Essentials of Human Anatomy & Physiology
Seventh Edition
Elaine N. Marieb
Chapter 12
The Lymphatic System
and Body Defenses
Slides 12.23 – 12.52
Lecture Slides in PowerPoint by Jerry L. Cook
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Fever
• Abnormally high body temperature
• Hypothalmus heat regulation can be
reset by pyrogens (secreted by white
blood cells)
• High temperatures inhibit the release of
iron and zinc from liver and spleen
needed by bacteria
• Fever also increases the speed of
tissue repair
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.23
Specific Defense: The Immune
System – Third Line of Defense
• Antigen specific – recognizes and acts
against particular foreign substances
• Systemic – not restricted to the initial
infection site
• Has memory – recognizes and mounts
a stronger attack on previously
encountered pathogens
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.24
Types of Immunity
• Humoral immunity
• Antibody-mediated immunity
• Cells produce chemicals for defense
• Cellular immunity
• Cell-mediated immunity
• Cells target virus infected cells
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.25
Antigens (Nonself)
• Any substance capable of exciting the
immune system and provoking an immune
response
• Examples of common antigens
• Foreign proteins
• Nucleic acids
• Large carbohydrates
• Some lipids
• Pollen grains
• Microorganisms
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.26
Self-Antigens
• Human cells have many surface
proteins
• Our immune cells do not attack our own
proteins
• Our cells in another person’s body can
trigger an immune response because
they are foreign
• Restricts donors for transplants
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.27
Allergies
• Many small molecules (called haptens
or incomplete antigens) are not
antigenic, but link up with our own
proteins
• The immune system may recognize and
respond to a protein-hapten
combination
• The immune response is harmful rather
than protective because it attacks our
own cells
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.28
Cells of the Immune System
• Lymphocytes
• Originate from hemocytoblasts in the red bone
marrow
• B lymphocytes become immunocompetent in
the bone marrow
• T lymphocytes become immunocompetent in
the thymus
• Macrophages
• Arise from monocytes
• Become widely distributed in lymphoid organs
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.29
Activation of Lymphocytes
Figure 12.9
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Humoral (Antibody-Mediated)
Immune Response
• B lymphocytes with specific receptors
bind to a specific antigen
• The binding event activates the
lymphocyte to undergo clonal selection
• A large number of clones are produced
(primary humoral response)
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.31a
Humoral (Antibody Mediated)
Immune Response
• Most B cells become plasma cells
• Produce antibodies to destroy antigens
• Activity lasts for four or five days
• Some B cells become long-lived memory
cells (secondary humoral response)
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.31b
Humoral Immune Response
Figure 12.10
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Secondary Response
• Memory cells
are long-lived
• A second
exposure
causes a rapid
response
• The secondary
response is
stronger and
longer lasting Figure 12.11
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.33
Active Immunity
• Your B cells
encounter
antigens and
produce
antibodies
• Active immunity
can be naturally
or artificially
acquired
Figure 12.12
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.34
Passive Immunity
• Antibodies are obtained from someone
else
• Conferred naturally from a mother to her
fetus
• Conferred artificially from immune serum or
gamma globulin
• Immunological memory does not occur
• Protection provided by “borrowed
antibodies”
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.35
Monoclonal Antibodies
• Antibodies prepared for clinical testing
or diagnostic services
• Produced from descendents of a single
cell line
• Examples of uses for monoclonal
antibodies
• Diagnosis of pregnancy
• Treatment after exposure to hepatitis and
rabies
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.36
Antibodies (Immunoglobulins) (Igs)
• Soluble proteins secreted by B cells
(plasma cells)
• Carried in blood plasma
• Capable of binding specifically to an
antigen
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.37
Antibody Structure
• Four amino acid
chains linked by
disulfide bonds
• Two identical
amino acid
chains are linked
to form a heavy
chain
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 12.13b Slide 12.38a
Antibody Structure
• The other two
identical chains
are light chains
• Specific antigen-
binding sites are
present
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 12.13b Slide 12.38b
Antibody Classes
• Antibodies of each class have slightly
different roles
