Question 1 (700 words) Describe activation of innate immunity as soon as the infectious agents start to colonize. (10 marks) The immune system has three layers of defense. These include physical and chemical barriers, non-specific resistance and particular resistance to foreign pathogens. However, non-specific resistance along with physical and chemical barriers are considered innate immunity, whereas particular resistance implies acquired immunity. Innate immunity refers to unspecific defensive mechanisms that take place immediately or during hours after the emergence of an antigen in the body. This sort of immunity from birth is also known to develop. Pathogens are generically recognized and responded by the cells of the innate system, but, unlike the adaptive immune system, the hosts have no longlasting or protective immunity. Innate immunity includes barriers that prevent the entry in your body of hazardous substances. This includes physical obstacles, such as skin, blood molecules, and cells that fight foreign cells in your body. These barriers form the first line and second line defense in the immune response. Innate immune system also recruiting immune cells to sites of infection, through production of chemical factors, including specialized chemical mediator called cytokines. It also causes the activation of the complement cascade to identify bacteria, activate or recruiting cells, and promote clearance of antibody complexes or dead cells. Infectious agent is something that infiltrates another living thing, like a human. When an infectious agent hitches a ride, our body have officially become an infected host. Cells involved in the innate immune response are used to identify infections by nonspecific chemicals generally shared by most pathogens termed PAMPs. The first stage is to enable a cell to transport the infectious agent to the immune system, and this is done in conditions conducive to an induction of an immune action, by activating the immune system through a contagious agent which has defeated the innate antiinfectious defenses. APCs that express MHC-II molecules fulfil this job in the case of T lymphocytes. A range of cells, including as tissue, B cells and dendritic cells, can serve as APC. Those cells are adsorbing the infectious agent, ingesting part of the microbe ingested and transforming it into small antigenic components. The resultant complex is carried to the cytoplasmic membranes, thereby permitting activation of Th cells. These subunits are linked to HLA intracellularly. APC's and T-lymphocytes expressed surface protein interactions and APC-released cytokines are the costimulants of the Th cells. How antigen is delivered to B-cells is not known, although the activation of the immune response in a lymphoid organ has been thoroughly documented (lymph node, peri-intestinal lymphoid tissues, spleen). The lymphoid tissue has abundant opportunities for interaction with and collaboration between those various cells, and all cellular factors essential for the inductive and efficient phases for an immune response are present. Once encouraged to multiply and differentiate, therapeutic cells can aid effector cell differentiation. But not all Th cells appear to be able to support all kinds of effector cells. Activated Th1 cells produce cytokines, which work on a range of cells, including macrophages (to further increase activation levels and increase their capacity to remove intracellular infection agents) and cytotoxic T cells which are extremely effective in eliminating virus-infected cells. The activated Th2 lymphocytes, by contrast, segregate another cytokin group to support the proliferation and differentiation of anti-stimulated B lymphocytes that subsequently develop into plasma cells. Plasma cells synthesize huge quantities of antibodies. The primary molecules for effectors in the humoral immune response are antibodies, as described before. During activation of particular anticorps binding to a microbe and the supplementary system, microorganisms are either consumed and destroyed with phagocytic cells, or are killed by complementary lyse and ADCC mediated leukocytes. After removing the micro-organism, the negative reaction mechanism is prominent and the immune response is switched off. A combination of several factors, such as the elimination of the positive stimulus represented by the microorganism and the activation of immune regulation-based lymphocytes which secretes cytokines that give inactivating signal to other lymphocytes, seems to result in a downregulation of the immune reaction. A residual lymphocyte population specific to the offending antigen will persist after the immune response. At the end of this reaction. This is the memory cell population that is responsible for protection following natural exposure or vaccination. The same generic cell sub-population can trigger rapid rejection of numerous graft recipients. (702 words) Question 2 (700 words) Discuss the involvement of adaptive