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Basic Immunology

Basic Immunology

Abul K. Abbas | Andrew H. H. Lichtman | Shiv Pillai

(2012)

Additional Information

Book Details

Abstract

Understand all the essential concepts in immunology with Basic Immunology: Functions and Disorders of the Immune System! This concise, focused text provides you with an up-to-date, accessible introduction to the workings of the human immune system.

  • Efficiently master the immunology information you need through clinically focused content, logically organized by mechanism.
  • Apply what you've learned to real-world situations by referencing the appendix of clinical cases.
  • Enhance your learning with the help of numerous full-color illustrations and useful tables, as well as summary boxes, review questions, and a glossary of immunology terms.
  • Study immunology anywhere! Online access to www.StudentConsult.com opens the door to an enhanced e-book and ancillary components!
  • Visualize complex immunology concepts with a completely updated art program.
  • Test your knowledge. New PowerPoint Review slides added to www.StudentConsult.com are ideal for study sessions.

Table of Contents

Section Title Page Action Price
Front cover cover
Student Consult page ifc_2
Basic Immunology, 4/e i
Copyright page iv
Dedication v
Preface vii
Table of Contents ix
1 Introduction to the Immune System 1
Innate and Adaptive Immunity 3
Types of Adaptive Immunity 4
Properties of Adaptive Immune Responses 5
Specificity and Diversity 6
Memory 6
Other Features of Adaptive Immunity 7
Cells of the Immune System 7
Lymphocytes 8
Antigen-Presenting Cells 13
Effector Cells 13
Tissues of the Immune System 13
Peripheral Lymphoid Organs 13
Lymphocyte Recirculation and Migration into Tissues 17
Overview of Immune Responses to Microbes 18
Early Innate Immune Response to Microbes 18
Adaptive Immune Response 19
Capture and Display of Microbial Antigens 19
Cell-Mediated Immunity: Activation of T Lymphocytes and Elimination of Cell-Associated Microbes 19
Humoral Immunity: Activation of B Lymphocytes and Elimination of Extracellular Microbes 20
Decline of Immune Responses and Immunologic Memory 21
Summary 21
Review Questions 22
2 Innate Immunity 23
General Features and Specificity of Innate Immune Responses 24
Cellular Receptors for Microbes and Damaged Cells 26
Toll-Like Receptors 26
NOD-Like Receptors and the Inflammasome 27
Other Cellular Receptors of Innate Immunity 29
Components of Innate Immunity 29
Epithelial Barriers 29
Phagocytes: Neutrophils and Monocytes/Macrophages 31
Dendritic Cells 34
Mast Cells 34
Natural Killer Cells 34
Other Classes of Lymphocytes 36
Complement System 36
Other Plasma Proteins of Innate Immunity 38
Cytokines of Innate Immunity 38
Innate Immune Reactions 40
Inflammation 41
Recruitment of Phagocytes to Sites of Infection and Tissue Damage 41
Phagocytosis and Destruction of Microbes 43
Antiviral Defense 44
Regulation of Innate Immune Responses 44
MicrobIAL Evasion of Innate Immunity 44
Role of Innate Immunity in Stimulating Adaptive Immune Responses 45
Summary 47
Review Questions 48
3 Antigen Capture and Presentation to Lymphocytes 49
Antigens Recognized by T Lymphocytes 50
Capture of Protein Antigens by Antigen-Presenting Cells 51
Structure and Function of Major Histocompatibility Complex Molecules 54
Structure of MHC Molecules 55
Properties of MHC Genes and Proteins 56
Peptide Binding to MHC Molecules 58
Processing and Presentation of Protein Antigens 61
