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    Humoral ImmunityAntibody Mediated

    Dr.T.V.Rao MD

    Dr.T.V.Rao MD 1

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    Humoral Immunity• Results in

    production ofproteins called“immunoglobulin's

    ” or “antibodies”.• Body exposed to

    “foreign” materialtermed “antigen”

    !ic! may be!armful to body"#irus$ bacteria$ etc.

    • %ntigen !as bypassed

    ot!er protecti#emec!anisms$ ie$ &rst Dr.T.V.Rao MD

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    WHAT ARE ANTIBODIES? • %ntigen speci&c proteins produced

    by plasma cells• Belong to immunoglobulin

    superfamily• (ocated in blood and extra#ascular

    tissues$ secretions and excretions

    • Bind pat!ogenic microorganismand t!eir toxins in extracellularcompartments

    • )ecreted form of immunoglobulin'sDr.T.V.Rao MD *

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    C ASSES !ISOT"#ES$ O%IMM&NO' OB& INS

    • +lasses based on constant region of!ea#y c!ains – ,mmunoglobulin % -,g% – ,mmunoglobulin D -,gD – ,mmunoglobulin / -,g/ – ,mmunoglobulin 0 -,g0 – ,mmunoglobulin M -,gM

    • Di erentiation of !ea#y c!ains – (engt! of + region$ location of disul&de

    bonds$ !inge region$ distribution ofcarbo!ydrate

    • Cla((e( )a*e di+erent e+e,torDr.T.V.Rao MD 2

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    Di+erent ,la((e( o- Antibodie(

    Dr.T.V.Rao MD 3

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    Stru,tural ,on /uration o-Antibody

    Dr.T.V.Rao MD 4

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    THREE DIMENSIONASTR&CT&RE O% ANTIBODIES

    • Antibodie( -un,tion in (ettin/ o- in-e,tiou(0ro,e(( – #roteolyti, en1yme(2 (alt and 0H di+eren,e(

    • Antibodie( remain (table ba(ed on – Se3uen,e o- domain(

    • Sin/le domain ,on(i(t( o- – 455 6 445 amino a,id( -olded into ,om0a,t and

    (table ,on-ormation

    • Domain( – Variable !V$• Sin/le V domain in H and ,)ain(

    – Con(tant !C$• Sin/le C domain in ,)ain(

    • T)ree to -our !C$ domain( in H ,)ain(Dr.T.V.Rao MD 5

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    Antibodie( are #rodu,ed by Bym0)o,yte(

    Dr.T.V.Rao MD 6

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    Immuno/lobulin Cla((e(I. IgGStructure: Monomer

    Percentage serum antibodies: 80%

    Location: Blood, lymph, intestineal!"li!e in serum: #$ daysomplement &i'ation: (es

    Placental )rans!er: (es*no+n &unctions: nhances phagocytosis,neutrali-es to'ins and .iruses, protects !etus andne+born/

    Dr.T.V.Rao MD 7

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    Immuno/lobulin Cla((e(II. I/M

    Structure: Pentamer Percentage serum antibodies: "10%Location: Blood, lymph, B cell sur!ace 2monomer3

    al!"li!e in serum: daysomplement &i'ation: (es

    Placental )rans!er: 4o

    *no+n &unctions: &irst antibodies producedduring an in!ection/ !!ecti.e against microbesand agglutinating antigens/

    Dr.T.V.Rao MD 18

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    Immuno/lobulin Cla((e(

    III. I/AStructure: 5imer Percentage serum antibodies: 10"1 %Location: Secretions 2tears, sali.a, intestine,mil63, blood and lymph/

    al!"li!e in serum: 7 daysomplement &i'ation: 4o

    Placental )rans!er: 4o*no+n &unctions: Locali-ed protection o!mucosal sur!aces/ Pro.ides immunity to in!antdigesti.e tract/

    Dr.T.V.Rao MD 11

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    Immuno/lobulin Cla((e(

    IV. I/DStructure: Monomer Percentage serum antibodies: 0/#%

    Location: B"cell sur!ace, blood, and lymphal!"li!e in serum: $ daysomplement &i'ation: 4o

    Placental )rans!er: 4o*no+n &unctions: In serum !unction is un6no+n/

    n B cell sur!ace, initiate immune response/

    Dr.T.V.Rao MD 1

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    Immuno/lobulin Cla((e(V. I/E

