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Blood transfusion
Tissue grafting and organ transplantation
Transplacental leakage
Ingestion
The portion that binds specifically with the binding site of an antibody (paratope) or to a
lymphocyte receptor.
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Configurations of epitopes
Conformational: formed by amino acids that appear on the same area of the protein but
not adjacent to the peptide chain.
Classes of Immunogens:
1. Thymic dependent antigens:
T-Independent Antigens
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According to epitopes:
There is only one kind of epitope but many such epitopes on each molecule such as
many polysaccharides and homopolymers
There are many different kinds of epitopes but only one of each kind such as protein
There are many kinds of determinants and many of each kind such as polymerized
proteins
Requirements of Immunogenecity
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1. Foreigness
An antigen must be foreign or non self to the host to which it is administered.
o Autologous Antigens: found within the same individual
Autograft
o Syngeneic antigens: found in genetically identical individuals
Syngeneic graft or isograft
o Allogenic or Homologous antigens: Found between different individuals with the
same specie
Homograft/allogragft
o Xenogeneic or heterologous antigens: Found between different individuals of
different species
Xenograft
o Sequestered Antigens: Antigens not exposed to antibody producing cells and become
immunogenic when exposed to antibody forming tissues.
o Heterogenetic/Heterophilic antigens: Occur in unrelated animal and plant species
2. Chemical Complexity
Proteins:
o Majority of immunogens
o Strongest immunogens because of the diversity of amino acids which imparts epitopes of
different specificities to the molecules
o The total immune response will be the sum of all the antibodies produced by the epitopes
Glycoproteins
o Immunogens
o Best illustrates by RBC blood group antigens
o HLA antigens found on the surface of nucleated body cells comprising both solid tissue
and most circulating blood cells.
Polysaccharides:
o Most are haptens
o Easily degraded when injected
Pure polysaccharides substance
Pneumococcal capsule which are responsible for the protective immune
response to pneumococcus
Lipopolysaccharide substances (endtotoxins)
Nucleic Acids:
o Non immunogenic because of relative simplicity, molecular flexibility and rapid
degradation
o Nucleoproteins are stronger immunogens because the nucleic acids are coupled to
proteins.
Lipids
o Non immunogenic
Relatively simple, lack structural stability
3. Molecular Size
As a general rule, molecules below 5,000 daltons are non-immunogenic.
Reasonable immune responses will be induced by molecules like
o serum albumin (40,000 daltons)
o Gamma globulin (160,000 dlatons)
o Hemocyanin (1,000,000)
Size is important since the number of epitopes increases proportionately with the size or
protein.
Larger molecules from antibodies move rapidly since they are processes and phagocytized by a
macrophage.
Soluble antigen is difficult or impossible to phagocytized and therefore is not immunogenic at
times.
Genetic Composition
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Cross Reactivity
Denotes a situation in which two or more compounds that may have various degree of
dissimilarity, share antigenic determinants/epitope and would therefore react within immune
components induced against any one of the compounds.
A toxoid is a modified form of toxin may have one more antigenic determinants in common with
the native toxin
Immunization with a toxoid leads to an immune response capable of reacting only with the
toxoid but also with the native toxin
Cross reactivity is illustrated by:
o Treponema pallidum and cardiolipin
o Epstein-Barr Virus and sheep red blood cells
o Ricketssia and Proteus
Immunologic Adjuvant
Adjuvant: Substance which when mixed with an Immunogen enhances the immune response
against the Immunogen
Types of Adjuvant
1. CFA (Complete Freunds Adjuvant)
Hapten becomes immunogenic when conjugated covalently to a carrier but will not become
immunogenic when conjugated with an adjuvant.
An adjuvant enhances immune response to Immunogen but does not confer immunogenecity to
Haptens
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Phagocytosis
Inflammation
Complement System
Acute phase reactants
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1. Phagocytosis
(engulfment and destruction) of microorganism and damaged cells
literally means eating cell process
Phagocytosis MEMORIZE (ICED)
o Initiation is caused by damage to the tissues, either by trauma or as a result of
microbial multiplication.
o Chemotaxis, attraction of leukocytes or other cells by chemicals.
Opsonization - Opsonization coating a pathogen by substances so as to
enhance phagocytosis.
Adherence - firm contact between phagocyte and microorganism.
o Engulfment into cytoplasm and enclosed in a vacuole.
o Digestion enzymatic contents in vacuole destroy the microorganism.
