Class 18 Adaptive Immunity
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Questions and Answers

What part of the immunoglobulin structure is responsible for binding to the antigen?

  • Variable Region of Fab (correct)
  • Light Chains
  • Constant Fragment (Fc)
  • Heavy Chains
  • Which immunoglobulin class is the first to be produced during the primary immune response?

  • IgG
  • IgM (correct)
  • IgA
  • IgE
  • How many antigen-binding sites does a pentameric IgM have?

  • 8
  • 5
  • 10 (correct)
  • 12
  • Which of the following statements about the immunoglobulin classes is true?

    <p>Each class can have the same binding sites but different constant regions. (A)</p> Signup and view all the answers

    What is the primary characteristic of IgM in comparison to other antibody classes?

    <p>It has the least specificity among the antibody classes. (C)</p> Signup and view all the answers

    What is the primary role of Naïve B cells before activation?

    <p>To recognize a wide range of antigens with varying affinities (A)</p> Signup and view all the answers

    What is required for B cell activation to ensure it is not reacting to self?

    <p>Confirmation from a specific T Helper lymphocyte (A)</p> Signup and view all the answers

    Which type of B cell actively secretes large amounts of antibodies?

    <p>Plasma cells (C)</p> Signup and view all the answers

    What occurs during the expansion phase of the primary B cell response?

    <p>Selected cells multiply and some form antibody-secreting plasma cells (D)</p> Signup and view all the answers

    What process occurs in the germinal center (GC) for activated B cells?

    <p>Affinity maturation and class switching (D)</p> Signup and view all the answers

    What is the primary role of large aggregates in the bloodstream?

    <p>Triggering classical pathway of complement system (A)</p> Signup and view all the answers

    Which immunoglobulin class is responsible for transporting antibodies across the placenta?

    <p>IgG (C)</p> Signup and view all the answers

    What is the primary function of secretory IgA (sIgA)?

    <p>To neutralize toxins and viruses (A)</p> Signup and view all the answers

    Which immunoglobulin is predominantly involved in allergic reactions?

    <p>IgE (B)</p> Signup and view all the answers

    What percentage of total serum immunoglobulin does IgG represent?

    <p>80% to 85% (D)</p> Signup and view all the answers

    What is the lifespan of IgG antibodies in the serum?

    <p>21 days (A)</p> Signup and view all the answers

    Which statement about IgD is true?

    <p>It is involved in the development and maturation of antibody responses. (C)</p> Signup and view all the answers

    What is the primary role of IgA in breast milk?

    <p>To neutralize toxins and viruses (D)</p> Signup and view all the answers

    Which immunoglobulin class is least abundant in serum?

    <p>IgD (A)</p> Signup and view all the answers

    How do basophils and mast cells respond when IgE binds to an antigen?

    <p>By releasing histamines and other mediators (B)</p> Signup and view all the answers

    What is the primary purpose of affinity maturation in B cells?

    <p>To enhance the ability of B-cell receptors to bind antigen (D)</p> Signup and view all the answers

    During class switching, which antibody class do B cells in lymph nodes typically switch to?

    <p>IgG (C)</p> Signup and view all the answers

    What occurs to plasma cells when the antigen is no longer present?

    <p>They undergo apoptosis (D)</p> Signup and view all the answers

    What characteristic of the secondary immune response distinguishes it from the primary response?

    <p>It involves memory cells (D)</p> Signup and view all the answers

    Which process enhances the effectiveness of antibodies during the immune response?

    <p>Class switching and affinity maturation (B)</p> Signup and view all the answers

    What is the primary function of antibodies in neutralization?

    <p>To block toxins and viruses from binding to cells (A)</p> Signup and view all the answers

    How do memory B cells contribute to a stronger immune response upon re-exposure to an antigen?

    <p>They produce antibodies that are already fine-tuned (B)</p> Signup and view all the answers

    What role does opsonization play in the immune response?

    <p>To enhance phagocytosis of pathogens (D)</p> Signup and view all the answers

    Which antibody class is primarily produced by plasma cells that arise from activated B cells in mucosal environments?

    <p>IgA (A)</p> Signup and view all the answers

    What happens to activated lymphocytes as fewer antigen molecules remain?

    <p>They undergo apoptosis (D)</p> Signup and view all the answers

    What is the primary role of dendritic cells in T cell activation?

    <p>To present antigens to naive T cells (A)</p> Signup and view all the answers

    Which statement about central tolerance is correct?

    <p>It eliminates immature T and B cells that recognize 'self' (D)</p> Signup and view all the answers

    How do cytotoxic T cells contribute to the immune response?

