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Microbiology 532:Microbiology 532:
ImmunologyImmunologyDennis E. Lopatin, Ph.D.Dennis E. Lopatin, Ph.D.Dept. of iologic an! Materials "ciencesDept. of iologic an! Materials "ciences
#2$% Dental uil!ing#2$% Dental uil!ing
&'ce (ours by )ppointment&'ce (ours by )ppointment
Phone: *#+3%-2Phone: *#+3%-2
Electronic mail: lopatinumich.e!uElectronic mail: lopatinumich.e!u
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(elpful (ints(elpful (ints
/ea!ings in te0t are bene1cial/ea!ings in te0t are bene1cial II e0pecte
0pect you to rea! the releant chapters in ester.you to rea! the releant chapters in ester. 4n!erstan!ing the4n!erstan!ing the conceptsconce
pts is not optionalis not optional hin6 hin6, rather than memori7e, rather than memori7e
est 8uestions are base! on est 8uestions are base! on conceptsconcepts )s6 8uestions)s6 8uestions Don9t ait until the last minute to stu!yDon9t ait until the last minute to stu!y ;hec6 the ebsite;hec6 the ebsite
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Lecture 1Lecture 1
ImmunologyImmunology
Introduction & Innate immunityIntroduction & Innate immunity
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o types of immunity o types of immunity Innate immunity Cnot antigenspeci1cInnate immunity Cnot antigenspeci1c
)natomical barriers)natomical barriers MechanicalMechanical iochemicaliochemical
onspeci1c Ceg. Lo p( in stomachonspeci1c Ceg. Lo p( in stomach /eceptor!rien Ceg. P)MPrecognition/eceptor!rien Ceg. P)MPrecognition
)!aptie immunity Cantigenspeci1c)!aptie immunity Cantigenspeci1c /eceptor!rien/eceptor!rien Pree0isting clones programme! to ma6e a speci1cPree0isting clones programme! to ma6e a speci1c
immune response Chumoralcellularimmune response Chumoralcellular
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)ntigen)ntigen
) substance Cantigen that is capable of) substance Cantigen that is capable ofreactingreacting ith the pro!ucts of a speci1cith the pro!ucts of a speci1cimmune response, e.g., antibo!y orimmune response, e.g., antibo!y or
speci1c sensiti7e! lymphocytes.speci1c sensiti7e! lymphocytes. ) AselfB component may be consi!ere! an) AselfB component may be consi!ere! an
antigen een though one !oes notantigen een though one !oes notgenerally ma6e immune responsesgenerally ma6e immune responses
against those components.against those components.
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;haracteristics of )!aptie;haracteristics of )!aptie
ImmunityImmunity Immune response is highly speci1c for the antigen thatImmune response is highly speci1c for the antigen that
triggere! it.triggere! it. /eceptors on surface of immune cells hae same speci1city as the/eceptors on surface of immune cells hae same speci1city as the
antibo!ye@ector actiity that ill be generate!antibo!ye@ector actiity that ill be generate! E0posure to antigen creates an immunologic Amemory.BE0posure to antigen creates an immunologic Amemory.B
Due to clonal e0pansion an! creation of a large pool of cellsDue to clonal e0pansion an! creation of a large pool of cells
committe! to that antigencommitte! to that antigen
"ubse8uent e0posure to the same antigen results in a rapi! an!"ubse8uent e0posure to the same antigen results in a rapi! an!
igorous responseigorous response
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;omponents of the;omponents of the
immune systemimmune system
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CellsCells
involvedinvolvedinin
immunityimmunity
plateletsplatelets
megakaryocytemegakaryocyteeosinophileosinophil
neutrophilneutrophil
basophilbasophil
mast cellmast cell
commoncommonmyeloidmyeloidprogenitorprogenitor
monocytemonocyte
macrophagemacrophage
NaturalNatural
Killer cellKiller cell
plasma cellplasma cell
B LymphocyteB Lymphocyte
T LymphocyteT Lymphocyte
commoncommonlymphoidlymphoidprogenitorprogenitor
PluripotentPluripotenthematopoietichematopoietic
stem cellstem cell
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BloodBloodSerum orSerum or
PlasmaPlasma
Leukocytes,Leukocytes,
Platelets and RBCPlatelets and RBC
Serum ProteinsSerum ProteinsMononuclearMononuclear
CellsCells
PolymorphonuclearPolymorphonuclear
leukocytes (orleukocytes (orGranulocytes)Granulocytes)
•ImmunoglobulinsImmunoglobulins
•ComplementComplement•Clotting factorsClotting factors•Many othersMany others
•NeutrophilsNeutrophils
•EosinophilsEosinophils•BasophilsBasophils
•LymphocytesLymphocytes
(T cells, B cells(T cells, B cells& NK cells)& NK cells)•MonocytesMonocytes
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Lymphoi! &rgansLymphoi! &rgans
Primary or central lymphoi! organsPrimary or central lymphoi! organs bone marro an! thymusbone marro an! thymus
here lymphocytes are generate!here lymphocytes are generate!