INITIATION is caused by damage to the tissues, either by trauma or as a result of
microbial multiplication.
activated phagocyte has increased surface receptors that allow for adherence
(adhesive factor)
o CR3
o Lamin receptor
o Leucyformyl-methionyl
phenylalanine
CHEMOTAXIS attraction of leukocytes or other cells by chemicals. ( chemotaxin)
Chemotaxin
o Interleukin 1 - released by macrophage
o Histamine - released by basophils, tissue mast
cells
o Complement (C5a)
2 kinds
o Positive movement towards the stimulate
o Negative movement away from the stimulate
Opsonization - a process of coating a pathogen by substances so as to enhance
phagocytosis.
o to prepare for eating.
o Opsonins are serum proteins that attach to a foreign substance and help
prepare it for phagocytosis
o Opsonin:
antibody
Complement component
C- reactive protein
Adherence - firm contact between phagocyte and microorganism.
ENGULFMENT
achieved through amoeboid motion
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INFLAMMATION
A nonspecific exaggerated physiological response by phagocytic cells to infection/injury.
Rubor (redness) is caused by increased circulation and vasodilation in the injured tissues;
Calor (warmth) is the heat given off by the increased flow of blood;
Tumor (swelling) is caused by increased extracelluar fluid accumulating in the tissues
Dolor (pain) is caused by the stimulation of nerve endings from the pressure of swelling or
by chemical mediators
Functio laesa (loss of function)
STAGES
Vascular response
Cellular response
Vascular response
Cellular response
Neutrophils
first to migrate
short lived
acute inflammation
Monocyte/ Macrophage
2nd to migrate
long lived
chronic inflammation
act as APC (antigen presenting cell)
APC (antigen presenting cell)
o release interleukin 1 (IL1)
o Effects of IL1
Act in hypothalamus (FEVER)
Increase acute phase reactants
Antimicrobial substances
Complement
Properdin
Interferon
Tumor necrosis factor
Betalysin
Type 1 non- immune, produced primarily in the initial innate response to viral infection
o
alpha IFN
aka leukocyte interferon
produce by virus induced leukocyte culture (NULL lymphocyte)
beta IFN
aka fibroblast & epithelial/ fibroepithelial IFN
produced by fibroblast cells
Type 2 immune, primarily produced as a component of the specific immune response to viral
and other pathogens
Gamma IFN
aka immune IFN
produced by immunologically stimulated lymphocyte
Tumor Necrotic factor
cytotoxic against tumor cells and virally infected cells
TNF alpha
o aka cachetin
o produced by macrophage
TNF beta
o aka lymphotoxin
o produced by CD4 and CD8 cells
Complement - complex series of more than 30 soluble and cell-bound proteins that interact in
a very specific way to enhance host defense mechanisms against foreign cells.
Function
o mediate inflammation
o activate immune system
o opsonization
o cell lysis
Properdin - serum protein that exerts bactericidal and viricidal effect in the presence of C3 and
Mg
Betalysin
released by platelets during coagulation
substance with bactericidal activity found in serum (not in plasma).
o
2.
3.
4.
5.
Interleukin - cytokines (chemical messengers) produced by leukocytes that affect the inflammatory
process through an increase in soluble factors or cells
Cellular versus Humoral Immunity
Many are isolated in the gamma globulin fraction of protein (electrophoresis separation)
Found in the plasma and many body fluids (eg. Tears, saliva, colostrums)
Immunoglobulin (Ig)
Function
o 1 - body defense: combine w/ antigen, enough to neutralize bacterial toxins or some
viruses
Immunoglobulins
Classes differ from characteristics such as MW and sedimentation coefficients
1. IgM (SC: , of 19)
10 % of Ig pool
Largely confined to intravascular pool and blood due to its large size
Produced early in immune response
Effective in Agglutination & Cytolytic reactions
5 individual HEAVY chains (65,000 Da, whole: 900,000 Da)
Decreased in 1 (genetically determined) Ig disorders as well as 2 Ig deficiencies
Increased in
o Infectious diseases, such as subacute bacterial endocarditis, infectious
mononucleosis, leprosy, trypanosomiasis, malaria, and actinomycosis
o Collagen disorders, such as scleroderma
o Hematologic disorders, such as polyclonal gammopathies, monocytic leukemia,
and monoclonal gammopathies(e.g., Waldenstrms macroglobulinemia)
PENTAMER
2. IgG (SC: 7S)
Major Ig in normal serum
Diffuses more readily than other Igs into extravascular spaces and neutralizes toxins or
binds to microorganisms in extravascular spaces
Only Ig that cross placenta except IgG2
MW: 150,000 Da
Cord blood and CSF
Decrease in 1 (genetically) or 2 (acquired) Ig deficiencies
Significant Increase in
o Infectious diseases, such as hepatitis, rubella, and infectious mononucleosis
o Collagen disorders, such as rheumatoid arthritis and systemic lupus
erythematosus
o Hematologic disorders, such as polyclonal gammopathies, monoclonal
gammopathies, monocytic leukemia, and Hodgkins disease
MONOMER
3. IgA
4. IgD
5. IgE
Antibody Structure
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