    <p>By inducing apoptosis in infected cells (A)</p> Signup and view all the answers

    What is a key function of regulatory T cells?

    <p>Reduce immune responses to prevent overreaction (A)</p> Signup and view all the answers

    What happens if a T cell's TCR binds an antigen without co-stimulatory molecules?

    <p>The T cell becomes inactive (C)</p> Signup and view all the answers

    Which type of T cell primarily produces cytokines to activate other immune cells?

    <p>Helper T cells (C)</p> Signup and view all the answers

    What distinguishes peripheral tolerance from central tolerance?

    <p>It prevents activation of mature T and B cells (D)</p> Signup and view all the answers

    What is an antigen?

    <p>A substance that induces an immune response (A)</p> Signup and view all the answers

    What are the characteristics of T-dependent antigens?

    <p>They require TH cell help for B cell activation. (C)</p> Signup and view all the answers

    What primary organs are responsible for the development of lymphocytes?

    <p>Bone marrow and thymus (C)</p> Signup and view all the answers

    Which type of antigen generally does NOT elicit a strong immune response?

    <p>Lipids (C)</p> Signup and view all the answers

    What role do lymphatic vessels play in the immune system?

    <p>They transport lymph and help in antigen exposure. (B)</p> Signup and view all the answers

    How does central tolerance contribute to immune function?

    <p>By eliminating self-reactive lymphocytes. (C)</p> Signup and view all the answers

    Which of the following is characteristic of natural killer (NK) cells?

    <p>They induce apoptosis in antibody-bound self cells. (C)</p> Signup and view all the answers

    What is the main function of secondary lymphoid organs?

    <p>To house mature lymphocytes and facilitate antigen interaction. (B)</p> Signup and view all the answers

    What triggers an increase in fluid entering the tissues in relation to the immune response?

    <p>Inflammatory response. (C)</p> Signup and view all the answers

    Which of the following typically describes T-independent antigens?

    <p>They can be proteins but are usually carbohydrates with repeating subunits. (B)</p> Signup and view all the answers

    What potential symptoms can result from an immune response?

    <p>Flu-like symptoms such as fever and headache. (B)</p> Signup and view all the answers

    Flashcards

    Antibody Structure

    Antibodies are Y-shaped proteins made of two identical heavy chains and two identical light chains. They can be split into Fab (antigen-binding) and Fc (constant) fragments.

    Antibody Classes

    Antibodies are grouped into classes (like IgM, IgG, IgA, IgD, and IgE) each with unique constant regions, functions, and properties.

    IgM Structure

    IgM is a pentameric antibody, meaning it's composed of five basic antibody units, offering ten antigen-binding sites.

    Antibody Function

    Antibodies bind to specific antigens (targets), marking them for destruction by other immune cells.

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    Primary Immune Response IgM

    IgM is the primary antibody produced during the first encounter with an antigen, often less specific but potent.

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    IgG function

    IgG is the most abundant immunoglobulin, providing long-term protection (21 days). It neutralizes toxins, prevents pathogen attachment, and activates the complement system. It crosses the placenta for fetal immunity.

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    IgG role in bloodstream infection

    IgG is crucial for fighting bloodstream infections due to its large size, which prevents it from easily leaving the bloodstream to enter tissues.

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    IgG's role in complement activation

    IgG efficiently activates the complement system, playing a vital role in immune response.

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    IgA structure and function

    IgA exists mostly as a dimer (secretory IgA) and plays a crucial role in mucosal immunity, protecting the digestive, respiratory, and genitourinary tracts.

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    IgA's method of action

    IgA works by neutralizing toxins, viruses, and preventing microbes from attaching to host cells.

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    IgA production location

    IgA is produced by plasma cells in mucosa-associated lymphoid tissue (MALT).

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    IgD function

    IgD is a less than 1% of serum immunoglobulin and is involved in the progression of antibody responses. Its exact role in serum is unclear.

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    IgE function

    IgE is primarily involved in allergic reactions and parasitic infections. It is bound to mast cells and basophils for immune response triggering.

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    Antibody Diversity Creation (Step 1)

    Antibody diversity begins with the flexibility of a hematopoietic stem cell having different segments for variable, diversity, and joining regions that can rearrange through DNA deletion and splicing during transcription.

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    Antibody Diversity Creation (Step 2)

    The process involves combining segments of DNA and different ways to cut and paste.

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    How are B cells activated?

