About MB 502
Immunology is the study of the immune system,
its cells, tissues, molecules and mechanisms
involved in protection against infectious agents
and other foreign substances.
This course covers innate and adaptive immunity,
complement, antigens, antibodies, antigen-antibody
reactions, cell-mediated immunity, cytokines,
immune disorders, immunopathology and vaccines.
Course:
MB 502 Immunology |
3 Credits
|
Full Marks: 75
TOPIC 01
Basic Concepts of Immunology
1.1 Immunology
Immunology is the branch of biological science
concerned with the study of the immune system,
including immune cells, tissues, organs,
molecules and immune responses.
1.2 Immunity
Immunity is the ability of an organism to recognize
and defend itself against foreign substances,
particularly infectious microorganisms.
| Type |
Main Feature |
| Innate immunity |
Present from birth; rapid and largely
non-specific.
|
| Adaptive immunity |
Antigen-specific response with
immunological memory.
|
1.3 Human Lymphatic System
The lymphatic system consists of lymph, lymphatic
vessels, lymph nodes and lymphoid organs.
It contributes to immune surveillance, transport
of lymphocytes and maintenance of tissue fluid balance.
1.4 Primary Lymphoid Organs
Lymphocytes develop and mature in primary lymphoid
organs. B cells mature mainly in bone marrow,
whereas T-cell maturation occurs in the thymus.
1.5 Secondary Lymphoid Organs
- Lymph nodes
- Spleen
- Mucosa-associated lymphoid tissue
- Tonsils and other lymphoid tissues
1.6 Major Components of the Immune System
- Lymphocytes
- Monocytes and macrophages
- Neutrophils
- Dendritic cells
- Natural killer cells
- Mast cells
- Eosinophils and basophils
- Antibodies
- Complement proteins
- Cytokines
Exam focus:
Compare innate and adaptive immunity and
explain primary and secondary lymphoid organs.
TOPIC 02
Innate Immunity
2.1 Host–Pathogen Interaction
Host–pathogen interaction describes the dynamic
relationship between an invading microorganism
and the host. The outcome depends on microbial
virulence factors and host defense mechanisms.
2.2 Non-specific Defense
Innate defense mechanisms act rapidly and do not
require previous exposure to a particular pathogen.
2.3 Physical and Anatomical Barriers
- Skin
- Mucous membranes
- Mucociliary clearance
- Flushing action of tears and urine
- Normal microbiota
2.4 Chemical Barriers
- Low pH of stomach
- Lysozyme in tears and secretions
- Defensins
- Fatty acids of skin
- Antimicrobial substances in body fluids
2.5 Cellular Components
- Neutrophils
- Macrophages
- Dendritic cells
- Natural killer cells
- Mast cells
- Eosinophils
- Basophils
2.6 Phagocytosis
Phagocytosis is the process by which specialized
cells engulf and destroy microorganisms and cellular
debris.
- Chemotaxis
- Attachment and recognition
- Engulfment
- Formation of phagosome
- Fusion with lysosome
- Microbial killing and digestion
- Removal of residual material
Important:
Opsonization enhances phagocytosis.
Major opsonins include IgG and complement
component C3b.
TOPIC 03
Complement System
Complement is a group of plasma and membrane-associated
proteins that participate in innate and adaptive immune
defense.
3.1 Classical Pathway
The classical pathway is usually initiated when
antibodies, particularly IgM or IgG, bind antigen.
This leads to activation of C1 and subsequent
complement reactions.
Antigen–Antibody Complex
→ C1 Activation
→ C4/C2
→ C3 Convertase
→ C3 Activation
→ C5–C9
→ Membrane Attack Complex
3.2 Alternative Pathway
The alternative pathway can be activated directly
on microbial surfaces and does not require antibody.
Microbial Surface
→ C3 Activation
→ C3 Convertase
→ C5 Convertase
→ Membrane Attack Complex
3.3 Major Functions of Complement
- Opsonization
- Cell lysis
- Chemotaxis
- Inflammation
- Immune-complex clearance
Remember:
C3 is a central component of complement activation.
C3b is important in opsonization, while C5a is a
powerful inflammatory mediator and chemotactic factor.
TOPIC 04
Cells and Tissues of Adaptive Immunity
4.1 T Lymphocytes
T lymphocytes mature in the thymus and are mainly
involved in cell-mediated immune responses.
| Cell |
Major Function |
| Helper T cell (CD4+) |
Coordinates immune responses through
cytokine secretion.
|
| Cytotoxic T cell (CD8+) |
Kills infected and abnormal cells.
|
| Regulatory T cell |
Suppresses excessive immune responses
and contributes to tolerance.
|
4.2 B Lymphocytes
B lymphocytes are responsible mainly for humoral
immunity. Following activation, B cells can
differentiate into antibody-secreting plasma cells
and memory B cells.
4.3 Lymphocyte Development
Development involves maturation, antigen recognition,
activation, clonal expansion and differentiation.
Clonal selection:
An antigen selectively activates lymphocytes bearing
receptors capable of recognizing that antigen.
Activated cells proliferate and differentiate into
effector and memory populations.
