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INNATE ( NON-SPECIFIC ) IMMUNITY. Ahmad Silmi Lecturer of Haematology and Immunology. m φ. pl. neu. CD8 +. CTL. ery. nk. CD4 +. TH1. thy. TH2. mye. lym. Development of the Immune System. Myeloid cells. lymphoid cells. Granulocytic. Monocytic. T-cells. B-cells. Dendritic.
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INNATE ( NON-SPECIFIC ) IMMUNITY Ahmad Silmi Lecturer of Haematology and Immunology
mφ pl neu CD8+ CTL ery nk CD4+ TH1 thy TH2 mye lym Development of the Immune System
Myeloid cells lymphoid cells Granulocytic Monocytic T-cells B-cells Dendritic cells? Neutrophils Macrophages Helper Cytotoxic Basophils Langerhans & Plasma Eosinophils Kupffer cells Suppressor cells Dendritic cells? Cells of the Immune System
Nonspecific Specific Humoral Cellular Humoral Cellular complement, interferon, TNF etc. macrophages, neutrophils antibodies T cells; other effectors cells Components of the Immune System
Bolus of infection x virulence immunity Balance between Infection and Immunity infection immunity Disease =
infection no disease Innate immunity no disease re-infection x x recovery disease Response to Infection adaptive immunity
Significance of the Immune System • Beneficial: • Protection from Invaders • Elimination of Altered Self • Detrimental: • Discomfort (inflammation) • Damage to self (autoimmunity)
No Immunologic memory Innate Immunity Adaptive Immunity Characteristicsof Innate and Adaptive Immunity Antigen independent Antigen dependent No time lag A lag period Not antigen specific Antigen specific • Development of memory
Innate Immunity Adaptive Immunity Componentsof Innate and Adaptive Immunity physical barriers skin, gut Villi, lung cilia,etc none soluble factors many protein and non-protein secretions Immunoglobulins (antibody) cells phagocytes, NK cell eosinophils, K cells T and B lymphocytes
Site Component Functions Skin squamous cells sweat desquamation flushing, fatty acids GI tract columnar cells Peristalsis, low pH bile salts, fatty acids Lung mucociliary elevator surfactants tracheal cilia Effector mechanisms in Innate Immunity -1
Site Component Functions Effector mechanisms in Innate Immunity -2 Nasopharynx and eye mucus, saliva, tears flushing, lysozyme Phagocytes phagocytosis and intracellular killing Blood and Lymphiod organs K, NK & LAK cells direct and antibody dependent cytolysis
Site Component Functions Effector mechanisms in Innate Immunity -3 Serum and other serous fluids lactoferrin, transferrin iron deprivation interferons, TNF- antiviral proteins phagocyte activation lysozyme peptidoglycan hydrolysis opsonization, enhanced phagocytosis, inflammation Fibronectin & complement
George Bernard Shaw wrote: “There is at bottom only one genuine treatment for all diseases,…to stimulate the phagocytes. Drugs are a delusion. …(when) the phagocytes are stimulated; they devour the disease…” Influenced by the work of Eli Metchnikoff, Phagocytes are the Most Important Cells
Phagocytes:Macrophages • phagocytosis, intracellular and extra-cellular killing, tissue repair, antigen presentation for specific immune response • characteristic nucleus and CD14 membrane marker.
Characteristics of Neutrophil Granules primary granules secondary granules azurophilic; characteristic of young neutrophils; specific for mature neutrophils contain cationic proteins, lysozyme, defensins, proteases and myeloperoxidase contain lysozyme, NADPH oxidase, lactoferrinand B12-binding protein
Phagocyte Response to Infection • The SOS Signals • N-formyl methionine • Clotting system peptides • Complement products • Phagocyte response • Vascular adherence • Diapedesis • Chemotaxis • Activation • Phagocytosis and killing
ScavengerR IgG FcR CR Toll-like R Initiation of Phagocytosis Attachment via
Glucose +NADP+ G-6-P-dehydrogenase Pentose-P + NADPH NADPH + O2 Cytochrome b558 NADP++ O2- 2O2- + 2H+ Superoxide dismutase H2O2 + 1O2 2O2- + H2O2 .OH + OH- + 1O2 Respiratory Burst Oxygen Dependent Myeloperoxidase Independent Reactions
H2 O2 + Cl- myeloperoxidase OCl- + H2O 1O2-+Cl-+ H2O 2OCL- + H2O 2O2- + 2H+ Superoxide dismutase H2O2 + O2- 2 H2 O2 catalase H2O + O2- Respiratory Burst Oxygen Dependent Myeloperoxidase dependent reactions
Mediators of Oxygen Independent Killing in the Phago-lysosome Effector Molecule Function Cationic proteins (cathepsin) Damage to microbial membranes Lysozyme Hydrolyses mucopeptides in the cell wall Lactoferrin Deprives pathogens of iron Hydrolytic enzymes (proteases) Digests killed organisms
IFNγ TNF TNF Nitric Oxide Nitric Oxide Nitric Oxide Dependent Killing
NK and LAK cells ADCC (K) cell Activated macrophages Eosinophils They all kill foreign and altered self targets Non-specific Killer Cells
also known as large granular lymphocytes (LGL) kill infected and malignant cells are identified by the presence of CD56 & CD16 and absence of CD3 activated by IL2 and IFN-γto become LAK cells Natural Killer (NK) cells
kills malignant cells kills transformed and malignant cells Lymphokine Activated Killer (LAK) cell IFN IFN IL2 IL2
K Cells • morphologically undefined • have IgG Fc receptor • recognize antibody coated targets • could be NK cells (IgG), macrophages (IgG), eosinophils (IgE) or other cells (IgG)