Chapter 7 Adaptive Immunity Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. Adaptive Immunity Works together with innate immunity, aka inflammation Specificity Each T or B cell recognizes only one antigen, but together a group of T and B cells recognize a host of foreign antigens Memory Confers long-term protection Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 2 End Products of Adaptive Immunity Lymphocytes (cellular immunity): T and B cells Antibody (humoral immunity): immune globulins Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 3 Adaptive Immunity Clonal diversity Production of T and B lymphocytes Antigen recognition Lymphocyte specificity Clonal selection Antigen processed and presented to immune cells by APCs Cellular interaction of T cells and APCs Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 4 Clonal Diversity Primary (central) and secondary (peripheral) lymphoid tissues Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 5 Clonal Diversity and Selection Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 6 Types of Immunity Natural immunity Active immunity Passive immunity Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 7 Humoral and Cell-Mediated Immunity The cellular and humoral responses are not independent Humoral immunity “Fluid” immunity Circulating antibody Cell-mediated immunity T cell differentiation Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 8 Active vs. Passive Immunity Active immunity Antibodies or T cells produced after either a natural exposure to an antigen or after immunization Passive immunity Preformed antibodies or T lymphocytes are transferred from a donor to a recipient Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 9 Recognition and Response Required for a successful immune response Clusters of differentiation (CD) Originally used to describe proteins found on the surface of lymphocytes Now it is a labeling system used to identify a family of proteins on many cells Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 10 Antigen A molecule that can react with (or be recognized by) the immune system Recognized as nonself Pathogens (viruses, bacteria, fungi, etc.) Bee venom Pollen Foods Tissue Blood products Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 11 Recognition and Response Antigens vs. immunogens Antigen (Ag): a molecule that binds and reacts with antibody (Ab) or lymphocyte receptors Immunogen: an Ag that can trigger an immune response Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 12 Self-Antigen and Tolerance Degree of foreignness to host Size Most important Small molecular weight Ag’s called haptens; can’t trigger immune response themselves but can when bound to a carrier protein Chemical complexity Amount Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 13 Self-Antigen and Tolerance Tolerance: we recognize ourselves as not foreign Central tolerance: lymphocytes with receptors against self-antigens are eliminated Peripheral tolerance: prevents recognition by lymphocytes and Ab’s Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 14 Antigen Presentation Antigen-presenting cells (APCs) Major histocompatibility complex (MHC) Glycoproteins on the surface of all human cells (except RBCs) Also called human leukocyte antigens (HLAs) MHC class I molecules • A, B, and C MHC class II molecules • DR, DP, and DQ MHC class III molecules Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 15 Molecules That Present Antigen Ag is processed within cells Expressed on the cell surface in a specific manner Some Ag’s need special APCs; others can be processed by most any cell type Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 16 Molecules That Present Antigen MHC Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 17 Transplantation Cells in transplanted tissue from one individual have a different set of MHC surface antigens than those of recipient Thus recipient can mount an immune response against foreign MHC molecules Haplotype Combination of A, B, C, DR, DQ, and DP alleles Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 18 Tissue/Organ Transplantation Inheritance of human leukocyte antigens (HLAs) (synonym for MHC molecules) Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 19 CD1 Antigen-presenting molecules Found on antigen-presenting and thymus cells Present lipid antigens Mycobacterium, tuberculosis Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 20 Antigen Recognition Antigen is directly recognized by circulating antibody, antigen receptors on B cells (BCR), and T lymphocytes (TCR) Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 21 Antibodies Also called immunoglobulins Produced by plasma cells Classes of antibody IgG, IgA, IgM, IgE, and IgD • Characterized by antigenic, structural, and functional differences Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 22 Molecules That Recognize Antigen Antibodies: classes of immunoglobulins Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 23 Molecules That Recognize Antigen B-cell receptor complex: antibodies and accessory molecules Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 24 Antibodies Protein Part of the adaptive immune response that interacts with antigen Usually classes of immunoglobulins Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 25 Antibody Structure Antigen-binding fragment (Fab) Crystalline fragment (Fc) Recognition sites (receptors) for antigenic determinants Responsible for biologic function Polypeptide chains (4) Light chains (2) and heavy chains (2) Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 26 Antigen Binding Amino acid sequences of the variable regions of the heavy and light chains Framework regions control antibody folding Lock and key Noncovalent chemical interactions Antibody valence IgG, IgD, and IgE—2 IgA—4 IgM—theoretically 10, likely 5 Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 27 Antibodies Classes IgM IgG IgA IgE IgD Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 28 Antibodies: Products of Adaptive Immunity Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 29 Antibodies Classes—IgM Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 30 Immunoglobulin M (IgM) Largest of the immunoglobulins Pentamer stabilized by a J-chain First antibody produced during the primary response to an antigen Synthesized during fetal life Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 31 Antibodies Classes—IgG Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 32 Immunoglobulin G (IgG) Most abundant class (80%-85%) Transported across the placenta Four classes IgG1, IgG2, IgG3, and IgG4 Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 33 Antibodies Classes—IgA Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 34 Secretory (Mucosal) Immune System Lymphoid tissues that protect the external surfaces of the body Antibodies present in tears, sweat, saliva, mucus, and breast milk IgA is the dominant immunoglobulin Small numbers of IgG and IgM are present Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 35 Immunoglobulin A (IgA) Two classes IgA1 molecules: predominantly in the blood IgA2 molecules: predominantly in normal body secretions IgAs in body secretions are dimers anchored by J-chain and “secretory” piece Secretory piece may function to protect IgAs against enzyme degradation Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 36 Antibodies Classes—IgE Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 37 Immunoglobulin E (IgE) Least concentrated of the immunoglobulin classes in the circulation Mediator of many common