IMMUNITY
Everyday we are exposed to large number of infectious agents. However,
only a few of these exposures result in disease. Why? This is due to the
fact that the body is able to defend itself from most of these foreign agents.
This overall ability of the host to fight the disease-causing organisms,
conferred by the immune system is called immunity.
Immunity is of two types: (i) Innate immunity and (ii) Acquired
immunity.
8.2.1 Innate Immunity
Innate immunity is non-specific type of defence, that is present at the
time of birth. This is accomplished by providing different types of barriers
to the entry of the foreign agents into our body. Innate immunity consist
of four types of barriers. These are —
(i) Physical barriers : Skin on our body is the main barrier which
prevents entry of the micro-organisms. Mucus coating of the
epithelium lining the respiratory, gastrointestinal and urogenital
tracts also help in trapping microbes entering our body.
(ii) Physiological barriers : Acid in the stomach, saliva in the mouth,
tears from eyes–all prevent microbial growth.
(iii) Cellular barriers : Certain types of leukocytes (WBC) of our body
like polymorpho-nuclear leukocytes (PMNL-neutrophils) and monocytes and natural killer (type of lymphocytes) in the blood as
well as macrophages in tissues can phagocytose and destroy
microbes.
(iv) Cytokine barriers : Virus-infected cells secrete proteins called
interferons which protect non-infected cells from further viral infection.
8.2.2 Acquired Immunity
Acquired immunity, on the other hand, is pathogen specific. It is
characterised by memory. This means that our body when it encounters
a pathogen for the first time produces a response called primary response
which is of low intensity. Subsequent encounter with the same pathogen
elicits a highly intensified secondary or anamnestic response. This
is ascribed to the fact that our body appears to have memory of the
first encounter.
The primary and secondary
immune responses are carried
out with the help of two
special types of lymphocytes
present in our blood,
i.e., B-lymphocytes and Tlymphocytes.The B-lymphocytes
produce an army of proteins in
response to pathogens into our
blood to fight with them. These
proteins are called antibodies.
The T-cells themselves do not
secrete antibodies but help B
cells produce them. Each
antibody molecule has four
peptide chains, two small called
light chains and two longer
called heavy chains. Hence, an
antibody is represented as H2
L2
.
Different types of antibodies are
produced in our body. IgA, IgM, IgE, IgG are some of them. A cartoon of
an antibody is given in Figure 8.4. Because these antibodies are found in
the blood, the response is also called as humoral immune response.
This is one of the two types of our acquired immune response – antibody
mediated. The second type is called cell-mediated immune response or
cell-mediated immunity (CMI). The T-lymphocytes mediate CMI. Very
often, when some human organs like heart, eye, liver, kidney fail to function
satisfactorily, transplantation is the only remedy to enable the patient to
live a normal life. Then a search begins – to find a suitable donor. Why is
it that the organs cannot be taken from just anybody? What is it thatthe doctors check? Grafts from just any source – an animal, another
primate, or any human beings cannot be made since the grafts would be
rejected sooner or later. Tissue matching, blood group matching are
essential before undertaking any graft/transplant and even after this the
patient has to take immuno–suppresants all his/her life. The body is able
to differentiate ‘self’ and ‘nonself’ and the cell-mediated immune response
is responsible for the graft rejection.
8.2.3 Active and Passive Immunity
When a host is exposed to antigens, which may be in the form of living
or dead microbes or other proteins, antibodies are produced in the host
body. This type of immunity is called active immunity. Active immunity
is slow and takes time to give its full effective response. Injecting the
microbes deliberately during immunisation or infectious organisms
gaining access into body during natural infection induce active
immunity. When ready-made antibodies are directly given to protect
the body against foreign agents, it is called passive immunity. Do you
know why mother’s milk is considered very essential for the newborn infant? The yellowish fluid colostrum secreted by mother during
the initial days of lactation has abundant antibodies (IgA) to protect the
infant. The foetus also receives some antibodies from their mother,
through the placenta during pregnancy. These are some examples of
passive immunity.
Vaccination and Immunisation The principle of immunisation or vaccination is based on the property of ‘memory’ of the immune system. In vaccination, a preparation of antigenic proteins of pathogen or inactivated/weakened pathogen (vaccine) are introduced into the body. The antibodies produced in the body against these antigens would neutralise the pathogenic agents during actual infection. The vaccines also generate memory – B and T-cells that recognise the pathogen quickly on subsequent exposure and overwhelm the invaders with a massive production of antibodies. If a person is infected with some deadly microbes to which quick immune response is required as in tetanus, we need to directly inject the preformed antibodies, or antitoxin (a preparation containing antibodies to the toxin). Even in cases of snakebites, the injection which is given to the patients, contain preformed antibodies against the snake venom. This type of immunisation is called passive immunisation. Recombinant DNA technology has allowed the production of antigenic polypeptides of pathogen in bacteria or yeast. Vaccines produced using this approach allow large scale production and hence greater availability for immunisation, e.g., hepatitis B vaccine produced from yeast
Vaccination and Immunisation The principle of immunisation or vaccination is based on the property of ‘memory’ of the immune system. In vaccination, a preparation of antigenic proteins of pathogen or inactivated/weakened pathogen (vaccine) are introduced into the body. The antibodies produced in the body against these antigens would neutralise the pathogenic agents during actual infection. The vaccines also generate memory – B and T-cells that recognise the pathogen quickly on subsequent exposure and overwhelm the invaders with a massive production of antibodies. If a person is infected with some deadly microbes to which quick immune response is required as in tetanus, we need to directly inject the preformed antibodies, or antitoxin (a preparation containing antibodies to the toxin). Even in cases of snakebites, the injection which is given to the patients, contain preformed antibodies against the snake venom. This type of immunisation is called passive immunisation. Recombinant DNA technology has allowed the production of antigenic polypeptides of pathogen in bacteria or yeast. Vaccines produced using this approach allow large scale production and hence greater availability for immunisation, e.g., hepatitis B vaccine produced from yeast