It’s Professor Dave, I wanna tell you about
the immune system.
Every single day, in everything we do, we
are coming into contact with countless pathogens.
These are bacteria and viruses that could
potentially do great harm to us macroscopic
beings by interfering with our cellular activity.
How do we withstand these microscopic threats?
Fortunately, every human possesses an immune
system that is well-equipped to protect us,
so let’s take a look at how it works.
The immune system can be split up into two parts.
There is the innate defense system, and the
adaptive defense system.
The innate is the part that is always ready to go.
It begins with external membranes, like the
skin and a variety of mucous membranes.
This separates what’s inside from what’s
outside, but of course, there are lots of
ways for pathogens to get past this barrier.
That’s why we have internal defenses like
antimicrobial proteins, phagocytes, and other
entities that are able to inhibit the spread
of the invaders throughout the body.
Then there is the adaptive defense system.
This is much more sophisticated, as it involves
a response that is specific to the type of
invader, made possible by things called antibodies,
which we will get to a little later.
These two systems communicate and work together
to keep us healthy and safe every day.
Let’s start by taking a closer look at the
innate defenses, starting with the surface
barriers, the skin and mucosae.
These are very effective at blocking pathogens
from entering the body.
Epithelial cells on the surface are highly
keratinized, so as long as it is unbroken,
it’s tough to get through.
That’s why we can easily get infections
when we have cuts on the skin, because pathogens
can suddenly get in that way.
Wherever we have natural openings and body
cavities, these are lined with mucosae that
have important features.
They tend to be acidic, which inhibits bacterial growth.
Many of them have lysozymes, which destroy
bacteria.
If mucus lines a particular passageway, microorganisms
tend to get stuck there.
We can even find defensins, which are antimicrobial
peptides.
But of course, no matter how effective these
are, some pathogens will get through.
That’s where the internal innate defenses
come into play.
The hallmark of this system is the inflammatory
response.
Before we go through that, let’s mention
phagocytes, which can perform phagocytosis.
This is when a cell engulfs some pathogen
or other debris, and it sits inside in a vesicle.
This vesicle will merge with a lysosome, which
has acid hydrolase enzymes that can digest
whatever is nearby, leaving it in tiny pieces.
These pieces then leave the cell by exocytosis,
unable to do any harm.
The biggest and best phagocytes are macrophages,
which are derived from white blood cells.
There are also natural killer cells which
circulate in blood and lymph that can kill
cancer cells and virus-infected cells early
on, simply by detecting certain abnormalities
in the cell, and inducing apoptosis in the
cell, which is programmed cell death.
Phagocytes are also part of the inflammatory
response.
This occurs when body tissues are injured
in some way, by physical trauma, heat, or infection.
This begins with the release of inflammatory
chemicals like histamine into the extracellular fluid.
In addition, macrophages as well as cells
of certain boundary tissues have receptors
that enable them to recognize pathogens, sometimes
with great specificity, and this kind of event
will trigger a release of cytokines, which
are another type of inflammatory chemical.
What these chemicals do, is they cause local
arterioles to dilate, and nearby capillaries
to leak slightly, otherwise known as vasodilation
and vascular permeability.
The excess of blood in the area causes the
redness and swelling that we can visibly see
when a part of the body is inflamed.
Although this generates pain because of the
pressure on nearby nerve endings, it is a
favorable strategy, because the rush of fluid
sweeps any foreign material into lymphatic
vessels, so that it can be broken down in
the lymph nodes, and the fluid also delivers
proteins that are important for clotting to
aid in repair.
Once inflammation has initiated, phagocytes
then rush the scene, first neutrophils, and
then macrophages soon after.
This begins when phagocytes enter the bloodstream
from the red bone marrow, so they can get
to the injury.
Then in margination, they cling to capillary
walls at the site of injury, recognizing molecular
signals on inflamed cells.
In diapedesis, they squeeze out of the capillary.
Chemotaxis will then occur, where phagocytes
migrate up the gradient of certain molecules
that act as a homing device for the site of
injury, ready to eat up any intruders.
So that covers the basics regarding the innate defenses.
So what about the adaptive defenses?
This is the part of the immune system that
can learn about any foreign substance it comes
into contact with, which we call antigens,
and develop the ability to protect the body
from that specific antigen any time in the
future.
But how can your immune system have such an
incredible memory?
And what does this even mean?
To understand this, we have to learn about antibodies.
These are large Y-shaped proteins that are
produced by lymphocytes, and they circulate
in the blood and lymph, looking for pathogens,
which they are able to mark such that phagocytes
can recognize them for destruction.