immunity, both cellular and humoral responses, due to this infection (10 marks) Adaptive or acquired immune response lasts for days or weeks – far more than the innate response; yet it is more pathogens-specific and has a more memory-based immunity. Adaptive immunity is an immunity which arises when either a disease or vaccine is exposed to an antigen. This component of the immune system is triggered when the innate response to an infection is inadequate. Indeed, the adaptive response cannot be activated without input from the innate immune system. There are two different forms of adaptive reactions, the immuno-response of cells mediate by T and the humoral immuno-response is regulated by activating B cell and antibodies. Tcells and B-cells that are specific to molecular pathogen structures are proliferating and attacking the invading pathogen. Their assault may directly kill pathogen, or release antibodies to improve pathogens' phagocytosis and disturb the infection. Adaptive immunity also includes a memory that provides long-term reinfection protection for the hosts with the same pathogen type and will allow an effective and rapid response when re-exposed to them. In the same way that humoral and cell-mediated responses are known now to be closely interdependent, the distinction between specific and non-specific immune response to infection has become hard to define. For example, natural killer (NK) cells and macrophages play a role in innate immunity but they may be activated by lymphokines produced as a result of a specific immune response. In addition, Fc receptor-bearing phagocytic cells may act in an antigen-specific manner through binding antibody. When coated with specific antibody, virus infected cells and other pathogens may be killed by antibody-dependent cellular cytotoxicity (ADCC) mediated by macrophages and killer cells. If the inflammatory response is unable to eliminate an invading organism, the stimulus persists long enough to stimulate a specific immune response. The type of response that predominates is dependent largely on the type of organism causing the infection. Often both T cell and antibody responses are required to completely eliminate an invading pathogen. Many of the bacteria that cause infectious illness in humans proliferate in the body's surroundings, and the most intracellular pathogens transmit by extra-cellular fluids from cells to cells. The extracellular gaps are protected by a human-induced immune response, where B-cell antibodies kill extracellular micro-organisms and prevent intracellular disease from spreading. Antigen triggers the activation of B cells and their distinction into plasma cells that secrete antibodies. Helper T cell is commonly used to refer to a TH2 class of CD4 T cells. However, B cells may also be activated by a fraction of TH1 cells. The phrase helper T cell means any CD4T cell that can activate a B cell with an armed effector. Helper T cells also check the flipping of isotype and have a function in starting somatic hyper muted genes in V-region antibodies. Antigen binding to the B-cell antigen receptor activates B cells, and is internalized in peptides which activate the T-helper cells at the same time. The immunity contributes to three major methods in which antibodies attach to particular molecules onto the target cell surface: cells, viruses and intracellular bacteria. This may be prevented and the disease is neutralized by antibodies that attach to the pathogen. In order to prevent bacterial toxins from entering cells, neutralization by antibodies is also necessary. The bacteria that proliferate outside cells are protected against antibodies, largely by aiding pathogen absorption by phagocytic cells specialized in destruction of ingested bacteria. This is done in one of two ways by antibodies. On the first instance, Fc receptors in phagocytic cells that bind to the C-region of the antibody are found to be bound antibodies which cover the pathogen. The surface of a pathogen is termed opsonization for the purpose of improving the phagocytosis. Alternatively, the proteins of the supplementary system might be activated by antibodies binding to the pathogen surface. Complementary activation causes complementary proteins to be attached to the pathogen surface by binding the complementary receptors of phagocytes, which oppose the pathogen. The other components of the supplement attract phagocytic cells at the infection site and their terminal components can lysis of some bacteria directly through the formation of holes in their membranes. The isotype or class of the anticorps generated determines the effector mechanisms involved in a given reaction. (703 words) End of Question REFERENCES 1. Virella, G., 2007. Medical Immunology, Sixth Edition. 6th ed. NEW YORK, pp.184-195. 2. Eales, L., 2003. Immunology for life scientists. Hoboken, NJ: J. Wiley, pp.210-215. 3. B. Zabriskie, J., 2008. Essential Clinical Immunology. 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