Adaptive immunity
Lecture 7
     Wesam Mohammed Emharib
 Introduction
    It is also called acquired immunity and mediated by two arms which work in coordinated
     manner. Humoral immunity (antibody mediated immunity) and cellular immunity these
     are two main branch of adaptive immunity.
    In general humoral immunity eliminates extracellular pathogen whereas cellular
     immunity eliminates intracellular pathogen.
     Adaptive immunity can be transferred to un immunized person this called (passive
     acquired immunity ) or induced by infection or vaccination this called (Active acquired
     immunity)
    Passive acquired immunity could be natural .e.g. ( immunoglobulin G which pass
     through placenta from infected mother to fetus ) or artificial ( by injected prepared
     immunoglobulin against particular pathogen to patient )
    Active adaptive immunity it also two types natural ( which acquired after infection ) and
     artificially (which induced by vaccination)
    T lymphocyte is a major player in all mechanisms of adaptive immunity ( activate
     macrophage , stimulate B cell response and recognize peptide fragment displayed on
     MHC of antigen presenting cell)
    Adaptive immunity pass through the following stages (lymphocyte antigen recognition-
     lymphocyte activation-lymphocyte proliferation-lymphocyte differentiation into effector
     cells -microbial elimination by effector lymphocyte–lymphocyte apoptosis and memory )
    In this lecture we will divide it into five main parts
     1- Production of effector cells
     2- T cytotoxic mediated immunity
     3- Macrophage activated by TH1
     4- B cell activation by T helper cell (humoral immunity )
     5- Immunological memory
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Production of effector cells
    Naïve lymphocyte to become effector cell must be activated and this occurs by two
     signals.
    Firstly naïve lymphocyte must be recognizing antigenic peptide which displayed on MHC
     II of antigen presenting cells APC (dendritic cell, macrophage) and B cell. This signal is
     insufficient for activation and required co-stimulatory signal.
    Co- stimulatory signals are required for activation and clonal expansion of naïve
     lymphocyte and principle of this signal is binding of co stimulatory molecule B7 which
     expressed on APC with CD28 protein expressed on T naïve lymphocyte
      Figure 1 : Naïve lymphocyte activation
    The most potent activator of naïve lymphocyte in vivo is dendritic cell
    Immature dendritic cell engulf antigen and migrate to local lymphoid tissue where
     express co stimulatory molecules and activate naïve lymphocyte
    Recent studies demonstrate that naïve T cells receive survival signals during their
     migration to lymphoid tissue through interaction with dendritic cells at the same
     moment this interaction ensuring that dendritic cell don’t encounter antigenic peptide
     on their MHCII
    The Naïve lymphocytes which don’t encounter antigen will leave lymphatic tissue where
     as naïve lymphocyte which encounter antigen activated and proliferate
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   Soluble antigens cannot display by macrophage. In contrast dendritic cell can take up
    the soluble antigen by process called macro-pinocytosis then displaying it on MHCII.
    Whereas B cell bind to these kind of antigens through their immunoglobulin receptor (B
    cell receptor ) and then internalized the antigen to processing it into peptide fragment
    displayed on MHCII to T helper cell in order to drive their differentiation or display the
    peptide fragment to naïve lymphocyte after expressing co stimulatory signals in order
    to activate naïve lymphocyte.
    Figure 2: Presentation of soluble (extracellular) antigen by B cell
   After activation naïve T cell will start in synthesis IL2 and its receptor CD25. IL2 when
    bind to CD25 receptor of naïve lymphocyte induce their proliferation. Co stimulatory
    signal is essential for synthesis and secretion of IL2 thus absence of this signal lead to
    inactivation of naïve.
      Figure 3: IL2 Signal induce T cell proliferation
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   Proliferating T cell differentiate into effector T cell which do not require co stimulatory
    signal
    Figure 4: Naïve T helper differentiation
   Naïve cytotoxic T cell can be activated by antigenic peptide which displayed on MHC I
    and in presence of co stimulatory signal
    Figure 5: Naïve T cytotoxic activation and differentiation
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     T cytotoxic mediated immunity
   All viruses and some bacteria are obligate intracellular parasite because these pathogen
    lack metabolic apparatus they replicate only inside host mammalian cells
   Although these pathogens are susceptible to antibodies but once them inside host cells
    become unreachable by humoral immunity.
