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Cellular and Molecular Immunology E-Book

Cellular and Molecular Immunology E-Book

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

(2017)

Additional Information

Book Details

Abstract

The top required and recommended immunology text worldwide, Cellular and Molecular Immunology by Drs. Abul K. Abbas, Andrew H. H. Lichtman, and Shiv Pillai, is a clear, well-written, and superbly illustrated introduction to the field. The 9th Edition retains a practical, clinical focus while updating and revising all content to ensure clarity and comprehension, bringing readers fully up to date with new and emerging information in this challenging area.

  • Highlights the implications of immunologic science for the management of human disease, emphasizing clinical relevance throughout.
  • Provides a highly visual, full-color description of the key immunologic and molecular processes with a fully updated, comprehensive, and consistent art program.
  • Helps readers grasp the details of experimental observations that form the basis for the science of immunology at the molecular, cellular, and whole-organism levels and draw the appropriate conclusions.
  • Includes summary boxes that assist with rapid review and mastery of key material.
  • Features updates from cover to cover, including tumor immunity (tumor antigens, cancer immunotherapy), immune checkpoints, cytosolic sensors for DNA, non-canonical inflammasomes, prionization as a signaling mechanism, monogenic defects in immunity, and more.

Table of Contents

Section Title Page Action Price
Front Cover cover
Student Consult IFC2
Cellular and Molecular Immunology i
Copyright Page ii
Dedication iii
Preface v
Online Resources for Instructors and Students vii
Resources for Instructors vii
Image Collection vii
Animations vii
Test Bank vii
Resources for Students vii
Textbook online vii
Glossary vii
Clinical Cases viii
Self-Assessment Questions viii
Animations viii
Table Of Contents ix
1 Properties and Overview of Immune Responses 1
Innate and Adaptive Immunity 2
Innate Immunity: the Early Defense 3
Adaptive Immunity 4
Cardinal Features of Adaptive Immune Responses 4
Overview of Humoral and Cell-Mediated Immunity 5
Initiation and Development of Adaptive Immune Responses 8
Humoral Immunity 10
Cell-Mediated Immunity 10
Summary 11
Selected Readings 11
Historical Ideas 11
Evolution of the Immune System 11
2 Cells and Tissues of the Immune System 13
Cells of the Immune System 13
Phagocytes 14
Neutrophils 14
Mononuclear Phagocytes 15
Development of Monocytes and Macrophages 15
Subsets of Monocytes 15
Functions of Macrophages 17
Macrophage Receptors and Activation 17
Subsets of Macrophages 17
Mast Cells, Basophils, and Eosinophils 17
Mast Cells 18
Basophils 18
Eosinophils 18
Dendritic Cells (DCs) 18
Development of Dendritic Cells 18
Subsets of Dendritic Cells 18
Lymphocytes 21
Classes of Lymphocytes 21
Subsets of B Lymphocytes 21
Subsets of T Lymphocytes 21
Development of Lymphocytes 23
Populations of Lymphocytes Distinguished by History of Antigen Exposure 23
Naive Lymphocytes 24
Effector Lymphocytes 25
Memory Lymphocytes 26
Natural Killer Cells and Cytokine-Secreting Innate Lymphoid Cells 27
Anatomy and Functions of Lymphoid Tissues 27
Bone Marrow 28
Thymus 28
The Lymphatic System 30
Lymph Nodes 32
Anatomic Organization of B and T Lymphocytes 33
Antigen Transport Through Lymph Nodes 35
Spleen 35
Cutaneous and Mucosal Immune Systems 36
Summary 36
Selected Readings 37
Cells of the Immune System 37
Tissues of the Immune System 37
3 Leukocyte Circulation and Migration into Tissues 39
Overview of Leukocyte Migration 39
Adhesion Molecules on Leukocytes and Endothelial Cells Involved in Leukocyte Recruitment 41
Selectins and Selectin Ligands 41
Integrins and Integrin Ligands 42
Chemokines and Chemokine Receptors 43
Chemokine Structure, Production, and Receptors 43
Biologic Actions of Chemokines 44
Leukocyte-Endothelial Interactions and Leukocyte Recruitment Into Tissues 45
Migration of Neutrophils and Monocytes to Sites of Infection or Tissue Injury 46
Migration and Recirculation of T Lymphocytes 47
Recirculation of Naive T Lymphocytes Between Blood and Secondary Lymphoid Organs 47