"econ!ary or peripheral lymphoi! organs"econ!ary or peripheral lymphoi! organs here a!aptie immune responses arehere a!aptie immune responses are
initiate!initiate!
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Distribution of Lymphoi! issuesDistribution of Lymphoi! issues
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Response to Initial InfectionResponse to Initial Infection
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Stages of Response to InfectionStages of Response to Infection
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CourseCourse
of Typicalof Typical
AcuteAcuteInfectionInfection
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Innate Host Defense MechanismsInnate Host Defense Mechanisms
Anatomic FactorsAnatomic Factors Mechanical FactorsMechanical Factors
Biochemical FactorsBiochemical Factors
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SkinSkin
Stratified and cornified epithelium provides aStratified and cornified epithelium provides a
mechanical barriermechanical barrier
Indigenous microbiota competes with pathogensIndigenous microbiota competes with pathogens
Acid pH inhibits growth of disease producingAcid pH inhibits growth of disease producing
bacteriabacteria
Bactericidal long chain fatty acids in sebaceousBactericidal long chain fatty acids in sebaceous
gland secretionsgland secretions
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Respiratory TractRespiratory Tract
Upper Respiratory TractUpper Respiratory Tract Nasal hairs induce turbulenceNasal hairs induce turbulence
Mucous secretions trap particlesMucous secretions trap particles
Mucous stream to the base of tongue where material is swallowedMucous stream to the base of tongue where material is swallowed
Nasal secretions contain antimicrobial substancesNasal secretions contain antimicrobial substances
Upper respiratory tract contains large resident floraUpper respiratory tract contains large resident flora
Lower Respiratory TractLower Respiratory Tract Particles trapped on mucous membranes of bronchi and bronchiolesParticles trapped on mucous membranes of bronchi and bronchioles
Beating action of cilia causes mucociliary stream to flow up into the pharynxBeating action of cilia causes mucociliary stream to flow up into the pharynx
where it is swallowedwhere it is swallowed
90% of particles removed this way. Only smallest particles (
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Alimentary TractAlimentary Tract General defense mechanismsGeneral defense mechanisms
Mucous secretionsMucous secretions
Integrity of of mucosal epitheliumIntegrity of of mucosal epithelium
Peristaltic motions of the gut propel contents downwardPeristaltic motions of the gut propel contents downward
Secretory antibody and phagocytic cellsSecretory antibody and phagocytic cells
StomachStomach Generally sterile due to low pHGenerally sterile due to low pH
Small IntestineSmall Intestine Upper portion contains few bacteriaUpper portion contains few bacteria
As distal end of ilieum is reached flora increasesAs distal end of ilieum is reached flora increases
ColonColon
Enormous numbers of microorganismsEnormous numbers of microorganisms 50-60% of fecal dry weight is bacteria50-60% of fecal dry weight is bacteria
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Genitourinary TractGenitourinary Tract
MaleMale No bacteria above urethrovesicular junctionNo bacteria above urethrovesicular junction
Frequent flushing action of urineFrequent flushing action of urine
Bactericidal substances from prostatic fluidBactericidal substances from prostatic fluid
pH of urinepH of urine
Bladder mucosal cells may be phagocyticBladder mucosal cells may be phagocytic
Urinary sIgAUrinary sIgA
Female (Vagina)Female (Vagina) Large microbial population (lactobacilli)Large microbial population (lactobacilli)
Microorganisms produce low pH due to breakdown of glycogen produced byMicroorganisms produce low pH due to breakdown of glycogen produced by
mucosal cellsmucosal cells
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EyeEye
Flushing action of tears which drain through theFlushing action of tears which drain through the
lacrimal duct and deposit bacteria in nasopharynxlacrimal duct and deposit bacteria in nasopharynx