    B cells are activated when they encounter their specific antigen. This binding initiates a series of steps, including proliferation (copying) of the B cell, but also a check to ensure it's not reacting against the body's own tissues.

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    Why is B cell confirmation needed?

    Before fully activating and attacking, B cells must receive confirmation from a T helper cell. This ensures the immune response targets foreign threats and not the body's own cells (self-tolerance).

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    What happens during B cell expansion?

    Activated B cells multiply rapidly, creating many copies (clones). Some of these clones become plasma cells, which release antibodies. Others develop into memory cells, ready for a quicker immune response in the future.

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    What is the primary response?

    The primary response is the initial immune reaction to a new antigen. It involves activation, expansion of B cells, and production of IgM antibodies. It also leads to the formation of germinal centers, where B cells further optimize their response.

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    What happens in a germinal center?

    Germinal centers are specialized regions within lymphoid organs where activated B cells undergo fine-tuning. This includes affinity maturation (improving antibody binding) and class switching (changing antibody type).

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    Affinity Maturation

    A process where B cells improve their ability to bind antigens. During this process, B cells that bind an antigen for a longer period are more likely to divide and produce more antibodies, leading to antibodies with higher affinity.

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    Class Switching

    A process where B cells change the type of antibody they produce. Initially, B cells produce IgM, but they can switch to producing other classes like IgG or IgA, depending on the location and type of infection.

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    Primary Response Resolution

    The decrease in antibody production after the initial immune response. This happens as the antigen is cleared and B cells die off, but some become memory B cells.

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    Secondary Response

    A more rapid and effective immune response to a previously encountered antigen. This is due to the presence of memory B cells, which quickly produce antibodies and eliminate the pathogen before it causes harm.

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    Secondary Response Resolution

    The process of resolving the secondary immune response involves even more effective antibody production and a larger pool of memory B cells, preparing for future encounters with the same antigen.

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    Neutralization

    A method of antibody action where antibodies bind to viruses or toxins, preventing them from attaching to host cells.

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    Opsonization

    A method of antibody action where antibodies coat pathogens, making them more attractive to phagocytes and enhancing their destruction.

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    Complement System Activation

    A method of antibody action where antibodies activate a cascade of proteins in the complement system, leading to the lysis (destruction) of pathogens.

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    Immobilization and Prevention of Adherence

    A method of antibody action where antibodies bind to bacterial flagella or pili, preventing them from moving or attaching to host cells.

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    Cross-Linking

    A method of antibody action where two arms of an antibody bind to separate antigens, aggregating pathogens and making them easier to target.

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    Antigen

    A molecule that specifically interacts with an antibody, B-cell receptor, or T-cell receptor. It triggers an immune response.

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    Immunogenicity

    The ability of an antigen to stimulate an immune response, causing the body to mount a defense.

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    What makes a good antigen?

    Proteins usually trigger a strong immune response. Lipids and nucleic acids often don't. Small molecules typically aren't immunogenic unless they bind to larger carrier molecules.

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    T-dependent antigen

    An antigen that requires the help of a T helper (TH) cell to activate B cells for antibody production.

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    T-independent antigen

    An antigen that can directly activate B cells without the need for a T helper (TH) cell.

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    Lymphatic System

    A network of tissues and organs that transports lymphocytes, filters lymph, and connects with the immune system.

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    Lymph

    Fluid that bathes tissues and contains antigens, circulating through lymphatic vessels.

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    Primary Lymphoid Organs

    Organs where lymphocytes develop and mature, such as the bone marrow and the thymus.

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    Secondary Lymphoid Organs

    Organs where mature lymphocytes encounter antigens and initiate immune responses, like lymph nodes, spleen, and tonsils.

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    Natural Killer (NK) Cells

    Cells of the innate immune system that can kill infected or cancerous cells without prior sensitization.

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    Central Tolerance

    The process where immature lymphocytes (T and B cells) that recognize self-antigens are eliminated in the thymus (for T cells) and bone marrow (for B cells) during their development. This prevents the immune system from attacking the body's own tissues.

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    Peripheral Tolerance

    A mechanism that suppresses mature T and B lymphocytes that escaped central tolerance from reacting against self-antigens or harmless molecules. It ensures immune responses are specific and targeted to foreign threats.

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    Dendritic Cell Role

    Dendritic cells (DCs) act as antigen-presenting cells. They collect antigens (from pathogens, etc.), travel to T cell areas, and present them to naive T cells. They also produce co-stimulatory molecules for T cell activation if the antigen is dangerous.