TOPIC 05
Antigens
5.1 Definition
An antigen is a substance that can be specifically
recognized by components of the adaptive immune system,
such as antibodies or antigen receptors of lymphocytes.
5.2 Immunogen and Antigen
An immunogen is an antigen capable of inducing an
immune response. Thus, antigenicity and immunogenicity
are related but distinct concepts.
5.3 Types of Antigens
- Exogenous antigens
- Endogenous antigens
- Autoantigens
- Alloantigens
- Xenoantigens
- T-dependent antigens
- T-independent antigens
5.4 Properties Affecting Antigenicity
- Foreignness
- Molecular size
- Chemical complexity
- Structural stability
- Ability to be processed and presented
Exam focus:
Define antigen and immunogen and explain
the conditions required for immunogenicity.
TOPIC 06
Antibodies and Immunoglobulins
6.1 Basic Structure
Immunoglobulins are glycoproteins produced by
plasma cells in response to antigenic stimulation.
A typical antibody contains two heavy chains and
two light chains connected by disulfide bonds.
6.2 Antibody Regions
- Variable region
- Constant region
- Fab region
- Fc region
- Hinge region
6.3 Immunoglobulin Classes
| Class |
Main Features |
| IgG |
Major serum immunoglobulin; important in
secondary immune responses and opsonization.
|
| IgM |
First major antibody produced during a
primary response; efficient complement activator.
|
| IgA |
Important in mucosal secretions and
mucosal immunity.
|
| IgE |
Associated with allergy and defense
against helminths.
|
| IgD |
Mainly associated with B-cell surfaces
and B-cell activation.
|
6.4 Genetic Basis of Antibody Diversity
Antibody diversity arises through mechanisms including
V(D)J gene rearrangement, junctional diversity,
combinatorial diversity and somatic hypermutation.
6.5 Class Switching
During an immune response, activated B cells can
change the antibody class they produce without
changing antigen specificity. This is called
class-switch recombination.
Remember:
Class switching changes the antibody effector
function, whereas the antigen-binding specificity
is retained.
TOPIC 07
In Vitro Antigen–Antibody Reactions
7.1 Precipitation
Precipitation occurs when soluble antigen reacts
with its specific antibody to form an insoluble
lattice under appropriate conditions.
Examples
- Ring precipitation
- Double diffusion
- Radial immunodiffusion
- Immunoelectrophoresis
7.2 Agglutination
Agglutination is the visible clumping of particulate
antigens due to specific antibody-mediated cross-linking.
Types
- Direct agglutination
- Passive agglutination
- Reverse passive agglutination
- Co-agglutination
7.3 Antibody Labelling
Antibodies can be labelled with fluorescent dyes,
enzymes, radioisotopes or other detectable markers
to identify specific antigens.
7.4 Immunofluorescence
Immunofluorescence uses fluorescently labelled
antibodies for detection of specific antigens
or antibodies.
7.5 ELISA
Enzyme-linked immunosorbent assay uses an enzyme-labelled
antibody or antigen and an enzyme substrate to generate
a measurable signal.
Antigen/Antibody
→ Enzyme-labelled reagent
→ Substrate
→ Colour development
→ Measurement
7.6 Radioimmunoassay
Radioimmunoassay uses a radioactive label to detect
or quantify antigen or antibody with high sensitivity.
7.7 Immunoelectrophoresis
Immunoelectrophoresis combines electrophoretic separation
of proteins with antigen-antibody precipitation.
7.8 Immunoblotting
Immunoblotting, commonly called Western blotting when
applied to proteins, involves electrophoretic separation,
transfer to a membrane and detection using specific antibodies.
Very important for exams:
ELISA, immunofluorescence, agglutination,
precipitation and immunoblotting can be prepared
separately with principle, procedure, interpretation
and applications.
TOPIC 08
Cell-Mediated Immune Response
8.1 Cells Involved
- CD4+ helper T cells
- CD8+ cytotoxic T cells
- Regulatory T cells
- Antigen-presenting cells
- Macrophages
- Dendritic cells
8.2 Major Histocompatibility Complex
Major histocompatibility complex (MHC) molecules
present peptide antigens to T lymphocytes.
| MHC |
Main Association |
| MHC Class I |
Present on most nucleated cells; presents
endogenous peptides mainly to CD8+ T cells.
|
| MHC Class II |
Mainly on professional antigen-presenting cells;
presents exogenous peptides to CD4+ T cells.
|
8.3 Antigen Processing and Presentation
Antigen processing converts proteins into peptide
fragments that can associate with MHC molecules
and be recognized by T-cell receptors.
8.4 Effector Mechanisms
- Cytotoxic killing by CD8+ T cells
- Macrophage activation by helper T cells
- Cytokine-mediated immune regulation
- Generation of memory T cells
TOPIC 09
Cytokines and Toll-Like Receptors
9.1 Cytokines
Cytokines are small signalling proteins that regulate
immune responses, inflammation, hematopoiesis and
communication between immune and non-immune cells.
