Pathogens and the immune system

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Pathogens and the immune system Veronica Leautaud, Ph.D. vl2@ rice.edu Keck Hall 224 / 232-lab Lecture 8 BIOE 301-Bioengineering and World Health

Review of lecture 7 Science Science is the human activity of seeking natural explanations for what we observe in the world around us. Engineering Systematic design, production and operation of technical systems to meet practical human needs under specified constraints Six steps of the engineering design method

Infectious diseases: a global health problem (From Morens, D., et al, 2004)

Infectious diseases: a global health problem (MRSA)

Infectious diseases: a global health problem

Infectious diseases: a global health problem

How can technology help? Science 1. Understanding biology: pathogens & disease immune system Engineering 2. Developing vaccines: from idea to product - vaccine design -production - testing safety & effectiveness 3. Addressing challenges for vaccine development: - Developed vs. developing countries - The AIDS vaccine challenge

Lecture map 1. The players: Types of pathogens Cells of the Immune system 2. Types of Immunity 2A. Physical barriers 2B. Innate Immunity Macrophages Neutrophils Complement proteins Splinter example 2C. Adaptive Immunity B-lymphocytes: ANTIBODIES T-lymphocytes: Cell-mediated Immunologic MEMORY

Lecture map 1. The players: Types of pathogens Cells of the Immune system 2. Types of Immunity 2A. Physical barriers 2B. Innate Immunity Macrophages Neutrophils Complement proteins Splinter example 2C. Adaptive Immunity B-lymphocytes: ANTIBODIES T-lymphocytes: Cell-mediated Immunologic MEMORY

Types of pathogens Bacteria Mycobacterium tuberculosis Staphylococus aureus Escherichia coli O147:H7 Vibrio cholera Bordetella pertussis (whooping cough) Viruses SARS- Severe Acute Respiratory Syndrome Influenza (Flu) HIV (AIDS) Hepatitis C virus Ebola/ Marburg viruses Plasmodium sp. (Malaria) Cryptospridium Parasites Candida albicans Fungi

Bacteria - Cells with membrane and cell wall (usually) - Can survive & reproduce outside host - Can be killed or inhibited by antibiotics - Responsible for >90% of hospital infections DNA Size ~ 1 μm

How do bacteria cause disease? -Invade host -Reproduce - Produce toxins which disturb function of normal cells pertussis Paralyze cilia & inhibit clearance of respiratory secretions = whooping cough

How do bacteria cause disease? MRSA: Methycillin Resistant Staphylococcus aureus http://www.npr.org/templates/story/story. php?storyid=15453093

Viruses Nucleic acid core surrounded by protein capsid, and for some viruses an envelope Use host intracellular machinery to reproduce They cannot be killed with antibiotics, but antivirals may inhibit different stages of their life cycle in the host >50 viruses that can infect humans Size ~ 0.1 μm = 100nm

How do viruses cause disease? 1. Virus invades host cell - Binds to cell membrane receptors - Endocytosis brings virus into cell 2. Virus takes over cell - Use viral nucleic acid and host cell resources to make new viral nucleic acid and proteins 3. More virus is released from host cell - Virus causes host cell to lyse OR - Viral particles bud from host cell surface

How do viruses cause disease?

The Human Immunodeficiency virus (HIV) Viral components: -nucleic acid core (DNA/RNA) -protein capsid -envelope -Glycoproteins Spikes

The Human Immunodeficiency virus (HIV)

How are we protected against pathogens?

Lecture map 1. The players: Types of pathogens Cells of the Immune system 2. Types of Immunity 2A. Physical barriers 2B. Innate Immunity Macrophages Neutrophils Complement proteins Splinter example 2C. Adaptive Immunity B-lymphocytes: ANTIBODIES T-lymphocytes: Cell-mediated Immunologic MEMORY

Cells of the immune system Bone marrow Blood = plasma + cells

Cells of the immune system Bone marrow Blood = plasma + cells O 2 & CO 2 transport Clotting Macrophages (T/B) White Blood Cells (WBC)

Cells of the immune system Bone marrow Blood = plasma + cells Macrophages B-lymphoctes T-lymphocytes Natural Killer Cells Defense vs. parasites Allergic reactions Phagocytosis- eating pathogens Innate Immunity Antibody production Pathogen killing Adaptive Immunity

Cells of the immune system Neutrophil Macrophage Lymphocyte Phagocytosis- killing B-lymphocytes T lymphocytes NK cells

Question: Based on your understanding of the characteristics of bacteria, viruses, and blood cells, identify which item best represents a bacterium, a virus and a blood cell and be able to explain why you chose each.

Lecture map 1. The players: Types of pathogens Cells of the Immune system 2. Types of Immunity 2A. Physical barriers 2B. Innate Immunity Macrophages Neutrophils Complement proteins Splinter example 2C. Adaptive Immunity B-lymphocytes: ANTIBODIES T-lymphocytes: Cell-mediated Immunologic MEMORY

Types of Immunity Physical Barriers -skin(2 square meters!) - mucose membranes (400 square meters!) Innate Immune System - General inflammatory response against pathogens outside of the cell Adaptive Immune System - Can adapt to defend against any specific invader inside or outside of the cell - Important when innate immunity cannot defend against the attack -Provides Immune Memory

What happens when you get a splinter?

