Short note on immunity 6 marks question

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Immunity - Short Note (6 Marks)

Definition

Immunity is the ability of the body to resist and defend against infectious microorganisms and their products. It is mediated by two broad, interconnected systems: innate immunity and adaptive immunity, which act sequentially to protect the host.
Principal components and kinetics of innate and adaptive immune responses

1. Innate Immunity (Natural/Native Immunity)

Innate immunity is the first line of defense - it is always present (pre-formed) and acts within hours of infection without requiring prior exposure to the pathogen.
Components:
  • Physical/epithelial barriers - skin and mucosal surfaces, with antimicrobial molecules
  • Phagocytic cells - neutrophils and macrophages that engulf and destroy pathogens
  • Dendritic cells - capture antigens and bridge innate to adaptive immunity
  • Natural Killer (NK) cells - kill virus-infected and tumor cells
  • Complement system - plasma proteins that lyse microbes and opsonize them
  • Pattern Recognition Receptors (PRRs) - e.g., Toll-like receptors (TLRs) that detect PAMPs (pathogen-associated molecular patterns) and DAMPs (damage-associated molecular patterns)
Characteristics: No memory, broad specificity, encoded by germline genes, limited diversity.

2. Adaptive Immunity (Acquired/Specific Immunity)

Adaptive immunity develops in response to infection and takes 3-7 days to become fully active. It is antigen-specific and has immunological memory.
Two arms:

a) Humoral Immunity (B cell-mediated)

  • B lymphocytes recognize antigens and differentiate into plasma cells
  • Plasma cells secrete antibodies (immunoglobulins)
  • Antibodies neutralize toxins, opsonize bacteria, and activate complement
  • Provides protection against extracellular pathogens

b) Cell-Mediated Immunity (T cell-mediated)

  • CD4+ helper T cells recognize antigens presented on MHC Class II molecules (on APCs/macrophages); they activate B cells and macrophages via cytokines
  • CD8+ cytotoxic T cells recognize antigens on MHC Class I molecules (on all nucleated cells); they directly kill infected or tumor cells
  • Important against intracellular pathogens (viruses, mycobacteria)
Characteristics: Antigen-specific, high diversity (somatic recombination), immunological memory, self-tolerance.

Key Comparison Table

FeatureInnateAdaptive
SpecificityBroad (PAMPs)Antigen-specific
OnsetHours (immediate)Days (3-7 days)
MemoryNoneYes
DiversityLow (germline genes)Very high (somatic recombination)
CellsPhagocytes, NK, DCsT & B lymphocytes
Secreted proteinsComplement, cytokinesAntibodies

Interaction Between Innate and Adaptive Immunity

The two systems are not independent. Innate immune responses provide "danger signals" (via cytokines and costimulators) that activate adaptive immune responses. Conversely, adaptive responses enhance innate mechanisms - for example, antibodies opsonize microbes for phagocytosis. This interplay ensures rapid and effective host defense.

Immunological Memory

A hallmark of adaptive immunity. After initial exposure (primary response), memory B and T cells persist. On re-exposure, a faster, stronger secondary response occurs - the basis of vaccination.
Sources: Robbins & Kumar Basic Pathology, p. 156-159; Cellular and Molecular Immunology (Abbas et al.), p. 30-31
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