    Structure: Monomer Percentage serum antibodies: 0/00#%Location: Bound to mast cells and basophilsthroughout body/ Blood/

    al!"li!e in serum: # daysomplement &i'ation: 4o

    Placental )rans!er: 4o*no+n &unctions: 9llergic reactions/ Possiblylysis o! +orms/

    Dr.T.V.Rao MD 1*

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    C ASSES !ISOT"#ES$ O%IMM&NO' OB& INS• %dditional

    classi&cation based onlig!t c!ains – 7a00a – ambda

    • /ac! ,0 !as eit!er9appa or lambda$ notbot! – I/' 8a00a – I/' lambda

    • :o functionaldi erences bet eenlig!t c!ains Dr.T.V.Rao MD 12

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    B Cell Re,e0tor( -orAnti/en(• B cell receptors

    – Bind to speci&c$ intact antigens – %re often called membrane antibodies or

    membrane immunoglobulin's Antigen-

    bindingsite

    Antigen-

    binding siteDisulfidebridge

    Lightchain

    Heavy chains

    Cytoplasm of B cell

    A B cell receptor consists of two identical heavychains and two identical light chains lin ed byseveral disulfide bridges!

    2a3

    "ariableregions

    Constantregions

    #ransmembraneregion

    $lasmamembrane

    B cell

    Dr.T.V.Rao MD 13

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    Antibodies bond to antigenic determinantsAntigenic determinants are portions of the antigen

    Dr.T.V.Rao MD 14

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    Antibodie( are #rotein( t)atRe,o/ni1e S0e,i , Anti/en(

    Dr.T.V.Rao MD 15

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    E0ito0e(9 Anti/en Re/ion(t)at Intera,t :it) Antibodie(

    Dr.T.V.Rao MD 16

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    Dynami,( o- Antibody#rodu,tion

    • #rimaryimmunere(0on(e – (atent period – 0radual rise in

    antibody

    productionta9ing days toee9s

    – ;lateau reac!ed – %ntibody le#el Dr.T.V.Rao MD 17

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    Se,ondary Re(0on(e

    • )econd exposure to)%M/ antigen.

    • Memory cells are abeautiful t!ing.

    • Recognition ofantigen is immediate.

    • Results in immediate

    production ofprotecti#e antibody$mainly ,g0 but maysee some ,gM

    Dr.T.V.Rao MD 8

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    Dynami,( o- Antibody#rodu,tion

    • Antibody 0rodu,tion – ,nitial antibody produced in ,gM

    – (asts 18

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    • In t)e (e,ondaryimmune re(0on(e

    – Memory ,ell( -a,ilitate a -a(ter2 moree;,ient re(0on(e

    A n

    t i b o

    d y c o n c e n

    t r a

    t i o n

    % a r b

    i t r a r y u n

    i t s

    &

    '( )

    '( *

    '( +

    '( '

    '( (

    ( , ') +' + *. )+ )/ .0

    #ime %days&

    9ntibodiesto 9 9ntibodiesto B

    Primaryresponse toantigen A

    produces anti-bodies to A

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    THE #RIMAR" H&MORAIMM&NE RES#ONSE

    • ,mmune response initially produces ,gMantibodies t!en s itc!es to ,g0antibodies

    • ?uestion – >!y s itc! from ,gM to ,g0@

    • %ns er –

    (imited e ector mec!anisms for ,gM – Range of e ector mec!anisms for ,g0• Mec!anism

    – ,sotope or class s itc!ingDr.T.V.Rao MD *

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    IL 1

    Autocrinestimulation

    IL 2

    Humoral (antibody-mediated) Immunity

    Dr.T.V.Rao MD 2

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    ISOT"#E OR C ASS SWITCHIN'

    • ;rocess by !ic! B cell c!anges class of,0 produced !ile preser#ing antigenicspeci&city

    • ,n#ol#es somatic recombination !ic!attac!es di erent !ea#y c!ain constantregion to #ariable region

    • Accurs only during acti#e immune

    response• Mec!anisms in#ol#es recombination

    bet een – ) itc! se uences -regions

    Dr.T.V.Rao MD 3

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    • Clonal (ele,tion o- B ,ell( – 0enerates a clone of s!ort

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    MemoryCells

    Humoral (antibody-mediated) Immunity

    Dr.T.V.Rao MD 5

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    enefits of Immunological Memory

    Dr.T.V.Rao MD 6

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    Clonal Selection

    !nly one type ofantibody"and one

    type of cell" responds to the

    antigenic determinant

    #hat cell typethen produces alarge number of

    clonesDr.T.V.Rao MD 7

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    =C:+T,A:) %:D ;RA;/RT,/) A=%:T,BAD

    • Neutrali1ation – Direct inacti#ation of pat!ogen or toxin

    t!ereby pre#enting its interaction it!