Processing of Internalized Antigens for Display by Class II MHC Molecules 62
Processing of Cytosolic Antigens for Display by Class I MHC Molecules 64
Cross-Presentation of Internalized Antigens to CD8+ T Cells 65
Physiologic Significance of MHC-Associated Antigen Presentation 66
Functions of Antigen-Presenting Cells in Addition to Antigen Display 68
Antigens Recognized by B Cells and Other Lymphocytes 68
Summary 68
Review Questions 69
4 Antigen Recognition in the Adaptive Immune System 71
Antigen Receptors of Lymphocytes 72
Antibodies 74
T Cell Receptors for Antigens 78
Development of Immune Repertoires 80
Early Lymphocyte Development 81
Production of Diverse Antigen Receptors 82
Maturation and Selection of B Lymphocytes 87
Maturation and Selection of T Lymphocytes 88
Summary 90
Review Questions 91
5 T Cell–Mediated Immunity 93
Phases of T Cell Responses 94
Antigen Recognition and Costimulation 97
Recognition of MHC-Associated Peptides 97
Role of Adhesion Molecules in T Cell Responses 99
Role of Costimulation in T Cell Activation 100
Stimuli for Activation of CD8+ T Cells 101
Biochemical Pathways of T Cell Activation 102
Functional Responses of T Lymphocytes to Antigen and Costimulation 105
Secretion of Cytokines and Expression of Cytokine Receptors 105
Clonal Expansion 107
Differentiation of Naive T Cells into Effector Cells 108
Subsets of CD4 + Helper T Cells Distinguished by Cytokine Profiles 109
Functions of CD4+ T Cell Subsets 110
The TH1 Subset 110
The TH2 subset 111
The TH17 Subset 111
Development of TH1, TH2, and TH17 Subsets 112
TH1 Differentiation 113
TH2 Differentiation 113
TH17 Differentiation 114
Differentiation of CD8+ T Cells into CTLs 114
Development of Memory T Lymphocytes 114
Decline of the Immune Response 115
Summary 115
Review Questions 116
6 Effector Mechanisms of T Cell–Mediated Immunity 117
Types of T Cell–Mediated Immune Reactions 117
Migration of T Lymphocytes in Cell-Mediated Immune Reactions 118
Effector Functions of CD4+ Helper T Lymphocytes 122
Role of TH1 Cells in Host Defense 122
Role of TH17 Cells in Host Defense 124
Role of TH2 Cells in Host Defense 125
Effector Functions of CD8+ Cytotoxic T Lymphocytes 125
Resistance of Pathogenic Microbes to Cell-Mediated Immunity 127
Summary 129
Review Questions 130
7 Humoral Immune Responses 131
Phases and Types of Humoral Immune Responses 132
Stimulation of B Lymphocytes by Antigen 135
Antigen-Induced Signaling in B Cells 135
Role of Complement Proteins and Other Innate Immune Signals in B Cell Activation 136
Functional Consequences of B Cell Activation by Antigen 137
Function of Helper T Lymphocytes in Humoral Immune Responses to Protein Antigens 138
Activation and Migration of Helper T Cells 139
Presentation of Antigens by B Lymphocytes to Helper T Cells 140
Mechanisms of Helper T Cell–Mediated Activation of B Lymphocytes 141
Extrafollicular and Germinal Center Reactions 141
Heavy-Chain Isotype (Class) Switching 142
Affinity Maturation 145
Antibody Responses to T-Independent Antigens 146
Regulation of Humoral Immune Responses: Antibody Feedback 148
Summary 149
Review Questions 150
8 Effector Mechanisms of Humoral Immunity 151
Properties of Antibodies that Determine Effector Function 152
Neutralization of Microbes and Microbial Toxins 154
Opsonization and Phagocytosis 157
Antibody-Dependent Cellular Cytotoxicity 157
IMMunoglobulin E– and Eosinophil/Mast Cell–Mediated Reactions 157
The Complement System 158
Pathways of Complement Activation 158
Functions of the Complement System 161
Regulation of Complement Activation 163
