Blood Lec 19 by Dr Sadia

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    There are two types of MHC

    proteins:

    (1)MHC I proteins, which present

    antigens to cytotoxic T cells,

    (2) MHC II proteins, which presentantigensto T helper cells.

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    e ant gens on t e sur ace o ant gen-presenting

    cells bind with receptor moleculeson the

    surfaces ofTcells in the same way thatthey bind with plasma protein antibodies.These receptor molecules are composed of a

    variable unit similar to the variable portionof the humoral antibody, but its stemsection is firmly bound to the cell membrane

    of the T lymphocyte. There are as many as 100,000 receptorsites on a single T Lymphocyte.

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    Different Types of T Cells and TheirDifferent Functions

    (1)helper T cells, (2) cytotoxic T cells,

    (3) suppressorT cells.

    Helper T CellsTheir Role in Overall Regulationof Immunity

    Helper T cells are most numerous of the T cells,usually constituting more than three quarters ofall of them.

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    Helper T Cells

    Serve as the major regulator of all immunefunctions by forming a series of proteinmediators called lymphokines,.

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    Among the impt lymphokines secreted by the helperT cells are:

    Interleukin-2

    Interleukin-3 Interleukin-4 Interleukin-5 Interleukin-6

    Granulocyte-monocyte colony-stimulating factor Interferon-gamma

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    Specific Regulatory Functions ofthe Lymphokines.

    Absence of the lymphokines from the helper Tcells, remainder of the immune system is almostparalyzed.

    Helper T cells are inactivated or destroyed by the(AIDS) virus, leaves the body unprotected

    against infectious disease,

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    Specific regulatory

    functions of Helper T cells

    Stimulation of Growth and Proliferation ofCytotoxic Cells and Suppressor T Cells. interleukin-2.

    Stimulation of B-Cell Growth and Differentiation toForm Plasma Cells and Antibodiesinterleukins 4,

    5, and 6 also known as B-cell stimulating factors.

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    Activation of the Macrophage System

    Slow or stop the migration of themacrophages great accumulation ofmacrophages in inflamed area.

    Activate the macrophages to cause farmore efficient phagocytosis.

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    Feedback Stimulatory Effect on theHelper Cells Themselves.

    Interleukin-2, have a direct +ve

    feedback effect in stimulatingactivation of the helper T cellsthemselves.

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    Cytotoxic T Cells

    Cytotoxic T cells or killer cell are Tlymphocytesdirectly attack & kill othercells.

    They are particularly responsive to

    Cells of transplanted tissues & organs, Cancer cells Host cells that are infected with viruses,

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    Cytotoxic cell recognizes a complex ofantigen and MHC-I protein on a diseasedor foreign cell or antigen presenting cell.

    Receptor proteins on thesurfaces of thecytotoxic cells bind tightly to thoseorganisms or cells that contain theappropriate binding-specific antigen.

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    After binding, the cytotoxic T cell secretes:

    (1) hole forming protien calledperforins

    punchround holes in the memb of theattacked cell.

    Fluid flows rapidly into the cell from the

    interstitial space

    attacked cell becomesgreatly swollen, dissolves.

    Cytotoxic T cell releases cytotoxicsubstances directly into the attacked cell.

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    (2) Lymphotoxin, destroys the

    target cells DNA (3) Tumor necrosis factor (TNF)

    kills cancer cells & stimulatesfever,leukopoiesis,& eosinophil

    activity. (4) interferon, inhibits the

    replication of viruses,

    (5) interleukins

    regulatemacrophage activity, .

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    1. Antigen

    recognition

    2. Costimulation

    3. Clonal selection

    4. Lethal hitMHC-I

    protein

    MTC TH

    Costimulation

    protein

    MHC protein

    Antigen

    APC

    TC or TH

    TC

    TH

    APC

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    Suppressor T Cells

    Suppressor T cells suppressing the functions ofboth cytotoxic & helper Tcells.

    Suppressor T cell preventing the cytotoxic Tcells from causing excessive immune reactionsthat might be damaging to the bodys own tissues

    . Suppressor cells & helper T cells, are regulatory

    T cells.

    Suppressor T-cellsyst plays an impt role inlimiting the ability of the immune system toattack a persons own body tissues, called immunetolerance.

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    Tolerance of the Acquired Immunity System to OwnTissues

    Immune mechanism normally recognizes apersons own tissues being distinctive frombacteria or viruses, and forms few antibodies oractivated T cells against his or her own antigens.

    Most tolerance develops during preprocessing ofT lymphocytes in the thymus & B lymphocytes inthe bone marrow.

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    During the preprocessing oflymphocytes all or most of those

    clones of lymphocytes that arespecific to damage the bodys owntissues are self-destroyed.

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    Failure of the Tolerance MechanismCauses Autoimmune Diseases.

    Sometimes people lose their immunetolerance of their own tissues.

    It occurs after destruction of some of thebodys own tissuesreleases self-antigens circulate in the body cause

    acquired immunity

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    Several specific diseases thatresult from autoimmunity

    (1) Rheumatic fever

    (2)Glomerulonephritis

    (3) Myasthenia gravis (4)Lupus erythematosus,

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    Immunization by Injection ofAntigens

    1.By njecting dead organisms not capable ofcausing disease but have chemical antigens.

    It is used against typhoid fever, whooping cough,diphtheria,& other bacterial diseases.

    2.Immunity can be achieved against toxins thattreated with chemicals. It is used in immunizationagainst tetanus & botulism.

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    Person can be immunized by beinginfected with live organisms that havebeen attenuated.

    This is used to protect againstpoliomyelitis, yellow fever, measles,smallpox, and many other viral diseases.

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    Passive Immunity

    Done by infusing antibodies, activated T cells, or boththat has been actively immunized against the antigen.

    Antibodies last in the body of the recipient for 2-3weeks, & during that time, the person is protectedagainst the invading disease.

    Activated T cells last for a few weeks if transfusedfrom another person & only for a few hrs to a few daysif transfused from an animal.