What happens when you get a splinter? Pathogen makes it past a physical barrier Symptoms? Red, swollen, hot, pus What causes these symptoms? The Innate immune system is kicking into gear! Usually innate immune system can take care of it

The Innate Immune System: 3 main weapons -Activated Macrophages Phagocyte ( eat ) invading pathogens Produce chemicals that: - increase blood flow (redness & heat) - cause fuild leaking (swelling) - recruit neutrophils (pus) Present antigen to adaptive immune system -Complement proteins Present in tissue and blood Attach to surface of bacteria and viruses targeting them for phagocytosis Recruit other immune cells from blood

What happens when you get a splinter?

Macrophage attacking E.coli SEM x 8,800 Denis Kunkel

Question: Based on your understanding of the innate immune system, represent a macrophage during phagocytosis

Lecture map 1. The players: Types of pathogens Cells of the Immune system 2. Types of Immunity 2A. Physical barriers 2B. Innate Immunity Macrophages Neutrophils Complement proteins Splinter example 2C. Adaptive Immunity B-lymphocytes: ANTIBODIES T-lymphocytes: Cell-mediated Immunologic MEMORY

The Adaptive Immune System Recognizes antigens (molecular signatures) specific for each pathogen Effective against both intra- and extracellular pathogens Two main components: Humoral immunity - Relies on Antibodies produced by B-lymphocytes - Fights pathogens outside of cells Cell-mediated Immunity - Relies on specific receptors on the surface of T-lymphocytes - Fights pathogens inside of cells

What is an antibody? Bridge between: Pathogen Tool to kill it Antibodies have two important regions: Fabregion: Binds antigen Binds surface of virus infected cell Fcregion: Binds macrophages and neutrophils, induces phagocytosis Binds natural killer cell, induces killing

The Adaptive Immune response: humoral immunity How do antibodies work? 1. Neutralization: Blocking the biological activity of toxin or pathogen ie. Blocking access 2. Bridge: Bringing together pathogens and phagocytes

The Adaptive Immune response: humoral immunity Target cell Target cell 1. Neutralization Macrophage 2. Bridge: pathogen-phagocyte

Question: Which components of your kit are most like antibodies? Arrange the components of the kit to demonstrate how these antibodies bridge a pathogen and the tool to kill it?

The Adaptive Immune response: humoral immunity How are antibodies made? B cells Lymphocytes that make antibodies Have B cell receptors on surface 100 million different types of B cells, each with different surface receptors B cell receptors are so diverse they can recognize every organic molecule When a B cell binds antigen: Proliferates - In one week, clone of 20,000 identical B cells Secretes antibody

Clonal selection and proliferation (proliferation) B cells

The Adaptive Immune response: cell-mediated immunity How do we kill virus once inside the cell? Antibodies cannot get to it Need T cells T Cells Recognize protein antigens When bind antigen, undergo clonal selection Three types of T Cells: Killer T Cells (Cytotoxic T Lymphocytes CTLs) Helper T Cells (orchestrate adaptive immune response) Regulatory T Cells

How do T Cells recognize Virus-Infected Cells? All cells have Major Histocompatibility Complex (MHC) molecules on surface T Cells inspect MHC proteins and use this as a signal to identify infected cells Antigens (bits of pathogens) get loaded into MHC molecules: When virus invades target cell, fragments of viral protein are loaded onto MHC proteins Profesional Antigen Presentation Cells (APCs= phagocytes of innate immunity)

Antigen presentation and cellular immunity MHC Macrophage TCR Strengthen antibody response Macrophage T Helper Cell (CD4+) Strengthen Killer T cell response Infected cell Infected cell MHC TCR Killer T-cell (CD8+)

Question: Demonstrate how the T cell can identify a virus infected cell: antigen presentation Why is this component of the adaptive immune system a significant advance over the innate immune system?

Immunologic Memory First time adaptive immune system is activated by an antigen: Build up a clone of B cells and T cells Takes about a week After infection is over, most die off Some remain memory cells Second time adaptive immune system is activated by that antigen: Memory cells are easier to activate Response is much faster no symptoms

Immunologic Memory

The adaptive Immune Response Putting it together

The Adaptive immune response macrophage macrophage 1. Cellular Immunity: Antigen presentation T-helper cell Antigen presentation 2. Humoral Immunity: Killer T cell infected cell B cell: antibodies (neutralize & bridge)

Summary of lecture 8 Pathogens: Bacteria and Virus Levels of Immunity: Barriers First line of defense Innate Inflammation Phagocytes Complement Adaptive Immunologic memory Antibody mediated immunity Cell mediated immunity Pathogens within cells Diversity to recognize 100 million antigens

Next time How do vaccines work? Vaccine development: Design Production Testing safety & efficacy Challenges of vaccine development

Assignments Due Next Time Homework 5 - Reading: Polio: an end in sight. Toby Reynolds - Questions 1-3

The end.