Migration of Naive T Cells Into Lymph Nodes 47
Movement of T Cells Within Secondary Lymphoid Organs 49
Exit of T Cells From Lymph Nodes 51
Recirculation of T Cells Through Other Lymphoid Tissues 52
Migration of Effector T Lymphocytes to Sites of Infection 52
Memory T Cell Migration 53
Migration of B Lymphocytes 53
Summary 55
Selected Readings 55
Adhesion Molecules 55
Chemokines 56
Lymphocyte Migration Through Lymphoid Tissues 56
4 Innate Immunity 57
Overview of Innate Immunity 57
Functions and Reactions of Innate Immune Responses 57
Comparative Features of Innate and Adaptive Immunity 58
Evolution of Innate Immunity 58
Recognition of Microbes and Damaged Self by the Innate Immune System 59
Cell-Associated Pattern Recognition Receptors and Sensors of Innate Immunity 62
Toll-Like Receptors 63
Cytosolic Receptors for Pathogen-Associated Molecular Patterns and Damage-Associated Molecular Patterns 66
NOD-Like Receptors: NOD1 and NOD2 66
Cytosolic DNA Sensors and the STING Pathway 66
RIG-Like Receptors 68
Inflammasomes 68
Other Cell-Associated Pattern Recognition Receptors 71
C-Type Lectin Receptors for Microbial Carbohydrates 71
Scavenger Receptors 72
Formyl-Peptide Receptors 72
Cellular Components of the Innate Immune System 72
Epithelial Barriers 72
Phagocytes 73
Dendritic Cells 74
Cytokine-Producing Innate Lymphoid Cells 74
Natural Killer Cells 75
Functions of Natural Killer Cells 75
Activating and Inhibitory Receptors of Natural Killer Cells 76
T and B Lymphocytes With Limited Antigen Receptor Diversity 78
Mast Cells 79
Soluble Effector Molecules of Innate Immunity 79
The Complement System 79
Pentraxins 80
Collectins and Ficolins 81
The Inflammatory Response 82
The Major Proinflammatory Cytokines of Innate Immunity 82
Tumor Necrosis Factor 83
Interleukin-1 84
Interleukin-6 85
Other Cytokines Produced During Innate Immune Responses 85
Recruitment of Leukocytes to Sites of Infection 86
Ingestion and Killing of Microbes by Activated Phagocytes 87
Other Functions of Activated Macrophages 88
Systemic and Pathologic Consequences of Inflammation 88
The Antiviral Response 90
Stimulation of Adaptive Immunity 92
Mechanisms That Limit Innate Immune Responses 93
Summary 93
Suggested Readings 95
Pattern Recognition Receptors 95
Cells of the Innate Immune System 95
Effector Molecules and Inflammatory Responses of Innate Immunity 95
Diseases Caused by Innate Immunity 95
5 Antibodies and Antigens 97
Antibody Structure 98
General Features of Antibody Structure 98
Structural Features of Antibody Variable Regions 101
Structural Features of Antibody Constant Regions 103
Monoclonal Antibodies 106
Synthesis, Assembly, and Expression of Immunoglobulin Molecules 107
Half-Life of Antibodies 109
Antibody Binding of Antigens 110
Features of Biologic Antigens 110
Structural and Chemical Basis of Antigen Binding 111
Structure-Function Relationships in Antibody Molecules 113
Features Related to Antigen Recognition 113
Specificity 113
Diversity 113
Affinity Maturation 113
Features Related to Effector Functions 114
Summary 115
Suggested Readings 116
Structure and Function of Antibodies 116
Therapeutic Applications of Antibodies 116
6 Antigen Presentation to T Lymphocytes and the Functions of Major Histocompatibility Complex Molecules 117
Properties of Antigens Recognized by T Lymphocytes 118
Antigen Capture and the Functions of Antigen-Presenting Cells 119
General Properties of Antigen-Presenting Cells 119
Role of Dendritic Cells in Antigen Capture and Display 121
Functions of Other Antigen-Presenting Cells 123
The Major Histocompatibility Complex 123
Discovery of the Major Histocompatibility Complex 123
The Mouse Major Histocompatibility Complex (H-2 Complex) 123
The Human Major Histocompatibility Complex (Human Leukocyte Antigen Locus) 124
Immune Response Genes 124
The Phenomenon of MHC Restriction 124
MHC Genes 124
Human and Mouse MHC Gene Loci 125
Expression of MHC Molecules 127
Structure of MHC Molecules 128
General Properties of MHC Molecules 128
Class I MHC Molecules 129
Class II MHC Molecules 130
Binding of Peptides to MHC Molecules 131
Characteristics of Peptide-MHC Molecule Interactions 131
Structural Basis of Peptide Binding to MHC Molecules 132
Processing of Protein Antigens 133