Functions of Antibodies at Special Anatomic Sites 164
Mucosal Immunity 166
Neonatal Immunity 166
Evasion of Humoral Immunity by Microbes 167
Vaccination 168
Summary 169
Review Questions 170
9 Immunological Tolerance and Autoimmunity 171
Immunological Tolerance: Significance and Mechanisms 172
Central T Lymphocyte Tolerance 172
Peripheral T Lymphocyte Tolerance 174
Anergy 175
Immune Suppression by Regulatory T Cells 177
Deletion: Apoptosis of Mature Lymphocytes 178
B Lymphocyte Tolerance 179
Central B Cell Tolerance 180
Peripheral B Cell Tolerance 181
Autoimmunity 182
Pathogenesis 182
Genetic Factors 183
Role of Infections and Other Environmental Influences 184
Summary 186
Review Questions 187
10 Immune Responses against Tumors and Transplants 189
Immune Responses Against Tumors 190
Tumor Antigens 190
Immune Mechanisms of Tumor Rejection 192
Evasion of Immune Responses by Tumors 193
Immunologic Approaches for Cancer Therapy 194
Immune Responses against Transplants 196
Transplantation Antigens 196
Induction of Immune Responses Against Transplants 198
Immune Mechanisms of Graft Rejection 199
Prevention and Treatment of Graft Rejection 201
Transplantation of Blood Cells and Hematopoietic Stem Cells 202
Maternal Tolerance to Fetal Tissues 204
Summary 204
Review Questions 205
11 Hypersensitivity 207
Types of Hypersensitivity Reactions 207
Immediate Hypersensitivity 209
Activation of TH2 Cells and Production of IgE Antibody 209
Activation of Mast Cells and Secretion of Mediators 211
Clinical Syndromes and Therapy 213
Diseases Caused by Antibodies and Antigen-Antibody Complexes 215
Etiology of Antibody-Mediated Diseases 215
Mechanisms of Tissue Injury and Disease 216
Clinical Syndromes and Therapy 216
Diseases Caused by T Lymphocytes 218
Etiology of T Cell–Mediated Diseases 218
Mechanisms of Tissue Injury 219
Clinical Syndromes and Therapy 221
Summary 221
Review Questions 223
12 Congenital and Acquired Immunodeficiencies 225
Congenital (Primary) Immunodeficiencies 226
Defects in Lymphocyte Maturation 226
Defects in Lymphocyte Activation and Function 229
Defects in Innate Immunity 230
Lymphocyte Abnormalities Associated with Other Diseases 233
Acquired (Secondary) Immunodeficiencies 233
Acquired Immunodeficiency Syndrome 234
Human Immunodeficiency Virus 234
Pathogenesis of AIDS 234
Clinical Features of HIV Infection and AIDS 237
Therapy and Vaccination Strategies 239
Summary 239
Review Questions 240
Suggested Readings 241
Chapter 1 241
Chapter 2 241
Chapter 3 241
Chapter 4 242
Chapter 5 242
Chapter 6 243
Chapter 7 243
Chapter 8 243
Chapter 9 244
Chapter 10 244
Chapter 11 245
Chapter 12 245
Appendix I Glossary 247
Appendix II Major Cytokines 283
Appendix III Principal Features of Select CD Molecules 287
Appendix IV Clinical Cases 295
Case 1: Lymphoma 295
Answers to Questions for Case 1 296
Case 2: Heart Transplantation Complicated By Allograft Rejection 297
Answers to Questions for Case 2 298
Case 3: Allergic Asthma 299
Answers to Questions for Case 3 301
Case 4: Systemic Lupus Erythematosus 301
Answers to Questions for Case 4 302
Case 5: Human Immunodeficiency Virus Infection And Acquired Immunodeficiency Syndrome 303
Answers to Questions for Case 5 304
Answers to Review Questions e1
Chapter 1 e1
Chapter 2 e1
Chapter 3 e2
Chapter 4 e2
Chapter 5 e3
Chapter 6 e3
Chapter 7 e4
Chapter 8 e5
Chapter 9 e5
Chapter 10 e7
Chapter 11 e8
Chapter 12 e9
INDEX 307
A 307
B 308
C 309
D 310
E 311
F 311
G 311
H 311
I 312
J 314
K 315
L 315
M 315
N 316
O 316
P 316
R 317
S 318
T 319
U 320
V 320
W 320
X 320
Z 320