9.2 Important Cytokine Groups
- Interleukins
- Interferons
- Tumor necrosis factors
- Chemokines
- Colony-stimulating factors
- Transforming growth factors
9.3 Functions
- Cell activation
- Cell proliferation
- Cell differentiation
- Inflammation
- Antiviral defense
- Immune regulation
9.4 Toll-Like Receptors
Toll-like receptors (TLRs) are pattern-recognition
receptors that recognize conserved microbial structures
known as pathogen-associated molecular patterns.
| TLR Example |
Representative Ligand |
| TLR2 |
Components of Gram-positive bacteria and
other microbial structures
|
| TLR4 |
Lipopolysaccharide of Gram-negative bacteria
|
| TLR5 |
Bacterial flagellin
|
| TLR3 |
Double-stranded viral RNA
|
TOPIC 10
Immune Disorders
10.1 Immunological Tolerance
Immunological tolerance is a state in which the
immune system does not mount an inappropriate
response against a particular antigen, especially
self-antigens.
10.2 Hypersensitivity
Hypersensitivity refers to excessive or inappropriate
immune responses that cause tissue injury.
| Type |
General Mechanism |
| Type I |
IgE-mediated immediate hypersensitivity |
| Type II |
Antibody-mediated cell or tissue injury |
| Type III |
Immune-complex mediated injury |
| Type IV |
T-cell mediated delayed hypersensitivity |
10.3 Autoimmunity
Autoimmunity occurs when immune responses are directed
against self-antigens.
10.4 Allergy
Allergy is an exaggerated immune response to ordinarily
harmless environmental substances known as allergens.
10.5 Immunodeficiency
Immunodeficiency results from inadequate or defective
immune function.
- Primary or congenital immunodeficiency
- Secondary or acquired immunodeficiency
Exam focus:
Prepare the four types of hypersensitivity with
mechanism and examples as a separate long-answer topic.
TOPIC 11
Immunopathology of Bacterial, Viral and Parasitic Infections
Immunopathology refers to tissue or organ damage
resulting from an immune response during infection.
The immune response may protect the host but can
also contribute to disease.
11.1 Bacterial Infections
Bacterial disease may involve inflammation, toxin-mediated
damage, immune-complex formation, excessive cytokine
responses or tissue destruction caused by immune cells.
11.2 Viral Infections
Viral infections may cause tissue damage directly through
viral replication or indirectly through cytotoxic T-cell
responses, inflammatory mediators and other immune mechanisms.
11.3 Parasitic Infections
Parasites can induce strong immune responses involving
antibodies, eosinophils, macrophages and T-helper responses.
Persistent infection may lead to chronic inflammation
and tissue pathology.
Key concept:
In infectious disease, pathology may result from
the microorganism itself, the host immune response,
or a combination of both.
TOPIC 12
Vaccinology
12.1 Vaccine and Vaccination
A vaccine is a biological preparation designed to
induce protective immune responses against a specific
pathogen or antigen. Vaccination is the administration
of a vaccine to induce such protection.
12.2 Major Types of Vaccines
- Live attenuated vaccines
- Inactivated or killed vaccines
- Subunit vaccines
- Toxoid vaccines
- Conjugate vaccines
- Recombinant vaccines
- Viral-vector vaccines
- Nucleic-acid-based vaccines
12.3 Attenuation
Attenuation is the reduction of the pathogenicity
of a microorganism while retaining sufficient
immunogenic properties for vaccine development.
12.4 Vaccine Production
Vaccine development and production involve antigen
selection, production or propagation, purification,
formulation, quality control, safety testing and
evaluation of immune response.
12.5 Quality and Efficacy
Vaccines must undergo quality and safety evaluation.
Vaccine efficacy describes protection under controlled
study conditions, whereas effectiveness refers to
performance under real-world conditions.
12.6 Adverse Events Following Immunization
An adverse event following immunization (AEFI) is
any untoward medical occurrence following immunization.
An AEFI does not necessarily imply that the vaccine
caused the event.
12.7 Recent Developments
Modern vaccinology includes recombinant antigen
production, viral-vector platforms, nucleic-acid
vaccines, novel adjuvants and improved vaccine
delivery systems.
Exam focus:
Prepare vaccine types, attenuation methods,
vaccine production, quality control, efficacy,
adverse events and recent developments.
🔬 Quick Revision
-
Innate immunity:
rapid, non-specific defense.
-
Adaptive immunity:
antigen-specific response with memory.
-
C3:
central complement component.
-
B cells:
major cells of humoral immunity.
-
T cells:
major cells of cell-mediated immunity.
-
MHC I:
mainly presents endogenous antigen to CD8+ T cells.
-
MHC II:
mainly presents exogenous antigen to CD4+ T cells.
-
IgG:
major serum immunoglobulin.
-
IgM:
major antibody in primary response.
-
IgA:
important in mucosal immunity.
-
IgE:
associated with allergy and helminth defense.
-
ELISA:
enzyme-based immunological assay.
-
TLRs:
pattern-recognition receptors.
-
Hypersensitivity:
excessive or inappropriate immune response.
-
Vaccines:
induce protective immune responses.