The Class I MHC Pathway for Processing and Presentation of Cytosolic Proteins 134
Sources of Protein Antigens Degraded in Proteasomes 134
Digestion of Proteins in Proteasomes 135
Transport of Peptides From the Cytosol to the Endoplasmic Reticulum 136
Assembly of Peptide–Class I MHC Complexes in the Endoplasmic Reticulum 136
Surface Expression of Peptide–Class I MHC Complexes 136
The Class II MHC Pathway for Presentation of Proteins Degraded in Lysosomes 136
Targeting of Protein Antigens to Lysosomes 136
Proteolytic Digestion of Antigens in Lysosomes 137
Biosynthesis and Transport of Class II MHC Molecules to Endosomes 138
Association of Processed Peptides With Class II MHC Molecules in Vesicles 138
Expression of Peptide–Class II MHC Complexes on the Cell Surface 139
Cross-Presentation 139
Physiologic Significance of MHC-Associated Antigen Presentation 139
Nature of T Cell Responses 140
Immunogenicity of Protein Antigens 140
Presentation of Nonprotein Antigens to T Cells 141
Summary 142
Suggested Readings 143
The Role of Dendritic Cells in Antigen Capture and Presentation 143
Structure of Major Histocompatibility Complex Genes, Major Histocompatibility Complex Molecules, and Peptide-Major Histocompatibility Complex Complexes 143
Protein Antigen Processing and Major Histocompatibility Complex-Associated Presentation of Peptide Antigens 143
Cross-Presentation 143
“Nonclassical” Antigen Presentation 144
7 Immune Receptors and Signal Transduction 145
Overview of Signal Transduction 146
Modular Signaling Proteins and Adaptors 148
Prion-Like Polymerization and Signaling 149
The Immune Receptor Family 149
General Features of Antigen Receptor Signaling 150
The T Cell Receptor Complex and T Cell Signaling 151
The Structure of the T Cell Receptor for Antigen 151
Signal Initiation by the T Cell Receptor 153
The Role of the CD4 and CD8 Coreceptors in T Cell Activation 154
Activation of Tyrosine Kinases and a Lipid Kinase During T Cell Activation 156
Recruitment and Modification of Adaptor Proteins 156
Formation of the Immune Synapse 158
Mitogen-Activated Protein Kinase Signaling Pathways in T Lymphocytes 158
Calcium- and Protein Kinase C-Mediated Signaling Pathways in T Lymphocytes 161
Activation of Transcription Factors That Regulate T Cell Gene Expression 161
Modulation of T Cell Signaling by Protein Tyrosine Phosphatases 164
Costimulatory Receptor Signaling in T Cells 164
The CD28 Family of Costimulatory Receptors 164
The CD2/Signaling Lymphocytic Activation Molecule Family of Costimulatory Receptors 165
Metabolic Changes During T Cell Activation 165
The B Lymphocyte Antigen Receptor Complex 165
Structure of the B Cell Receptor for Antigen 165
Signal Initiation by the B Cell Receptor 165
Role of the CR2/CD21 Complement Receptor as a Coreceptor for B Cells 166
Signaling Pathways Downstream of the B Cell Receptor 168
The Attenuation of Immune Receptor Signaling 169
Inhibitory Receptors of Natural Killer Cells, B Cells, and T Cells 169
Ubiquitin-Dependent Degradation of Signaling Proteins 170
Cytokine Receptors and Signaling 170
Classes of Cytokine Receptors 170
Type I Cytokine Receptors (Hematopoietin Receptor Family) 170
Type II Cytokine Receptors (Interferon Receptor Family) 171
TNF Receptor Family 171
IL-1 Family 172
IL-17 Family 173
Signaling by Janus Kinases and Signal Transducers and Activators of Transcription 173
Pathways of NF-κB Activation 175
Summary 177
Suggested Readings 178
Signaling by Immune Receptors 178
T Cell Receptor Structure and Signaling 178
B Cell Receptor Structure and Signaling 178
Signal Attenuation in Lymphocytes 178
Cytokine Receptors 178
8 Lymphocyte Development and Antigen Receptor Gene Rearrangement 179
Overview of Lymphocyte Development 179
Commitment to the B and T Cell Lineages and Proliferation of Progenitors 180
Role of Epigenetic Changes and MicroRNAs in Lymphocyte Development 181
Antigen Receptor Gene Rearrangement and Expression 182
Selection Processes That Shape the B and T Lymphocyte Repertoires 182
Rearrangement of Antigen Receptor Genes in B and T Lymphocytes 183
Germline Organization of Immunoglobulin and T Cell Receptor Genes 184
Organization of Immunoglobulin Gene Loci 184
Organization of T Cell Receptor Gene Loci 186
V(D)J Recombination 186
Recognition Signals That Drive V(D)J Recombination 187