Tears contain a high concentration of lysozymeTears contain a high concentration of lysozyme(effective against gram positive microorganisms(effective against gram positive microorganisms
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/eceptors/eceptors
)lmost all of biology occurs because)lmost all of biology occurs because
recognitionrecognition En7ymatic actionEn7ymatic action
Interactions beteen cellsInteractions beteen cells
CcooperationactiationCcooperationactiation
;ommunication beteen cells;ommunication beteen cells
Innate an! a!aptie immunity re8uires itInnate an! a!aptie immunity re8uires it
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Innate Immune /ecognitionInnate Immune /ecognition
)ll multicellular organisms are able to)ll multicellular organisms are able torecogni7e an! eliminate pathogensrecogni7e an! eliminate pathogens Despite their e0treme heterogeneity,Despite their e0treme heterogeneity,
pathogens share highly consere! molecules,pathogens share highly consere! molecules,
calle! Apathogenassociate! molecularcalle! Apathogenassociate! molecularpatternsB CpatternsB CP)MPsP)MPs (ost cells !o not share P)MPs ith pathogens(ost cells !o not share P)MPs ith pathogens P)MPs are recogni7e! by innate immuneP)MPs are recogni7e! by innate immune
recognition receptors calle! patternrecognition receptors calle! patternrecognition moleculesreceptors Crecognition moleculesreceptors CP/MsP//sP/MsP//s
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ypical P)MPs ypical P)MPs
Lipopolysacchari!esLipopolysacchari!es
Pepti!oglycansPepti!oglycans
;ertain nucleoti!e se8uences uni8ue to;ertain nucleoti!e se8uences uni8ue to
bacteriabacteria
&ther bacterial components&ther bacterial components
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En!ogenous "ignals In!uce! by P)MPsEn!ogenous "ignals In!uce! by P)MPs
Me!iate inFammatory cyto6inesMe!iate inFammatory cyto6ines )ntigenpresenting cells recogni7e)ntigenpresenting cells recogni7e
P)MPsP)MPs "ame )P; processes pathogens into speci1c"ame )P; processes pathogens into speci1c
pathogen!erie! antigens an! presents thempathogen!erie! antigens an! presents themith M(; enco!e! receptors to cellsith M(; enco!e! receptors to cells
cell respon!s only hen presente! ith both cell respon!s only hen presente! ith bothsignalssignals
Di@erent E@ector ;yto6ines in /esponse to Di@erentDi@erent E@ector ;yto6ines in /esponse to Di@erentPathogens Ch- s. h2Pathogens Ch- s. h2
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)ntimicrobial)ntimicrobial
Pepti!esDefensinsPepti!esDefensins Gour hun!re! pepti!es !escribe! to !ateGour hun!re! pepti!es !escribe! to !ate Defensins C3 56D, four families in eu6aryotesDefensins C3 56D, four families in eu6aryotes
αα!efensins Cneutrophils an! intestinal Paneth cells!efensins Cneutrophils an! intestinal Paneth cells ββ!efensins Cepithelial cells!efensins Cepithelial cells
Insect !efensinsInsect !efensins Plant !efensinsPlant !efensins
Defensins appear to act by bin!ing to outerDefensins appear to act by bin!ing to outermembrane of bacteria, resulting in increase!membrane of bacteria, resulting in increase!membrane permeability.membrane permeability.
May also play a role in inFammation an! oun!May also play a role in inFammation an! oun!repairrepair
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;omplement "ystem;omplement "ystem
hree pathays no 6non hree pathays no 6non ;lassical;lassical
)lternatie)lternatie
Lectin or ML pathay Cbin!ing to mannoseLectin or ML pathay Cbin!ing to mannosecontaining carbohy!ratescontaining carbohy!rates
(ost cells hae complement regulatory(ost cells hae complement regulatory
proteins on their surface that protect themproteins on their surface that protect them
from spontaneous actiation of ;3 moleculesfrom spontaneous actiation of ;3 molecules
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InFammatory Me!iators in InnateInFammatory Me!iators in Innate
ImmunityImmunity ;yto6ines secrete! by phagocytes in response to;yto6ines secrete! by phagocytes in response to
infection inclu!e:infection inclu!e: IL-IL-
actiates ascular en!othelium an! lymphocytesactiates ascular en!othelium an! lymphocytes Increases a!hesieness of leu6ocytesIncreases a!hesieness of leu6ocytes
IL*IL* In!uces cell terminal maturation into Igpro!ucing plasma cellsIn!uces cell terminal maturation into Igpro!ucing plasma cells
