogens. Natural killer cells kill abnormal cells by cell-to-cell co ntact.ntact. Protective Proteins

Protective Proteins

The complement system is composed of a number of blo

The complement system is composed of a number of blood plasma proteins thatod plasma proteins that form a membrane attack complex to destroy invading b

form a membrane attack complex to destroy invading bacteria. Interferons areacteria. Interferons are proteins produced by virus-in

proteins produced by virus-infected cells as a warning to noninfected cells.fected cells as a warning to noninfected cells. Adaptive Immunity

Adaptive Immunity

In adaptive immunity, the body is

In adaptive immunity, the body is able to distinguish “self” from “nonself”. Adaptiveable to distinguish “self” from “nonself”. Adaptive defenses primarily depend on the action of lympho

defenses primarily depend on the action of lymphocytes, which differentiate as eithercytes, which differentiate as either B cells or T cells.

B cells or T cells.

B Cells and Antibody-Mediated Immunity B Cells and Antibody-Mediated Immunity When a B cell is

When a B cell is activated by binding to a specific antigen, activated by binding to a specific antigen, it is activated andit is activated and makes many copies of itself. Activated B cells become plasma cells that produce makes many copies of itself. Activated B cells become plasma cells that produce antibodies.

antibodies.

Structure of an Antibody Structure of an Antibody

Antibodies are also called immunoglobulins. They are typically Antibodies are also called immunoglobulins. They are typically Y-shaped molecules with two binding sites for foreign antigens. shaped molecules with two binding sites for foreign antigens. Types of Antibodies

Types of Antibodies

There are five major classes of antibodies: IgG, IgM, IgA, IgD, and Ig There are five major classes of antibodies: IgG, IgM, IgA, IgD, and Ig E.E. T Cells and Cell-Mediated Immunity

T Cells and Cell-Mediated Immunity

T cells can only recognize an antigen when it is displayed to them by an antigen T cells can only recognize an antigen when it is displayed to them by an antigen presenting cell in conjunction

presenting cell in conjunction with an MHC (major histocompatibility complex)with an MHC (major histocompatibility complex) protein. There are two major types of T

protein. There are two major types of T cells: helper T cells and cytotoxic cells: helper T cells and cytotoxic T cells. Helper TT cells. Helper T cells secrete various cytokines while cytotoxic T cells d

cells secrete various cytokines while cytotoxic T cells destroy the target cell.estroy the target cell.

In active immunity, the individual

In active immunity, the individual alone produces an immune response against an antigen; in passivealone produces an immune response against an antigen; in passive immunity, the individual is given prepared antibodies or

immunity, the individual is given prepared antibodies or cells via an injection.cells via an injection. Active Immunity

Active Immunity

Active immunity usually develops naturally after a person

Active immunity usually develops naturally after a person is infected with a pathogen.is infected with a pathogen. Immunization involves the use of vaccines to

Immunization involves the use of vaccines to initiate immunity.initiate immunity. Passive Immunity

Passive Immunity

Passive immunity occurs when an individual is given prepared antibodies o

Passive immunity occurs when an individual is given prepared antibodies o r immune cells tor immune cells to combat a disease. This occurs naturally from mother to

combat a disease. This occurs naturally from mother to fetus.fetus. Immune Therapies

Immune Therapies

Cytokines and Immunity Cytokines and Immunity

(18)

Cytokines are chemical messengers produced by T cells, macrophages, and other Cytokines are chemical messengers produced by T cells, macrophages, and other cells. They regulate white blood cell formation and/or fun

cells. They regulate white blood cell formation and/or fun ction. They may bection. They may be used as immunotherapeutic drugs in

used as immunotherapeutic drugs in the future.the future. Monoclonal Antibodies

Monoclonal Antibodies

Monoclonal antibodies can be produced in

Monoclonal antibodies can be produced in vitro. Currently these are being usedvitro. Currently these are being used for quick and certain diagnosis o

for quick and certain diagnosis of various conditions. These may be uf various conditions. These may be used to treat cancer.sed to treat cancer.

Allergies Allergies

Allergies are hypersensitivities to substances, such as pollen, food, or animal hair that

Allergies are hypersensitivities to substances, such as pollen, food, or animal hair that ordinarilyordinarily would

would do no do no harm to harm to the the body. An body. An immediate immediate allergic allergic response caresponse can occur n occur within secowithin seconds ofnds of contact with the

contact with the antigen and may antigen and may result in result in anaphylactanaphylactic shock, ic shock, a life- a life- threatening problem. Athreatening problem. A delayed allergic response is initiated by memory T

delayed allergic response is initiated by memory T cells.cells. Blood-Type Reactions

Blood-Type Reactions

The ABO blood system is the most important of

The ABO blood system is the most important of the blood typing systems.the blood typing systems. ABO System

ABO System

The presence or absence of type A and

The presence or absence of type A and type B antigens on red blood type B antigens on red blood cellscells determine a person’s blood type. Transfusion wit

determine a person’s blood type. Transfusion with the wrong type blood can be fatal.h the wrong type blood can be fatal. Rh System

Rh System

Another important antigen in matching blood types is the Rh factor. A mismatch can be Another important antigen in matching blood types is the Rh factor. A mismatch can be fatal.

fatal. Tissue Rejection Tissue Rejection

The immune system is responsible for rejection of transp

The immune system is responsible for rejection of transp lanted tissue. Organ rejection can belanted tissue. Organ rejection can be controlled by administering immunosuppressive drugs.

controlled by administering immunosuppressive drugs.

When a person has an

When a person has an autoimmune disease, cytotoxic T cells or antibodautoimmune disease, cytotoxic T cells or antibodies mistakenly attack the body’sies mistakenly attack the body’s own cells. Examples include

own cells. Examples include myasthenia gravis, multiple sclerosis, and systemic lupus erythematosus. In myasthenia gravis, multiple sclerosis, and systemic lupus erythematosus. In anan immune deficiency, the immune system is unable to protect the b

immune deficiency, the immune system is unable to protect the b ody against disease. Examples includeody against disease. Examples include AIDS and severe combined

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