Mechanism of V(D)J Recombination 189
Generation of Diversity in B and T Cells 191
B Lymphocyte Development 192
Stages of B Lymphocyte Development 193
The Pro-B and Pre-B Stages of B Cell Development 193
The Pre-B Cell Receptor 195
Immature B Cells 196
Subsets of Mature B Cells 197
Follicular B Cells 197
B-1 and Marginal Zone B Cells 198
Selection of the Mature B Cell Repertoire 198
T Lymphocyte Development 199
Role of the Thymus in T Cell Maturation 200
Stages of T Cell Maturation 200
Double-Negative Thymocytes 200
Pre-T Cell Receptor 201
Double-Positive Thymocytes 203
Selection Processes in the Maturation of MHC-Restricted αβ T Cells 203
Positive Selection of Thymocytes: Development of the Self MHC–Restricted T Cell Repertoire 204
Negative Selection of Thymocytes: Central Tolerance 204
γδ T Lymphocytes 205
Summary 205
Suggested Readings 206
Early B Cell Development and V(D)J Recombination 206
T Cell Development 207
MicroRNAs and Lymphocyte Development 207
9 Activation of T Lymphocytes 209
Overview of T Lymphocyte Activation 209
Signals for T Lymphocyte Activation 211
Recognition of Antigen 211
Role of Costimulation in T Cell Activation 212
The B7:CD28 Family of Costimulators 212
Other Costimulatory Pathways 215
Therapeutic Costimulatory Blockade 215
Functional Responses of T Lymphocytes 216
Changes in Surface Molecules During T Cell Activation 216
Cytokines in Adaptive Immune Responses 217
IL-2 Secretion and IL-2 Receptor Expression 217
Functions of IL-2 218
Clonal Expansion of T Cells 220
Differentiation of Activated T Cells Into Effector Cells 220
Development and Properties of Memory T Cells 220
Properties of Memory T Cells 221
Decline of T Cell Responses 222
Summary 222
Selected Readings 223
T Cell Activation 223
Costimulation: B7, CD28, and More 223
T Cell Cytokines 223
Memory T Cells 223
10 Differentiation and Functions of CD4+ Effector T Cells 225
Overview of CD4+ T Cell-Mediated Immune Responses 225
Subsets of CD4+ Effector T Cells 228
Properties of Th1, Th2, and Th17 Subsets 228
Development of Th1, Th2, and Th17 Subsets 230
The Th1 Subset 231
Development of Th1 Cells 231
Functions of Th1 Cells 232
Interferon-γ 232
Other Th1 Cytokines 232
Th1-Mediated Classical Macrophage Activation and Killing of Phagocytosed Microbes 233
The Th2 Subset 234
Development of Th2 Cells 234
Functions of Th2 Cells 235
Interleukin-4 235
Interleukin-13 236
Interleukin-5 236
Roles of Th2 Cells in Host Defense 236
The Th17 Subset 237
Development of Th17 Cells 237
Functions of Th17 Cells 238
Interleukin-17 238
Other Th17 Cytokines 239
Roles of Th17 Cells in Host Defense 239
Functions of Other T Cell Subsets 240
γδ T Cells 240
Natural Killer T Cells 240
Mucosa-Associated Invariant T (MAIT) Cells 241
Summary 241
Suggested Readings 241
Differentiation of CD4+ T Cells into Subsets of Effector Cells: Th1, Th2, and Th17 241
Activation of Macrophages 242
Other T Cell Populations 242
11 Differentiation and Functions of CD8+ Effector T Cells 243
Differentiation of CD8+ T Cells Into Cytotoxic T Lymphocytes 243
Nature of Antigen and Antigen-Presenting Cells for Activation of CD8+ T Lymphocytes 244
Role of Helper T Cells 245
Role of Cytokines 245
Inhibition of CD8+ T Cell Responses: T Cell Exhaustion 246
Effector Functions of CD8+ Cytotoxic T Lymphocytes 246
Mechanisms of CTL-Mediated Cytotoxicity 246
Recognition of Antigen and Activation of CTLs 247
Killing of Target Cells by CTLs 247
Cytokine Production by CD8+ Effector T Cells 249
Roles of CD8+ CTLs in Host Defense 249
Summary 250
Selected Readings 250
Activation of CD8+ T Lymphocytes 250
Mechanisms of CTL-Mediated Cytotoxicity 250
12 B Cell Activation and Antibody Production 251
Overview of Humoral Immune Responses 251
Antigen Recognition and Antigen-Induced B Cell Activation 254
Antigen Capture and Delivery to B Cells 254
Activation of B Cells by Antigens and Other Signals 255
Helper T Cell-Dependent Antibody Responses to Protein Antigens 256
The Sequence of Events During T Cell-Dependent Antibody Responses 256
Initial Activation and Migration of Helper B Cells and T Cells 256
Antigen Presentation by B Cells and the Hapten-Carrier Effect 257
Role of CD40L:CD40 Interaction in T-Dependent B Cell Activation 259
Extrafollicular B Cell Activation 260