    !uman cells• O0(oni1ation

    – +oating of pat!ogens for more eEcientp!agocytosis

    • A,ti*ation o- ,om0lement – More eEcient p!agocytosis – Direct 9illing

    Dr.T.V.Rao MD *8

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    DIVERSI%ICATION O% ANTIBODIESA%TER B CE S ENCO&NTER ANTI'EN

    • Mature$ naF#e B cell !as membrane bound ,gMand ,gD antigen receptors

    • Binding of antigen initiates proliferation and

    di erentiation of B

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    DIVERSI%ICATION O% ANTIBODIESA%TER B CE S ENCO&NTER ANTI'EN

    • =ollo ing antigen acti#ation of B

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    O&TCOME O% SOMATICH"#ERM&TATION

    • 0i#es rise to some antibodiesit! !ig!er

    – %Enity for antigen• %Enity – )trengt! of binding of one molecule

    to anot!er by a single binding site• Gig!er aEnity antibodies are

    produced as immune response

    proceeds Dr.T.V.Rao MD **

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    I/M ANTIBOD" O% THEIMM&NE RES#ONSE

    • =irst isotype produced in primary response – May or may not be produced in secondary response – ;roduced before B cells undergo somatic

    !ypermutation• Accurs as pentamer it! H c!ain

    – =ound primarily in blood and lymp!• Multiple binding sites confers !ig! a#idity and

    compensates for lo aEnity of monomers• Gig!ly e ecti#e in complement acti#ation• =unctions as r!eumatoid factor

    Dr.T.V.Rao MD *2

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    I/' ANTIBOD" O% THEIMM&NE RES#ONSE

    • )econd isotype produced in primary response• ;rimary isotype of

    – )econdary immune response – Memory immune response

    • Represents approximately 53I of total serum,0

    • =our subclasses -1

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    I/A ANTIBOD" O% THEIMM&NE RES#ONSE

    • T o subclasses -,g%1 and ,g% andt o forms -monomeric and dimeric

    • Monomeri, – (ocated in blood and extracellular spaces – ;redominately ,g%1

    • Ratio of ,g%1 to ,g% is 18"1 – =unctions as r!eumatoid factor

    • Dimeri, – (ocated in mucous membranes and secretions – ;redominately ,g% – Ratio of ,g% to ,g%1 is *" – H c!ain li9e ,gM

    Dr.T.V.Rao MD *4

    / /

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    / /O% THE IMM&NE

    RES#ONSE• I/E – Binds it! !ig! aEnity to receptors on mast

    cells$ basop!ils and acti#ated /osinop!ils

    – (onger !alf

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    Immunolo/i,al

    MemoryAntibody Titer 9 )he amount o! antibodyin the serum/

    Pattern o! 9ntibody Le.els 5uring In!ectionPrimary esponse:

    – 9!ter initial e'posure to antigen, no antibodiesare !ound in serum !or se.eral days/

    – 9 gradual increase in titer, !irst o! IgM and theno! IgG is obser.ed/

    – Most B cells become plasma cells, but some B

    cells become long li.ing memory cells /Dr.T.V.Rao MD *6

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    Immunolo/i,al Memory!Continued$

    Se,ondaryRe(0on(e9

    – Sub(e3uent e@0o(ure tot)e (ame anti/en di(0lay(a -a(ter and more inten(eantibody re(0on(e.

    – In,rea(ed antibodyre(0on(e i( due to t)e

    e@i(ten,e o- memory,ell(2 :)i,) ra0idly0rodu,e 0la(ma ,ell(u0on anti/en (timulation.

    Dr.T.V.Rao MD *7

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    ANTIBODIES AS DIA'NOSTICAND THERA#E&TICS A'ENTS

    • Based on speci&city and aEnity ofantibodies

    • Bot! applications re uire large uantities

    of identical antibodies – Monoclonal antibodies• Monoclonal antibodies are produced using

    !ybridoma cell line

    • Gybridoma cell line – Deri#ed from single antibody producing cell

    fused it! myeloma cell -neoplastic plasmacell

    Dr.T.V.Rao MD 28

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    • #ro/ramme Created ByDr.T.V.Rao MD -or ba(i, learnin/

    -or Medi,al and #aramedi,alStudent( in t)e De*elo0in/

    World• /mail

    • doctort#raoKgmail.com