How to recognise an intruder
An introduction to the immune system
Antigens
Antigens are:
- foreign markers (non-self, typically large, complex molecules, usually proteins or glycoproteins on cell surface)
- which induce an immune response in the body
- either alone or
- after forming a complex with a larger molecule that causes the production of antibodies and is capable of binding with an antibody
The immune system uses antigens to recognise foreign substances as ‘non-self’; to know what to attack.
Foreign substances typically come from pathogens. Pathogens are organisms or infectious particles (cellular or non-cellular agents) that are able to cause disease (disruption to normal functioning) in a host cell.
What does the immune system use to recognise ‘self’?
There are specific group of glycoproteins, which are cell surface proteins, that mark a cell as ‘self’ (self-antigens). These proteins are called Major Histocompatibility Complex (MHC).
Our cells are able to determine ‘Self’ and ‘Non-self’ through the presence or absence of self molecules on the surface of the cellular membrane.
Self-molecules are most important in the adaptive immune system (also known as the specific, or 3rd Line of defence).
What protein molecules help the immune system tell if a cell is displaying self markers or non-self antigens on their surface?
Among our cell surface proteins is a specific group of glycoproteins that mark a cell as ‘self’ (self-antigens). These proteins are called Major Histocompatibility Complex (MHC) proteins.
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Class I MHC Markers:
- located on the surface of all human cells with a nucleus (i.e. not red blood cells).
- their message is: the molecule I'm displaying should be 'self'
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Class II MHC Markers:
- located on the surface of antigen presenting white blood cells (e.g. macrophages)
- their message is: the molecule I'm displaying is foreign
What is the difference between an antigen and an allergen?
- An allergen is an antigen, but not all antigens are allergens.
- An antigen is any substance that's capable of causing your immune system to produce antibodies.
- An allergen is any antigen that causes an allergic reaction, which is a kind of immune reaction (just an aborrant one!)
- An allergen is typically harmless for most individuals, but antigens can come from pathogens which are harmful to their hosts
The innate immune response
Immune responses are often categorised into: innate (non-specific) and adaptive (specific).
The innate immune system responds to infection rapidly, without needing prior exposure or priming because it is not specific to a particular pathogen.
In this non-specific means it responds the same way to many different pathogens. For instance, innate immune responses would respond to different variants of COVID-19 viruses the same way, and likely be equally as effective across all these variants. Comparatively, the adaptive immune system would likely be less effective when exposed to a new COVID-19 variant because it is ‘specific’: cells in this part of the immune system are typically designed to recognise only one antigen.
Barriers
The first line of immunological defence against pathogens are barriers. These barriers can be physical, chemical or microbiota.
Can you list some examples of physical barriers to pathogens trying to infect an animal?
- Skin surface
- Mucus in the respiratory tract
- Ear wax
- Urinary tract flushing
What are some examples of chemical barriers to pathogens in animals?
- Enzymes found in saliva and tears (e.g., Lysozyme which breaks down bacterial cell walls)
- Stomach acids
- Sweat (contains salt which absorbs water from cellular pathogens)
What are some examples of microbiotic barriers to pathogens in animals?
- Skin microbiome
- Gut microbiome
- Genital and vaginal microbiome
Important players in the innate immune response
Proteins:
Complement proteins
Proteins that circulate the plasma in their inactive form. When they are broken down into smaller components, they are able to rapidly trigger a downstream series of reactions that amplify the immune response (a process called the ‘complement cascade’). The complement cascade can be triggered by foreign material, pathogens, infected cells and antibody-antigen complexes.
The complement protein cascade has three main functions:
- Increase phagocytosis: Attach to invading micro-organisms (a process called opsonization), making it easier for phagocytes to engulf these pathogens
- Lyse cell membranes of fungi and bacteria
- Promote inflammation to recruit phagocytes to the area of infection, so they clear pathogens and infected cells
These functions ‘complement’ the jobs of the adaptive immune response - which is why these proteins are called complement proteins. Complement proteins are able to be activated rapidly, and rapidly amplify the immune response in infected regions of the body.
Interferons
Interferons are anti-viral proteins produced by virally infected cells. They are a kind of cytokine: A signalling molecule that regulates immune responses, typically in an autocrine (impacting the cell that secreted the cytokine) or paracrine (impacting nearby cells) manner.
The three main immune functions of interferons are:
- Interfere with virus replication
- Stimulate macrophages and natural killer cells
Cells:
Antigen Presenting Cells:
- The main role of antigen-presenting cells: engulf foreign particles and present fragments of these antigens like "flags" on their cell surface
- They signal to T-cells and other adaptive immune system cells that they are displaying non-self molecules, not by placing these antigen fragments on MHC (Major Histocompatibility Complex) Class II protein molecules (you can think of these as the flag poles!)
- B lymphocytes, dendritic cells and macrophages are Antigen Presenting Cells.
Macrophages
Mnemonic device to remember their phagocytotic role is: Code RED.
- Antigen Presenting Cell: Display the antigens of ingested pathogens to trigger an adaptive immune response
- Recognise, engulf and destroy foreign material
- Engulf antibody-antigen complex
Dendritic cells
- Important Antigen Presenting Cell
- Many dendritic cells are tissue-resident dendritic cells: typically sitting dormant tissues near the surface of the body, and grow branched projections ('dendrites') that search their environment for foreign material
- Once they Code RED: Recognise, engulf and destroy foreign material, they travel to the lymph nodes, and present antigen fragments to T-cells and B-cells
Neutrophils
- Most common white blood cell (leukocyte)
- Are phagocytes so they follow Code RED: Recognise, engulf and destroy foreign material
- They are granulocytes: cells containing large vesicles of immune regulatory or anti-antigen substances
- During degranulation, they release anti-microbialsubstances
Eosinophils
- They are granulocytes: cells containing large vesicles of immune regulatory or anti-antigen substances
- When triggered, they degranulate (release their granules) which releases cytokines, enzymes, and reactive oxygen species.
- Important in the immune response to parasites (multi-cellular organisms), and in allergic responses
Mast cells
- Large resident cells in connective tissue
- Also a granulocytes: contain many granules of histamines
- Release histamine when triggered by antigen or allergen binding to antibodies (IgE) on their cell surface (read more about histamine's effects below under [Steps in the Inflammatory Response](#steps-in-the-inflammatory-response) )
Natural Killer Cells
- Type of lymphocyte (white blood cell, found in the lymphatic system)
- Attack and kill virally infected cells and cancer cells
- They kill by sending cytokines instructing infected or cancer cells to apoptose
Steps in the Inflammatory Response
As you will notice in the below, histamine plays a very big role in the inflammatory response.
The inflammation response is important for preventing or stopping infection when barriers are broken.
But allergic reactions also trigger the inflammatory response: this is why people experiencing hay fever often take anti-histamine medications!
- Mast cells release histamines
- Histamine causes nearby arterioles to expand (inflammation!)
- Expanded arterioles lead there to be more blood to the region, hence more white blood cells in the area
- Histamine causes capillaries to become highly permeable
- Macrophages can pass from the bloodstream to infected tissue more easily
- Histamine attracts phagocytes (Neutrophils are often the first to travel to the inflamed region)
- Dead phagocytes form pus