The Germinal Center Reaction 260
The Induction and Functions of Follicular Helper T Cells 261
Heavy Chain Isotype (Class) Switching 263
Affinity Maturation: Somatic Mutation of Ig Genes and Selection of High-Affinity B Cells 266
B Cell Differentiation Into Antibody-Secreting Plasma Cells 269
Generation of Memory B Cells 270
Role of Transcriptional Regulators in Determining the Fate of Activated B Cells 270
Antibody Responses to T-Independent Antigens 271
Subsets of B Cells That Respond to T-Independent Antigens 271
Mechanisms of T-Independent Antibody Responses 271
Protection Mediated by T-Independent Antibodies 272
Antibody Feedback: Regulation of Humoral Immune Responses by Fc Receptors 272
Summary 273
Selected Readings 274
B Cell Subsets and B Cell Activation 274
T Follicular Helper Cells and the Germinal Center Reaction 274
Activation-Induced Deaminase, Class Switching, and Somatic Mutation 274
13 Effector Mechanisms of Humoral Immunity 275
Overview of Humoral Immunity 275
Neutralization of Microbes and Microbial Toxins 277
Antibody-Mediated Opsonization and Phagocytosis 277
Leukocyte Fc Receptors 278
Role of Fcγ Receptors in Phagocytosis and Activation of Phagocytes 280
Inhibitory Signaling by the FcγRIIB Receptor 281
Antibody-Dependent Cell-Mediated Cytotoxicity 281
Antibody-Mediated Clearance of Helminths 281
The Complement System 281
Pathways of Complement Activation 282
The Alternative Pathway 282
The Classical Pathway 285
The Lectin Pathway 287
Late Steps of Complement Activation 288
Receptors for Complement Proteins 288
Regulation of Complement Activation 290
Functions of Complement 293
Opsonization and Phagocytosis 293
Stimulation of Inflammatory Responses 294
Complement-Mediated Cytolysis 294
Other Functions of the Complement System 295
Complement Deficiencies 296
Pathologic Effects of the Complement System 296
Evasion of Complement by Microbes 297
Neonatal Immunity 297
Summary 298
Selected Readings 298
Complement 298
Antibody Effector Functions and Fc Receptors 298
14 Specialized Immunity at Epithelial Barriers and in Immune Privileged Tissues 299
General Features of Immunity at Epithelial Barriers 299
Immunity in the Gastrointestinal System 301
Innate Immunity in the Gastrointestinal Tract 301
Adaptive Immunity in the Gastrointestinal Tract 304
The Functional Anatomy of the Adaptive Immune System in the Gastrointestinal Tract 304
Humoral Immunity in the Gastrointestinal Tract 306
T Cell–Mediated Immunity in the Gastrointestinal Tract 310
Regulation of Immunity in the Gastrointestinal Tract by Regulatory T Cells and Cytokines 312
Oral Tolerance and Oral Vaccines 312
The Role of the Commensal Microbiome in Immune Regulation 313
Diseases Related to Immune Responses in the Gut 313
Inflammatory Bowel Disease 313
Celiac Disease 314
Other Diseases 314
Immunity in Other Mucosal Tissues 315
Immunity in the Respiratory System 315
Innate Immunity in the Respiratory System 315
Adaptive Immunity in the Respiratory System 316
Immunity in the Genitourinary System 316
The Cutaneous Immune System 316
Innate and Adaptive Immune Responses in the Skin 316
Diseases Related to Immune Responses in the Skin 318
Immune-Privileged Tissues 320
Immune Privilege in the Eye, Brain, and Testis 320
The Eye 320
The Brain 320
The Testis 321
Immune Privilege of the Mammalian Fetus 321
Summary 322
Selected Readings 323
Mucosal Immunity, General 323
Gastrointestinal Immune System 323
Antibody Production in the Gastrointestinal Immune System 323
Diseases of the Gastrointestinal Immune System 324
Respiratory Mucosal Immune System 324
Skin Immune System 324
Other Specialized Immune Systems 324
15 Immunologic Tolerance and Autoimmunity 325
Overview of Immunologic Tolerance 325
T Lymphocyte Tolerance 327
Central T Cell Tolerance 327
Peripheral T Cell Tolerance 328
Anergy (Functional Unresponsiveness) 329
Regulation of T Cell Responses by Inhibitory Receptors 330
Suppression by Regulatory T Cells 332
Phenotypic Markers and Heterogeneity of Regulatory T Cells 334
Generation and Maintenance of Regulatory T Cells 334
Mechanisms of Action of Regulatory T Cells 335
Inhibitory Cytokines Produced by Regulatory T Cells 335
Roles of Regulatory T Cells in Self-Tolerance and Autoimmunity 336