   Intracellular pathogen eliminated only by destruction or modification the cells which
    harboring the infection. This is function of T cytotoxic cell.
   It is noted that defect in T cytotoxic function or losing MHC I which display antigen to
    CD8 increases vulnerability to intracellular pathogen infections.
    T cytotoxic induce apoptosis of infected cells by effector proteins stored in granules of
    CD8
   These effector molecules are (the granzyme and perforin). The granzyme able to induce
    apoptosis in any target cell whereas perforin is a pore forming protein which able to
    form hole in cell membrane of target cell through which granzyme enter to induce
    apoptosis.
   Another effector protein produced by CD8 is INF Gama which activate macrophage,
    inhibit viral replication and induce MHC I expression.
    The CD8 function is limited only to infected cells, and this precision allow adjacent cells
    to be undamaged, thus reduce level of tissue injury.
    Figure 6: T cytotoxic activation and function
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       Figure7: Precise function of CD8
Figure 8: Effector molecules of CD8 cell
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 Macrophage activation by T helper 1 cells
    The interaction between TH1 and macrophage occur through MHC II displayed antigenic
     peptide. The activated specific T cell (TH1) will induce the macrophage to become more
     efficient cell in order to kill microbe which engulfed by process of phagocytosis.
    The TH1 induce macrophage by production of two effector molecules ( macrophage
     activating factor also called INF Gama and CD40 ligand)
    These two molecules induce macrophage by augmenting it to produce nitric oxide
     (NO)and superoxide ions (O2) also increase expression of MHC II
     Figure 9: Macrophage activation by TH1
    Macrophage can lead to tissue damage there for it is function is regulated by antigen
     specific T cells
    TH1 Enhance macrophage to kill microbe which engulfed and resist the intracellular
     killing
    Cytokine which produced by TH1 induce macrophage to kill chronic intracellular
     microorganism, stimulate production of new macrophage in bone marrow and recruit
     new macrophage to site of infection.
    The loss functions of TH1 against intracellular microorganism explaining predominance
     of HIV infection in AIDS patient.
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     B cell activation by T helper cell
   B cell activation essential step in humoral immunity
   Humoral immunity mediated by antibody secreted form active of B cell which called
    plasma cell
   Antigen bind to BCR (B cell receptor ) signals will activate B cell or antigen internalized
    and processed into peptide fragments which displayed to T helper cell to activate T
    helper which induce B cell to proliferate and differentiate into plasma cell (secreting
    antibody specific to antigen )
   Antibodies protect host from infection by one of these functions:
    1- Neutralization microbial product e.g. toxin
    2- Opsonization of microbe then FC part of antibody bind to effector cell which kill the
    pathogen
    3- Complement activation by antibody antigen complex which enhance microbial cell
    opsonization or directly kill microbial cell
   Two signals required for activation B cell, the first delivered through its antigen receptor
    (BCR). Whereas the second depend on whether the antigen is thymus dependent or
    thymus independent.
    1- Thymus dependent antigen.
    Second signal will delivered through MHC II display antigen peptide to T helper cell. Also
    interaction between CD40 ligand on T helper and CD40 receptor on B cell contribute to
    second signal.
    2- Thymus independent antigen
    it is polymeric antigen, so the second signal delivered through extensive cross linking of
    antigenic peptide with BCR
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Figure 10: Humoral immunity
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Figure 11: B cell activation
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figure 12: B cell activation by thymus dependent antigen
figure 13 : Phases of B cell activation
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    Immunological memory
   Its ability of immune response to respond more rapid and potent to antigen which that
    have been faced previously
   Its indicate preexistence of antigen specific colony
   Memory immune response called secondary, tertiary depending on number of exposure
    to specific antigen
   Memory immune response differ on primary immune response in quantity and quality
   For example; immunoglobulin type differ in secondary immune response than in
    primary immune response
   Memory B cell already switched to mature type of immunoglobulin after few days. Thus
    in first days of the memory immune response, memory B cell will produce small amount
    of IgM then large amount of mature IgG
   In some cases of infection or vaccination memory immunity is long life immunity
    Figure 14: Quantity difference between primary and secondary immune response
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Figure 15: Course of adaptive immunity
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   References
       Abbas AK, Lichtman. AH, eds.2005. Cellular and molecular immunology .Elsevier
       Saunders
       Janeway et al 6ed.2005. Immunobilogy . Garland science
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