allergic responses Fc portions of IgEs are bound to mast cells Defender against parasites Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 38 IgE Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 39 Antibodies Classes—IgD Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 40 Immunoglobulin D (IgD) Limited information on IgD function Low concentration in the blood Located primarily on the surface of developing B lymphocytes Function as one type of B cell antigen receptor Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 41 T-Cell–Receptor Complex Antibody-like transmembrane protein (TCR) Accessory proteins for intracellular signaling Referred to as CD3 T-cell–receptor complex: transmembrane proteins and accessory proteins Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 42 B-Cell–Receptor Complex Located on surface of B cells Consists of: Antigen-recognition molecules • Monomer IgM and IgD Accessory intracellular-signaling molecules • Ig-alpha and Ig-beta heterodimers Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 43 Generation of Clonal Diversity All necessary receptor specificities are produced Takes place in the primary (central) lymphoid organs Results in immature but immunocompetent T and B cells Primarily occurs in the fetus Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 44 Clonal Selection Immunocompetent T and B cells migrate from the primary to the secondary lymphoid organs to await antigen Primarily after birth Clonal selection is initiated by antigen Final products Plasma cells that produce antibody, effector cells that help Th, Tc, or Treg, and memory B and T cells Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 45 T-Cell Maturation The thymus is the central lymphoid organ of T cell development T cells move from thymic cortex to the medulla Changes Development of the T cell receptors and expression of surface molecules T cells are released into the blood and take up residence in the secondary lymph organs Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 46 The Immune Response Process Antigen processing Clonal selection Mounting a defense against the foreign antigen Production of memory cells Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 47 Antigen Processing and Presentation Antigens require processing and presentation by APCs Dendritic cells, macrophages, B lymphocytes For this to occur, antigen must be the appropriate type, the lymphocytes must recognize the presented antigen, and the antigen must be presented appropriately Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 48 Antigen Processing and Presentation Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 49 Antigen Processing and Presentation Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 50 Helper T Lymphocytes “Help” the antigen-driven maturation of B and T cells Facilitate and magnify the interaction between APCs and immunocompetent lymphocytes Steps Th interacts through antigen-specific and antigenindependent mechanisms Undergoes differentiation Mature Th interacts with plasma or T-effector cells Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 51 Helper T Lymphocytes Subsets Th1 cells provide help in developing cell-mediated immunity Th2 cells provide help in developing humoral immunity Differences based on cytokine production Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 52 B-Cell Activation When an immunocompetent B cell encounters an antigen for the first time, B cells with specific BCRs are stimulated to differentiate and proliferate Differentiated B cell becomes a plasma cell A plasma cell is a factory for antibody production Single class or subclass of antibody Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 53 B-Cell Activation Antibody class switch Major component of B cell maturation During clonal selection B cell can change class of Ab (IgG, IgA, IgE) DNA cut then mended Specificity maintained Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 54 B-Cell Activation Primary vs. secondary immune response Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 55 Primary and Secondary Responses Primary response Initial exposure Latent period or lag phase • B-cell differentiation is occurring After 5 to 7 days, an IgM antibody for a specific antigen is detected An IgG response equal or slightly less follows the IgM response Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 56 Primary and Secondary Responses Secondary response More rapid Larger amounts of antibody are produced Rapidity is due to the presence of memory cells that do not have to differentiate IgM is produced in similar quantities to the primary response, but IgG is produced in considerably greater numbers Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 57 Class Switch Immunocompetent B cells use IgM and IgD as receptors During clonal selection, B cells have the option of changing the class of the antibody One of four IgGs, one of two IgAs, IgE, or an IgM in a pentamer form DNA rearrangement Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 58 B Cell Clonal Selection Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 59 T Cell Activation Binding antigen to T cell receptors Allows: T regulatory cells (Treg) Direct killing of foreign or abnormal cells Assistance or activation of other cells Regulate the immune response to avoid attacking “self” Memory T cells Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 60 T Cell Activation Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 61 T Cell Activation T regulatory cells (Tregs) (previously called T suppressor cells) To avoid overactivation of immune system To avoid attacking self-antigens Subject of much research Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 62 Antibody Function Direct Indirect Neutralization Agglutination Precipitation Opsonization Degree of antibody protection is assessed by an antibody titer Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 63 Antibody Function Neutralizing bacteria Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 64 Antibody Function Neutralizing viruses Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 65 Antibody Function Forming antigen-antibody complexes Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 66 Antibody Function Opsonization Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 67 Cell-Killing Mechanisms Cytotoxic T lymphocytes Destroy cancer cells or cells infected with virus Perforin, granzymes, or direct receptor interactions Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 68 Other Cells Natural killer (NK) cells Complement Tc cell mechanisms Tregs Provide peripheral tolerance Affect recognition of antigen and suppress proliferative steps of antigen recognition Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 69 Cell-Killing Mechanisms Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 70 Fetal and Neonatal Immunity Antibody function is deficient Capable of primary IgM response; unable to produce an IgG challenge Immunity provided by maternal antibody Trophoblastic cells transport maternal IgG across the placenta Newborn IgG levels are near adult levels Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 71 Fetal and Neonatal Immunity Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 72 Aging and Immune Function Decreased T cell activity Thymic size is 15% of its maximum size Decreased production of specific antibodies Increase in circulating antigen-antibody complexes Increase in circulating autoantibodies Decrease in circulating memory B cells Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 73