Deletion of T Cells by Apoptotic Cell Death 336
Factors That Determine the Tolerogenicity of Self Antigens 338
B Lymphocyte Tolerance 338
Central B Cell Tolerance 339
Peripheral B Cell Tolerance 339
Tolerance to Commensal Microbes and Other Foreign Antigens 340
Mechanisms of Autoimmunity 340
General Features of Autoimmune Disorders 341
Immunologic Abnormalities Leading to Autoimmunity 342
Genetic Basis of Autoimmunity 342
Association of MHC Alleles With Autoimmunity 343
Polymorphisms in Non-HLA Genes Associated With Autoimmunity 344
Inherited Single-Gene (Mendelian) Abnormalities That Cause Autoimmunity 346
Role of Infections in Autoimmunity 346
Other Factors in Autoimmunity 348
Summary 348
Selected Readings 348
Immunologic Tolerance, General Mechanisms 348
Central Tolerance 349
Anergy; Inhibitory Receptors 349
Apoptosis 349
Regulatory T Cells 349
Mechanisms of Autoimmunity: General Concepts 349
Mechanisms of Autoimmunity: Genetics 349
Mechanisms of Autoimmunity: Environmental Factors 350
16 Immunity to Microbes 351
Overview of Immune Responses to Microbes 351
Immunity to Extracellular Bacteria 354
Innate Immunity to Extracellular Bacteria 354
Adaptive Immunity to Extracellular Bacteria 355
Injurious Effects of Immune Responses to Extracellular Bacteria 356
Immune Evasion by Extracellular Bacteria 356
Immunity to Intracellular Bacteria 357
Innate Immunity to Intracellular Bacteria 357
Adaptive Immunity to Intracellular Bacteria 358
Immune Evasion by Intracellular Bacteria 360
Immunity to Fungi 360
Innate and Adaptive Immunity to Fungi 361
Immunity to Viruses 362
Innate Immunity to Viruses 362
Adaptive Immunity to Viruses 363
Immune Evasion by Viruses 364
Immunity to Parasites 366
Innate Immunity to Parasites 366
Adaptive Immunity to Parasites 366
Immune Evasion by Parasites 368
Strategies for Vaccine Development 368
Attenuated and Inactivated Bacterial and Viral Vaccines 369
Purified Antigen (Subunit) Vaccines 369
Synthetic Antigen Vaccines 370
Live Viral Vaccines Involving Recombinant Viruses 370
DNA Vaccines 370
Adjuvants and Immunomodulators 370
Passive Immunization 370
Summary 371
Selected Readings 371
General Principles 371
Immunity to Extracellular and Intracellular Bacteria 371
Immunity to Viruses 372
Immunity to Fungi 372
Immunity to Parasites 372
Vaccines and Adjuvants 372
17 Transplantation Immunology 373
General Principles of Transplantation Immunology 373
Adaptive Immune Responses to Allografts 374
The Nature of Alloantigens 374
Recognition of Alloantigens by T Cells 377
Direct Recognition of MHC Alloantigens on Donor Cells 378
Indirect Recognition of Alloantigens 379
Activation and Effector Functions of Alloreactive T Lymphocytes 379
Activation of Alloreactive T Lymphocytes 379
Role of Costimulation in T Cell Responses to Alloantigens 380
Effector Functions of Alloreactive T Cells 381
Activation of Alloreactive B Cells and Production and Functions of Alloantibodies 381
Patterns and Mechanisms of Allograft Rejection 381
Hyperacute Rejection 381
Acute Rejection 382
Acute Cellular Rejection 382
Acute Antibody-Mediated Rejection 383
Chronic Rejection and Graft Vasculopathy 384
Prevention and Treatment of Allograft Rejection 384
Methods to Reduce the Immunogenicity of Allografts 385
Immunosuppression to Prevent or to Treat Allograft Rejection 387
Inhibitors of T Cell Signaling Pathways 387
Antimetabolites 388
Function-Blocking or Depleting Anti-Lymphocyte Antibodies 388
Costimulatory Blockade 389
Drugs Targeting Alloantibodies and Alloreactive B Cells 389
Antiinflammatory Drugs 389
Methods to Induce Donor-Specific Tolerance 390
Xenogeneic Transplantation 391
Blood Transfusion and the ABO and Rh Blood Group Antigens 391
ABO Blood Group Antigens 391
Other Blood Group Antigens 393
Lewis Antigen 393
Rhesus (Rh) Antigen 393
Hematopoietic Stem Cell (HSC) Transplantation 393
Indications, Methods, and Immune Barriers in Hematopoietic Stem Cell Transplantation 393
Immunologic Complication of Hematopoietic Stem Cell Transplantation 394
Graft-Versus-Host Disease 394
Immunodeficiency After Hematopoietic Stem Cell Transplantation 395
Summary 395
Selected Readings 396
Recognition and Rejection of Allogeneic Transplants 396
Clinical Transplantation 396
Immunosuppression and Tolerance Induction to Allografts 396
