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Understanding Immunology

Understanding Immunology

Peter Wood

(2011)

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Book Details

Abstract

Understanding Immunology is a well-established introduction to this complex subject for readers with no previous exposure. It is aimed primarily at undergraduates in biological sciences, biomedical sciences and medicine. The selection and order of topic coverage is designed to instruct effectively, and a variety of boxed examples add depth and historical context for those readers wanting to go beyond the essentials.


Table of Contents

Section Title Page Action Price
Cover Cover
Understanding Immunology i
Contents vii
Preface xiii
Acknowledgements xv
The threat to the body: the role and requirements of\rthe immune system 1
The role and complexity of the immune system 1
Pathogens differ in size, lifestyle and how they cause disease 6
How do pathogens cause disease and what protection is there? 8
Conclusion 18
Summary 19
Questions 20
Further reading 20
The immediate response to infection: innate\rimmunity and the inflammatory response 22
The response to infection 22
The immediate response to infection – the innate immune system 23
Cytokines – hormones of the immune system 30
The inflammatory response and cell migration 32
Cell migration – through blood and into tissue 32
The inflammatory response 37
Systemic inflammation – involvement of the brain and liver 41
Opsonins can promote phagocytosis 42
Interferons and natural killer cells 42
The innate immune response limits the early replication of pathogens 46
Summary 46
Questions 47
Further reading 48
Specific immune recognition: B lymphocytes and the\rantibody molecule 49
Introduction to the specific immune system 49
Antibody structure 51
Recognition by antibody – antigens and epitopes 53
There are different antibody classes with different biological functions 60
Antibody can be secreted or expressed on the cell surface of B lymphocytes 63
Summary 66
Questions 67
Further reading 67
T lymphocytes and MHC-associated recognition of\rantigen 68
There are different types of T lymphocytes 68
T cells recognise antigen through their T cell receptor (TCR) 70
The major histocompatibility complex 71
Recognition of antigen by T cells 81
Antigens must be processed before they can be presented by MHC molecules 84
Summary 90
Questions 90
Further reading 91
Lymphocyte development and the generation of antigen receptors 92
The production of lymphocytes: lymphopoiesis 92
B lymphocytes are produced in the bone marrow 95
T lymphocytes finish their production in the thymus 96
During their development lymphocytes must generate huge numbers of Ig and TCR receptors with different antigen specificities 100
Developing lymphocytes rearrange their Ig or TCR genes in a carefully controlled order 111
Why is there continuous production of lymphocytes, most of which die? 116
Summary 118
Questions 119
Further reading 119
Anatomy of the immune system 120
Requirements of the immune system 120
Different pathogens require different types of immune responses 121
The anatomy of the lymphoid system promotes the interaction of cells and antigen 124
Lymphocytes continually recirculate through blood, tissues and lymphatic vessels 131
Summary 133
Questions 133
Further reading 135
Anatomical and cellular aspects of antibody production 136
Overview of antibody production 136
Activation of CD4 T cells (0–5 days) 140
Stimulation of B cells by antigen and interaction with Th (0–5 days after antigen) 147
Formation of germinal centres (4–14 days after antigen) 149
MALT and the production of IgA 162
Summary 163
Questions 164
Further reading 165
Effector mechanisms: dealing with pathogens in\rvivo (1) Antibody-mediated responses 167
Humoral and cell-mediated immunity 167
Antibodies provide protection in many different ways 168
Neutralisation by antibody 168
Antibodes can cause agglutination of microbes 171
Antibodies can act as opsonins and promote phagocytosis 171
Complement is a protein cascade with antimicrobial functions 176
Antibody and complement synergise to promote the opsonisation of microbes 186
Antibody-dependent cell-mediated cytotoxicity (ADCC) 187
Summary 187
Questions 189
Further reading 190
Effector mechanisms: dealing with pathogens in vivo\r(2) Cell-mediated immunity 191
Introduction 191
CD4 T cells develop into different types of helper T cells during immune responses 193
CD8 cytotoxic T cells are important in intracellular infections 195
Delayed-type hypersensitivity and the activation of macrophages 200
Th2 responses are important against worms 204
Th17 responses involve high levels of inflammation 206
Different effector responses have different costs to the host 207
Summary 210
Questions 211
Further reading 212
Immunological memory and vaccination, the production and use of antibodies 213
Immunological memory – the basis of immunity 213
Vaccines induce immunity without causing disease 218
Antibodies can be produced and used in many ways in treatments and in tests 228
Summary 234
Questions 235
Further reading 235
Immunological tolerance and regulation – why doesn’t the immune system attack ourselves? 237
Immunological tolerance – what is it and why do we need it? 237
Self-tolerance in B cells 239
Self-tolerance in T lymphocytes – selecting for recognition of self-MHC but not self-antigen 242
How do we maintain tolerance to self-antigens not expressed in the thymus? 246
Summary 249
Questions 249
Further reading 250
Autoimmune diseases 251
Autoimmune diseases occur when our immune systems attack our own bodies 251
There are many different autoimmune diseases 252
Immunological features of autoimmune diseases 256
Both genetic and environmental factors contribute to the development of autoimmune disease 262
How is immunological tolerance lost in autoimmune disease? 267
Summary 272
Questions 273
Further reading 273
Allergy and other hypersensitivities 274
Introduction 274
Type I hypersensitivity and allergy 275
Allergies result in a variety of clinical symptoms 278
Testing for allergy 281
Both genetics and the environment contribute to allergy 282
Why have IgE in the first place? 284
Treatment of allergy 284
Type II hypersensitivity 287
Type III hypersensitivity 289
Differences between type II and type III hypersensitivity 293
Delayed hypersensitivity and contact hypersensitivity 293
Summary 294
Questions 295
Further reading 296
AIDS 297
History and incidence of AIDS 297
The human immunodeficiency virus 298
Clinical course of HIV infection 301
Immunological events associated with HIV infection 303
Chemotherapy can prolong the life of HIV-infected people 307
HIV has proven very difficult for vaccine development 309
Summary 310
Questions 311
Further reading 312
Manipulating the immune system: transplantation\rand tumours 313
Introduction 313
Transplantation: from kidneys to faces 314
Using the immune system against tumours 321
Summary 330
Questions 331
Further reading 331
Answers 332
Glossary 343
Index 352