So what are these antigens?
The word antigen is derived from the phrase
“antibody generating”, so the word refers
to any foreign substance that will be recognized
as being not of the self, and will thus provoke
an adaptive immune response.
These can be proteins, polysaccharides, lipids,
any large molecule that doesn’t belong,
as well as many pathogens, as these will bear
foreign surface proteins that can also be
recognized.
The part of the foreign substance that interacts
with the immune system is called the antigenic
determinant.
An antibody or lymphocyte will bind in a way
that resembles enzyme-substrate interactions,
and different lymphocytes will recognize different
determinants.
These include B lymphocytes or T lymphocytes,
depending on what type of immunity they oversee,
and there are also antigen-presenting cells.
Lymphocytes of either variety originate inside
red bone marrow, from hematopoietic stem cells.
They then become immunocompetent, meaning
they gain the ability to recognize a particular
antigen, and once committed to a particular
antigen, thousands of surface receptors are
produced that are devoted to that recognition.
On B cells these receptors are actually membrane-bound
antibodies.
These lymphocytes must recognize certain proteins,
but also learn self-tolerance, meaning they
must not attack the body itself.
Cells that fail to do this are forced to undergo
apoptosis, and in fact only about two percent
of T cells will make it, but the ones that
do will rapidly divide to make many copies
of itself, all with the same antigen recognition.
Now let’s talk about two types of adaptive
immune response.
There is the humoral immune response, and
the cellular immune response.
The humoral immune response occurs when a
new B cell encounters its antigen, which causes
endocytosis, followed by proliferation and
differentiation into plasma cells.
These will then mass produce the antibody
that recognized the antigen, and these will
circulate in the blood and lymph, looking
for that same thing again.
This is referred to as the primary immune
response, and it takes a few days to make
all those antibodies, which is one drawback
to this defense strategy, since it protects
against future invasions, but it can’t act
so quickly upon the initial invasion.
However, if that antigen does come back, the
secondary immune response begins, and this
will be swift and effective, with plenty of
antibodies to tag the antigen for destruction.
This kind of humoral immunity can be attained
naturally, through infection, or artificially,
with vaccines, which allow for the primary
immune response to occur with an inactive
form of a pathogen, so that if the real thing
ever comes by, the immune system is already
ready for it.
More on vaccines at another time.
In either case, we are describing active humoral
immunity.
Passive humoral immunity is different because
the body doesn’t go through the work of
recognizing an antigen and generating antibodies,
instead these antibodies can be introduced
directly into the body, either through a mother’s
milk, or through injection of gamma globulin.
Let’s zoom in on an antibody for a closer look.
As we said, these are large proteins, and
they consist of four polypeptide chains connected
by disulfide bridges.
The two halves of the Y shape are identical.
There are two heavy chains, and two light
chains, and a hinge region where the kink occurs.
Each chain has a C region, which is always
almost the same, and a V region, which changes
shape depending on which antigen it will recognize,
and this region is at the tip of the Y arms,
which we call the antigen-binding site.
There are five classes of antibody, listed
here, where Ig stands for immunoglobulin,
another name for antibody, followed by M,
A, D, G, or E. These have different roles
and locations.
Some of these are monomers, some are dimers,
some are even pentamers, depending on how
many antibodies come together.
But in any case, antibodies tag their specific
antigen when they find it, so that it can
be destroyed later.
We will get more specific about this process
when we look at particular infectious diseases.
For now let’s continue on and switch over
to the cellular immune response.
Here we will look at T cells.
These operate a bit differently, as activated
T cells have the ability to kill cells of
the body that have been infected by viruses
or bacteria, as well as cancer cells.
This cells are more diverse and complex than
B cells, but they come in two major types,
CD4, and CD8, which refer to glycoproteins
that act as surface receptors, though they
differ from antigen receptors, rather they
interact with other cells.
CD4 cells activate B cells, T cells, and macrophages,
while CD8 cells destroy foreign cells, or
body cells with foreign agents.
T cells undergo activation and differentiation
when T cell antigen receptors interact with
antigen-presenting cells.
Then, co-stimulation must occur from other
molecules on the surface of the antigen-presenting cell.
This leads to proliferation and differentiation.
The resulting T cells can be of a wide variety,
and we will examine these types at a later time.
For now, we should simply understand the differences
between innate defenses and adaptive defenses,
as well as humoral immunity and cellular immunity.
With that covered, let’s move forward and
finish up with a few more systems of the human body.