Xenotransplantation 396
18 Immunity to Tumors 397
Overview of Tumor Immunity 397
Tumor Antigens 399
Neoantigens: Antigens Encoded by Mutated Genes 399
Antigens of Oncogenic Viruses 399
Overexpressed Cellular Proteins 399
Other Antigens of Tumors 401
Immune Responses to Tumors 402
T Lymphocytes 402
Antibodies 404
Natural Killer Cells 404
Macrophages 404
The Role of Innate and Adaptive Immunity in Promoting Tumor Growth 404
Evasion of Immune Responses by Tumors 405
Immune Checkpoints: Inhibition of Immune Responses 406
Loss of Tumor Antigen Expression 407
Immunotherapy for Tumors 407
Checkpoint Blockade: Blocking T Cell Inhibitory Pathways 408
Vaccination With Tumor Antigens 409
Adoptive Cellular Therapy With Antitumor T Cells 410
Chimeric Antigen Receptor T Cell Therapy 410
Adoptive Cellular Therapy With Tumor-Specific T Cells 412
Passive Immunotherapy With Antibodies 413
Other Approaches for Stimulating Antitumor Immunity 414
Cytokine Therapy 414
Nonspecific Inflammatory Stimuli 414
Graft-Versus-Leukemia Effect 414
Summary 415
Selected Readings 415
Immune Responses to Tumors 415
Tumor Immunotherapy 415
19 Hypersensitivity Disorders 417
Causes of Hypersensitivity Diseases 417
Mechanisms and Classification of Hypersensitivity Reactions 418
Diseases Caused by Antibodies 419
Diseases Caused by Antibodies Against Fixed Cell and Tissue Antigens 419
Immune Complex–Mediated Diseases 421
Experimental Models of Immune Complex–Mediated Diseases 423
Serum Sickness 423
Arthus Reaction 423
Pathogenesis of Immune Complex–Mediated Diseases 423
Diseases Caused by T Lymphocytes 424
Diseases Caused by Cytokine-Mediated Inflammation 425
Delayed-Type Hypersensitivity (DTH) 426
Diseases Caused by Cytotoxic T Lymphocytes 427
Therapeutic Approaches for Immunologic Diseases 428
Broadly Acting Antiinflammatory Agents 428
Anticytokine Therapies 428
Depletion of Cells and Antibodies 428
Other Biologic Agents 429
Intravenous IgG 429
Tolerance-Inducing Therapies 429
Selected Immunologic Diseases: Pathogenesis and Therapeutic Strategies 430
Systemic Lupus Erythematosus (SLE): The Prototypic Immune Complex–Mediated Disease 430
Pathogenesis of Systemic Lupus Erythematosus 430
New Therapies for Systemic Lupus Erythematosus 430
Rheumatoid Arthritis (RA) 430
Pathogenesis of Rheumatoid Arthritis 431
New Therapies for Rheumatoid Arthritis 432
Multiple Sclerosis (MS) 432
Pathogenesis of Multiple Sclerosis 432
New Therapies for Multiple Sclerosis 433
Type 1 Diabetes 433
Pathogenesis of Type 1 Diabetes 433
New Therapies for Type 1 Diabetes 434
Inflammatory Bowel Disease 434
Summary 434
Selected Readings 434
General 434
Antibody and Immune Complex–Mediated Disorders 434
T Cell–Mediated Disorders 434
Systemic Lupus Erythematosus 435
Rheumatoid Arthritis 435
Multiple Sclerosis 435
Type 1 Diabetes 435
20 Allergy 437
Overview of IgE-Dependent Allergic Reactions 438
Production of IgE 439
The Nature of Allergens 439
Activation of Type 2 Cytokine–Producing Helper T Cells 440
Activation of B Cells and Switching to IgE 440
Cells Involved in Allergic Reactions 440
Role of Th2 Cells and Innate Lymphoid Cells in Allergic Disease 440
Properties of Mast Cells and Basophils 440
Binding of IgE to Mast Cells and Basophils: the Fcε Receptor 442
Activation of Mast Cells 443
Mediators Derived From Mast Cells 445
Vasoactive Amines 447
Granule Enzymes and Proteoglycans 447
Lipid Mediators 447
Cytokines 448
Properties of Eosinophils 448
IgE- and Mast Cell–Dependent Reactions 448
The Immediate Reaction 448
The Late-Phase Reaction 449
Genetic Susceptibility to Allergic Disease 450
Environmental Factors in Allergy 451
Allergic Diseases in Humans: Pathogenesis and Therapy 452
Systemic Anaphylaxis 452
Bronchial Asthma 452
Immediate Hypersensitivity Reactions in the Upper Respiratory Tract, Gastrointestinal Tract, and Skin 453
Specific Immunotherapy (Desensitization) for Allergic Diseases 455
The Protective Roles of IgE- and Mast Cell–Mediated Immune Reactions 455
Summary 456
Selected Readings 456
Mast Cells and Eosinophils 456
Type 2 and IgE Responses 456
Allergic Diseases 457
21 Congenital and Acquired Immunodeficiencies 459
Overview of Immunodeficiency Diseases 459
Primary (Congenital) Immunodeficiencies 460
Defects in Innate Immunity 460