• Five major immunoglobulin classes
• IgM – can fix complement
• IgA – found mainly in mucus
• IgD – important in activation of B cell
• IgG – can cross the placental barrier
• IgE – involved in allergies
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.39
Antibody Function
• Antibodies inactivate antigens in a
number of ways
• Complement fixation
• Neutralization
• Agglutination
• Precipitation
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.40
Antibody Function
Figure 12.14
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Cellular (Cell-Mediated) Immune
Response
• Antigens must be presented by
macrophages to an immunocompetent
T cell (antigen presentation)
• T cells must recognize nonself and self
(double recognition)
• After antigen binding, clones form as
with B cells, but different classes of cells
are produced
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.42
Cellular (Cell-Mediated) Immune
Response
Figure 12.15
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.43
T Cell Clones
• Cytotoxic T cells
• Specialize in killing infected cells
• Insert a toxic chemical (perforin)
• Helper T cells
• Recruit other cells to fight the invaders
• Interact directly with B cells
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.44a
T Cell Clones
• Suppressor T cells
• Release chemicals to suppress the activity
of T and B cells
• Stop the immune response to prevent
uncontrolled activity
• A few members of each clone are
memory cells
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.44b
Summary of the Immune Response
Figure 12.16
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.45
Organ Transplants and Rejection
• Major types of grafts
• Autografts – tissue transplanted from one
site to another on the same person
• Isografts – tissue grafts from an identical
person (identical twin)
• Allografts – tissue taken from an unrelated
person
• Xenografts – tissue taken from a different
animal species
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.46a
Organ Transplants and Rejection
• Autografts and isografts are ideal
donors
• Xenografts are never successful
• Allografts are more successful with a
closer tissue match
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.46b
Disorders of Immunity: Allergies
(Hypersensitivity)
• Abnormal, vigorous immune responses
• Types of allergies
• Immediate hypersensitivity
• Triggered by release of histamine from IgE
binding to mast cells
• Reactions begin within seconds of contact with
allergen
• Anaphylactic shock – dangerous, systemic
response
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.47a
Disorders of Immunity: Allergies
(Hypersensitivity)
• Types of allergies (continued)
• Delayed hypersensitivity
• Triggered by the release of lymphokines
from activated helper T cells
• Symptoms usually appear 1–3 days after
contact with antigen
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.47b
Allergy Mechanisms
Figure 12.17
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Disorders of Immunity:
Immunodeficiencies
• Production or function of immune cells
or complement is abnormal
• May be congenital or acquired
• Includes AIDS – Acquired Immune
Deficiency Syndrome
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.49
Disorders of Immunity: Autoimmune
Diseases
• The immune system does not
distinguish between self and nonself
• The body produces antibodies and
sensitized T lymphocytes that attack its
own tissues
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.50a
Disorders of Immunity: Autoimmune
Diseases
• Examples of autoimmune diseases
• Multiple sclerosis – white matter of brain
and spinal cord are destroyed
• Myasthenia gravis – impairs
communication between nerves and
skeletal muscles
• Juvenile diabetes – destroys pancreatic
beta cells that produce insulin
• Rheumatoid arthritis – destroys joints
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.50b
Disorders of Immunity: Autoimmune
Diseases
• Examples of autoimmune diseases
(continued)
• Systemic lupus erythematosus (SLE) –
affects kidney, heart, lung and skin
• Glomerulonephritis – impairment of renal
function
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.50c
Self Tolerance Breakdown
• Inefficient lymphocyte programming
• Appearance of self-proteins in the
circulation that have not been exposed
to the immune system
• Eggs
• Sperm
• Eye lens
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.51a
Self Tolerance Breakdown
• Cross-reaction of antibodies produced
against foreign antigens with self-
antigens
• Rheumatic fever
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.51b
Developmental Aspects of the
Lymphatic System and Body Defenses
• Except for thymus and spleen, the
lymphoid organs are poorly developed
before birth
• A newborn has no functioning
lymphocytes at birth; only passive
immunity from the mother
• If lymphatics are removed or lost, severe
edema results, but vessels grow back in
time
Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 12.52