ILHILH In!uces e0pression of b2 integrin a!hesion molecules on neutrophils,In!uces e0pression of b2 integrin a!hesion molecules on neutrophils,
lea!ing to neutrophil migration to infection sitelea!ing to neutrophil migration to infection site IL-2IL-2
)ctiates cells an! in!uces h-cell !i@erentiation)ctiates cells an! in!uces h-cell !i@erentiation IL-HIL-H G G
αα
)ctiates ascular en!othelium an! increases ascular permeability,)ctiates ascular en!othelium an! increases ascular permeability,lea!ing to accumulation of Ig an! complement in infecte! tissueslea!ing to accumulation of Ig an! complement in infecte! tissues
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&ther Me!iators an! Molecules&ther Me!iators an! Molecules
PhagocytesPhagocytes o0ic o0ygen ra!icals o0ic o0ygen ra!icals Pero0i!esPero0i!es itric o0i!e C&itric o0i!e C& Lipi! me!iators of inFammationLipi! me!iators of inFammation
Prostaglan!insProstaglan!ins L#L# Platelet actiating factorPlatelet actiating factor
;omplement component ;5a;omplement component ;5a "timulates mast cells to release histamine, serotonin an! L#"timulates mast cells to release histamine, serotonin an! L#
IL-, IL* an! GIL-, IL* an! Gαα In!uce acutephase response in lierIn!uce acutephase response in lier In!uce feerIn!uce feer
IL- an! IL-H signaling pathays actiate GIL- an! IL-H signaling pathays actiate Gκ κ , important in, important ininnate immunityinnate immunity
ll ! i
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Immune ;ells an! Innate ImmunityImmune ;ells an! Innate Immunity
PhagocytesPhagocytes
eutrophilseutrophils MoncytemacrophageMoncytemacrophage Eosinophils Cto a lesser e0tentEosinophils Cto a lesser e0tent
cells cells Clarge granular lymphocytesClarge granular lymphocytes )ntibo!y!epen!ent cellme!iate! cytoto0icity)ntibo!y!epen!ent cellme!iate! cytoto0icity
C)D;;C)D;;
(ae to ma>or functions(ae to ma>or functions Lysis of target cellsLysis of target cells Pro!uction of cyto6ines CIGPro!uction of cyto6ines CIGγ γ an! Gan! Gαα
)ct against intracellular pathogens)ct against intracellular pathogens (erpesiruses(erpesiruses LeishmaniaLeishmania
Listeria monocytogenesListeria monocytogenes )ct against proto7oa)ct against proto7oa
ToxoplasmaToxoplasma TrypanasomaTrypanasoma
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Immune ;ells an! Innate Immunity Ccont9!Immune ;ells an! Innate Immunity Ccont9!
γ γ δδ cells cells
o types of cell receptors o types of cell receptors &ne compose! of&ne compose! of αα an!an! ββ chains Cbasic cell antigen receptorchains Cbasic cell antigen receptor &ne compose! of&ne compose! of γ γ an!an! δδ chains Cminor population of cellschains Cminor population of cells
o groups of o groups of γ γ δδ cells cells &ne group foun! in lymphoi! tissues&ne group foun! in lymphoi! tissues &ne group locate! in paracellular space beteen epithelial cells&ne group locate! in paracellular space beteen epithelial cells
/ecogni7es unprocesse! target antigen in absence of )P; help/ecogni7es unprocesse! target antigen in absence of )P; help
- cells Cminor fraction of cells, !o not re8uire cell help- cells Cminor fraction of cells, !o not re8uire cell help Mast cellsMast cells
Locate! in serosa, un!er epithelial surfaces an! a!>acent to bloo!Locate! in serosa, un!er epithelial surfaces an! a!>acent to bloo!essels, neres an! glan!sessels, neres an! glan!s
;apable of phagocytosis;apable of phagocytosis Process an! present antigen using M(; class I or II receptorsProcess an! present antigen using M(; class I or II receptors LP" can !irectly in!uce release of mast cell me!iatorsLP" can !irectly in!uce release of mast cell me!iators ;omplement C;3a an! ;5a in!uce mast cells to release me!iators;omplement C;3a an! ;5a in!uce mast cells to release me!iators
;hemota0is, complement actiation, inFammation;hemota0is, complement actiation, inFammation G Gαα secrete! by mast cells results in neutrophil inFu0 into infecte!secrete! by mast cells results in neutrophil inFu0 into infecte!
sitesite
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"ummary of Innate Immunity"ummary of Innate Immunity
E0ternal an! mechanical barriersE0ternal an! mechanical barriers
/eceptors for pathogen motifs/eceptors for pathogen motifs
"oluble antimicrobial proteins"oluble antimicrobial proteins Pattern of cyto6ines pro!uce!Pattern of cyto6ines pro!uce!
inFuences a!aptie responseinFuences a!aptie response