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    T-Cell Activation

    T cells become activated when their TCR (T cell receptor) recognizes an antigen presented by a dendritic cell. This requires co-stimulatory signals from the DC, indicating the antigen is dangerous.

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    Cytotoxic T Cell Function

    These T cells directly kill infected cells. They survey cell surfaces for their specific antigen. If found, they induce apoptosis (programmed cell death) in the infected cell. They also generate memory cells for faster responses in the future.

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    Helper T Cell Function

    Helper T cells do not directly kill cells. They produce cytokines (signaling molecules) that activate macrophages, B cells, and other T cells. They also contribute to memory cell development for future responses.

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    Regulatory T Cell Function

    These T cells prevent overreaction of the immune system. They reduce immune responses, acting like 'brakes' to control inflammation and autoimmunity.

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    What are the major T cell classifications?

    There are many T cell subclassifications, like CD8 and CD4. For this section, we'll focus on Helper T cells and Cytotoxic T cells. Others will be covered later when needed.

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    Study Notes

    Innate Immunity Barrier

    • Mirrors food preservation methods
    • Uses methods such as:
      • Jarring
      • Plastic containers
      • Low water content (high salt)
      • Acidic pH
      • Heat
      • Friendly microbes
    • Addresses what happens when infectious agents penetrate these barriers

    Innate Immunity: Protection Force

    • Phagocytic cells
    • Complement system
    • Defensins
    • Cytokines
    • Evolved over hundreds of millions of years
    • Infectious agents also evolve alongside the immune system
    • Rapid evolution of infectious agents
    • Recognition of altered self (e.g., cancer cells) without attacking healthy cells is critical

    Develop an Array of PRR like receptors – but Rapidly Evolving!

    • Recognizes small compounds (especially components of proteins)
    • Has a broad range of binding capabilities
    • Aims to recognize non-self and attack
    • "Not self" identification is a crucial control mechanism

    Generating diversity

    • Needs a set of starting recognition to avoid infection of the whole population
    • Avoid using DNA encoding for recognition due to potential limitations
    • Estimate of recognition for 100 million different epitopes
    • Does not have space in the genome to encode that many epitopes

    Initial Diversity Generated, not Stored.

    • Ability to adjust starting recognition to create stronger, more specific responses over time
    • Critical balance between immune response and prevention of harm to healthy cells
    • Two main branches of the immune system are cellular and humoral
    • Mechanisms for generating diversity and recognition are similar in both branches
    • Further detail on humoral immunity
    • Outlook on cellular immunity

    Basic Unit of Immunoglobulin (Ig)

    • A Y-shaped protein subunit (monomer) with various named sections
    • 2 identical heavy chains
    • 2 identical light chains
    • The parts can be separated by enzymes
    • Antigen-binding fragment (Fab) and Constant fragment (Fc)
    • The variable region is at the top of the Fab section (identical on both tips)

    There are Five Antibody (Ig) Classes

    • IgM, IgG, IgA, IgD, and IgE
    • Classes each have unique constant regions, but may sometimes share binding sites
    • Each class has distinct functions and properties
    • Some classes are multimeric (more than one basic unit)

    IgM

    • First class produced during primary response, least specific
    • Produced in response to some T-independent antigens
    • 5% to 13% of circulating antibodies
    • Pentameric structure (five monomeric subunits)
    • Large size prevents crossing from bloodstream to tissues
    • Principally a component of bloodstream infections
    • Most effective in initiating classical complement system

    IgG

    • 80% to 85% of total serum immunoglobulins
    • Also exits the bloodstream, entering tissues
    • Provides long-term protection (half-life 21 days)
    • Most abundant in secondary response
    • Effective via neutralization, aggregation, opsonization, complement activation, and antibody-dependent cellular cytotoxicity
    • Transported across placenta to fetus's bloodstream

    IgA

    • Primarily a dimer: secretory IgA (sIgA)
    • Important in mucosal immunity (e.g., gastrointestinal, genitourinary, and respiratory tracts)
    • Abundant in secretions like saliva, tears, and breast milk
    • Protects breastfeed babies from intestinal pathogens
    • Primarily neutralizes toxins, viruses, and prevents microbial attachment
    • Produced by plasma cells of mucosa-associated lymphoid tissue (MALT)

    Other Igs

    • IgD (less than 1% of serum immunoglobulins)
    • Involved in development and maturation of antibody response
    • IgE (barely detectable in serum)
    • Primarily bound to basophils and mast cells
    • Involved in removing parasitic worms
    • Plays a role in allergic reactions (release of histamine and other inflammatory mediators)