Defective Microbicidal Activity of Phagocytes: Chronic Granulomatous Disease 461
Leukocyte Adhesion Deficiencies 462
Defects in NK Cells and Phagocytes 462
Inherited Defects in TLR Pathways, Nuclear Factor-κB Signaling, and Type I Interferons 463
Defects in the IL-12/IFN-γ Pathway 463
Defects in Splenic Development 463
Severe Combined Immunodeficiencies 463
The DiGeorge Syndrome and Other Forms of SCID Due to Defective Thymic Epithelial Development 464
ADA Deficiency and Other Forms of SCID Caused by Defects in Nucleotide Metabolism 464
X-Linked SCID 467
Autosomal Recessive Mutations in Cytokine Signaling Components 467
Severe Combined Immunodeficiency Caused by Defects in V(D)J Recombination and Pre-TCR Checkpoint Signaling 467
The Bare Lymphocyte Syndrome and Other Defects in T Cell Positive Selection 468
SCID Caused by Defective T Cell Activation 468
Antibody Deficiencies: Defects in B Cell Development and Activation 468
X-Linked Agammaglobulinemia: An X-linked Pre-BCR Signaling Defect 468
Autosomal Recessive Pre-BCR Checkpoint Defects 469
Selective Immunoglobulin Isotype Deficiencies 469
Defects in B Cell Differentiation: Common Variable Immunodeficiency (CVID) 470
Defects in T Cell–Dependent B Cell Activation: Hyper-IgM Syndromes 471
Defects in T Lymphocyte Activation and Function 471
Defects in TCR Signal Transduction 471
Wiskott-Aldrich Syndrome 472
Hyper-IgE Syndromes 472
The X-Linked Lymphoproliferative Syndrome 473
X-Linked Immunodeficiency-Magnesium Defects-EBV Infection-Neoplasia Syndrome 473
Defective CTL and NK Cell Function: The Familial Hemophagocytic Lymphohistiocytosis Syndromes 473
Multisystem Disorders With Immunodeficiency 473
Ataxia-Telangiectasia 473
Therapeutic Approaches for Congenital Immunodeficiencies 474
Secondary (Acquired) Immunodeficiencies 474
Human Immunodeficiency Virus and the Acquired Immunodeficiency Syndrome 475
Molecular and Biologic Features of HIV 475
HIV Structure and Genes 475
Viral Life Cycle 477
Pathogenesis of HIV Infection and AIDS 479
Mechanisms of Immunodeficiency Caused by HIV 480
HIV Reservoirs and Viral Turnover 482
Clinical Features of HIV Disease 482
Transmission of HIV and Epidemiology of AIDS 482
Clinical Course of HIV Infection 483
Immune Responses to HIV 484
Innate Immunity to HIV and Host Restriction Factors 484
Adaptive Immune Responses to HIV 484
Mechanisms of Immune Evasion by HIV 485
Elite Controllers and Long-Term Nonprogressors: A Possible Role for Host Genes 485
Treatment and Prevention of AIDS and Vaccine Development 485
Summary 486
Selected Readings 487
Congenital (Primary) Immunodeficiencies 487
HIV and AIDS 487
Glossary 489
Appendices 519
Appendix I Cytokines 519
Appendix II Principal Features of Selected CD Molecules 523
Appendix III Laboratory Techniques Commonly Used in Immunology 531
Laboratory Methods Using Antibodies 531
Quantitation of Antigen by Immunoassays 531
Identification and Purification of Proteins 533
Immunoprecipitation and Immuno-Affinity Chromatography 533
Western Blotting 533
Labeling and Detection of Antigens in Cells and Tissues 534
Flow Cytometry 534
Cytokine Bead Assays 537
Purification of Cells 537
Immunofluorescence and Immunohistochemistry 537
Measurement of Antigen-Antibody Interactions 538
Transgenic Mice and Gene Targeting 538
Methods for Studying T Lymphocyte Responses 542
Polyclonal Activation of T Cells 542
Antigen-Induced Activation of Polyclonal T Cell Populations 542
Antigen-Induced Activation of T Cell Populations With a Single Antigen Specificity 542
Methods to Enumerate and Study Functional Responses of T Cells 543
Methods for Studying B Lymphocyte Responses 544
Activation of Polyclonal B Cell Populations 544
Antigen-Induced Activation of B Cell Populations With a Single Antigen Specificity 544
Assays to Measure B Cell Proliferation and Antibody Production 544
Clinical Diagnostic Applications of Immunologic Assays 544
Flow Cytometry to Determine Numbers of Subsets of Circulating Immune Cells 545
Assays for Innate Immunity 545
Assays for Humoral Immunity 545
Assays for Cellular Immunity 545
Index 547
A 547
B 549
C 550
D 553
E 553
F 553
G 554
H 554
I 555
J 557
K 558
L 558
M 559
N 560
O 560
P 560
R 561
S 562
T 563
U 564
V 564
W 565
X 565
Z 565
Inside Back Cover ibc1