IMMUNOLOGY REVIEW
D R . R AT N A , M . B I O M E D
INNATE IMMUNE SYSTEM
• The early line (initial) of immune defense against pathogen
• Same way to repeated infection
• These immune system react only to pathogen and are specific
for structures that are common to groups of related microbes
(Pathogen Associated Molecular Pattern/PAMP)
• Gram (+) bacteria: techoic acid
• Gram (-) bacteria : LPS
INNATE IMMUNE SYSTEM
• Recognize structures that are characteristic of pathogens and
are not present on mammalian cells self and nonself
• The receptor of innate immune system
• cell-associated pattern recognition receptorTLR (Toll Like
Receptor)
• soluble proteins in the blood and extracellular fluids
INNATE IMMUNE SYSTEM
INNATE IMMUNE SYSTEM -CYTOKINE
INNATE IMMUNE SYSTEM -CYTOKINE
INNATE IMMUNE SYSTEM -CYTOKINE
NK CELLS
INNATE IMMUNE RESPONSE
ADAPTIVE IMMUNE SYSTEM
ADAPTIVE IMMUNE SYSTEM
MHC Inucleated cells MHC II DC, macrophage, B
lymphocyte
ADAPTIVE IMMUNE SYSTEM
ADAPTIVE IMMUNE SYSTEM-CYTOKINE
ADAPTIVE IMMUNE SYSTEM
ADAPTIVE IMMUNE SYSTEM-CYTOKINE
ADAPTIVE IMMUNE SYSTEM
GENERAL PROPERTIES OF
ADAPTIVE IMMUNE RESPONSE
• Specificity
• Diversity
• Memory
• Clonal expansion
• Specialization
• Contraction and
homeostasis
• Nonreactivity to self
GENERAL PROPERTIES OF ADAPTIVE
IMMUNE RESPONSE
DISEASES
IN IMMUNOLOGY
• Autoimmune disease
• Loss of self tolerance
MOLECULAR MIMICRY-AUTOIMMUNE
DISEASES IN IMMUNOLOGY
IMMUNE RESPONSE HYPERSENSITIVITY
TRANSPLANTATION IMMUNE
RESPONSE GENE
TRANSPLANTATION = REJECTION
THE LAW
HYPERACUTE : MINUTE-HOUR
ACUTE : 1-4 WEEKS
CHRONIC : MONTHS, YEARS
ANTIGEN-ANTIBODY
• IMMUNOGEN
• Recognize (+), induce immune response (+)
• HAPTEN
• Recognize (+), induce immune response (-)
• Tolerogen
• Recognize (+), induce unresponsiveness
ANTIGEN-ANTIBODY
• Immunogenicity
• Foreignness
• Size
• Complexity
• Particulate/soluble
ANTIGEN-ANTIBODY
• Antibody structure
ANTIBODY RESPONSE-VACCINATION
FUNCTION OF ANTIBODY
ANTIBODY CLASSES AND FUNCTION
TUMOR ANTIGEN
• The modern classification of tumor antigens relies on the
molecular structure and source of the antigen
• Products of mutated genes
• Abnormally expressed cellular proteins
• Antigens of oncogenic viruses
• Oncofetal antigens
Example: carcinoembryonic antigen (CEA) and α-fetoprotein (AFP
TUMOR ANTIGEN
IMMUNOLOGY TEST
• Agglutination reaction
• Antibody with particulate antigen
• Hemagglutination reaction
• Antibody with particulate antigen in red blood cells
AGGLUTINATION REACTION
AGGLUTINATION
• Agglutination inhibition
• Absence of agglutination is
diagnostic of antigen
• For hCG test or drug abuse test
• Two step
• Urine or blood sample
incubated with antibody
specific
• Add red blood cell or particle
• See agglutination or no
COMPLEMENT FIXATION TEST
(CFT)
COMPLEMENT FIXATION TEST
(CFT)
HA/HI
HA/HI