    Story Line – Creating Initial Diversity

    • Haemopoietic stem cells have variable, diversity, and joining region gene segments
    • Flexibility in how segments combine through DNA deletions/splicing

    Clonal Selection

    • Naive B cells display a wide range of "possible affinities" for diverse antigens
    • B cell that recognizes the antigen becomes primed and activated

    B Cell Activation

    • Antigen binding triggers expansion of reactive B cells
    • Double-check for self-reaction

    B Cell Activation – Expanded

    • B cell needs confirmation from a helper T cell before becoming fully active.
    • Cell internalizes the antigen, which is then broken down and presented on MHC class II molecules
    • Requires T-cell interaction for activation

    Generation of Plasma and Memory Cells

    • Selected cells expand and differentiate into plasma cells and others form memory cells
    • Plasma cells produce antibodies
    • Memory cells are long-lived, recognizing the antigen upon further encounters

    Affinity Maturation

    • Natural selection among proliferating B cells leads to spontaneous mutations
    • Mutations lead to improved antigen binding by B-cell receptors

    Class Switching

    • B cells are initially programmed for IgM production
    • Some B cells undergo class switching to different antibody classes (e.g., IgG, IgA) in response to differing environments
    • The switching occurs in the lymphoid nodes and mucosal sites

    Primary Response Resolution

    • Plasma cells undergo apoptosis
    • Some B cells become memory B cells that persist for a long time
    • Antibody response weakens as antigen is removed

    Secondary Response

    • Memory cells speed up and enhance the secondary response relative to the primary response
    • Secondary response usually clears pathogens before they cause significant harm

    Secondary Response Resolution

    • Memory B cells quickly react and produce antibodies
    • Antibodies are already well-tuned and efficient as a result of affinity maturation
    • Future exposures elicit even stronger responses

    Roles for Antibodies

    • Neutralization, opsonization. complement system activation, immobilization and prevention of adherence, cross-linking, and antibody-dependent cellular cytotoxicity (ADCC)

    Antibody roles – illustrated

    • Diagram illustrating antibody actions: neutralization opsonization, complement system activation, immobilization and prevention of adherence, antibody dependent cellular cytotoxicity.

    Immune Tolerance

    • Central tolerance: eliminates immature lymphocytes that recognize self
    • Peripheral tolerance: prevents mature lymphocytes from reacting against self or other harmless molecules

    Cell Mediated Immunity

    • Immune response cannot begin until a lymphocyte becomes activated
    • Dendritic cells (DCs) help activate naive T cells
    • DCs collect antigens (including from invading microbes) and travel to regions where T cells gather
    • Presenting pieces of the antigen, and producing co-stimulatory molecules if the antigen is microbial or represents "danger"
    • A T cell can become activated

    T-Cell Activation – two paths

    • Cytotoxic T cells (CTLs) check infected cell surfaces, induce apoptosis of those with antigen, and generate memory cytotoxic T cells. Helper T cells produce cytokines that activate macrophages, other T cells, and B cells, and promote memory T cells. Additionally, regulatory T cells reduce immune response to prevent overreaction.

    What is an antigen?

    • Molecules recognized by antibodies, B-cell receptors, or T-cell receptors
    • Proteins are generally strong antigens
    • Small molecules such as lipids/nucleic acids typically do not function as strong antigens
    • T-dependent antigens require help from T helper cells.

    Lymphatic system

    • A collection of tissues and organs
    • Transports lymphocytes to contact with antigens
    • Critical for appropriate immune responses
    • Lymph flow through lymphatic vessels and lymph nodes.

    Primary Lymphoid Organs

    • Organs where lymphocytes develop
    • Bone marrow (hematopoietic stem cells for blood cell production, B cell maturation) and thymus (T cell maturation).

    Secondary Lymphoid Organs

    • Lymph nodes, spleen, tonsils, etc.
    • Situated throughout the body; include Peyer's patches and mucosal-associated lymphoid tissue (MALT)
    • Allow for sampling of intestinal contents and prevention of microbial invasion.

    Natural Killer (NK) Cells

    • Induce apoptosis in antibody-bound self cells (ADCC)
    • Detect infected cells and cause them to self-destruct
    • Recognize cells missing MHC (major histocompatibility) markers, some viruses utilize this

    "Flu-Like" Symptoms

    • Flu-like symptoms such as fever, headache, body aches, cough, sore throat, runny nose, fatigue, nausea, vomiting, and diarrhea.

    Summary

    • Testing for antibodies against known pathogens; evidence of previous exposure; also blood typing

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